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LONG ISLAND JEWISH MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND JEWISH MEDICAL CENTER (EIN 11-2241326)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201443189349301754
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)
EIN112241326EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND JEWISH MEDICAL CENTERBusinessNameLine1
Business Name Line2C/O NORTH SHORE-LIJ HEALTH SYSTEMBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of% NORTH SHORE-LIJ HEALTH SYSTEInCareOfNm
Business Name ControlLONGBusinessNameControlTxt
Phone5168766061PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROAD 5TH FLAddressLine1
Address Line2SuiteAddressLine2
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT S SHAPIROPersonNm
Person TitleExec VP & CFOPersonTitleTxt
Signature2014-10-28SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J DOWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,908,519,311GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSHORELIJ.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionLIJMC 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 Body124VotingMembersGoverningBodyCnt
Voting Members Independent115VotingMembersIndependentCnt
Total Employee9344TotalEmployeeCnt
Total Volunteers975TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$17,855,332PYContributionsGrantsAmt
CY Contributions Grants$20,881,907CYContributionsGrantsAmt
PY Program Service Revenue$1,558,436,409PYProgramServiceRevenueAmt
CY Program Service Revenue$1,601,808,432CYProgramServiceRevenueAmt
PY Investment Income$7,541,274PYInvestmentIncomeAmt
CY Investment Income$20,935,709CYInvestmentIncomeAmt
PY Other Revenue$13,497,051PYOtherRevenueAmt
CY Other Revenue$13,865,278CYOtherRevenueAmt
PY Total Revenue$1,597,330,066PYTotalRevenueAmt
CY Total Revenue$1,657,491,326CYTotalRevenueAmt
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$977,890,168PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$986,984,837CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,413,516CYTotalFundraisingExpenseAmt
PY Other Expenses$620,652,805PYOtherExpensesAmt
CY Other Expenses$639,007,714CYOtherExpensesAmt
PY Total Expenses$1,598,542,973PYTotalExpensesAmt
CY Total Expenses$1,625,992,551CYTotalExpensesAmt
PY Revenues Less Expenses-$1,212,907PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$31,498,775CYRevenuesLessExpensesAmt
Total Assets BOY$2,162,693,863TotalAssetsBOYAmt
Total Assets EOY$2,159,176,090TotalAssetsEOYAmt
Total Liabilities BOY$1,560,108,314TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,504,541,220TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$602,585,549NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$654,634,870NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLONG ISLAND JEWISH MEDICAL CENTER IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$692,725,323ExpenseAmt
Grant$0GrantAmt
Revenue$902,941,216RevenueAmt
DescLong Island Jewish Hospital ("LIJ"),is a 488-bed tertiary adult care hospital. LIJ serves as a clinical campus for the Hofstra North Shore-LIJ School of Medicine, it is a NYS-DOH desingated Stroke Center and the recipient of the AHA Get With the Guidelines-Sroke Gold Plus award for 2011. In 2013, LIJMC had 49,622 inpatient discharges, delivered 5,719 babies, provided 119,861 Emergency Department visits and performed 14,545 ambulatory surgeries including edoscopies and cardiac catheterizations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$227,677,320ExpenseAmt
Grant$0GrantAmt
Revenue$262,467,969RevenueAmt
DescCohen Children's MEdical Center ("CCMC"; Formerly Schneider Children's Hospital), is a 164-bed pediatric hospital. CCMC provides primary, secondary, tertiary and quarternary care through a continuum of medical, surgical, psychiatric and dental programs and services, on an inpatient and ambulatory basis. The Regional Pediatric Trauma Center at CCMC is one of only three such centers in all of New York State that has received this designation.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$111,493,090ExpenseAmt
Grant$0GrantAmt
Revenue$102,028,846RevenueAmt
DescThe Zucker Hillside Hospital ("ZHH"), is a 236-bed behavioral health hospital providing inpatient and outpatient psychiatric care. ZHH is known for its pioneering work in the diagnosis, treatment and research of mental illness; the hospital provides a comprehensive continuum of behavioral health services to all age groups.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$378,525,115ExpenseAmt
Grant$0GrantAmt
Revenue$334,370,401RevenueAmt
DescOTHERDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$378,525,115TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$334,370,401TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,410,420,848TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
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 EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
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 Document299IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9344EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryUKForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members124GoverningBodyVotingMembersCnt
Independent Voting Member115IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTH SHORE-LIJ HEALTH SYSTEPersonNm
Phone5168766061PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RD5TH FLAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO50.0Yes (X)Yes (X)$0$3,117,843$1,222,774
RALPH NAPPI
TRUSTEE AND PRES FOUNDATION50.0Yes (X)$0$856,799$48,881
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0Yes (X)$0$713,588$286,966
RICHARD D GOLDSTEIN
CHAIRMAN3.0Yes (X)Yes (X)$0$0$0
WILLIAM L MACK
VICE CHAIRMAN2.0Yes (X)Yes (X)$0$0$0
BARRY RUBENSTEIN
VICE CHAIRMAN2.0Yes (X)Yes (X)$0$0$0
MARK CLASTER
CHAIRMAN ELECT2.0Yes (X)Yes (X)$0$0$0
ALAN I GREENE
TREASURER2.0Yes (X)Yes (X)$0$0$0
DONALD ZUCKER
SECRETARY2.0Yes (X)Yes (X)$0$0$0
NON-COMPENSATED TRUSTEES
SEE SCHEDULE O2.0Yes (X)$0$0$0
HOWARD B GOLD
EVP, MANAGED CARE, BUS DEV50.0Yes (X)$0$3,456,217$327,498
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER50.0Yes (X)$0$1,894,904$325,554
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER50.0Yes (X)$0$1,199,086$243,156
LAWRENCE G SMITH MD
EVP, PHYCISIAN IN CHIEF50.0Yes (X)$0$913,047$707,681
KEITH C THOMPSON
SR VP GEN COUNSEL50.0Yes (X)$0$876,784$50,350
JEFFREY KRAUT
SR VP PLANNING50.0Yes (X)$0$924,283$213,431
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0Yes (X)$0$2,753,320$294,275
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER50.0Yes (X)$0$645,712$43,150
HARRY E GINDI
ASSISTANT SECRETARY50.0Yes (X)$0$314,462$43,150
LAURA PEABODY
SVP, CHIEF LEGAL OFFICER50.0Yes (X)$0$261,869$43,150
ANDREW SCHULZ
ASST SECRETARY, GEN COUNSEL50.0Yes (X)$0$522,928$43,150
CHANTAL WEINHOLD
EXECUTIVE DIRECTOR$882,867$0$394,79850.0Yes (X)
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR50.0$0$977,942$158,960Yes (X)
FRANK RIZZO
CFO, TERTIARY HOSPITAL50.0$0$606,390$43,150Yes (X)
LYLE LEIPZIGER
SECTION HEAD$2,664,310$0$43,15050.0Yes (X)
BARRY KAPLAN
VICE CHAIRPERSON$2,168,322$0$43,15050.0Yes (X)
SAMUEL SCHEINERMAN
ASSOCIATE CHAIRPERSON$1,746,317$0$43,15050.0Yes (X)
RAJIV JAUHAR
CHIEF, CARDIOLOGY$2,066,657$0$43,15050.0Yes (X)
LOUIS POTTERS
MEDICAL SCHOOL CHAIR RADIATION$1,828,015$0$43,15050.0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,356,488TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$20,035,174TotReportableCompRltdOrgAmt
Total Other Compensation$4,705,824TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1573IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVEMOUNT VERNONNY10550LINEN SERVICES$2,313,682
INO THERAPEUTICS
54 OLD HIGHWAY 22CLINTONNJ08809EQUIPMENT SERVICE$1,490,530
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA30384TEMPORARY EMPLOYEES$1,204,656
OLYMPUS AMERICA INC
3500 CORPORATE PKWYCENTER VALLEYPA18034MEDICAL SERVICES$1,044,736
SURGICAL SERVICES
214 CENTERVIEW DRIVEBRENTWOODTN37027MEDICAL SERVICES$946,508
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K60CntrctRcvdGreaterThan100KCnt
Related Organizations$3,240,883RelatedOrganizationsAmt
Government Grants$16,958,935GovernmentGrantsAmt
All Other Contributions$682,089AllOtherContributionsAmt
Total Contributions$20,881,907TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621300$1,091,966,206$1,091,966,206
PHYSICIAN PRACTIVE REVENUE621300$214,670,099$214,670,099
MEDICARE/MEDICAID PAYMENTS621300$295,172,127$295,172,127
FieldValueIRS element (for citing)
Total Program Service Revenue$1,601,808,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,033,372TotalRevenueColumnAmt
Exclusion$3,033,372ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,088,236TotalRevenueColumnAmt
Exclusion$7,088,236ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$261,842,086SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$251,026,831SecuritiesAmt
Other$1,154OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,815,255SecuritiesAmt
Other-$1,154OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,814,101TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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 IncomeRelatedOrExemptFuncIncomeAmt
ELECTRONIC HEALTH RECORD900099$3,642,731$3,642,731
OVERHEAD RECOVERY900099$2,849,045$2,849,045
RESIDENCY ROTATION900099$2,678,947$2,678,947

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,694,555TotalRevenueColumnAmt
Related Or Exempt Func Income$414,333RelatedOrExemptFuncIncomeAmt
Exclusion$4,280,222ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,865,278OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,657,491,326TotalRevenueColumnAmt
Related Or Exempt Func Income$1,611,393,488RelatedOrExemptFuncIncomeAmt
Exclusion$14,401,830ExclusionAmt

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$882,867TotalAmt
Program Services$882,867ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$798,643,447TotalAmt
Program Services$755,037,514ProgramServicesAmt
Management And General$42,733,814ManagementAndGeneralAmt
Fundraising$872,119FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,951,304TotalAmt
Program Services$25,479,763ProgramServicesAmt
Management And General$1,442,110ManagementAndGeneralAmt
Fundraising$29,431FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$114,521,311TotalAmt
Program Services$108,268,448ProgramServicesAmt
Management And General$6,127,806ManagementAndGeneralAmt
Fundraising$125,057FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$45,985,908TotalAmt
Program Services$43,475,077ProgramServicesAmt
Management And General$2,460,614ManagementAndGeneralAmt
Fundraising$50,217FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$227,385TotalAmt
Management And General$227,385ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$9,664,317TotalAmt
Program Services$9,136,646ProgramServicesAmt
Management And General$517,118ManagementAndGeneralAmt
Fundraising$10,553FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$278,045TotalAmt
Program Services$262,863ProgramServicesAmt
Management And General$14,878ManagementAndGeneralAmt
Fundraising$304FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$249,601,014TotalAmt
Program Services$235,972,799ProgramServicesAmt
Management And General$13,355,651ManagementAndGeneralAmt
Fundraising$272,564FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,104,269TotalAmt
Program Services$31,296,776ProgramServicesAmt
Management And General$1,771,343ManagementAndGeneralAmt
Fundraising$36,150FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,165,545TotalAmt
Program Services$2,165,545ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,017,709TotalAmt
Program Services$2,017,709ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,322,410TotalAmt
Management And General$37,322,410ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$66,068,199TotalAmt
Program Services$62,460,875ProgramServicesAmt
Management And General$3,607,324ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$35,115,049TotalAmt
Program Services$35,115,049ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT PURCHASED SERVICES$60,160,892$60,160,892
DUES & SUBSCRIPTIONS$2,177,968$2,059,051$118,917
CENTRALIZED ADMIN EXPENSE$103,619,848$103,619,848
BAD DEBT EXPENSES$19,447,623$19,447,623

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,037,441TotalAmt
Program Services$17,181,351ProgramServicesAmt
Management And General$838,969ManagementAndGeneralAmt
Fundraising$17,121FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,625,992,551TotalAmt
Program Services$1,410,420,848ProgramServicesAmt
Management And General$214,158,187ManagementAndGeneralAmt
Fundraising$1,413,516FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$348,392,136BOYAmt
EOY$373,127,199EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,510,946BOYAmt
EOY$7,593,205EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$194,219,380BOYAmt
EOY$193,845,160EOYAmt

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$14,087,775BOYAmt
EOY$15,172,130EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$524,817BOYAmt
EOY$796,708EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,396,902,579LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$360,466,776LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,024,471,107BOYAmt
EOY$1,036,435,803EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$225,826,635BOYAmt
EOY$188,243,610EOYAmt

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$350,661,067BOYAmt
EOY$343,962,275EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,162,693,863BOYAmt
EOY$2,159,176,090EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$189,727,355BOYAmt
EOY$175,486,709EOYAmt

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$697,554,553BOYAmt
EOY$689,515,752EOYAmt

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$30,059,285BOYAmt
EOY$27,788,977EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$642,767,121BOYAmt
EOY$611,749,782EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,560,108,314BOYAmt
EOY$1,504,541,220EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$445,434,339BOYAmt
EOY$518,572,349EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$149,556,508BOYAmt
EOY$127,675,018EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,594,702BOYAmt
EOY$8,387,503EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$602,585,549BOYAmt
EOY$654,634,870EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,162,693,863BOYAmt
EOY$2,159,176,090EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$31,498,775ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,356,763NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$806,217OtherChangesInNetAssetsAmt
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$152,290RalliesDemonstrationsAmt
Total Lobbying Expenditures$152,290TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1HFormAndLineReferenceDesc
ExplanationLONG ISLAND JEWISH MEDICAL CENTER 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$12,819,601BeginningYearBalanceAmt
Investment Earnings Or Losses$1,696,880InvestmentEarningsOrLossesAmt
Other Expenditures$122,307OtherExpendituresAmt
End Year Balance$14,394,174EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,519,349BeginningYearBalanceAmt
Investment Earnings Or Losses$1,366,018InvestmentEarningsOrLossesAmt
Other Expenditures$65,766OtherExpendituresAmt
End Year Balance$12,819,601EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,877,084BeginningYearBalanceAmt
Investment Earnings Or Losses-$219,103InvestmentEarningsOrLossesAmt
Other Expenditures$138,632OtherExpendituresAmt
End Year Balance$11,519,349EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,492,396BeginningYearBalanceAmt
Investment Earnings Or Losses$702,322InvestmentEarningsOrLossesAmt
Other Expenditures$317,634OtherExpendituresAmt
End Year Balance$11,877,084EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,826,944BeginningYearBalanceAmt
Investment Earnings Or Losses$1,985,189InvestmentEarningsOrLossesAmt
Other Expenditures$319,737OtherExpendituresAmt
End Year Balance$11,492,396EndYearBalanceAmt
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$15,431,067OtherCostOrOtherBasisAmt
Book Value$15,431,067BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$986,740,782OtherCostOrOtherBasisAmt
Depreciation$260,274,537DepreciationAmt
Book Value$726,466,245BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,421OtherCostOrOtherBasisAmt
Depreciation$8,602DepreciationAmt
Book Value$99,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$353,679,183OtherCostOrOtherBasisAmt
Depreciation$93,062,344DepreciationAmt
Book Value$260,616,839BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,943,126OtherCostOrOtherBasisAmt
Depreciation$7,121,293DepreciationAmt
Book Value$33,821,833BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,036,435,803TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
OTHER CURRENT ASSETS$14,318,712
DEFERRED FINANCE COSTS, NET$15,854,143
DUE FROM AFFILIATES$60,891,859
INTEREST IN FOUNDATION$87,831,222
INVEST IN HEALTH FIRST$18,724,960
SECURITY DEPOSITS$55,566
INSURANCE CLAIMS RECEIVABLE$146,285,813
FieldValueIRS element (for citing)
Total Book Value Other Assets$343,962,275TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
MALPRACTICE TRUST$142,917,000
RETIREMENT BENEFITS$15,859,167
DUE TO THIRD PARTY PAYORS$196,874,935
SHORT TERM BORROWINGS$103,040,000
OTHER LIABILITIES$4,924,398
SWAP VALUATION ALLOWANCE$2,391,577
INSURANCE CLAIMS LIABILITY$146,285,813
BOND PREM/DISCOUNT-$543,108
FieldValueIRS element (for citing)
Total Liability$611,749,782TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,654,132,229TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$20,431,881NetUnrealizedGainsInvstAmt
Other Revenue-$9,758,544OtherRevenueAmt
Revenue Not Reported$10,673,337RevenueNotReportedAmt
Revenue Subtotal$1,643,458,892RevenueSubtotalAmt
Other Revenues Not Included$14,032,434OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,032,434RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,657,491,326TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,618,027,175TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,618,027,175ExpensesSubtotalAmt
Other Expenses Not Included$7,965,376OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,965,376ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,625,992,551TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
PART XI, LINE 2D AND LINE 4BREVENUE ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (19,447,623) NET ASSETS RELEASED FROM RESTRICTION 9,689,079 TOTAL (9,758,544) REVENUE ON RETURN NOT ON BOOKS RESTRICTED CONTRIBUTIONS 13,260,436 RESTRICTED INVESTMENTS 771,998 TOTAL 14,032,484
PART XII, LINE 4BPROVISION FOR BAD DEBT 19,447,623 ADDITIONAL MINIMUM PENSION Adjustment (11,482,247) TOTAL 7,965,376
PART V, LINE 4There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$42,596,836
Europe (Including Iceland and Greenland)Investments$6,597,717
FieldValueIRS element (for citing)
Subtotal Spent$49,194,553SubtotalSpentAmt
Total Spent$49,194,553TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

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 Programs3ActivitiesOrProgramsCnt
Persons Served25124PersonsServedCnt
Total Community Benefit Expns$23,544,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,711,937DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,833,021NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served175325PersonsServedCnt
Total Community Benefit Expns$355,487,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$273,856,710DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,630,841NetCommunityBenefitExpnsAmt
Total Expense0.05130TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served200449PersonsServedCnt
Total Community Benefit Expns$379,032,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$280,568,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$98,463,862NetCommunityBenefitExpnsAmt
Total Expense0.06190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs607ActivitiesOrProgramsCnt
Persons Served216815PersonsServedCnt
Total Community Benefit Expns$18,782,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,238,868DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,544,057NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs342ActivitiesOrProgramsCnt
Persons Served10670PersonsServedCnt
Total Community Benefit Expns$118,195,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,794,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,400,874NetCommunityBenefitExpnsAmt
Total Expense0.04610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served28012PersonsServedCnt
Total Community Benefit Expns$9,809,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,133,412DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,675,824NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$19,937,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,937,000NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs42ActivitiesOrProgramsCnt
Persons Served1362PersonsServedCnt
Total Community Benefit Expns$632,397TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$632,397NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs994ActivitiesOrProgramsCnt
Persons Served256859PersonsServedCnt
Total Community Benefit Expns$167,356,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,166,836DirectOffsettingRevenueAmt
Net Community Benefit Expns$105,190,152NetCommunityBenefitExpnsAmt
Total Expense0.06610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1000ActivitiesOrProgramsCnt
Persons Served457308PersonsServedCnt
Total Community Benefit Expns$546,389,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$342,735,483DirectOffsettingRevenueAmt
Net Community Benefit Expns$203,654,014NetCommunityBenefitExpnsAmt
Total Expense0.12800TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$759TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$759NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served78PersonsServedCnt
Total Community Benefit Expns$499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$499NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served7PersonsServedCnt
Total Community Benefit Expns$76TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served334PersonsServedCnt
Total Community Benefit Expns$1,887TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,887NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served503PersonsServedCnt
Total Community Benefit Expns$6,979TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,979NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served876PersonsServedCnt
Total Community Benefit Expns$104,208TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$104,208NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served237PersonsServedCnt
Total Community Benefit Expns$69,242TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,242NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served2095PersonsServedCnt
Total Community Benefit Expns$183,650TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$183,650NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$14,325,702BadDebtExpenseAmt
Reimbursed By Medicare$254,412,757ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$244,809,159CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$9,603,598MedicareSurplusOrShortfallAmt

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 Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalIndOtherOtherDesc
LONG ISLAND JEWISH MEDICAL CENTER
1270-05 76TH AVENUENEW HYDE PARKNY11040WWW.NORTHSHORELIJ.COM7003004HYes (X)Yes (X)Yes (X)Yes (X)A
COHEN CHILDREN'S MEDICAL CENTER OF NY
2269-01 76TH AVENUENEW HYDE PARKNY11040WWW.NORTHSHORELIJ.COM7003004HYes (X)AYes (X)PEDIATRIC TRAUMA CENTER
THE ZUCKER HILLSIDE HOSPITAL
375-59 263RD STGLEN OAKSNY11040WWW.NORTHSHORELIJ.COM7003004HYes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
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)
Facility41FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
PHYSICIAN AMBULATORY NETWORK SERVICES
450 LAKEVILLE ROADLAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
410 LAKEVILLE ROADNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
865 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1991 MARCUS AVENUELAKE SUCCESSNY10042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1554 NORTHERN BOULEVARDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 NORTHERN BOULEVARDGREAT NECKNY11021DIALYSIS CENTER
PHYSICIAN AMBULATORY NETWORK SERVICES
430 LAKEVILLE ROADNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
LIJ SATELLITE DIALYSIS FACILITY
220-22 HILLSIDE AVENUEQUEENS VILAGENY11427OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1999 MARCUS AVENUE STE 1068LAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
FAR ROCKAWAY TREATMENT CENTER
1600 CENTRAL AVENUEFAR ROCKAWAYNY11691OUTPATIENT PHYSICIAN CLINIC
URGENT CARE CENTER AT REGO PARK
95-25 QUEENS BOULEVARD 1ST FLOORREGO PARKNY11374OUTPATIENT PHYSICIAN CLINIC
LONG ISLAND JEWISH MEDICAL CENTER WIC CL
400 LAKEVILLE ROAD 2ND FLOORNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SPECIALTY CENTER AT COMMACK
353 VETERANS HIGHWAYCOMMACKNY11725OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
2001 MARCUS AVENUE SUITE S160NEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
VOC REHAB IPRT
205-07 HILLSIDE AVENUE STE 5-9HOLLISNY11423OUTPATIENT PHYSICIAN CLINIC
NEW HYDE PARK INTERNAL MEDICINE SPECIALI
1575 HILLSIDE AVENUE SUITE 102NEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP AT WHITEST
150-55 14TH AVENUEWHITESTONENY11357OUTPATIENT PHYSICIAN CLINIC
PROJECT OUTREACH
600 HEMPSTEAD TURNPIKEWEST HEMPSTEADNY11552OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP-NORTH VILL
925 HEMPSTEAD TURNPIKE 2ND FLOORFRANKLIN SQUARENY11010OUTPATIENT PHYSICIAN CLINIC
LONG ISLAND WOMEN'S HEALTHCARE ASSOCIATE
2428 MERRICK ROADBELLMORENY11710OUTPATIENT PHYSICIAN CLINIC
NEW HYDE PARK INTERNAL MEDICINE SPECIALI
1983 MARCUS AVENUE SUITE 130LAKE SUCCESSNY11020OUTPATIENT PHYSICIAN CLINIC
SIGN ON VILLAGE
205-07 HILLSIDE AVENUEHOLLISNY11423OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
825 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
CHILDREN'S HEART CENTER AT LAKE SUCCESS
9 VERMONT DRIVELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
SPECIALTY MEDICAL CENTER AT FOREST HILLS
68-60 AUSTIN STREETFOREST HILLSNY11375OUTPATIENT PHYSICIAN CLINIC
ARTHUR SMITH INSTITUTE OF UROLOGY AT GAR
233 SEVENTH STREETGARDEN CITYNY11530OUTPATIENT PHYSICIAN CLINIC
MINEOLA COMMUNITY TREATMENT CENTER
366 JERICHO TURNPIKEMINEOLANY11501OUTPATIENT PHYSICIAN CLINIC
MS CARE CENTER
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC
THE SMITH INSTITUTE OF UROLOGY AT ST JA
528 NORTH COUNTRY ROADST JAMESNY11780OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SPECIALTY CENTER OF BROOKLYN
8622 BAY PARKWAY SUITE 2DBROOKLYNNY11214OUTPATIENT PHYSICIAN CLINIC
NSUH - DIVISION OF KIDNEY DISEASE & HYPE
100 COMMUNITY DRIVEGREAT NECKNY11021DIALYSIS CENTER
PEDIATRIC SPECIALTY CARE CENTER AT HEWLE
1800 ROCKAWAY AVENUEHEWLETTNY11557OUTPATIENT PHSYICIAN CLINIC
PEDIATRIC SPECIALTY CENTER AT WILLIAMSBU
52C BROADWAYBROOKLYNNY11211OUTPATIENT PHYSICIAN CLINIC
STUDENT HEALTH CENTER AT FRANKLIN K LAN
999 JAMAICA AVENUEBROOKYNNY11208OUTPATIENT PHYSICIAN CLINIC
GENERAL PEDIATRICS AT MASSAPEQUA
532 BROADWAYMASSAPEQUANY11758OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ CITI CARDIAC CARE PC
80-02 165TH STREETJAMAICANY11432OUTPATIENT PHYSICIAN CLINIC
THE FAR ROCKAWAY YOUTH CONSULTATION CENT
825 HICKSVILLE ROADFAR ROCKAWAYNY11691OUTPATIENT PHYSICIAN CLINIC
THE FAR ROCKAWAY YOUTH CONSULTATION CENT
821 BAY 25TH STREETFAR ROCKAWAYNY11691OUTPATIENT PHYSICIAN CLINIC
THE FAR ROCKAWAY YOUTH CONSULTATION CENT
1045 NAMEOKE STREETFAR ROCKAWAYNY11691OUTPATIENT PHYSICIAN CLINIC
UNIFIED BEHAVORIAL HEALTH CENTER FOR MIL
132 EAST MAIN STREETBAY SHORENY11706FAMILY HEALTH CENTER
ROSEN FAMILY WELLNESS CENTER
400 COMMUNITY DRIVEMANHASSETNY11030FAMILY HEALTH CENTER

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 OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
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 (22 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
MICHAEL J DOWLING
PRESIDENT & CEO$0$1,366,853$0$1,700,000$0$50,990$0$1,201,724$0$21,050$0$4,340,617$0$0
HOWARD B GOLD
EVP, MANAGED CARE, BUS DEV$0$1,032,469$0$392,000$0$2,031,748$0$312,398$0$15,100$0$3,783,715$0$562,264
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER$0$1,166,663$0$700,000$0$28,241$0$310,664$0$14,890$0$2,220,458$0$0
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER$0$926,327$0$242,000$0$30,759$0$220,856$0$22,300$0$1,442,242$0$0
LAWRENCE G SMITH MD
EVP, PHYCISIAN IN CHIEF$0$735,582$0$150,000$0$27,465$0$691,006$0$16,675$0$1,620,728$0$0
KEITH C THOMPSON
SR VP GEN COUNSEL$0$726,199$0$112,000$0$38,585$0$28,050$0$22,300$0$927,134$0$0
JEFFREY KRAUT
SR VP PLANNING$0$720,655$0$158,000$0$45,628$0$198,331$0$15,100$0$1,137,714$0$0
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER$0$624,064$0$97,000$0$2,032,256$0$279,175$0$15,100$0$3,047,595$0$534,246
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER$0$510,278$0$76,000$0$59,434$0$28,050$0$15,100$0$688,862$0$0
HARRY E GINDI
ASSISTANT SECRETARY$0$288,687$0$21,382$0$4,393$0$28,050$0$15,100$0$357,612$0$0
RALPH NAPPI
TRUSTEE AND PRES FOUNDATION$0$675,942$0$150,000$0$30,857$0$28,050$0$20,831$0$905,680$0$0
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP$0$593,009$0$71,000$0$49,579$0$271,866$0$15,100$0$1,000,554$0$0
LYLE LEIPZIGER
SECTION HEAD$2,645,548$0$0$0$18,762$0$28,050$0$15,100$0$2,707,460$0$0$0
BARRY KAPLAN
VICE CHAIRPERSON$1,591,290$0$575,000$0$2,032$0$28,050$0$15,100$0$2,211,472$0$0$0
SAMUEL SCHEINERMAN
ASSOCIATE CHAIRPERSON$1,725,705$0$0$0$20,612$0$28,050$0$15,100$0$1,789,467$0$0$0
RAJIV JAUHAR
CHIEF, CARDIOLOGY$1,490,057$0$575,000$0$1,600$0$28,050$0$15,100$0$2,109,807$0$0$0
LOUIS POTTERS
MEDICAL SCHOOL CHAIR RADIATION$1,705,939$0$67,440$0$54,636$0$28,050$0$15,100$0$1,871,165$0$0$0
CHANTAL WEINHOLD
EXECUTIVE DIRECTOR$724,860$0$126,000$0$32,007$0$379,698$0$15,100$0$1,277,665$0$0$0
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR$0$839,708$0$127,000$0$11,234$0$143,860$0$15,100$0$1,136,902$0$0
FRANK RIZZO
CFO, TERTIARY HOSPITAL$0$515,152$0$74,366$0$16,872$0$28,050$0$15,100$0$649,540$0$0
LAURA PEABODY
SVP, CHIEF LEGAL OFFICER$0$161,148$0$100,000$0$721$0$28,050$0$15,100$0$305,019$0$0
ANDREW SCHULZ
ASST SECRETARY, GEN COUNSEL$0$468,164$0$33,897$0$20,867$0$28,050$0$15,100$0$566,078$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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 Michael J Dowling ($1,173,674), Mark J Solazzo ($282,614), Robert S Shapiro ($192,806), Howard B Gold ($284,348), Lawrence G Smith ($662,956), Jeffrey Kraut ($170,281), Kathleen Gallo ($251,125), Kevin F Lawlor ($243,816), Chantal Weinhold ($351,648) and Eugene Tangney ($115,810).
PART 1, LINE 5APursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
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 (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A14600029364983USV32003-08-14$40,986,0472003 E BONDS - CAPITAL IMPROVEMENTYes (true)falsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B14600029364983Q4R72006-10-18$44,108,0942005 BONDS - CAPITAL IMPROVEMENTSfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
C146000293649903LC32007-05-31$170,047,6622007 A&B BONDS-CAPITAL IMPROV & REYes (true)falsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
D146000293649905QL32009-09-17$259,501,1112009 A&E BONDS-CAPITAL IMPROV & REfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$29,665,140$0$42,373,995$1,957,056$1,539,927$0$818,480$0$0$24,344,476$12,442,435$2,413,3942008Yes (true)falsefalseYes (true)
B$9,370,269$0$60,409,151$4,142,149$0$0$529,761$0$0$2,059,875$53,677,367$02010Yes (true)falseYes (true)Yes (true)
C$60,173,532$0$206,097,489$13,957,434$4,603,975$0$2,035,558$0$0$48,298,648$134,957,264$0Yes (true)Yes (true)falseYes (true)
D$437,600$0$256,902,227$28,249,726$20,066,804$0$4,206,658$0$9,451,344$156,463,122$42,514,602$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.006530.000010.00654falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000420.000060.00048falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.003560.000000.00356falsefalsefalseYes (true)
Dfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Term Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalsefalseYes (true)Yes (true)falsefalseYes (true)MBIA29.7Yes (true)Yes (true)Yes (true)
0
BfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
CITIBANK NA
CfalsefalseYes (true)Yes (true)falseYes (true)Yes (true)MBIA18.1Yes (true)Yes (true)Yes (true)25.9Yes (true)false
0
DfalseYes (true)Yes (true)falsefalsefalsefalse0Yes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEPRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS
PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 12/31/2013 FOR 2003 BONDS
PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 9/30/2011 FOR 2005 BONDS
PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 5/31/2012 FOR 2007 BONDS

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A146000293649906JT22011-10-06$120,280,0002011 BONDS-CAP IMPROV & REFUND 98,falsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B146000293649906K782012-07-10$125,000,0002009 B,C,D BONDS - CAPITAL IMPROVEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,704,698$0$122,327,714$9,843,330$1,014,707$0$2,165,278$0$0$22,548,975$70,656,016$46,291,1892013Yes (true)Yes (true)falseYes (true)
B$0$0$126,350,450$0$0$0$1,330,450$0$0$0$125,020,000$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPct
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.002390.00239falsefalsefalseYes (true)
Bfalsefalsefalsefalse00.00100falsefalsefalseYes (true)0.00100

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)Yes (true)falsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ALLAN ABRAMSON
FAMILY MEMB: R. ABRAMSON$714,348EMPLOYEEfalse
ASHLEY SOLAZZO
FAMILY MEMB: M. SOLAZZO$80,062EMPLOYEEfalse
STEVEN ALLEN
FAMILY MEMB: J. KRAUT$463,961EMPLOYEEfalse
CREST HOLLOW COUNTRY CLUB
BUSINESS RELAT: R. MONTI$23,367COMPANYfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY, LINE 2All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria and John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Shall. Michael Ashner has a business relationship with William Mack and Scott Rudolph. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum and Leonard Feinstein. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, David Mack, Bradley Marsh, Michael Slade, Ralph Nappi, Mark Solazzo, Barbara Hrbek Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Arlene Lane Fisher has a business relationship with Eric Blumencranz. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Eric and Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Gedale Horowitz has a family relationship with Richard and Seth Horowitz. Richard Horowitz has a family relationship with Gedale and Seth Horowitz. He has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. Seth Horowitz has a family relationship with Gedale and Richard Horowitz. M. Allan Hyman has a business relationship with Eric Blumencranz, M. Allan Hyman, Richard Horowitz, Saul Katz and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with Michael Katz, Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with David Katz, Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Curt Launer and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. Laura Lauria has a business relationship with John Alexander and Frank Besignano. David Lehr has a business relationship with Ronald Mazzuco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric Blumencranz. Seth Lipsay has a business relationship with David Katz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. Jeff Maurer has a business relationship with William Hiltz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric and Roger Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein, William Mack and Richard Murcott. Scott Rudolph has a business relationship with Michael Ashner. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a business relationship with Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Eric Blumencranz and Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz and M. Allan Hyman. Roy Zuckerberg has a business relationship with William Mack.
PART VI, SECTION B - POLICIES, LINE 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 12CThe North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
PART VI, SECTION B - POLICIES, LINE 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 GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1ARichard S. Abramson J. Joaquin Gonzalez F.J. McCarthy William Achenbaum Michael Gould Patrick F. McDermott John W. Alexander Albert L. Granger, DDS James McMullen Philip S. Altheim Alan I. Greene Charles Merinoff Stanley A. Applebaum Stanley Grey Richard D. Monti Michael L. Ashner Richard Guarasci, PhD Richard Murcott Beverly VP. Banker Paul B. Guenther Ralph A. Nappi Ralph M. Baruch Amy M. Hagedorn Richard B. Nye Frank J. Besignano Ira Hazan Clyde I. Payne, Ed.D. Elise M. Bloom Linda W. Heaney Arnold S. Penner Eric S. Blumencranz Marlene Hess John J. Raggio Roger A. Blumencranz William O. Hiltz Lewis S. Ranieri David Blumenfeld Gedale B. Horowitz Dennis Riese Edward Blumenfeld Richard A. Horowitz Terry P. Rifkin, M.D. E. Steve Braun Seth R. Horowitz Robert F. Rose Dayton T. Brown, Jr M. Allan Hyman Robert A. Rosen Jonathan S. Canno Mark Jacobson Marcie Rosenberg Michael Caridi Jeffrey Jurick Robert D. Rosenthal Rev. Carolina Sr, Ed.D David M. Katz Bernard M. Rosof, M.D. Robert W. Chasanoff Michael Katz Jack J. Ross Alan Chopp Saul B. Katz Barry Rubenstein Mark Claster Lisa A. Kaufman Herbert Rubin Diana F. Colgate Robert Kaufman Scott Rudolph Daniel M. Crown Cary Kravet Michael H. Sahn Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Thomas E. Dewey, Jr. Jeffrey B. Lane Marc V. Shaw Thomas E. Dooley Curt N. Launer Sean G. Simon Michael J. Dowling Laura Lauria Richard Sims Robert N. Downey Kevin F. Lawlor Michael C. Slade Patrick R. Edwards David W. Lehr Phyllis Hill Slater Michael A. Epstein Jonathan W. Leigh Howard D. Stave Leonard Feinstein Arthur S. Levine Peter Tilles Michael E. Feldman Stuart R. Levine Sandra Tytel Arlene Lane Fisher Seth Lipsay Frederick A. Volk Catherine C. Foster David S. Mack Nancy Waldbaum William H. Frazier William L. Mack Emmett F. Walker, Jr Eugene B. Friedman, MD Linda Manfredi Gary Walter William J. Fritz, PhD Bradley Marsh, D.P.M. Barbara Hrbek Zucker Sy Garfinkel Jeffrey S. Maurer Donald Zucker Lloyd M. Goldman Ronald J. Mazzucco Roy J. Zuckerberg Richard D. Goldstein
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
PART VI, LINE 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 5RECONCILIATION OF NET ASSETS CHANGE IN FV SWAP AGREEMENT-CASH FLOW 1,073,695 NET ASSETS RELEASED FROM RESTRICED FUN 89,084 TRANSFER TO AFFILIATES (7,032,969) CHANGE IN EQUITY UNDER FAS 136 5,063,973 TOTAL (806,217)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ACTIVITY WORKS LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
EIN264708923EIN
Primary ActivitiesMED SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LIJMCBusinessNameLine1

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 UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH 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 HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-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
NS-LIJ Stern Family CECR
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJ HCIfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
HILLSIDE HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJHSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHSfalse
SPORTS PHYSICAL THERAPY & REHAB SVCS
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)11, TYPE 1LIJYes (true)
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 PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SVCSNY501(C)(3)11, type 1NSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYNA
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYHCI
ENDOSCOPY CENTER OF LONG ISLAND
972 BRUSH HOLLOW RDWESTBURYNY11590260000980MEDICAL SVCSNYNSLIJ VENTURES
TRUE NORTH URGENT CARE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464113494URGENT CARENYNSLIJ URGENT CR
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
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/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPNYNS-LIJHSCfalse
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTERPRISECfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPNYNSHS ENTERPRISECfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESCfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJ HCICfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDECfalse
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTNS-LIJ HCICfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVNYNS-LIJHSCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCYes (true)$0$01.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCYes (true)$0$01.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RDWESTBURYNY11590113533678HEALTH CARENYLIJCYes (true)$0$01.00000
NORTH SHORE-LIJ SYSTEM IPA #4
972 BRUSH HOLLOW RDWESTBURYNY11590113533677HEALTH CARENYLIJCYes (true)$0$01.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RDWESTBURYNY11590113533675HEALTH CARENYLIJCYes (true)$0$01.00000
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNS-LIJ HCICfalse
NORTH SHORE-LIJ NETWORK
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVNYNS-LIJHSCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNSUHCfalse
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZASTATEN ISLANDNY10305133615474INACTIVENYOVMCfalse
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZASTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHCfalse
REGNECY ALLIANCE SERVICES INC
1 EDGEWATER PLAZASTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMCfalse
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZASTATEN ISLANDNY10305133773601INACTIVENYOVMCfalse
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVESTATEN ISLANDNY10305200011201MEDICAL SERVINYSIUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVINYSIUHCfalse
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVESTATEN ISLANDNY10305133642729MEDICAL SERVINYSIUHSfalse
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305134200899MEDICAL SERVINYSIUHCfalse
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MEDICAL SERVINYSIUHCfalse
STATEN ISLAND HOSPITALIST PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MEDICAL SERVINYSIUHCfalse
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305133375474MEDICAL SERVINYSIUHCfalse
STATEN ISLAND MEDICAL INTENSIVISTS PC
501 SEAVIEW AVESTATEN ISLANDNY10305043716494MEDICAL SERVINYSIUHCfalse
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVINYNSUHCfalse
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVDWOODBURYNY11797273957835MEDICAL SERVINYHOSPICECfalse
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVINYNSUHCfalse
NS-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVINYNSUHCfalse
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOXCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVINYLENOXCfalse
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVINYLENOXCfalse
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH STNEW YORKNY10021133385163MEDICAL SERVINYLENOXCfalse
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVINYLENOXCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVINYLENOXCfalse
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH STNEW YORKNY10021262661082MEDICAL SERVINYLENOXCfalse
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MEDICAL SERVINYLENOXCfalse
PARK LENOX PEDIATRICS PC
100 EAST 77TH STNEW YORKNY10021133755683MEDICAL SERVINYLENOXCfalse
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FLNEW YORKNY10021133397814MEDICAL SERVINYLENOXCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016MEDICAL SERVINYNSH ENTERPRISECfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489MEDICAL SERVINYRESEARCHCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW RDWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK
972 BRUSH HOLLOW RDWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW RDWESTBURYNY11590462886776MEDICAL SERVINYNSUHCfalse
NORTH SHORE-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 SERVINYLENOXCfalse
NORTH SHORE-LIJ OCCUPATIONAL MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SERVINYLIJCYes (true)$7,437,643$207,4081.00000
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 OrgfalseGiftGrntOrCapContriToOthOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd