STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LONG ISLAND JEWISH MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND JEWISH MEDICAL CENTER (EIN 11-2241326)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349302298
Schema version
2012v2.1
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)
Timestamp2013-11-14T12:46:43-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112241326EIN

Name Name

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 Name% NORTH SHORE-LIJ HEALTH SYSTEInCareOfName
Name ControlLONGNameControl
Phone5168766061Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROBERT S SHAPIROName
TitleEXEC VICE PRES & CFOTitle
Date Signed2013-11-08DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL J DOWLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1727289894GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nslij.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionLIJMC strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body136NbrVotingMembersGoverningBody
Nbr Independent Voting Members128NbrIndependentVotingMembers
Total Nbr Employees9158TotalNbrEmployees
Total Nbr Volunteers975TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28183737ContributionsGrantsPriorYear
Contributions Grants Current Year17855332ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1431724787ProgramServiceRevenuePriorYear
Program Service Revenue CY1558436409ProgramServiceRevenueCY
Investment Income Prior Year14180127InvestmentIncomePriorYear
Investment Income Current Year7541274InvestmentIncomeCurrentYear
Other Revenue Prior Year8946538OtherRevenuePriorYear
Other Revenue Current Year13497051OtherRevenueCurrentYear
Total Revenue Prior Year1483035189TotalRevenuePriorYear
Total Revenue Current Year1597330066TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year863053719SalariesEtcPriorYear
Salaries Etc Current Year977890168SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1315503TotalFundrsngExpCurrentYear
Other Expense Prior Year558798527OtherExpensePriorYear
Other Expenses Current Year620652805OtherExpensesCurrentYear
Total Expenses Prior Year1421852246TotalExpensesPriorYear
Total Expenses Current Year1598542973TotalExpensesCurrentYear
Revenues Less Expenses Prior Year61182943RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1212907RevenuesLessExpensesCY
Total Assets BOY2153357414TotalAssetsBOY
Total Assets EOY2162693863TotalAssetsEOY
Total Liabilities BOY1564051166TotalLiabilitiesBOY
Total Liabilities EOY1560108314TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY589306248NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY602585549NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLONG 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense727877479Expense
Grants0Grants
Revenue910084634Revenue
DescriptionLong 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 2012, LIJMC had 48,726 inpatient discharges, delivered 5,138 babies, provided 113,502 Emergency Department visits and performed 21,175 ambulatory surgeries including edoscopies and cardiac catheterizations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense203217242Expense
Grants0Grants
Revenue228195913Revenue
DescriptionCohen 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense103880838Expense
Grants0Grants
Revenue96625975Revenue
DescriptionThe 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense364687492Expense
Grants0Grants
Revenue323529887Revenue
DescriptionOTHERDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp364687492TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev323529887TotalOfOtherProgramServiceRev
Total Program Service Expense1399663051TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096307NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9158NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryUKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members136NbrVotingGoverningBodyMembers
Number Independent Voting Members128NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNORTH SHORE-LIJ HEALTH SYSTENamePerson
Telephone Number5168766061TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RD5TH FLAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL DOWLING
PRESIDENT & CEO50.0XX028233501128235
RALPH NAPPI
TRUSTEE AND PRES FOUNDATION50.0X0227654760770
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X01049046387210
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0799176280574
RICHARD D GOLDSTEIN
CHAIRMAN3.0XX000
WILLIAM L MACK
VICE CHAIRMAN2.0XX000
BARRY RUBENSTEIN
VICE CHAIRMAN2.0XX000
MARK CLASTER
VICE CHAIRMAN2.0XX000
ALAN I GREENE
TREASURER2.0XX000
DONALD ZUCKER
SECRETARY2.0XX000
NON-COMPENSATED TRUSTEES
SEE SCHEDULE O2.0X000
HOWARD GOLD
SR VP, REVENUE & BUSINESS DEV50.0X01299856298209
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER50.0X01698389216113
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER50.0X01139452231819
LAWRENCE G SMITH MD
EVP, PHYCISIAN IN CHIEF50.0X0848130683709
KEITH THOMPSON
SR VP GEN COUNSEL50.0X02868822533031
JEFFREY KRAUT
SR VP PLANNING50.0X0826861201661
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0X0747445271298
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER50.0X057176742600
HARRY GINDI
ASSISTANT SECRETARY50.0X028455942600
CHANTAL WEINHOLD
EXECUTIVE DIRECTOR762860036827850.0X
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR50.00888508134286X
FRANK RIZZO
CFO, TERTIARY HOSPITAL50.0053490142600X
LYLE LEIPZIGER
SECTION HEAD237562004260050.0X
BARRY KAPLAN
VICE CHAIRPERSON189224104260050.0X
SAMUEL SCHEINERMAN
ASSOCIATE CHAIRPERSON165928804260050.0X
RAJIV JAUHAR
CHIEF, CARDIOLOGY164996704260050.0X
LOUIS POTTERS
MEDICAL SCHOOL CHAIR RADIATION140373604260050.0X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9743712TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs18656809TotalReportableCompFrmRltdOrgs
Total Other Compensation5135993TotalOtherCompensation
Number Individuals GT100 K1499NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOVIS LENS LEASE LMB INC
200 PARK AVENEW YORKNY10166GENERAL CONTRACTOR69746920
GOTHAM CONSTRUCTION COMPANY
1010 AVE OF THE AMERICAS 4TH FLNEW YORKNY10018GENERAL CONTRACTOR35399318
AXIS CONSTRUCTION CO
125 LASER CTHAUPPAUGENY11788GENERAL CONTRACTOR2840611
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA30384TEMPORARY EMPLOYEES2177757
INTELLI-TEC SECURITY SERVICES
2000 SHAMES DRWESTBURYNY11590SECURITY1600406
FieldValueIRS element (for citing)
Number Of Contractors GT100 K90NumberOfContractorsGT100K
Related Organizations234898RelatedOrganizations
Government Grants17043249GovernmentGrants
All Other Contributions577185AllOtherContributions
Total Contributions17855332TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE62130010222964641022296464
PHYSICIAN PRACTIVE REVENUE621300200309801200309801
MEDICARE/MEDICAID PAYMENTS621300335830144335830144
FieldValueIRS element (for citing)
Total Program Service Revenue1558436409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4939047TotalRevenueColumn
Exclusion$4,939,047ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1145768TotalRevenueColumn
Exclusion$1,145,768ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities131403704Securities
Other12583Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities129959828Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1443876Securities
Other12583Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1456459TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ELECTRONIC HEALTH RECORD90009944919724491972
ROTATION OF INTERN90009929687682968768
OVERHEAD RECOVERY90009924431672443167

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3593144TotalRevenueColumn
Related Or Exempt Function Income157788RelatedOrExemptFunctionIncome
Exclusion$3,435,356ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13497051TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1597330066TotalRevenueColumn
Related Or Exempt Function Income1568498104RelatedOrExemptFunctionIncome
Exclusion$9,520,171ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total762860Total
Program Services762860ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total760419269Total
Program Services721181634ProgramServices
Management And General38452882ManagementAndGeneral
Fundraising784753Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49827085Total
Program Services47256007ProgramServices
Management And General2519656ManagementAndGeneral
Fundraising51422Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total123221784Total
Program Services116863540ProgramServices
Management And General6231079ManagementAndGeneral
Fundraising127165Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total43659170Total
Program Services41406357ProgramServices
Management And General2207757ManagementAndGeneral
Fundraising45056Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65578Total
Management And General65578ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9999917Total
Program Services9483921ProgramServices
Management And General505676ManagementAndGeneral
Fundraising10320Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total245001726Total
Program Services232359637ProgramServices
Management And General12389247ManagementAndGeneral
Fundraising252842Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total31571098Total
Program Services29942029ProgramServices
Management And General1596488ManagementAndGeneral
Fundraising32581Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2121813Total
Program Services2121813ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2080769Total
Program Services2080769ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total30620497Total
Management And General30620497ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total50890622Total
Program Services48264666ProgramServices
Management And General2625956ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total53923506Total
Program Services53923506ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT PURCHASED SERVICES5708449357084493
DUES & SUBSCRIPTIONS23982602274510123750
CENTRALIZED ADMIN EXPENSE9966899499668994
BAD DEBT EXPENSES2270243622702436

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12523096Total
Program Services11954873ProgramServices
Management And General556859ManagementAndGeneral
Fundraising11364Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1598542973Total
Program Services1399663051ProgramServices
Management And General197564419ManagementAndGeneral
Fundraising1315503Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY277851584BOY
EOY348392136EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4023069BOY
EOY4510946EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY178047600BOY
EOY194219380EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12680522BOY
EOY14087775EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY490335BOY
EOY524817EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1331502585LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec307031478LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY890992025BOY
EOY1024471107EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY279698504BOY
EOY225826635EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY509573775BOY
EOY350661067EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2153357414BOY
EOY2162693863EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY224720530BOY
EOY189727355EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY703340785BOY
EOY697554553EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY32183375BOY
EOY30059285EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY603806476BOY
EOY642767121EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1564051166BOY
EOY1560108314EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY414092322BOY
EOY445434339EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY166856176BOY
EOY149556508EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8357750BOY
EOY7594702EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY589306248BOY
EOY602585549EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2153357414BOY
EOY2162693863EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1212907ReconcilationRevenueExpenses
Reconciliation Unrealized Invest28895691ReconciliationUnrealizedInvest
Reconcilation Other Changes-14403483ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$340,761RalliesDemonstrationsAmount
Total Lobbying Expenditures IIB340761TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITYIdentifier
Return ReferencePART II-B, LINE 1HReturnReference
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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11519349BeginningOfYearBalance
Investment Earnings Or Losses1366018InvestmentEarningsOrLosses
Other Expenditures65766OtherExpenditures
End Of Year Balance12819601EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11877084BeginningOfYearBalance
Investment Earnings Or Losses-219103InvestmentEarningsOrLosses
Other Expenditures138632OtherExpenditures
End Of Year Balance11519349EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11492396BeginningOfYearBalance
Investment Earnings Or Losses702322InvestmentEarningsOrLosses
Other Expenditures317634OtherExpenditures
End Of Year Balance11877084EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9826944BeginningOfYearBalance
Investment Earnings Or Losses1985189InvestmentEarningsOrLosses
Other Expenditures319737OtherExpenditures
End Of Year Balance11492396EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12169871BeginningOfYearBalance
Investment Earnings Or Losses-2177857InvestmentEarningsOrLosses
Other Expenditures165070OtherExpenditures
End Of Year Balance9826944EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15431067OtherCostOrOtherBasis
Book Value15431067BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis797578475OtherCostOrOtherBasis
Depreciation225328942Depreciation
Book Value572249533BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15524OtherCostOrOtherBasis
Depreciation11761Depreciation
Book Value3763BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis267370569OtherCostOrOtherBasis
Depreciation75684165Depreciation
Book Value191686404BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis251106950OtherCostOrOtherBasis
Depreciation6006610Depreciation
Book Value245100340BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1024471107TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
OTHER CURRENT ASSETS16554730
DEFERRED FINANCE COSTS, NET16859328
DUE FROM AFFILIATES19570915
INTEREST IN FOUNDATION112866921
INVEST IN HEALTH FIRST16589376
SECURITY DEPOSITS109943
NOTE RECEIVABLE10000000
INSURANCE CLAIMS RECEIVABLE158109854
FieldValueIRS element (for citing)
Total Book Value Other Assets350661067TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE TRUST$143,811,000
RETIREMENT BENEFITS$45,932,084
DUE TO THIRD PARTY PAYORS$184,089,084
SHORT TERM BORROWINGS$103,040,000
OTHER LIABILITIES$4,319,827
SWAP VALUATION ALLOWANCE$3,465,272
INSURANCE CLAIMS LIABILITY$158,109,854
FieldValueIRS element (for citing)
Total Of Amounts642767121TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt1594018844TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments27741663NetUnrealizedGainsInvestments
Other Revenues-20223554OtherRevenues
Revenue Not Rptd F9907518109RevenueNotRptdF990
Revenue Subtotal1586500735RevenueSubtotal
Other Revenues Not Included10829331OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10829331RevenueNotRptdOnFinStmt
Total Revenue Per Form9901597330066TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1567772330TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1567772330ExpensesSubtotal
Other Expenses Not Included30770643OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt30770643ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901598542973TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48PART 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, 2012 and 2011, 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 $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income.
RECONCILIATION OF REVENUEPART XI, LINE 2D AND LINE 4BREVENUE ON BOOKS NOT ON RETURN CHANGE IN FV SWAP AGREEMENT-DERIVATIVE (4,667,650) GAIN/LOSS ON REFINANCING OF LTD (2,838,696) PROVISION FOR BAD DEBT (22,702,436) NET ASSETS RELEASED FROM RESTRICTION 9,985,228 TOTAL (20,223,554) REVENUE ON RETURN NOT ON BOOKS RESTRICTED CONTRIBUTIONS 10,617,341 RESTRICTED INVESTMENTS 211,990 TOTAL 10,829,331
RECONCILIATION OF EXPENSESPART XII, LINE 4BPROVISION FOR BAD DEBT 22,702,436 ADDITIONAL MINIMUM PENSION LIABILITY 8,068,207 TOTAL 30,770,643
INTENDED USE OF ENDOWMENTSPART 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

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments204025762
Europe (Including Iceland and Greenland)Investments6600237
FieldValueIRS element (for citing)
Subtotal Amount Spent210625999SubtotalAmountSpent
Total Amount Spent210625999TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served22907PersonsServed
Total Community Benefit Expense23483000TotalCommunityBenefitExpense
Direct Offsetting Revenue7138000DirectOffsettingRevenue
Net Community Benefit Expense16345000NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served168975PersonsServed
Total Community Benefit Expense329219986TotalCommunityBenefitExpense
Direct Offsetting Revenue255851749DirectOffsettingRevenue
Net Community Benefit Expense73368237NetCommunityBenefitExpense
Percent Of Total Expense0.04740PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served191882PersonsServed
Total Community Benefit Expense352702986TotalCommunityBenefitExpense
Direct Offsetting Revenue262989749DirectOffsettingRevenue
Net Community Benefit Expense89713237NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs353NumberOfActivitiesOrPrograms
Persons Served194741PersonsServed
Total Community Benefit Expense13189721TotalCommunityBenefitExpense
Direct Offsetting Revenue3630DirectOffsettingRevenue
Net Community Benefit Expense13186091NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs188NumberOfActivitiesOrPrograms
Persons Served11177PersonsServed
Total Community Benefit Expense121274001TotalCommunityBenefitExpense
Direct Offsetting Revenue42429075DirectOffsettingRevenue
Net Community Benefit Expense78844926NetCommunityBenefitExpense
Percent Of Total Expense0.05100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served24795PersonsServed
Total Community Benefit Expense8348022TotalCommunityBenefitExpense
Direct Offsetting Revenue5833846DirectOffsettingRevenue
Net Community Benefit Expense2514176NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense19088563TotalCommunityBenefitExpense
Net Community Benefit Expense19088563NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served760PersonsServed
Total Community Benefit Expense383094TotalCommunityBenefitExpense
Direct Offsetting Revenue3200DirectOffsettingRevenue
Net Community Benefit Expense379894NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs581NumberOfActivitiesOrPrograms
Persons Served231473PersonsServed
Total Community Benefit Expense162283401TotalCommunityBenefitExpense
Direct Offsetting Revenue48269751DirectOffsettingRevenue
Net Community Benefit Expense114013650NetCommunityBenefitExpense
Percent Of Total Expense0.07370PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs583NumberOfActivitiesOrPrograms
Persons Served423355PersonsServed
Total Community Benefit Expense514986387TotalCommunityBenefitExpense
Direct Offsetting Revenue311259500DirectOffsettingRevenue
Net Community Benefit Expense203726887NetCommunityBenefitExpense
Percent Of Total Expense0.13170PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served142PersonsServed
Total Community Building Expense249881TotalCommunityBuildingExpense
Net Community Building Expense249881NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served239PersonsServed
Total Community Building Expense249881TotalCommunityBuildingExpense
Net Community Building Expense249881NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$20,275,000BadDebtExpenseAmount
Amount Reimbursed By Medicare251133995AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare247638162CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3495833MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursChildrens HospitalChildrensHospitalOtherOther
LONG ISLAND JEWISH MEDICAL CENTER
1270-05 76TH AVENUENEW HYDE PARKNY11040XXXX
COHEN CHILDREN'S MEDICAL CENTER OF NY
2269-01 76TH AVENUENEW HYDE PARKNY11040XXPEDIATRIC TRAUMA CENTER
THE ZUCKER HILLSIDE HOSPITAL
375-59 263RD STGLEN OAKSNY11040X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Eligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
LONG ISLAND JEWISH MEDICAL CENTER
truetrue100true500.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue
COHEN CHILDRENS MEDICAL CENTER OF NY
truetrue100true500.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue
THE ZUCKER HILLSIDE HOSPITAL
truetrue100true500.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities29NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PHYSICIAN AMBULATORY NETWORK SERVICES
410 LAKEVILLE ROADNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
ANNE & JULES GOTTLIEB WOMAN'S COMPREHENS
1554 NORTHERN BOULEVARDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
COHEN CHILDREN'S MEDICAL CENTER OF NY
1991 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 NORTHERN BLVDGREAT NECKNY11021OUTPATIENT PHYSICIANS CLINIC
PHYSICIANS AMBULATORY NETWORK SERVICES
825 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
LIJ SATELLITE DIALYSIS FACILITY
220-10/22 HILLSIDE AVENUEBELLEROSENY11427DIALYSIS CENTER
TRANSITIONS OF LONG ISLAND
1554 NORTHERN BLVDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
865 NORTHERN BLVDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
FAR ROCKAWAY TREATMENT CENTER
1600 CENTRAL AVENUEFAR ROCKAWAYNY11691OUTPATIENT PHYSICIAN CLINIC
REGO PARK URGENT CARE CENTER
95-25 QUEENS BLVDREGO PARKNY11374OUTPATIENT PHYSICIAN CLINIC
LIJ DEVELOPMENTAL & BEHAVIOR PEDIATRICS
1983 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SPECIALTY CENTER AT COMMACK
353 VETERANS HIGHWAYCOMMACKNY11725OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
2001 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
VOC REHAB IPRT
205-07 HILLSIDE AVENUEHOLLISNY11423OUTPATIENT PHYSICIAN CLINIC
NEW HYDE PARK INTERNAL MEDICINE SPECIALI
1575 HILLISDE AVENUENEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
PROJECT OUTREACH
600 HEMPSTEAD TURNPIKEWEST HEMPSTEADNY11552OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE LIJ MEDICAL GROUP-NORTH VILL
925 HEMPSTEAD AVENUEFRANKLIN SQUARENY11010OUTPATIENT PHYSICIAN CLINIC
LONG ISLAND WOMEN'S HEALTHCARE ASSOCIATE
2428 MERRICK ROADBELLMORENY11710OUTPATIENT PHYSICIAN CLINIC
SIGN ON VILLAGE
205-07 HILLSIDE AVENUEHOLLISNY11423OUTPATIENT PHYSICIAN CLINIC
CHILDREN'S HEART CENTER AT LAKE SUCCESS
9 VERMONT DRIVELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
NSLIJ SPECIALTY MEDICAL CENTER
68-60 AUSTIN STREETFOREST HILLSNY11375OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1991 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
ARTHUR SMITH INSTITUTE FOR UROLOGY PEDI
233 SEVENTH STREETGARDEN CITYNY11040OUTPATIENT PHYSICIAN CLINIC
MINEOLA COMMUNITY TREATMENT CENTER
366 JERICHO TURNPIKEMINEOLANY11501OUTPATIENT PHYSICIAN CLINIC
MS CARE CENTER
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC
NSUH - DIVISON OF KIDNEY DISEASE & HYPER
100 COMMUNITY DRIVEGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SPECIALTY CARE CENTER AT HEWLE
1800 ROCKAWAY AVENUEHEWLETTNY11557OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SPECIALTY CENTER AT WILLIAMSBU
52 BROADWAYBROOKLYNNY11249OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ CITI CARDIAC CARE PC
80-02 165th STREETJAMAICANY11432OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
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 10.9% 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 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. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written off to bad debt. 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. Part V, Section B, line 8: N/A Part V, Section B, line 9b: The organization's financial assistance policy will review a patient's assets if they fall within the family size and income levels approved by the New York State to provide free or discounted care. Asset test 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 V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12h: 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 19d: N/A Part V, Section B, line 20d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid) Part V, Section B, line 21: N/A Part V, Section B, line 22: In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. 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. MExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL DOWLING
PRESIDENT & CEO0117290201628000022448011071100211250395158500
HOWARD GOLD
SR VP, REVENUE & BUSINESS DEV0928383034000003147302831090151000159806500
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0974451070000002393801985000176130191450200
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER0921946019000002750602095190223000137127100
LAWRENCE G SMITH MD
EVP, PHYCISIAN IN CHIEF0720972010000002715806670340166750153183900
KEITH THOMPSON
SR VP GEN COUNSEL07248530113000020309690511950021081034018530313468
JEFFREY KRAUT
SR VP PLANNING0695349010101003050201865610151000102852200
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER062247209324003173302561980151000101874300
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER0479026035742056999027500015100061436700
HARRY GINDI
ASSISTANT SECRETARY02800280004531027500015100032715900
RALPH NAPPI
TRUSTEE AND PRES FOUNDATION06720880150000014544590419950187750233731701389266
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH0873895015500002015103721100151000143625600
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP0665596010440002918002633810171930107975000
LYLE LEIPZIGER
SECTION HEAD23469260002869402750001510002418220000
BARRY KAPLAN
VICE CHAIRPERSON1714348015000002789302750001510001934841000
SAMUEL SCHEINERMAN
ASSOCIATE CHAIRPERSON16394110001987702750001510001701888000
RAJIV JAUHAR
CHIEF, CARDIOLOGY15981410500000182602750001510001692567000
LOUIS POTTERS
MEDICAL SCHOOL CHAIR RADIATION13147850008895102750001510001446336000
CHANTAL WEINHOLD
EXECUTIVE DIRECTOR675127056000031733035317801510001131138000
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR078375709324001151101191860151000102279400
FRANK RIZZO
CFO, TERTIARY HOSPITAL047310305217209626027500015100057750100

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART 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 ($1,079,610), Mark Solazzo ($171,000), Robert Shapiro ($182,019), Howard Gold ($255,609), Keith Thompson ($484,450), Lawrence Smith ($639,534) Jeffery Kraut ($159,061), Kathleen Gallo ($228,698), Ralph Nappi ($14,495), Chantal Weinhold ($325,678), Eugene Tangney ($91,686), Anthony Ferreri ($344,610) and Kevin Lawlor ($233,853).
COMPENSATION CONTINGENT ON REVENUESPART 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.
BONUS AND INCENTIVE COMPENSATIONPART 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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A14600029364983USV32003-08-14409860472003 E BONDS - CAPITAL IMPROVEMENTtruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B14600029364983Q4R72006-10-18441080942005 BONDS - CAPITAL IMPROVEMENTSfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
C146000293649903LC32007-05-311700476622007 A&B BONDS-CAPITAL IMPROV & REtruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
D146000293649905QL32009-09-172595011112009 A&E BONDS-CAPITAL IMPROV & REfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A926388604237311919570561539927081848000243444761244243524117432008truefalsetruetrue
B78942520604124704145467005297610020598755367736702010truefalsetruetrue
C55584745020537425013969398421621522569881203555800482986481120451150truetruefalsetrue
D002589136692829931120066804042066580011438827542514602611152432012truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruetruetrue0.006530.000010.00654falsefalsefalsetrue
Bfalsefalsetruetruetruetrue0.000420.000010.00043falsefalsefalsetrue
Cfalsefalsetruetruetruetrue0.003560.000000.00356falsefalsefalsetrue
Dfalsefalsefalsefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
AfalsefalsetruetruefalsefalsetrueMBIA29.7truetruetrue
0
Bfalsefalsetruetruefalsefalsefalse0falsetrue
CITIBANK NA
CfalsefalsetruetruefalsetruetrueMBIA18.1truetruetrue25.9truefalse
0
Dfalsetruetruefalsefalsefalsefalse0truetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReference
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 7/31/2008 FOR 2003 BONDS0
PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 9/30/2011 FOR 2005 BONDS0
PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 5/31/2012 FOR 2007 BONDS0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A146000293649906JT22011-10-061202800002011 BONDS-CAP IMPROV & REFUND 98,falsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B146000293649906K782012-07-101250000002009 B,C,D BONDS - CAPITAL IMPROVEfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
A17833460122366337984038510147070216527800201410637065601659031233truetruefalsetrue
B0012635045000013304500000125020000truefalsetruetrue2012

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI
Afalsetruetruetruetruetrue0.002390.00239falsefalsefalsetrue
Bfalsefalsefalsefalse00.00000falsefalsefalsetrue0.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsetruetruefalsefalsefalsefalse0falsetrue
0
Bfalsetruetruefalsefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALAN ABRAMSON
FAMILY MEMB: R. ABRAMSON710554EMPLOYEEfalse
ASHLEY SOLAZZO
FAMILY MEMB: M. SOLAZZO34410EMPLOYEEfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOARD MEMBER RELATIONSHIPSPART 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 Eric and Roger Blumencranz. John Alexander has a business relationship with 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. 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, James 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. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Mark Claster, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Mark Solazzo, Donald Zucker, Barbara 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 Roger Blumencranz, Richard Goldstein, Saul Katz, Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. 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, William Mack, and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene has a family relationship with Alan I. Green. He 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. Richard Horowitz has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. M. Allan Hyman has a business relationship with Eric Blumencranz, 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 Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with 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 Mark Claster, 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. David Lehr has a business relationship with Ronald Mazzucco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric and Roger 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, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal. 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 Mark Claster , 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 family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, 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 Robert Rosenthal. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack.
EXECUTIVE COMMITTEEPART VI, SECTION B - POLICIES, LINE 11All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. 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.
CONFLICTS OF INTERESTPART 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 filled 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.
OFFICERS COMPENSATIONPART 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.
DISCLOSURESPART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEESPART VII, SECTION A - LINE 1ARichard S. Abramson Lloyd M. Goldman F.J. McCarthy William Achenbaum Richard D. Goldstein Patrick F. McDermott John W. Alexander J. Joaquin Gonzalez James McMullen Philip S. Altheim Michael Gould Charles Merinoff Stanley A. Applebaum Albert L. Granger, DDS Richard D. Monti Michael L. Ashner Alan I. Greene Richard Murcott Beverly VP. Banker James R. Greene Ralph A. Nappi Ralph M. Baruch Stanley Grey Richard B. Nye Frank J. Besignano Richard Guarasci, PhD Clyde I. Payne, EdD Elise M. Bloom Paul B. Guenther Arnold S. Penner Eric S. Blumencranz Amy M. Hagedorn John J. Raggio Roger A. Blumencranz Ira Hazan Lewis S. Ranieri David Blumenfeld Linda W. Heaney Jay R. Raubvogel Edward Blumenfeld Marlene Hess Dennis Riese E. Steve Braun William O. Hiltz Terry P. Rifkin, MD Dayton T. Brown, Jr Gedale B. Horowitz Robert F. Rose Allen E. Busching Richard A. Horowitz Robert A. Rosen Jonathan S. Canno M. Allan Hyman Marcie Rosenberg Michael Caridi Mark Jacobson Robert D. Rosenthal Rev. Carolina Sr,EdD Jeffrey Jurick Bernard M. Rosof, MD Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa A. Kaufman Scott Rudolph Diana F. Colgate Robert Kaufman Michael H. Sahn Daniel M. Crown Cary Kravet Frank W. Scarangello,Sr Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Marc V. Shaw Thomas E. Dewey, Jr. Curt N. Launer Sean G. Simon Thomas E. Dooley Laura Lauria Richard Sims Michael J. Dowling Kevin F. Lawlor Michael C. Slade Robert N. Downey David W. Lehr Phyllis Hill Slater Melvin Dubin Jonathan W. Leigh Howard D. Stave Patrick R. Edwards Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine John B. Thomson, Jr. Leonard Feinstein Stuart R. Levine Peter Tilles Michael E. Feldman Seth Lipsay Sandra Tytel Anthony C. Ferreri David S. Mack Frederick A. Volk Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Linda Manfredi Emmett F. Walker, Jr William H. Frazier James S. Marcus Gary Walter Eugene B. Friedman,MD Bradley Marsh, D.P.M. Lewis M. Weston William J. Fritz,PhD Jeffrey S. Maurer Barbara Hrbek Zucker Sy Garfinkel Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg
AVERAGE HOURSPART 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.
GOVERNING BODYPART 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.
RECONCILIATION OF NET ASSETSPART XI, LINE 5CHANGE IN FV SWAP AGREEMENT-CASH FLOW 356,059 CHANGE IN FV SWAP AGREEMENT-DERIVATIVE (4,667,650) NET ASSETS RELEASED FROM RESTRICED FUN 458,643 TRANSFER TO AFFILIATES (8,371,843) GAIN/LOSS REFINANCING LTD (2,838,696) CHANGE IN EQUITY UNDER FAS 136 660,004 TOTAL (14,403,483)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ACTIVITY WORKS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
EIN264708923EIN
Primary ActivitiesMED SERVICESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LIJMCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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
NSUH 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 1LIJtrue
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
THE LONG ISLAND HOME FOUNDATION
400 SUNRISE HIGHWAYAMITYVILLENY11701112049038SUPPORTNY501(C)(3)11, TYPE 1LHH CORPfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYNA
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYHCI

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
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 CARENYLIJCtrue001.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCtrue001.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RDWESTBURYNY11590113533678HEALTH CARENYLIJCtrue001.00000
NORTH SHORE-LIJ SYSTEM IPA #4
972 BRUSH HOLLOW RDWESTBURYNY11590113533677HEALTH CARENYLIJCtrue001.00000
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RDWESTBURYNY11590113533675HEALTH CARENYLIJCtrue001.00000
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
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FLNEW YORKNY10021133596988MEDICAL SERVINYLENOXCfalse
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVINYLENOXCfalse
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MEDICAL 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
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FLNEW YORKNY10021200250107MEDICAL SERVINYLENOXCfalse
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MEDICAL SERVINYLENOXCfalse
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH STNEW YORKNY10021264634966MEDICAL 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 CARDIOVASCULAR MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078361MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP URGENT CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SERVINYNSUHCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVINYLENOXCfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OCCUPATIONAL MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SERVINYLIJCtrue0911.00000
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MEDICAL SERVINYSOUTHSIDECfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516INSURANCENYNSLIJ HCICfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg