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HUNTINGTON HOSPITAL ASSOCIATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HUNTINGTON HOSPITAL ASSOCIATION (EIN 11-1630914)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201423189349301667
Schema version
2013v3.1
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)
Return2014-11-14T08:21:19-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111630914EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Huntington Hospital AssociationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% MICHAEL FAGANInCareOfNm
Business Name ControlHUNTBusinessNameControlTxt
Phone6313512000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 Park AvenueAddressLine1
Address Line2SuiteAddressLine2
CityHuntingtonCity
StateNYState
ZIP Code11743ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN F LAWLORPersonNm
Person TitlePRES & CEOPersonTitleTxt
Signature2014-10-28SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin F Lawlor CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 PARK AVENUEAddressLine1
CityHuntingtonCity
StateNYState
ZIP Code11743ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$325,840,987GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSHORELIJ.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1916FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHuntington 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.ActivityOrMissionDesc
Voting Members Governing Body40VotingMembersGoverningBodyCnt
Voting Members Independent38VotingMembersIndependentCnt
Total Employee2309TotalEmployeeCnt
Total Volunteers530TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,556,759PYContributionsGrantsAmt
CY Contributions Grants$2,380,923CYContributionsGrantsAmt
PY Program Service Revenue$287,172,034PYProgramServiceRevenueAmt
CY Program Service Revenue$316,595,598CYProgramServiceRevenueAmt
PY Investment Income$2,733,593PYInvestmentIncomeAmt
CY Investment Income$2,327,970CYInvestmentIncomeAmt
PY Other Revenue$5,831,381PYOtherRevenueAmt
CY Other Revenue$4,274,384CYOtherRevenueAmt
PY Total Revenue$297,293,767PYTotalRevenueAmt
CY Total Revenue$325,578,875CYTotalRevenueAmt
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$196,920,161PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$142,563,462CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$495,157CYTotalFundraisingExpenseAmt
PY Other Expenses$102,403,688PYOtherExpensesAmt
CY Other Expenses$121,310,284CYOtherExpensesAmt
PY Total Expenses$299,323,849PYTotalExpensesAmt
CY Total Expenses$263,873,746CYTotalExpensesAmt
PY Revenues Less Expenses-$2,030,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,705,129CYRevenuesLessExpensesAmt
Total Assets BOY$340,932,601TotalAssetsBOYAmt
Total Assets EOY$355,325,466TotalAssetsEOYAmt
Total Liabilities BOY$266,565,010TotalLiabilitiesBOYAmt
Total Liabilities EOY$213,311,472TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,367,591NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$142,013,994NetAssetsOrFundBalancesEOYAmt
MissionTHE HUNTINGTON HOSPITAL ASSOCIATION'S (THE "HOSPITAL") MISSION IS TO PROVIDE A FULL RANGE OF INPATIENT, OUTPATIENT AND SPECIALIZED HEALTHCARE SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, WITHIN AN ENVIRONMENT NURTURED BY RESPECT AND SAFETY. THE HOSPITAL IS COMMITTED TO GIVING ITS PATIENTS HIGH QUALITY AND TECHNOLOGICALLY ADVANCED CARE BY COMPETENT PROFESSIONALS IN ORDER TO MAINTAIN AND IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$192,141,680ExpenseAmt
Grant$0GrantAmt
Revenue$276,728,606RevenueAmt
DescA member of the North Shore-LIJ Health System, Huntington Hospital is a 408 bed community hospital, with the following inpatient services; medical/surgical, pediatrics, intensive and critical care, maternity, Level II Perinatal service and psychiatry. The Hospital is a NYS Dept of Health Designated Stroke Center and a recipient of the American Heart Association Get With The Guidelines Stroke Gold Plus Award in 2011 and In 2013, the Hospital had 15,054 inpatient discharges, including the delivery of 1,382 babies. Huntington Hospital provided 37,408 Emergency Department visits and performed 9,038 ambulatory surgeries, including endoscopies and outpatient cardiac catheterizations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$47,334,083ExpenseAmt
Grant$0GrantAmt
Revenue$39,866,992RevenueAmt
DescNorth Shore-LIJ Medical Group is an affiliated member of the North Shore-LIJ Health System ("the System") and part of the System's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$239,475,763TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document132IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2309EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members40GoverningBodyVotingMembersCnt
Independent Voting Member38IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
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)
PersonMICHAEL FAGANPersonNm
Phone6314254262PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 PARK AVENUEAddressLine1
CityHuntingtonCity
StateNYState
ZIP Code11743ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEVIN F LAWLOR
PRESIDENT/CEO50.0Yes (X)Yes (X)$713,588$0$286,966
MICHAEL GROSSO MD
VP MEDICAL AFFAIRS50.0Yes (X)Yes (X)$453,139$0$43,150
MICHAEL ABOFF
BOARD MEMBER2.0Yes (X)$0$0$0
CARMELA ANGLIM
BOARD MEMBER2.0Yes (X)$0$0$0
MICHAEL ALESANDRO
BOARD MEMBER2.0Yes (X)$0$0$0
CHRISTOPHER BARBER
BOARD MEMBER2.0Yes (X)$0$0$0
MICHAEL BROWN
BOARD MEMBER2.0Yes (X)$0$0$0
FRED BUCKHOLTZ
ASST TREASURER2.0Yes (X)Yes (X)$0$0$0
MICHAEL J DOWLING
BOARD MEMBER/CEO NSLIJYes (X)$0$3,117,843$1,222,77450.0
WILLIAM H FRAZIER
TREASURER2.0Yes (X)Yes (X)$0$0$0
LKEITH FRIEDLANDER ESQ
BOARD MEMBER2.0Yes (X)$0$0$0
CLIFFORD FRIEDMAN
BOARD MEMBER2.0Yes (X)$0$0$0
J RONALD GAUDREAULT
Board Member2.0Yes (X)$0$0$0
ANTHONY GIACCONE
BOARD MEMBER2.0Yes (X)$0$0$0
ROSALYN C GORDON
VICE CHAIRWOMAN2.0Yes (X)Yes (X)$0$0$0
JOHN KEAN
BOARD MEMBER2.0Yes (X)$0$0$0
THOMAS G LEDERER
Board Member2.0Yes (X)$0$0$0
SHIRLEY LEVITT
BOARD MEMBER2.0Yes (X)$0$0$0
BRIAN MCNALLY
BOARD MEMBER2.0Yes (X)$0$0$0
LEWIS MELTZER ESQ
VICE CHAIRPERSON2.0Yes (X)Yes (X)$0$0$0
RICHARD MURCOTT
Board Member2.0Yes (X)$0$0$0
ROBERT MYERS
BOARD MEMBER2.0Yes (X)$0$0$0
MARTHA CARLSTROM
BOARD MEMBER2.0Yes (X)$0$0$0
PATRICIA PETERSEN
BOARD MEMBER2.0Yes (X)$0$0$0
BERNARD M ROSOF MD
Chairman3.0Yes (X)Yes (X)$0$0$0
DOLORES THOMPSON
BOARD MEMBER2.0Yes (X)$0$0$0
IRVING KLEIN
BOARD MEMBER2.0Yes (X)$0$0$0
NOAH FINKEL MD
Board Member2.0Yes (X)$0$0$0
CARY KRAVET
BOARD MEMBER2.0Yes (X)$0$0$0
JOHN R RICONDA
BOARD MEMBER2.0Yes (X)$0$0$0
RICHARD KLEINKNECHT
BOARD MEMBER2.0Yes (X)$0$0$0
G MORGAN BROWNE
BOARD MEMBER2.0Yes (X)$0$0$0
EUGENE J LEVITT ESQ
BOARD MEMBER2.0Yes (X)$0$0$0
DOUGLAS A BYRNES MD
BOARD MEMBER2.0Yes (X)$0$0$0
HARRY F MARIANI
SECRETARY2.0Yes (X)Yes (X)$0$0$0
JOHN MCCUSKER
BOARD MEMBER2.0Yes (X)$0$0$0
EDNA FETKOWITZ
BOARD MEMBER2.0Yes (X)$0$0$0
NICK FITTERMAN MD
BOARD MEMBER/MEDICAL DIRECTORYes (X)$0$561,137$43,15050.0
VIRGINIA PATRICK
BOARD MEMBER2.0Yes (X)$0$0$0
ROBERT STACKLER
BOARD MEMBER2.0Yes (X)$0$0$0
MICHAEL FAGAN
VP FINANCE/CFO50.0$407,620$0$43,150Yes (X)
LAWRENCE ONG
DIR CARDIOLOGY50.0$745,886$0$43,150Yes (X)
MICHAEL QUARTIER
VP ADMINISTRATION50.0$692,704$0$43,150Yes (X)
NEERAJ KATRIYAR
INTENSIVIST50.0$588,029$0$43,150Yes (X)
DAVID BUCHIN
PHYSICIAN50.0$945,837$0$43,150Yes (X)
DAVID RIVADENEIRA
VICE CHAIRPERSON50.0$1,110,031$0$43,150Yes (X)
THOMAS HOEFT
EXECUTIVE VP/COO$134,988$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,791,822TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,678,980TotReportableCompRltdOrgAmt
Total Other Compensation$1,854,940TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K366IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MCKESSON CORPORATION
5995 WINDWARD PKWYALPHARETTAGA30005SOFTWARE LICENSING$2,366,280
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA30384STAFFING SERVICES$719,290
UNITEX TEXTILE
155 SOUTH TERRACE AVEMOUNT VERNONNY10550LINEN SERVICES$529,939
HEALTHTECH RESOURCES INC
3620 E CAMPBELL AVE STE CPHOENIXAZ85018CONSULTING$499,473
SIEMENS MEDICAL SOLUTIONS USA
PO BOX 7777PHILADELPHIAPA19175EQUIPMENT SERVICE$340,941
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Fundraising$628,529FundraisingAmt
All Other Contributions$1,752,394AllOtherContributionsAmt
Total Contributions$2,380,923TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SVC - HOSPITAL621300$274,547,356$274,547,356
PATIENT SVC-PHYS INC621300$42,048,242$42,048,242
FieldValueIRS element (for citing)
Total Program Service Revenue$316,595,598TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,503,054TotalRevenueColumnAmt
Exclusion$1,503,054ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$370,587RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$370,587RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$370,587TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$814,572SecuritiesAmt
Other$10,344OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$814,572SecuritiesAmt
Other$10,344OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$824,916TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$142,447FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$628,529ContriRptFundraisingEventAmt
Fundraising Direct Expenses$252,035FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$109,588TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$85,632GamingGrossIncomeAmt
Gaming Direct Expenses$10,077GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,555TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ELECTRONIC HEALTH RECORD INCOME900099$2,310,655$2,310,655
CAFETERIA INCOME900099$928,508$928,508
GIFT SHOP900099$137,869$137,869

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$560,798TotalRevenueColumnAmt
Related Or Exempt Func Income$25,319RelatedOrExemptFuncIncomeAmt
Exclusion$535,479ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,937,830OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$325,578,875TotalRevenueColumnAmt
Related Or Exempt Func Income$318,931,572RelatedOrExemptFuncIncomeAmt
Exclusion$3,104,910ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,574,347TotalAmt
Program Services$1,574,347ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$152,733,245TotalAmt
Program Services$143,475,465ProgramServicesAmt
Management And General$8,786,059ManagementAndGeneralAmt
Fundraising$471,721FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$41,007,153TotalAmt
Program Services-$36,102,698ProgramServicesAmt
Management And General-$4,889,462ManagementAndGeneralAmt
Fundraising-$14,993FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,876,950TotalAmt
Program Services$16,619,267ProgramServicesAmt
Management And General$2,250,781ManagementAndGeneralAmt
Fundraising$6,902FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,386,073TotalAmt
Program Services$9,143,899ProgramServicesAmt
Management And General$1,238,377ManagementAndGeneralAmt
Fundraising$3,797FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$185,744TotalAmt
Management And General$185,744ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$339,246TotalAmt
Management And General$339,246ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,238,473TotalAmt
Program Services$5,492,352ProgramServicesAmt
Management And General$743,840ManagementAndGeneralAmt
Fundraising$2,281FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,244TotalAmt
Program Services$126,112ProgramServicesAmt
Management And General$17,080ManagementAndGeneralAmt
Fundraising$52FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$59,767,703TotalAmt
Program Services$52,619,486ProgramServicesAmt
Management And General$7,126,365ManagementAndGeneralAmt
Fundraising$21,852FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,825,086TotalAmt
Program Services$4,248,006ProgramServicesAmt
Management And General$575,316ManagementAndGeneralAmt
Fundraising$1,764FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$186,604TotalAmt
Program Services$186,604ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$279,857TotalAmt
Program Services$246,386ProgramServicesAmt
Management And General$33,369ManagementAndGeneralAmt
Fundraising$102FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,041,126TotalAmt
Management And General$2,041,126ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,551,408TotalAmt
Program Services$13,691,460ProgramServicesAmt
Management And General$1,859,948ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,094,602TotalAmt
Program Services$10,094,602ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSES$5,874,182$5,874,182
OTHER PURCHASED SERVICES$6,296,586$6,296,586
CENTRALIZED ADMIN EXPENSE$2,796,613$2,796,613
DUES & SUBSCRIPTIONS$387,761$341,385$46,234$142

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,302,049TotalAmt
Program Services$5,548,322ProgramServicesAmt
Management And General$752,190ManagementAndGeneralAmt
Fundraising$1,537FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$263,873,746TotalAmt
Program Services$239,475,763ProgramServicesAmt
Management And General$23,902,826ManagementAndGeneralAmt
Fundraising$495,157FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,212,620BOYAmt
EOY$11,960,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$104,452,307BOYAmt
EOY$113,279,744EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$398,445BOYAmt
EOY$410,121EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,900,479BOYAmt
EOY$38,057,722EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,514,382BOYAmt
EOY$3,329,588EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,295,000BOYAmt
EOY$2,278,514EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$216,840,844LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$89,648,993LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$127,352,355BOYAmt
EOY$127,191,851EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,451,915BOYAmt
EOY$28,073,261EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,355,098BOYAmt
EOY$30,744,477EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$340,932,601BOYAmt
EOY$355,325,466EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,735,202BOYAmt
EOY$41,533,928EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,510,000BOYAmt
EOY$41,525,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,319,808BOYAmt
EOY$130,252,544EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$266,565,010BOYAmt
EOY$213,311,472EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,960,191BOYAmt
EOY$137,240,789EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,244,025BOYAmt
EOY$3,609,830EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,163,375BOYAmt
EOY$1,163,375EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,367,591BOYAmt
EOY$142,013,994EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$340,932,601BOYAmt
EOY$355,325,466EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$61,705,129ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,558,392NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$617,118OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$1,930RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$1,930TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1HFormAndLineReferenceDesc
ExplanationHUNTINGTON HOSPITAL ASSOCIATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,163,375BeginningYearBalanceAmt
End Year Balance$1,163,375EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,163,375BeginningYearBalanceAmt
End Year Balance$1,163,375EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,159,948BeginningYearBalanceAmt
Contributions$3,427ContributionsAmt
Investment Earnings Or Losses$22,421InvestmentEarningsOrLossesAmt
Other Expenditures$22,421OtherExpendituresAmt
End Year Balance$1,163,375EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,159,948BeginningYearBalanceAmt
End Year Balance$1,159,948EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,159,948BeginningYearBalanceAmt
End Year Balance$1,159,948EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,079,936OtherCostOrOtherBasisAmt
Book Value$3,079,936BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,442,931OtherCostOrOtherBasisAmt
Depreciation$42,508,208DepreciationAmt
Book Value$64,934,723BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$240,383OtherCostOrOtherBasisAmt
Depreciation$164,741DepreciationAmt
Book Value$75,642BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,457,803OtherCostOrOtherBasisAmt
Depreciation$46,429,595DepreciationAmt
Book Value$54,028,208BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,619,791OtherCostOrOtherBasisAmt
Depreciation$546,449DepreciationAmt
Book Value$5,073,342BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$127,191,851TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INSURANCE CLAIMS RECEIVABLE$26,739,314
BOND FINANCING$1,163,571
OTHER ASSETS$2,841,592
FieldValueIRS element (for citing)
Total Book Value Other Assets$30,744,477TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ACCRUED PENSION LIABILITY$45,990,141
EST THIRD PARTY PAYOR LIBILITE$29,193,922
ACCRUED MALPRACTICE LIAB$24,818,000
INSURANCE CLAIMS PAYABLE$26,739,347
ACCRUED ASSET RETIREMENT OBLIG$136,778
BOND PREM/DISCOUNT$1,062,907
DUE TO AFFILIATE$2,311,449
FieldValueIRS element (for citing)
Total Liability$130,252,544TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$324,702,700TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$6,558,392NetUnrealizedGainsInvstAmt
Other Revenue-$5,967,453OtherRevenueAmt
Revenue Not Reported$590,939RevenueNotReportedAmt
Revenue Subtotal$324,111,761RevenueSubtotalAmt
Other Revenues Not Included$1,467,114OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,467,114RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$325,578,875TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$316,956,431TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$262,112OtherExpensesIncludedAmt
Expenses Not Reported$262,112ExpensesNotReportedAmt
Expenses Subtotal$316,694,319ExpensesSubtotalAmt
Other Expenses Not Included-$52,820,573OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$52,820,573ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$263,873,746TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V - Line 4The investment income on the permanently restricted endowment funds are unrestricted and used to help support the operations of the Hospital.
PART XI-LINE 2D AND 4B, PART XII, LINE 2D AND 4BPART XI - LINE 2D SPECIAL EVENT EXPENSE RECLASSED 252,035 GAMING EXPENSE RECLASSED 10,077 NET ASSETS RELEASED FROM RESTRICTIONS 261,735 NONOPERATING GAIN/LOSS (617,118) PROVISION FOR BAD DEBTS (5,874,182) TOTAL (5,967,453) PART XI - LINE 4B TEMP AND PERM RESTRICTED CONTRIBUTIONS 1,467,114 PART XII, LINE 2D SPECIAL EVENTS EXPENSE RECLASSED 252,035 GAMING EXPENSE RECLASSED 10,077 TOTAL 262,112 PART XII - LINE 4B Additional Minimum Pension Adjustment (58,694,755) PROVISION FOR BAD DEBTS 5,874,182 Total (52,820,573)
Part X, LINE 2Certain 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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1Amt
Gross Receipts Event1$400,380GrossReceiptsEvent1Amt
Charitable Contri Event1$304,658CharitableContriEvent1Amt
Gross Revenue Event1$95,722GrossRevenueEvent1Amt
Non Cash Prizes Event1$4,885NonCashPrizesEvent1Amt
Food And Beverage Event1$72,977FoodAndBeverageEvent1Amt
Entertainment Event1$24,375EntertainmentEvent1Amt
Other Direct Expenses Event1$10,578OtherDirectExpensesEvent1Amt
Name Of Event2GOLF CLASSICNameOfEvent2Amt
Gross Receipts Event2$234,745GrossReceiptsEvent2Amt
Charitable Contri Event2$217,395CharitableContriEvent2Amt
Gross Revenue Event2$17,350GrossRevenueEvent2Amt
Non Cash Prizes Event2$25,388NonCashPrizesEvent2Amt
Entertainment Event2$64,875EntertainmentEvent2Amt
Other Direct Expenses Event2$6,520OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$135,851GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$106,476CharitableContriOtherEventsAmt
Gross Revenue Other Events$29,375GrossRevenueOtherEventsAmt
Cash Prizes Other Events$1,680CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$60NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$11,151RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$22,115FoodAndBeverageOtherEventsAmt
Entertainment Other Events$3,485EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$3,946OthDirectExpnssOtherEventsAmt
Gross Receipts Total$770,976GrossReceiptsTotalAmt
Charitable Contributions Tot$628,529CharitableContributionsTotAmt
Gross Revenue Total Events$142,447GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,680CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$30,333NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$11,151RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$95,092FoodAndBeverageTotalEventsAmt
Entertainment Total Events$92,735EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$21,044OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$252,035DirectExpenseSummaryEventsAmt
Net Income Summary-$109,588NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$85,632GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$10,077OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$85,632GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$10,077OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$10,077DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$75,555NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
LicensedfalseLicensedInd
Explanation If NoNYS LICENSE IS PENDINGExplanationIfNoTxt
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Individual With BooksROBERT MOTTOLAIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1270 PARK AVENUEAddressLine1
CityHUNTINGTONCity
StateNYState
ZIP Code11743ZIPCode
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonROBERT MOTTOLAGamingManagerPersonNm
Gaming Manager Services ProvOVERALL SUPERVISION OF ANNUAL RAFFLEGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served7762PersonsServedCnt
Total Community Benefit Expns$6,699,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$916,026DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,783,904NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served15519PersonsServedCnt
Total Community Benefit Expns$35,106,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,040,959DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,065,987NetCommunityBenefitExpnsAmt
Total Expense0.05120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served23281PersonsServedCnt
Total Community Benefit Expns$41,806,876TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,956,985DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,849,891NetCommunityBenefitExpnsAmt
Total Expense0.06960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs46ActivitiesOrProgramsCnt
Persons Served61913PersonsServedCnt
Total Community Benefit Expns$706,933TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$695,433NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs58ActivitiesOrProgramsCnt
Persons Served580PersonsServedCnt
Total Community Benefit Expns$1,805,239TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$448,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,356,746NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$30,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served133PersonsServedCnt
Total Community Benefit Expns$39,434TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,434NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs112ActivitiesOrProgramsCnt
Persons Served62626PersonsServedCnt
Total Community Benefit Expns$2,581,606TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$459,993DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,121,613NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs114ActivitiesOrProgramsCnt
Persons Served85907PersonsServedCnt
Total Community Benefit Expns$44,388,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,416,978DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,971,504NetCommunityBenefitExpnsAmt
Total Expense0.07630TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,984TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,984NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served68PersonsServedCnt
Total Community Benefit Expns$530TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$530NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served125PersonsServedCnt
Total Community Benefit Expns$2,796TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,796NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served7PersonsServedCnt
Total Community Benefit Expns$1,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,971NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served201PersonsServedCnt
Total Community Benefit Expns$7,281TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,281NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,740,423BadDebtExpenseAmt
Reimbursed By Medicare$104,035,243ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$136,175,288CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$32,140,045MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 PARK AVENUEAddressLine1
CityHUNTINGTONCity
StateNYState
ZIP Code11743ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.NORTHSHORELIJ.COMWebsiteAddressTxt
State License5153000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NORTHSHORELIJ.COMOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART V, SECTION C - SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPart 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/AExplanationTxt
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
PHYSICIAN AMBULATORY NEWTORK SERVICES
270 PULASKI ROADGREENLAWNNY11740OUTPATIENT PHYSICAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP AT SMITHTO
9 BROOKSITE DRIVESMITHTOWNNY11787OUTPATIENT PHYSICIAN CLINIC
QUEENS WTC HEALTH PROGRAM
97-77 QUEENS BOULEVARDREGO PARKNY11374OUTPATIENT PHYSICIAN CLINIC
LONG ISLAND OBESITY SURGERY
224 WALL STREETHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
DOLAN FAMILY HEALTH CENTER
284 PULASKI ROADGREENLAWNNY11740FAMILY HEALTH CENTER
PHYSICIAN AMBULATORY NETWORK SERVICES
96 EAST MAIN STREETHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
755 NEW YORK AVENUEHUNTINGTONNY11743OUTPATIENT PHYSIICAN CLINIC
NSLIJ MEDICAL GROUP CARDIOLOGY CONSULTAN
43 CROSSWAYS PARK DRIVE WESTWOODBURYNY11797OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
158 EAST MAIN STREETHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
HUNTINGTON MEDICAL GROUP
180 EAST PULASKI ROADHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationQuestion 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/AIDSExplanationTxt

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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
KEVIN F LAWLOR
PRESIDENT/CEO$593,009$0$71,000$0$49,579$0$271,866$0$15,100$0$1,000,554$0$0$0
MICHAEL GROSSO MD
VP MEDICAL AFFAIRS$384,309$0$22,833$0$45,997$0$28,050$0$15,100$0$496,289$0$0$0
MICHAEL J DOWLING
BOARD MEMBER/CEO NSLIJ$0$1,366,853$0$1,700,000$0$50,990$0$1,201,724$0$21,050$0$4,340,617$0$0
THOMAS HOEFT
EXECUTIVE VP/COO$0$0$0$0$134,988$0$0$0$0$0$134,988$0$0$0
MICHAEL FAGAN
VP FINANCE/CFO$346,933$0$21,000$0$39,687$0$28,050$0$15,100$0$450,770$0$0$0
LAWRENCE ONG
DIR CARDIOLOGY$706,282$0$0$0$39,604$0$28,050$0$15,100$0$789,036$0$0$0
MICHAEL QUARTIER
VP ADMINISTRATION$213,654$0$25,363$0$453,687$0$28,050$0$15,100$0$735,854$0$0$0
NEERAJ KATRIYAR
INTENSIVIST$245,971$0$15,413$0$326,645$0$28,050$0$15,100$0$631,179$0$0$0
DAVID BUCHIN
PHYSICIAN$927,120$0$0$0$18,717$0$28,050$0$15,100$0$988,987$0$0$0
DAVID RIVADENEIRA
VICE CHAIRPERSON$844,758$0$250,000$0$15,273$0$28,050$0$15,100$0$1,153,181$0$0$0
NICK FITTERMAN MD
BOARD MEMBER/MEDICAL DIRECTOR$0$491,522$0$37,250$0$32,365$0$28,050$0$15,100$0$604,287$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BCertain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Kevin F Lawlor ($243,816) and Michael J Dowling ($1,173,674).
PART I, LINE 7On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NEW YORKBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN146000293BondIssuerEIN
CUSIP649906JT2CUSIPNum
Bond Issued2011-10-06BondIssuedDt
Issue Price$44,125,573IssuePriceAmt
Purpose2011 BONDS - CAPITAL IMPROVEMENTSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,337,055RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$44,149,036TotalProceedsAmt
In Reserve Fund$3,552,535InReserveFundAmt
Capitalized Interest$366,216CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$781,466IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$8,138,103CapitalExpendituresAmt
Other Spent Proceeds$25,500,313OtherSpentProceedsAmt
Unspent$1,132,033UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEFormAndLineReferenceDesc
ExplanationPRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDSExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Contemporary Computer Services
J Riconda, BD Member$272,894Purchased Computer Servicesfalse
Patrice Piretti
Daughter of BD Member$128,718Hospital Employeefalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Michael Brown has a business relationship with Thomas Lederer. Ron Gaudreault has a business relationship with Bernard Rosof, MD. Thomas Lederer has a business relationship with Michael Brown. Lewis Meltzer, Esq has a business relationship with John Riconda and Bernard Rosof, MD. John Riconda has a business relationship with Lewis Meltzer, Esq. Bernard Rosof, MD has a business relationship with Ron Gaudreault and Lewis Meltzer, Esq.
PART VI, SECTION B - POLICIES, LINE 11The 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 12CAs a member of the North Shore-Long Island Jewish Health System, the Hospital has several control mechanisms to mitigate conflicts of interest. The Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, the Code of Ethical Conduct requires individuals to conduct Hospital business in a manner that places the interests of the Hospital ahead of personal interests. In Addition, the Hospital 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 Hospital are required to fill out a conflicts of interest disclosure form on a regular basis. The system's 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 Hospital's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Hospital 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 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 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 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 7North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
PART XI, LINE 9NON OPERATING GAIN/LOSS (617,118) TOTAL CHANGE IN NET ASSETS (617,118)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
North Shore LIJ Health System
972 Brush Hollow RdWestburyNY11590113418133SUPPORTNY501(C)(3)11, Type 1NAfalse
North Shore LIJ Health Care Inc
972 Brush Hollow RDWestburyNY11590112965586SUPPORTNY501(C)(3)11, Type 1NS-LIJHSfalse
North Shore LIJ Health Sys Laboratories
972 Brush Hollow RdWestburyNY11590113412370SUPPORTNY501(C)(3)11, Type 1NS-LIJHSfalse
Huntington Hosp Dolan Family HLTH Center
284 Pulaski RoadGreenlawnNY11740113368503Health CareNY501(C)(3)3HuntingtonYes (true)
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701Health CareNY501(C)(3)3NS-LIJ HCIfalse
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326Health CareNY501(C)(3)3NS-LIJ HCIfalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487Health CareNY501(C)(3)3NS-LIJ HCIfalse
Forest Hills Hospital
972 Brush Hollow RdWestburyNY11590112163522Health CareNY501(C)(3)3NS-LIJ HCIfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243Health CareNY501(C)(3)3NS-LIJ HCIfalse
Franklin Hospital
972 Brush Hollow RdWestburyNY11590112296824Health CareNY501(C)(3)3NS-LIJ HCIfalse
Southside Hospital
972 Brush Hollow RdWestburyNY11590111667761Health CareNY501(C)(3)3NS-LIJ HCIfalse
North Shore-LIJ Stern Family CECR
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(C)(3)9NS-LIJ HCIfalse
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(C)(2)N/ANS-LIJHSfalse
Feinstein Institute for Medical Research
972 BRUSH HOLLOW RDWestburyNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHSfalse
North Shore-LIJ Health System Foundation
972 BRUSH HOLLOW RDWestburyNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHSfalse
LIJ Medical Center at Home Pharmacy
972 Brush Hollow RoadWestburyNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ Foundation
972 Brush Hollow RoadWestburyNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
North Shore-LIJ Medical Care Centers
972 Brush Hollow RoadWestburyNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH Inc
972 Brush Hollow RoadWestburyNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
North Shore University Hospital Housing
972 Brush Hollow RoadWestburyNY11590112171903Housing CompNY501(C)(2)N/ANS-LIJHSfalse
NSUH at Glen Cove Housing
972 Brush Hollow RoadWestburyNY11590237010468Housing CompNY501(C)(2)N/ANS-LIJHSfalse
Hillside Hospital Houses Inc
972 Brush Hollow RoadWestburyNY11590112113949Housing CompNY501(C)(2)N/ANS-LIJHSfalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7NS-LIJ HCIfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878Health CareNY501(C)(3)3NS-LIJ HCIfalse
Staten Island University Hospital Founda
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHfalse
The Heart Institute
475 Seaview AvenueStaten IslandNY10305311757254INACTIVENY501(C)(3)11, TYPE 1NAfalse
CHAPS Community Health Center Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305113345477InactiveNY501(C)(3)9SIUHfalse
Physicians of University Hospital PC
1 Edgewater Plaza 6th FloorStaten IslandNY10305200096809Health CareNY501(C)(3)11, TYPE 1SIUHfalse
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(C)(3)9NS-LIJHSfalse
Lenox Hill Hospital
100 East 77th StreetNew YorkNY10021131624070Health CareNY501(C)(3)3NS-LIJ HCIfalse
LHH Corporation
100 East 77th StreetNew YorkNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)11, TYPE1LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW RDWESTBURYNY11590463146870LABORATORYNYAPPLIED FORNSLIJ LABSfalse
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SVCSNY501(C)(3)11, type 1NSUHfalse
NORTH SHORE-LIJ CARDIOLOGY AT DEER PARK
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SVCSNY501(C)(3)11, type 1NSUHfalse
NORTH SHORE-LIJ HEART SURGERY
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SVCSNY501(C)(3)11, type 1NSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078631MEDICAL SVCSNY501(C)(3)11, type 1NSUHfalse
NSLIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516INSURANCENYAPPLIED FORNSLIJ HCIfalse
The Elmezzi Graduate School of Molecular
972 Brush Hollow RoadWestburyNY11590113284934Graduate SchoNY501(C)(3)2NS-LIJ HSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Krasnoff Consultative Services
972 Brush Hollow RoadWestburyNY11590262838027CONSULTINGNYNSH Enterprise
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYHEALTH CARE INC
ENDOSCOPY CENTER OF LONG ISLAND
972 BRUSH HOLLOW RDWESTBURYNY11590260000980MEDICAL SVCSNYNSLIJ VENTURES
TRUE NORTH URGENT CARE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464113494URGENT CARENYNSLIJ URGENT
TRUE NORTH DC LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464601950DIALYSISNYRENAL VENTURES
SYNERGY HEALTH TRUE NORTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464106483MEDICAL SVCSNYCENTRAL STERILE
NORTH SHORE-LIJ MEDICAL AIR TRANSPORT LL
972 BRUSH HOLLOW RDWESTBURYNY11590464858222AIR TRANSPORTNYNSUH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCode
North Shore Health System Enterprises
972 Brush Hollow RoadWestburyNY11590113316922HOLDING COMPNYNS-LIJ HCCfalse
Regioncare Inc
972 Brush Hollow RoadWestburyNY11590113052191HOMECARENYNSHS ENTCfalse
North Shore Health Enterprises
972 Brush Hollow RoadWestburyNY11590061605319HOLDING COMPANYNS-LIJ HCCfalse
Care Management Group of Greater NY
972 Brush Hollow RoadWestburyNY11590113336381BUSINESS SERVNYNSH ENTCfalse
Regional Insurance Company LTD
000000000INSURANCENS-LIJ HCCfalseC/O Cedar House 41 Cedar Ave HM 12HamiltonBermudaBDN/A
Aletta Corporation
972 Brush Hollow RoadWestburyNY11590112622371PHYSICIAN SERNYSOUTHSIDECfalse
North Shore-LIJ Physician Insurance Comp
100 Bank StreetBurlingtonVT05401261487515INSURANCENYNS-LIJ HCCfalse
North Shore-LIJ Service Alliance Inc
972 Brush Hollow RoadWestburyNY11590263651575SUPPORTNYNS-LIJHSCfalse
North Shore-LIJ Health System IPA #1
972 Brush Hollow RoadWestburyNY11590113533659Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #2
972 Brush Hollow RoadWestburyNY11590113533670Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #3
972 Brush Hollow RoadWestburyNY11590113533678Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #4
972 Brush Hollow RoadWestburyNY11590113533677Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #5
972 Brush Hollow RoadWestburyNY11590113533675Health CareNYLIJCfalse
North Shore IPA 5 Inc
972 Brush Hollow RoadWestburyNY11590113383468BUSINESS SERVNYNS-LIJ HCCfalse
North Shore-LIJ Network Inc
972 Brush Hollow RoadWestburyNY11590320257193SUPPORTNYNS-LIJHSCfalse
Vivohealth Inc
972 Brush Hollow RoadWestburyNY11590264118016InactiveNYNSH ENTERPRISECfalse
Autoimmune Research Therapeutics
972 Brush Hollow RoadWestburyNY11590270701489InactiveNYNSH ENTERPRISECfalse
North Shore Radiology at Glen Cove PC
972 Brush Hollow RoadWestburyNY11590113301179MEDICAL SERVINYNSUHCfalse
North Shore-LIJ Radiology Service PC
972 Brush Hollow RoadWestburyNY11590223970667MEDICAL SERVINYNSUHCfalse
North Shore-LIJ Medical Group at Syosset
972 Brush Hollow RoadWestburyNY11590273957752MEDICAL SERVINYNSUHCfalse
Palliative Care Medical Services PC
99 Sunnyside BlvdWoodburyNY11797273957835MEDICAL SERVINYHOSPICECfalse
North Shore-LIJ Medical Group PC
972 Brush Hollow RoadWestburyNY11590274384249MEDICAL SERVINYNSUHCfalse
NS-LIJ Medical Group at Huntington PC
972 Brush Hollow RoadWestburyNY11590274384049MEDICAL SERVINYNSUHCfalse
NS-LIJ Medical Group at North Nassau PC
972 Brush Hollow RoadWestburyNY11590274384146MEDICAL SERVINYNSUHCfalse
North Shore-LIJ Physicians Group PC
972 Brush Hollow RoadWestburyNY11590274384326MEDICAL SERVINYNSUHCfalse
Staten Island Imaging Corp
1 Edgewater Plaza 6th FloorStaten IslandNY10305133615474InactiveNYOVMCfalse
Ocean View Management
1 Edgewater Plaza 6th FloorStaten IslandNY10305133138888Management SvNYSIUHCfalse
Ocean Breeze Home Care Agency
1 Edgewater Plaza 6th FloorStaten IslandNY10305133773601InactiveNYOVMCfalse
Regency Alliances Services Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305133277698Management SvNYOVMCfalse
Verrazano Radiology Associates PC
500 Seaview Ave Ste 200Staten IslandNY10305200011201Radiology SerNYSIUHCfalse
Staten Island University Hospital Perina
475 Seaview AvenueStaten IslandNY10305134107082MEDICAL SERVINYSIUHCfalse
United Medical Surgical PC
256 Mason Ave Bldg B 2nd FloorStaten IslandNY10305134038780Surgical ServNYSIUHCfalse
University Physicians OncologyHematolog
500 Seaview AvenueStaten IslandNY10305133642729MEDICAL SERVINYSIUHSfalse
Emergency Medicine Services of Staten Is
1 Edgewater Plaza 6th FloorStaten IslandNY10305134200899MEDICAL SERVINYSIUHCfalse
Goethals Radiology PC
500 Seaview AvenueStaten IslandNY10305200010287Radiology SerNYSIUHCfalse
Staten Island Hospitalists PC
475 Seaview AvenueStaten IslandNY10305331010283MEDICAL SERVINYSIUHCfalse
Staten Island Neonatology PC
500 Seaview AvenueStaten IslandNY10305133375474MEDICAL SERVINYSIUHCfalse
Staten Island Medical Intensivist PC
501 Seaview Avenue Ste 102Staten IslandNY10305043716494MEDICAL SERVINYSIUHCfalse
Lenox Hill Physicians Hospital Organizat
122 East 76th St Suite 3-ANew YorkNY100212834133775996Managed CareNYLENOX HILLCfalse
Lenox Otolaryngology Head & Neck Surgery
186 East 76th Street 2nd FloorNew YorkNY10021208784395MEDICAL SERVINYLENOX HILLCfalse
Advanced Imaging & Radiology of Lenox Hi
100 East 77th StreetNew YorkNY10021200719612MEDICAL SERVINYLENOX HILLCfalse
Lenox Hill Cardiology Associates PC
100 East 77th StreetNew YorkNY10021133385163MEDICAL SERVINYLENOX HILLCfalse
Lenox Hill Interventional Cardiac & Vasc
130 East 77th Street 9th FloorNew YorkNY10021201435770MEDICAL SERVINYLENOX HILLCfalse
Lenox Hill Pathology PC
100 East 77th StreetNew YorkNY10021133644370MEDICAL SERVINYLENOX HILLCfalse
Park Lenox Emergency Medicine PC
100 East 77th StreetNew YorkNY10021262661082MEDICAL SERVINYLENOX HILLCfalse
Park Lenox Medical PC
100 East 77th StreetNew YorkNY10021133575380MEDICAL SERVINYLENOX HILLCfalse
Park Lenox Pediatrics PC
100 East 77th StreetNew YorkNY10021133755683MEDICAL SERVINYLENOX HILLCfalse
Park Lenox Surgical PC
130 East 77th Street 13th FloorNew YorkNY10021133397814MEDICAL SERVINYLENOX HILLCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK
972 Brush Hollow RdWestburyNY11590463475908Medical SVCNYNSUHCfalse
NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK
972 Brush Hollow RdWestburyNY11590462822879Medical ServiNYNSUHCfalse
NS-LIJ OB-GYN AT GARDEN CITY PC
972 Brush Hollow RdWestburyNY11590462886776Medical ServiNYNSUHCfalse
NS-LIJ HEALTH PLAN HOLDING INC
972 Brush Hollow RdWestburyNY11590462478147INSURANCENYNSLIJ HCICfalse
NS-LIJ CARECONNECT INSURANCE COMPANY
972 Brush Hollow RdWestburyNY11590462270382INSURANCENYHEALTH PLN HLDGCfalse
Lenox Hill Hospital Medical PC
972 Brush Hollow RdWestburyNY11590452661543Medical ServiNYLENOX HILLCfalse
NS-LIJ Occupational Medicine PC
972 Brush Hollow RdWestburyNY11590451004103Medical ServiNYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SERVINYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MEDICAL SERVINYSOUTHSIDECfalse
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590112945979MEDICAL SERVICESNYNSUHSfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Huntington Hospital Dolan Family HLTH CenterBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$300,000InvolvedAmt
Method Of Amount DeterminationAT COSTMethodOfAmountDeterminationTxt