2014-11-14T09:36:04-06:00 2013-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-01-01 200096809 PHYSICIANS OF UNIVERSITY HOSPITAL PC % THOMAS RECA PHYS 7182264597 1 EDGEWATER PLAZA Suite STATEN ISLAND NY 10305 THOMAS RECA CFO 7182261148 2014-11-13 true Anthony J Panico P00365556 7182261148 2013 2015-11-30 17:44:51Z BRAHIM ARDOLIC MD 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 65285757 false X N/A X 2003 NY THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES IN FURTHERANCE OF THE CHARITABLE PUR- POSES OF SIUH; A RELATED IRC SECTION 501(C)(3) TAX-EXEMPT HOSPITAL. 2 0 248 0 0 0 0 0 65674745 65285757 0 0 0 0 65674745 65285757 0 0 0 0 20871636 49715483 0 0 0 45681616 13932890 66553252 63648373 -878507 1637384 3420254 14840869 174891 2653434 3245363 12187435 X THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF STATEN ISLAND UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. false false 57283537 0 65285757 EXPENSES INCURRED ACTING IN FURTHERANCE OF THE CHARITABLE PURPOSES OF STATEN ISLAND UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) tax-exempt hospital WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. 57283537 true false false false false false false false false false true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 19 0 true 248 true false false false false false false false false false false false X 2 0 false false false false true true true true true false false true true true true true true true true true false NY X THOMAS RECA 7182261148 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 X BRAHIM ARDOLIC MD PRESIDENT - TRUSTEE 3.0 47.0 X X 0 516416 56786 FRANK FORTE SECRETARY - TRUSTEE 2.0 48.0 X X 0 518806 56915 NICOLE BERWALD MD PHYSICIAN 50.0 X 382149 0 28828 BORIS KHODORKOVSKY MD PHYSICIAN 50.0 X 376177 0 35380 CHRISTOPHER GRAZIANO MD PHYSICIAN 50.0 X 350474 0 34582 HEIDI BAER MD PHYSICIAN 50.0 X 326155 0 19084 ABBAS HUSAIN MD PHYSICIAN 50.0 X 311563 0 27022 MARK P JARRETT MD FORMER OFFICER 50.0 X 0 672408 42750 1746518 1707630 301347 70 true true false METROPOLITAN OBGYN ASSOCIATES PC 5724 NEW UTRECHT AVENUE BROOKLYN NY 11219 MEDICAL 276644 ISLAND MEDICAL SPECIALISTS LLC 347 EDISON AVENUE STATEN ISLAND NY 10306 STAFFING 111555 2 0 NET PATIENT SERVICE REVENUE 541900 65230065 65230065 OTHER HEALTHCARE RELATED REVENUE 541900 55692 55692 65285757 0 0 0 0 0 0 0 0 0 0 0 65285757 65285757 0 X 0 0 0 0 0 0 36789458 33110512 3678946 0 649175 584258 64917 10997282 9897554 1099728 1279568 1151611 127957 0 0 0 0 0 0 657047 591343 65704 0 0 0 0 0 0 0 0 0 0 73911 66520 7391 13201932 11881739 1320193 63648373 57283537 6364836 0 3368242 6860602 0 0 0 0 0 5962404 0 0 0 0 0 0 0 0 0 6380 157712 18098 0 139614 0 0 0 0 0 0 0 0 52012 1871869 3420254 14840869 174891 2653434 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174891 2653434 X 3245363 12187435 0 0 0 0 3245363 12187435 3420254 14840869 X 1637384 7304688 X X false true X true false X X X X false false false STATEN ISLAND UNIVERSITY HOSPITAL 112868878 03 true true true 0 1 0 157712 18098 139614 0 0 0 0 0 0 139614 DUE TO AFFILIATES 1857284 OTHER RECEIVABLES 14585 1871869 0 0 X 65285757 65285757 65285757 1637384 1637384 1637384 SCHEDULE D, PART X Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2013 and 2012, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $167,000,000, which expire in varying amounts through 2033, and are available to offset future taxable income. X X X X false false false false false false false true false BRAHIM ARDOLIC MD PRESIDENT - TRUSTEE 0 516416 0 0 0 0 0 25500 0 31286 0 573202 0 0 FRANK FORTE SECRETARY - TRUSTEE 0 518806 0 0 0 0 0 25500 0 31415 0 575721 0 0 NICOLE BERWALD MD PHYSICIAN 315776 0 66373 0 0 0 10200 0 18628 0 410977 0 0 0 BORIS KHODORKOVSKY MD PHYSICIAN 309592 0 66585 0 0 0 10252 0 25128 0 411557 0 0 0 CHRISTOPHER GRAZIANO MD PHYSICIAN 285641 0 64833 0 0 0 10200 0 24382 0 385056 0 0 0 HEIDI BAER MD PHYSICIAN 291602 0 34553 0 0 0 10005 0 9079 0 345239 0 0 0 ABBAS HUSAIN MD PHYSICIAN 258923 0 52640 0 0 0 10200 0 16822 0 338585 0 0 0 MARK P JARRETT MD FORMER OFFICER 0 603093 0 44700 0 24615 0 28050 0 14700 0 715158 0 0 SCHEDULE J, PART I; QUESTION 7 ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J, PART II, COLUMN B(II). CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 STATEN ISLAND UNIVERSITY HOSPITAL IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW YORK corporate practice of medicine RULES AND REGULATIONS. North Shore-Long Island Jewish Health Care, Inc. ("Health Care") IS THE SOLE MEMBER OF STATEN ISLAND UNIVERSITY HOSPITAL. 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 HEALTHCARE ARE PART OF THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. CORE FORM, PART VI, SECTION B; QUESTION 11b The annual Return of Organization Exempt From Income Tax (Form 990) for North Shore-LIJ Health System Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. CORE FORM, PART VI, SECTION B; QUESTION 12 The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflict of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filL out a conflict of interest disclosure form on a regular basis. The Corporate Compliance OfficeR reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflict of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflict of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. CORE FORM, PART VI, SECTION B; QUESTION 15 THE BY-LAWS OF THE HEALTH SYSTEM CREATE A COMMITTEE OF THE BOARD WITH FULL POWERS OF THE BOARD TO REVIEW AND APPROVE THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE CONSISTS OF APPROXIMATELY 6 TRUSTEES WHO HAVE NO CONNECTION TO THE SYSTEM EXCEPT AS TRUSTEES AND THEY HAVE NO CONFLICTS AS TO MATTERS THEY CONSIDER. THE COMMITTEE MEETS SEVERAL TIMES A YEAR AS NEEDED BUT ALWAYS MEETS IN NOVEMBER/DECEMBER TO REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE FOLLOWING YEAR. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. FOR PURPOSES OF THE REVIEW EACH YEAR THE COMMITTEE RECEIVES INFORMATION FROM AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT AS TO COMPENSATION FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS AND MAKES ITS DECISIONS ON THIS BASIS, WITH THE OVERALL OBJECTIVE OF PAYING BASE SALARY AT THE 50TH PERCENTILE. ANY CONTRACTS OR OTHER COMPENSATION FOR OFFICERS OR KEY EMPLOYEES ARE SEPARATELY CONSIDERED AND NORMALLY ONLY APPROVED AFTER RECEIPT OF A "FAIRNESS OPINION" FROM THE INDEPENDENT CONSULTANT. ALL THE WORK AND PROCESS OF THE COMMITTEE IS STRUCTURED TO FALL WITHIN THE APPLICABLE SAFE HARBOR REGULATIONS. CORE FORM, PART VI, SECTION C; QUESTION 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII, SECTION A 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. CORE FORM, PART VII, SECTION A MARK P. JARRETT, M.D.; FORMER PRESIDENT OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM AS THE SVP/CHIEF QUALITY OFFICER. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CASH TO ACCRUAL CONVERSION - $7,304,688. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CHAPS Community Health Center Inc 1 Edgewater Plaza 6th Floor Staten Island NY 10305 113345477 Inactive NY 501(C)(3) 9 SIUH false Feinstein Institute for Medical Research 972 Brush Hollow Road Westbury NY 11590 112673595 Research NY 501(C)(3) 4 NS-LIJ HS false Forest Hills Hospital 972 Brush Hollow Road Westbury NY 11590 112163522 HealthCare NY 501(C)(3) 3 NS-LIJ HC false Franklin Hospital 972 Brush Hollow Road Westbury NY 11590 112296824 HealthCare NY 501(C)(3) 3 NS-LIJ HC false Glen Cove Hospital 972 Brush Hollow Road Westbury NY 11590 111633487 HealthCare NY 501(C)(3) 3 NS-LIJ HC false Hillside Hospital Houses Inc 972 Brush Hollow Road Westbury NY 11590 112113949 Housing Comp NY 501(C)(2) N/A NS-LIJ HS false Hospice Care Network 99 Sunnyside Boulevard Woodbury NY 11797 112925757 Hospice NY 501(C)(3) 9 NS-LIJ HS false Huntington Hospital 270 Park Avenue Huntington NY 11743 111630914 HealthCare NY 501(C)(3) 3 NS-LIJ HC false Huntington Hosp Dolan Family Health Ctr 284 Pulaski Road Greenlawn NY 11740 113368503 HealthCare NY 501(C)(3) 3 Huntington false LIJ Foundation 972 Brush Hollow Road Westbury NY 11590 112661239 support org NY 501(C)(3) 11, TYPE I NS-LIJ HS false Long Island Jewish Medical Center 972 Brush Hollow Road Westbury NY 11590 112241326 HealthCare NY 501(C)(3) 3 NS-LIJ HC false LIJ Medical Center at Home Pharmacy 972 Brush Hollow Road Westbury NY 11590 113251128 support org NY 501(C)(3) 11, TYPE I NS-LIJ HS false North Shore Community Services Inc 972 Brush Hollow Road Westbury NY 11590 237273200 Housing Comp NY 501(C)(2) N/A NS-LIJ HS false North Shore University Hospital 972 Brush Hollow Road Westbury NY 11590 111562701 HealthCare NY 501(C)(3) 3 NS-LIJ HC false NS Univ Hospital at Glen Cove Housing 972 Brush Hollow Road Westbury NY 11590 237010468 Housing Comp NY 501(C)(2) N/A NS-LIJ HS false North Shore University Hospital Housing 972 Brush Hollow Road Westbury NY 11590 112171903 Housing Comp NY 501(C)(2) N/A NS-LIJ HS false NSLIJ STERN FAMILY CENTER FOR REHAB 972 Brush Hollow Road Westbury NY 11590 237007485 Nursing Home NY 501(C)(3) 9 NS-LIJ HC false North Shore-LIJ Health Care Inc 972 Brush Hollow Road Westbury NY 11590 112965586 support org NY 501(C)(3) 11, TYPE I NS-LIJ HS false North Shore-LIJ Health System 972 Brush Hollow Road Westbury NY 11590 113418133 support org NY 501(C)(3) 11, TYPE I NA false North Shore-LIJ Health System Foundation 972 Brush Hollow Road Westbury NY 11590 112965575 Fundraising NY 501(C)(3) 7 NS-LIJ HS false North Shore-LIJ Health Sys Laboratories 972 Brush Hollow Road Westbury NY 11590 113412370 support org NY 501(C)(3) 11, TYPE I NS-LIJ HS false North Shore-LIJ Medical Care Centers 972 Brush Hollow Road Westbury NY 11590 113473923 support org NY 501(C)(3) 11, TYPE I NS-LIJ HS false Plainview Hospital 972 Brush Hollow Road Westbury NY 11590 113241243 HealthCare NY 501(C)(3) 3 NS-LIJ HC false SIUH Systems Inc 475 Seaview Avenue Staten Island NY 10305 061074604 Fundraising NY 501(C)(3) 7 NS-LIJ HC false Southside Hospital 972 Brush Hollow Road Westbury NY 11590 111667761 HealthCare NY 501(C)(3) 3 NS-LIJ HC false SSH Inc 972 Brush Hollow Road Westbury NY 11590 112774102 support org NY 501(C)(3) 11, TYPE I SOUTHSIDE false Staten Island Univ Hospital Foundation 360 Seaview Avenue Staten Island NY 10305 870765787 Fundraising NY 501(C)(3) 7 SIUH false THE HEART INSTITUTE 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 311757254 SUPPORT ORG NY 501(C)(3) 11, TYPE I NA false LENOX HILL HOSPITAL 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 131624070 HEALTHCARE NY 501(C)(3) 3 NS-LIJ HC false LHH CORPORATION 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133272016 SUPPORT ORG NY 501(C)(3) 11, TYPE I NS-LIJ HS false STATEN ISLAND UNIVERSITY HOSPITAL 475 Seaview Avenue STATEN ISLAND NY 10305 112868878 HEALTHCARE NY 501(C)(3) 3 NS-LIJ HS false THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED 972 BRUSH HOLLOW Road WESTBURY NY 11590 113284934 GRADUATE SCH NY 501(C)(3) 2 NS-LIJ HS false SPORTS PHYSICAL THERAPY AND REHAB SVCS 972 BRUSH HOLLOW Road WESTBURY NY 11590 061655704 HEALTHCARE NY 501(C)(3) 9 LIJ false NORTH SHORE - LIJ ALLIANCE 972 BRUSH HOLLOW Road WESTBURY NY 11590 263727582 HEALTHCARE NY 501(C)(3) 3 NA false THE LONG ISLAND HOME 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 112837244 HEALTHCARE NY 501(c)(3) 3 LHH CORP false CLNY ALLIANCE INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 463146870 LABORATORY NY APPLIED FOR NJ-LIJ LABS false NORTH SHORE-LIJ CARDIO MEDICINE PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078717 MEDICAL SVCS. NY 501(C)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ CARDIO AT DEER PARK PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078531 MEDICAL SVCS. NY 501(C)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ HEART SURGERY PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078838 MEDICAL SVCS. NY 501(c)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ INTERNAL MEDICINE PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078631 MEDICAL SVCS. NY 501(c)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ MED GROUP URG MED CARE 275078426 MEDICAL SVCS. NY 501(c)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ MEDICAL PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 453023019 MEDICAL SVCS. NY 501(c)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ HEALTH PLAN INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461617516 INSURANCE NY APPLIED FOR NJ-LIJ HC false KRASNOFF CONS SVCS 972 Brush Hollow ROAD WESTBURY NY 11590 262838027 CONSULTING NY CARE MGT GROUP N/A LONG ISL BEHAV HLTH 972 BRUSH HOLLOW Road WESTBURY NY 11590 453572263 STATISTICS NY NS-LIJ HC RELATED false false ENDOSCOPY CTR OF LI 972 BRUSH HOLLoW ROAD WESTBURY NY 11590 260000980 MEDICAL SVCS. NY NS-LIJ VENTURES N/A TRUE NORTH URG CARE 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464113494 MEDICAL SVCS. NY NS-LIJ URG CARE N/A TRUE NORTH DC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464601950 MEDICAL SVCS. NY RENAL VENTURES N/A SYN HLTH TRUE NORTH 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464106483 MEDICAL SVCS. NY CENTRAL STERILE N/A NS-LIJ MED AIR TRAN 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464858222 AIR TRANSPORT NY NSUH RELATED false false Adv Imag & Rad of Lenox Hill Hosp PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 200719612 Medical ServiCES NY LENOX HILL C CORPORATION false Aletta Corporation 972 Brush Hollow Road Westbury NY 11590 112622371 Physician SVCS. NY SOUTHSIDE C CORPORATION false Autoimmune Research Therapeutics 972 Brush Hollow Road Westbury NY 11590 270701489 Inactive NY RESEARCH C CORPORATION false Care Management Group of Greater NY 972 Brush Hollow Road Westbury NY 11590 113336381 Business ServICES NY NSH ENTERPRISES C CORPORATION false Emergency Med Svcs of Staten Island PC 1 Edgewater Plaza 6th floor Staten Island NY 10305 134200899 Medical ServiCES NY SIUH C CORPORATION false Goethals Radiology PC 500 Seaview AveNUE Staten Island NY 10305 200010287 Radiology SVCS. NY SIUH C CORPORATION false Lenox Hill Cardiology Associates PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133385163 Medical ServiCES NY LENOX HILL C CORPORATION false Lenox Hill Int Card & Vasc Svcs PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 201435770 Medical ServiES NY LENOX HILL C CORPORATION false Lenox Hill Pathology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133644370 Medical ServiCES NY LENOX HILL C CORPORATION false Lenox Hill Phy Hospital Org Inc 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133775996 Managed Care NY LENOX HILL C CORPORATION false Lenox otolaryngology head & neck 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 208784395 Medical ServiES NY LENOX HILL C CORPORATION false North Shore Health Enterprises 972 Brush Hollow Road Westbury NY 11590 061605319 Holding Comp NY NSHS ENTERPRISE C CORPORATION false NS Health System Enterprises 972 Brush Hollow Road Westbury NY 11590 113316922 Holding Comp NY NS-LIJ HS C CORPORATION false North Shore IPA 5 Inc 972 Brush Hollow Road Westbury NY 11590 113383468 Business ServICES NY NS-LIJ HC C CORPORATION false NS Radiology at Glen Cove PC 972 Brush Hollow Road Westbury NY 11590 113301179 Medical Services NY NSUH C CORPORATION false NS-LIJ Health System IPA #1 972 Brush Hollow Road Westbury NY 11590 113533659 HealthCare NY LIJ C CORPORATION false NS-LIJ Health System IPA #2 972 Brush Hollow Road Westbury NY 11590 113533670 HealthCare NY LIJ C CORPORATION false NS-LIJ Health System IPA #3 972 Brush Hollow Road Westbury NY 11590 113533678 HealthCare NY LIJ C CORPORATION false NS-LIJ Health System IPA #4 972 Brush Hollow Road Westbury NY 11590 113533677 HealthCare NY LIJ C CORPORATION false NS-LIJ Health System IPA #5 972 Brush Hollow Road Westbury NY 11590 113533675 HealthCare NY LIJ C CORPORATION false NS-LIJ Medical Gr at Huntington PC 972 Brush Hollow Road Westbury NY 11590 274384049 Medical Services NY NSUH C CORPORATION false NS-LIJ Medical Gr at North Nassau PC 972 Brush Hollow Road Westbury NY 11590 274384146 Medical Services NY NSUH C CORPORATION false NS-LIJ Medical Gr at Syosset PC 972 Brush Hollow Road Westbury NY 11590 273957752 Medical Services NY NSUH C CORPORATION false NS-LIJ Medical Group PC 972 Brush Hollow Road Westbury NY 11590 274384249 Medical Services NY NSUH C CORPORATION false NS-LIJ Network Inc 972 Brush Hollow Road Westbury NY 11590 320257193 Support Services NY NS-LIJ HS C CORPORATION false NS-LIJ Phys Ins Co Risk Ret Gp 100 Bank Street Burlington VT 05401 261487515 INSURANCE VT NS-LIJ HC C CORPORATION false North Shore-LIJ Physicians Group PC 972 Brush Hollow Road Westbury NY 11590 274384326 Medical Services NY NSUH C CORPORATION false North Shore-LIJ Radiology Services PC 972 Brush Hollow Road Westbury NY 11590 223970667 Medical Services NY NSUH C CORPORATION false North Shore-LIJ Service Alliance Inc 972 Brush Hollow Road Westbury NY 11590 263651575 Support Services NY NA C CORPORATION false Ocean Breeze Home Care Agency 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133773601 Inactive NY OVM C CORPORATION false Ocean View Management INC 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133138888 Management Svcs. NY SIUH C CORPORATION false Palliative Care Medical Services PC 99 Sunnyside Boulevard Woodbury NY 11797 273957835 Medical Services NY HOSPICE C CORPORATION false Park Lenox Emergency Medicine PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 262661082 Medical Services NY LENOX HILL C CORPORATION false Park Lenox Medical PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133575380 Medical Services NY LENOX HILL C CORPORATION false Park Lenox Pediatrics PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133755683 Medical Services NY LENOX HILL C CORPORATION false Park Lenox Surgical PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133397814 Medical Services NY LENOX HILL C CORPORATION false Regency Alliance Services Inc 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133277698 inactive NY OVM C CORPORATION false Regional Insurance Company LTD 41 Cedar Ave Hamilton BERMUDA BD HM 12 insurance BD NS-LIJ HC C CORPORATION false Regioncare Inc 972 Brush Hollow Road Westbury NY 11590 113052191 Homecare NY NSHS ENTERPRISE C CORPORATION false Staten Island Hospitalists PC 475 Seaview Avenue Staten Island NY 10305 331010283 Medical Services NY SIUH C CORPORATION false Staten Island Imaging Corp 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133615474 Inactive NY OVM C CORPORATION false Staten Island Medical Intensivist PC 501 Seaview Avenue Suite 102 Staten Island NY 10305 043716494 Medical Services NY SIUH C CORPORATION false Staten Island Neonatology PC 500 Seaview Avenue Staten Island NY 10305 133375474 Medical Services NY SIUH C CORPORATION false SIUH Perinatology PC 475 Seaview Avenue Staten Island NY 10305 134107082 Medical Services NY SIUH C CORPORATION false United Medical Surgical PC 256 Mason Avenue BLDG B 2nd FL Staten Island NY 10305 134038780 Surgical Services NY SIUH S CORPORATION false Univ Ph OncHematology Gp PC 500 Seaview Avenue Staten Island NY 10305 133642729 Medical Services NY SIUH C CORPORATION false Verrazano Radiology Assoc PC 500 Seaview Avenue Suite 200 Staten Island NY 10305 200011201 Radiology Svcs. NY SIUH C CORPORATION false Vivohealth Inc 972 Brush Hollow Road Westbury NY 11590 264118016 Inactive NY NSH ENTERPRISE C CORPORATION false LENOX HILL HOSPITAL MEDICAL PC 972 BRUSH HOLLOW Road WESTBURY NY 11590 452661543 Medical Services NY lenox C CORPORATION false NS-LIJ OCCUPATIONAL MEDICINE PC 972 BRUSH HOLLOW Road WESTBURY NY 11590 451004103 Medical Services NY NSUH C CORPORATION false NS-LIJ OB-GYN PC 972 Brush Hollow Road WESTBURY NY 11590 461382916 Medical Services NY lij c corporation false NS-LIJ ANESTHESIOLOGY PC 972 BRUSH HOLLOW Road WESTBURY NY 11590 461617561 Medical ServiCES NY SOUTHSIDE C CORPORATION false NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 463475908 MEDICAL SERVICES NY NSUH C CORPORATION false NS-LIJ INTERNAL MEDICINE NEW HYDE PARK 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462822879 MEDICAL SERVICES NY NSUH C CORPORATION false NS-LIJ OB-GYN AT GARDEN CITY PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462886776 MEDICAL SERVICES NY NSUH C CORPORATION false NS-LIJ HEALTH PLAN HOLDING INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462478147 INSURANCE NY NJ-LIJ HC C CORPORATION false NS-LIJ CARECONNECT INSURANCE COMPANY 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462270382 INSURANCE NY NJ-LIJ HTH PLAN C CORPORATION false NORTH SHORE MEDICAL ACCELERATOR PC 972 BRUSH HOLLOW ROAD Westbury NY 11590 112945979 MEDICAL SERVICES NY nsuh S CORPORATION false false false false false false false false false false false false false true false true false false false false SCHEDULE R, PART V THIS ORGANIZATION IS AN AFFILIATE OF North Shore - long Island Jewish Health System ("sYSTEM"). ORGANIZATIONS WITHIN THE SYSTEM ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.