2013-11-14T12:46:43-06:00 2012-12-31 990 2012-01-01 112241326 LONG ISLAND JEWISH MEDICAL CENTER C/O NORTH SHORE-LIJ HEALTH SYSTEM % NORTH SHORE-LIJ HEALTH SYSTE LONG 5168766061 972 BRUSH HOLLOW ROAD 5TH FL Suite WESTBURY NY 11590 ROBERT S SHAPIRO 2013-11-08 2012 2016-02-25 16:41:14Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 1727289894 false X www.nslij.com X 1955 NY LIJMC 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. 136 128 9158 975 0 0 28183737 17855332 1431724787 1558436409 14180127 7541274 8946538 13497051 1483035189 1597330066 0 0 0 0 863053719 977890168 0 0 1315503 558798527 620652805 1421852246 1598542973 61182943 -1212907 2153357414 2162693863 1564051166 1560108314 589306248 602585549 X LONG 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. false false 727877479 0 910084634 Long 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. 203217242 0 228195913 Cohen 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. 103880838 0 96625975 The 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. 364687492 0 323529887 OTHER 364687492 0 323529887 1399663051 true true false true false false false false false true true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false true false false false false false true true true false false false true 307 0 true 9158 true true true true CJ UK false false false false false false false false false false false false false X 136 128 true false false false false true true true true false false true true true true true true true true false NY X X NORTH SHORE-LIJ HEALTH SYSTE 5168766061 972 BRUSH HOLLOW RD5TH FL WESTBURY NY 11590 X MICHAEL DOWLING 50.0 X X 0 2823350 1128235 RALPH NAPPI 50.0 X 0 2276547 60770 ANTHONY C FERRERI 50.0 X 0 1049046 387210 KEVIN F LAWLOR 50.0 X 0 799176 280574 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 WILLIAM L MACK 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 MARK CLASTER 2.0 X X 0 0 0 ALAN I GREENE 2.0 X X 0 0 0 DONALD ZUCKER 2.0 X X 0 0 0 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 HOWARD GOLD 50.0 X 0 1299856 298209 MARK J SOLAZZO 50.0 X 0 1698389 216113 ROBERT S SHAPIRO 50.0 X 0 1139452 231819 LAWRENCE G SMITH MD 50.0 X 0 848130 683709 KEITH THOMPSON 50.0 X 0 2868822 533031 JEFFREY KRAUT 50.0 X 0 826861 201661 KATHLEEN GALLO RN PHD 50.0 X 0 747445 271298 DONNA DRUMMOND 50.0 X 0 571767 42600 HARRY GINDI 50.0 X 0 284559 42600 CHANTAL WEINHOLD 50.0 X 762860 0 368278 EUGENE TANGNEY 50.0 X 0 888508 134286 FRANK RIZZO 50.0 X 0 534901 42600 LYLE LEIPZIGER 50.0 X 2375620 0 42600 BARRY KAPLAN 50.0 X 1892241 0 42600 SAMUEL SCHEINERMAN 50.0 X 1659288 0 42600 RAJIV JAUHAR 50.0 X 1649967 0 42600 LOUIS POTTERS 50.0 X 1403736 0 42600 9743712 18656809 5135993 1499 false true false BOVIS LENS LEASE LMB INC 200 PARK AVE NEW YORK NY 10166 GENERAL CONTRACTOR 69746920 GOTHAM CONSTRUCTION COMPANY 1010 AVE OF THE AMERICAS 4TH FL NEW YORK NY 10018 GENERAL CONTRACTOR 35399318 AXIS CONSTRUCTION CO 125 LASER CT HAUPPAUGE NY 11788 GENERAL CONTRACTOR 2840611 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 TEMPORARY EMPLOYEES 2177757 INTELLI-TEC SECURITY SERVICES 2000 SHAMES DR WESTBURY NY 11590 SECURITY 1600406 90 234898 17043249 577185 17855332 PATIENT SERVICE REVENUE 621300 1022296464 1022296464 PHYSICIAN PRACTIVE REVENUE 621300 200309801 200309801 MEDICARE/MEDICAID PAYMENTS 621300 335830144 335830144 1558436409 4939047 4939047 1145768 1145768 0 0 0 0 131403704 12583 129959828 1443876 12583 1456459 0 0 0 ELECTRONIC HEALTH RECORD 900099 4491972 4491972 ROTATION OF INTERN 900099 2968768 2968768 OVERHEAD RECOVERY 900099 2443167 2443167 3593144 157788 3435356 13497051 1597330066 1568498104 9520171 0 0 0 0 762860 762860 0 760419269 721181634 38452882 784753 49827085 47256007 2519656 51422 123221784 116863540 6231079 127165 43659170 41406357 2207757 45056 0 65578 65578 0 0 0 0 9999917 9483921 505676 10320 0 245001726 232359637 12389247 252842 0 0 31571098 29942029 1596488 32581 2121813 2121813 0 2080769 2080769 30620497 30620497 0 50890622 48264666 2625956 53923506 53923506 DIRECT PURCHASED SERVICES 57084493 57084493 DUES & SUBSCRIPTIONS 2398260 2274510 123750 CENTRALIZED ADMIN EXPENSE 99668994 99668994 BAD DEBT EXPENSES 22702436 22702436 12523096 11954873 556859 11364 1598542973 1399663051 197564419 1315503 0 0 277851584 348392136 4023069 4510946 178047600 194219380 0 0 0 0 0 0 12680522 14087775 490335 524817 1331502585 307031478 890992025 1024471107 279698504 225826635 0 0 0 0 0 0 509573775 350661067 2153357414 2162693863 224720530 189727355 0 0 0 0 703340785 697554553 0 0 0 0 32183375 30059285 0 0 603806476 642767121 1564051166 1560108314 X 414092322 445434339 166856176 149556508 8357750 7594702 589306248 602585549 2153357414 2162693863 X -1212907 28895691 -14403483 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 340761 340761 LOBBYING ACTIVITY PART II-B, LINE 1H LONG 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. 11519349 1366018 65766 12819601 11877084 -219103 138632 11519349 11492396 702322 317634 11877084 9826944 1985189 319737 11492396 12169871 -2177857 165070 9826944 1.00000 false false 15431067 15431067 797578475 225328942 572249533 15524 11761 3763 267370569 75684165 191686404 251106950 6006610 245100340 1024471107 OTHER CURRENT ASSETS 16554730 DEFERRED FINANCE COSTS, NET 16859328 DUE FROM AFFILIATES 19570915 INTEREST IN FOUNDATION 112866921 INVEST IN HEALTH FIRST 16589376 SECURITY DEPOSITS 109943 NOTE RECEIVABLE 10000000 INSURANCE CLAIMS RECEIVABLE 158109854 350661067 0 MALPRACTICE TRUST 143811000 RETIREMENT BENEFITS 45932084 DUE TO THIRD PARTY PAYORS 184089084 SHORT TERM BORROWINGS 103040000 OTHER LIABILITIES 4319827 SWAP VALUATION ALLOWANCE 3465272 INSURANCE CLAIMS LIABILITY 158109854 642767121 1594018844 27741663 -20223554 7518109 1586500735 10829331 10829331 1597330066 1567772330 1567772330 30770643 30770643 1598542973 FIN 48 PART X, LINE 2 Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 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 REVENUE PART XI, LINE 2D AND LINE 4B REVENUE 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 EXPENSES PART XII, LINE 4B PROVISION FOR BAD DEBT 22,702,436 ADDITIONAL MINIMUM PENSION LIABILITY 8,068,207 TOTAL 30,770,643 INTENDED USE OF ENDOWMENTS PART V, LINE 4 There 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. Central America and the Caribbean Investments 204025762 Europe (Including Iceland and Greenland) Investments 6600237 210625999 210625999 false false true false false false true true X true X true X 500. true true true false true true 1 22907 23483000 7138000 16345000 0.01060 1 168975 329219986 255851749 73368237 0.04740 2 191882 352702986 262989749 89713237 0.05800 353 194741 13189721 3630 13186091 0.00850 188 11177 121274001 42429075 78844926 0.05100 1 24795 8348022 5833846 2514176 0.00160 1 19088563 19088563 0.01230 38 760 383094 3200 379894 0.00030 581 231473 162283401 48269751 114013650 0.07370 583 423355 514986387 311259500 203726887 0.13170 11 142 249881 249881 0.00020 18 239 249881 249881 0.00020 false 20275000 251133995 247638162 3495833 X true true 3 1 LONG ISLAND JEWISH MEDICAL CENTER

270-05 76TH AVENUE NEW HYDE PARK NY 11040

X X X X 2 COHEN CHILDREN'S MEDICAL CENTER OF NY

269-01 76TH AVENUE NEW HYDE PARK NY 11040

X X PEDIATRIC TRAUMA CENTER 3 THE ZUCKER HILLSIDE HOSPITAL

75-59 263RD ST GLEN OAKS NY 11040

X LONG ISLAND JEWISH MEDICAL CENTER true true 100 true 500. true X X X X X X true true X X X X X X X true false X X X X X true X false true COHEN CHILDRENS MEDICAL CENTER OF NY true true 100 true 500. true X X X X X X true true X X X X X X X true false X X X X X true X false true THE ZUCKER HILLSIDE HOSPITAL true true 100 true 500. true X X X X X X true true X X X X X X X true false X X X X X true X false true 29 PHYSICIAN AMBULATORY NETWORK SERVICES

410 LAKEVILLE ROAD NEW HYDE PARK NY 11040

OUTPATIENT PHYSICIAN CLINIC ANNE & JULES GOTTLIEB WOMAN'S COMPREHENS

1554 NORTHERN BOULEVARD MANHASSET NY 11030

OUTPATIENT PHYSICIAN CLINIC COHEN CHILDREN'S MEDICAL CENTER OF NY

1991 MARCUS AVENUE LAKE SUCCESS NY 11042

OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES

600 NORTHERN BLVD GREAT NECK NY 11021

OUTPATIENT PHYSICIANS CLINIC PHYSICIANS AMBULATORY NETWORK SERVICES

825 NORTHERN BOULEVARD GREAT NECK NY 11021

OUTPATIENT PHYSICIAN CLINIC LIJ SATELLITE DIALYSIS FACILITY

220-10/22 HILLSIDE AVENUE BELLEROSE NY 11427

DIALYSIS CENTER TRANSITIONS OF LONG ISLAND

1554 NORTHERN BLVD MANHASSET NY 11030

OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES

865 NORTHERN BLVD GREAT NECK NY 11021

OUTPATIENT PHYSICIAN CLINIC FAR ROCKAWAY TREATMENT CENTER

1600 CENTRAL AVENUE FAR ROCKAWAY NY 11691

OUTPATIENT PHYSICIAN CLINIC REGO PARK URGENT CARE CENTER

95-25 QUEENS BLVD REGO PARK NY 11374

OUTPATIENT PHYSICIAN CLINIC LIJ DEVELOPMENTAL & BEHAVIOR PEDIATRICS

1983 MARCUS AVENUE LAKE SUCCESS NY 11042

OUTPATIENT PHYSICIAN CLINIC PEDIATRIC SPECIALTY CENTER AT COMMACK

353 VETERANS HIGHWAY COMMACK NY 11725

OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES

2001 MARCUS AVENUE LAKE SUCCESS NY 11042

OUTPATIENT PHYSICIAN CLINIC VOC REHAB IPRT

205-07 HILLSIDE AVENUE HOLLIS NY 11423

OUTPATIENT PHYSICIAN CLINIC NEW HYDE PARK INTERNAL MEDICINE SPECIALI

1575 HILLISDE AVENUE NEW HYDE PARK NY 11040

OUTPATIENT PHYSICIAN CLINIC PROJECT OUTREACH

600 HEMPSTEAD TURNPIKE WEST HEMPSTEAD NY 11552

OUTPATIENT PHYSICIAN CLINIC NORTH SHORE LIJ MEDICAL GROUP-NORTH VILL

925 HEMPSTEAD AVENUE FRANKLIN SQUARE NY 11010

OUTPATIENT PHYSICIAN CLINIC LONG ISLAND WOMEN'S HEALTHCARE ASSOCIATE

2428 MERRICK ROAD BELLMORE NY 11710

OUTPATIENT PHYSICIAN CLINIC SIGN ON VILLAGE

205-07 HILLSIDE AVENUE HOLLIS NY 11423

OUTPATIENT PHYSICIAN CLINIC CHILDREN'S HEART CENTER AT LAKE SUCCESS

9 VERMONT DRIVE LAKE SUCCESS NY 11042

OUTPATIENT PHYSICIAN CLINIC NSLIJ SPECIALTY MEDICAL CENTER

68-60 AUSTIN STREET FOREST HILLS NY 11375

OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES

1991 MARCUS AVENUE LAKE SUCCESS NY 11042

OUTPATIENT PHYSICIAN CLINIC ARTHUR SMITH INSTITUTE FOR UROLOGY PEDI

233 SEVENTH STREET GARDEN CITY NY 11040

OUTPATIENT PHYSICIAN CLINIC MINEOLA COMMUNITY TREATMENT CENTER

366 JERICHO TURNPIKE MINEOLA NY 11501

OUTPATIENT PHYSICIAN CLINIC MS CARE CENTER

801 MERRICK AVENUE EAST MEADOW NY 11554

OUTPATIENT PHYSICIAN CLINIC NSUH - DIVISON OF KIDNEY DISEASE & HYPER

100 COMMUNITY DRIVE GREAT NECK NY 11021

OUTPATIENT PHYSICIAN CLINIC PEDIATRIC SPECIALTY CARE CENTER AT HEWLE

1800 ROCKAWAY AVENUE HEWLETT NY 11557

OUTPATIENT PHYSICIAN CLINIC PEDIATRIC SPECIALTY CENTER AT WILLIAMSBU

52 BROADWAY BROOKLYN NY 11249

OUTPATIENT PHYSICIAN CLINIC NORTH SHORE-LIJ CITI CARDIAC CARE PC

80-02 165th STREET JAMAICA NY 11432

OUTPATIENT PHYSICIAN CLINIC PART VI - SUPPLEMENTAL INFORMATION Question 1. Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 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. M X X X X X false true false true false false false true false MICHAEL DOWLING 0 1172902 0 1628000 0 22448 0 1107110 0 21125 0 3951585 0 0 HOWARD GOLD 0 928383 0 340000 0 31473 0 283109 0 15100 0 1598065 0 0 MARK J SOLAZZO 0 974451 0 700000 0 23938 0 198500 0 17613 0 1914502 0 0 ROBERT S SHAPIRO 0 921946 0 190000 0 27506 0 209519 0 22300 0 1371271 0 0 LAWRENCE G SMITH MD 0 720972 0 100000 0 27158 0 667034 0 16675 0 1531839 0 0 KEITH THOMPSON 0 724853 0 113000 0 2030969 0 511950 0 21081 0 3401853 0 313468 JEFFREY KRAUT 0 695349 0 101010 0 30502 0 186561 0 15100 0 1028522 0 0 KATHLEEN GALLO RN PHD 0 622472 0 93240 0 31733 0 256198 0 15100 0 1018743 0 0 DONNA DRUMMOND 0 479026 0 35742 0 56999 0 27500 0 15100 0 614367 0 0 HARRY GINDI 0 280028 0 0 0 4531 0 27500 0 15100 0 327159 0 0 RALPH NAPPI 0 672088 0 150000 0 1454459 0 41995 0 18775 0 2337317 0 1389266 ANTHONY C FERRERI 0 873895 0 155000 0 20151 0 372110 0 15100 0 1436256 0 0 KEVIN F LAWLOR 0 665596 0 104400 0 29180 0 263381 0 17193 0 1079750 0 0 LYLE LEIPZIGER 2346926 0 0 0 28694 0 27500 0 15100 0 2418220 0 0 0 BARRY KAPLAN 1714348 0 150000 0 27893 0 27500 0 15100 0 1934841 0 0 0 SAMUEL SCHEINERMAN 1639411 0 0 0 19877 0 27500 0 15100 0 1701888 0 0 0 RAJIV JAUHAR 1598141 0 50000 0 1826 0 27500 0 15100 0 1692567 0 0 0 LOUIS POTTERS 1314785 0 0 0 88951 0 27500 0 15100 0 1446336 0 0 0 CHANTAL WEINHOLD 675127 0 56000 0 31733 0 353178 0 15100 0 1131138 0 0 0 EUGENE TANGNEY 0 783757 0 93240 0 11511 0 119186 0 15100 0 1022794 0 0 FRANK RIZZO 0 473103 0 52172 0 9626 0 27500 0 15100 0 577501 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4B Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,079,610), 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 REVENUES PART 1, LINE 5A Pursuant 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 COMPENSATION PART I, LINE 7 On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983USV3 2003-08-14 40986047 2003 E BONDS - CAPITAL IMPROVEMENT true false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983Q4R7 2006-10-18 44108094 2005 BONDS - CAPITAL IMPROVEMENTS false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903LC3 2007-05-31 170047662 2007 A&B BONDS-CAPITAL IMPROV & RE true false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905QL3 2009-09-17 259501111 2009 A&E BONDS-CAPITAL IMPROV & RE false false false A 9263886 0 42373119 1957056 1539927 0 818480 0 0 24344476 12442435 2411743 2008 true false true true B 7894252 0 60412470 4145467 0 0 529761 0 0 2059875 53677367 0 2010 true false true true C 55584745 0 205374250 13969398 4216215 22569881 2035558 0 0 48298648 112045115 0 true true false true D 0 0 258913669 28299311 20066804 0 4206658 0 0 114388275 42514602 61115243 2012 true false false true A false false true true true true 0.00653 0.00001 0.00654 false false false true B false false true true true true 0.00042 0.00001 0.00043 false false false true C false false true true true true 0.00356 0.00000 0.00356 false false false true D false false false false 0 false false false true A false false true true false false 0 true MBIA 29.7 true true true B false false true true false false 0 false 0 false true C false false true true false true CITIBANK NA 25.9 true false true MBIA 18.1 true true true D false true true false false false 0 false 0 true true A true B true C true D true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 7/31/2008 FOR 2003 BONDS 0 PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 9/30/2011 FOR 2005 BONDS 0 PART IV, LINE 2C-REBABTE CALCULATION PERFORMED 5/31/2012 FOR 2007 BONDS 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-10-06 120280000 2011 BONDS-CAP IMPROV & REFUND 98, false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906K78 2012-07-10 125000000 2009 B,C,D BONDS - CAPITAL IMPROVE false false false A 1783346 0 122366337 9840385 1014707 0 2165278 0 0 20141063 70656016 59031233 true true false true B 0 0 126350450 0 0 0 1330450 0 0 0 0 125020000 2012 true false true true A false true true true true true 0.00239 0.00239 false false false true B false false false false 0 0.00000 0.00000 false false false true A false true true false false false 0 false 0 false true B false true true false false false 0 false 0 false true A true B true ALAN ABRAMSON FAMILY MEMB: R. ABRAMSON 710554 EMPLOYEE false ASHLEY SOLAZZO FAMILY MEMB: M. SOLAZZO 34410 EMPLOYEE false BOARD MEMBER RELATIONSHIPS PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with 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 COMMITTEE PART VI, SECTION B - POLICIES, LINE 11 All 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 INTEREST PART VI, SECTION B - POLICIES, LINE 12C The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to 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 COMPENSATION PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. DISCLOSURES PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. NON-COMPENSATED TRUSTEES PART VII, SECTION A - LINE 1A Richard 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 HOURS PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. GOVERNING BODY PART VI, LINE 7 North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. RECONCILIATION OF NET ASSETS PART XI, LINE 5 CHANGE 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) ACTIVITY WORKS LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 264708923 MED SERVICES NY 0 0 LIJMC NORTH SHORE-LIJ HEALTH SYSTEM 972 BRUSH HOLLOW RD WESTBURY NY 11590 113418133 SUPPORT NY 501(C)(3) 11, TYPE 1 NA false NORTH SHORE-LIJ HEALTH CARE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112965586 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111562701 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false FOREST HILLS HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112163522 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false PLAINVIEW HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 113241243 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false FRANKLIN HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112296824 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false SOUTHSIDE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111667761 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false NORTH SHORE-LIJ HEALTH SYSTEM LABS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113412370 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD WESTBURY NY 11590 112673595 RESEARCH NY 501(C)(3) 4 NS-LIJHS false NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112965575 FUNDRAISING NY 501(C)(3) 7 NS-LIJHS false NSUH STERN FAMILY CECR 972 BRUSH HOLLOW RD WESTBURY NY 11590 237007485 NURSING HOME NY 501(C)(3) 9 NS-LIJ HCI false LIJ MEDICAL CENTER AT HOME PHARMACY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113251128 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false LIJ FOUNDATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112661239 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false NORTH SHORE-LIJ MEDICAL CARE CENTERS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113473923 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false SSH INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112774102 SUPPORT NY 501(C)(3) 11, TYPE 1 SOUTHSIDE false NORTH SHORE COMMUNITY SERVICES INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 237273200 HOUSING NY 501(C)(2) N/A NS-LIJHS false NORTH SHORE UNIVERSITY HOSPITAL HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 112171903 HOUSING NY 501(C)(2) N/A NS-LIJHS false NSUH AT GLEN COVE HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 237010468 HOUSING NY 501(C)(2) N/A NS-LIJHS false HILLSIDE HOSPITAL HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 112113949 HOUSING NY 501(C)(2) N/A NS-LIJHS false SIUH SYSTEMS INC 475 SEAVIEW AVE STATEN ISLAND NY 10305 061074604 FUNDRAISING NY 501(C)(3) 7 NS-LIJ HCI false STATEN ISLAND UNIVERSITY HOSPITAL 475 SEAVIEW AVE STATEN ISLAND NY 10305 112868878 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false STATEN ISLAND UNIVERSITY HOSPITAL FDN 360 SEAVIEW AVE STATEN ISLAND NY 10305 870765787 FUNDRAISING NY 501(C)(3) 7 SIUH false THE HEART INSTITUTE 475 SEAVIEW AVE STATEN ISLAND NY 10305 311757254 INACTIVE NY 501(C)(3) 11, TYPE 1 NA false CHAPS COMMUNITY HEALTH CENTER 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 113345477 INACTIVE NY 501(C)(3) 9 SIUH false HOSPICE CARE NETWORK 99 SUNNYSIDE BLVD WOODBURY NY 11797 112925757 HOSPICE NY 501(C)(3) 9 NS-LIJHS false HUNTINGTON HOSPITAL 270 PARK AVENUE HUNTINGTON NY 11743 111630914 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH 284 PULASKI RD GREENLAWN NY 11740 113368503 HEALTH CARE NY 501(C)(3) 3 HUNTINGTON false PHYSICIANS OF UNIVERSITY HOSPITAL PC 1 EDGEWATER PLAZA 6TH FL STATEN ISLAND NY 10305 200096809 HEALTH CARE NY 501(C)(3) 11, TYPE 1 SIUH false LENOX HILL HOSPITAL 100 EAST 77TH ST NEW YORK NY 10021 131624070 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false LHH CORPORATION 100 EAST 77TH ST NEW YORK NY 10021 133272016 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 113284934 GRADUATE SCHO NY 501(C)(3) 2 NS-LIJHS false SPORTS PHYSICAL THERAPY & REHAB SVCS 972 BRUSH HOLLOW RD WESTBURY NY 11590 061655704 HEALTH CARE NY 501(C)(3) 11, TYPE 1 LIJ true NORTH SHORE-LIJ ALLIANCE 972 BRUSH HOLLOW RD WESTBURY NY 11590 263727582 HEALTH CARE NY 501(C)(3) 3 NA false THE LONG ISLAND HOME 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 112837244 HEALTH CARE NY 501(C)(3) 3 LHH CORP false THE LONG ISLAND HOME FOUNDATION 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 112049038 SUPPORT NY 501(C)(3) 11, TYPE 1 LHH CORP false KRASNOFF CONSULTATIVE SERVICES LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 262838027 CONSULTING NY NA LONG ISLAND BEHAVIORAL HEALTH LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 453572263 STATISTICS NY HCI NORTH SHORE HEALTH SYSTEM ENTERPRISES 972 BRUSH HOLLOW RD WESTBURY NY 11590 113316922 HOLDING COMP NY NS-LIJHS C false REGIONCARE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 113052191 HOMECARE NY NSHS ENTERPRISE C false NORTH SHORE HEALTH ENTERPRISES 972 BRUSH HOLLOW RD WESTBURY NY 11590 061605319 HOLDING COMP NY NSHS ENTERPRISE C false CARE MANAGEMENT GROUP OF GREATER NY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113336381 BUSINESS SERV NY NSH ENTERPRISES C false REGIONAL INSURANCE COMPANY LTD C/O CEDAR HOUSE 41 CEDAR AVE HAMILTON BERMUDA BD HM 12 000000000 INSURANCE BD NS-LIJ HCI C false ALETTA CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112622371 PHYSICIAN SER NY SOUTHSIDE C false NS-LIJ PHYSICIAN INSURANCE COMPANY RRG 100 BANK ST BURLINGTON VT 05401 261487515 INSURANCE VT NS-LIJ HCI C false NORTH SHORE-LIJ SERVICE ALLIANCE 972 BRUSH HOLLOW RD WESTBURY NY 11590 263651575 SUPPORT SERV NY NS-LIJHS C false NORTH SHORE-LIJ HEALTH SYSTEM IPA #1 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533659 HEALTH CARE NY LIJ C 0 0 1.00000 true NORTH SHORE-LIJ HEALTH SYSTEM IPA #2 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533670 HEALTH CARE NY LIJ C 0 0 1.00000 true NORTH SHORE-LIJ HEALTH SYSTEM IPA #3 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533678 HEALTH CARE NY LIJ C 0 0 1.00000 true NORTH SHORE-LIJ SYSTEM IPA #4 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533677 HEALTH CARE NY LIJ C 0 0 1.00000 true NORTH SHORE-LIJ HEALTH SYSTEM IPA #5 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533675 HEALTH CARE NY LIJ C 0 0 1.00000 true NORTH SHORE IPA 5 972 BRUSH HOLLOW RD WESTBURY NY 11590 113383468 BUSINESS SERV NY NS-LIJ HCI C false NORTH SHORE-LIJ NETWORK 972 BRUSH HOLLOW RD WESTBURY NY 11590 320257193 SUPPORT SERV NY NS-LIJHS C false NORTH SHORE-LIJ RADIOLOGY SERVICES PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 113301179 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ RADIOLOGY SERVICES PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 223970667 MEDICAL SERVI NY NSUH C false STATEN ISLAND IMAGING CORP 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 133615474 INACTIVE NY OVM C false OCEAN VIEW MANAGEMENT 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 133138888 MANAGEMENT SV NY SIUH C false REGNECY ALLIANCE SERVICES INC 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 133277698 MANAGEMENT SV NY OVM C false OCEAN BREEZE HOME CARE AGENCY 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 133773601 INACTIVE NY OVM C false VERRAZANO RADIOLOGY ASSOCIATES PC 500 SEAVIEW AVE STATEN ISLAND NY 10305 200011201 MEDICAL SERVI NY SIUH C false SIUH PERINATOLOGY PC 475 SEAVIEW AVE STATEN ISLAND NY 10305 134107082 MEDICAL SERVI NY SIUH C false UNITED MEDICAL SURGICAL PC 256 MASON AVE STATEN ISLAND NY 10305 134038780 MEDICAL SERVI NY SIUH C false UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG 500 SEAVIEW AVE STATEN ISLAND NY 10305 133642729 MEDICAL SERVI NY SIUH S false EMERGENCY MEDICINE SERVICES OF SI PC 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 134200899 MEDICAL SERVI NY SIUH C false GOETHALS RADIOLOGY PC 500 SEAVIEW AVE STATEN ISLAND NY 10305 200010287 MEDICAL SERVI NY SIUH C false STATEN ISLAND HOSPITALIST PC 475 SEAVIEW AVE STATEN ISLAND NY 10305 331010283 MEDICAL SERVI NY SIUH C false STATEN ISLAND NEONATOLOGY PC 500 SEAVIEW AVE STATEN ISLAND NY 10305 133375474 MEDICAL SERVI NY SIUH C false STATEN ISLAND MEDICAL INTENSIVISTS PC 501 SEAVIEW AVE STATEN ISLAND NY 10305 043716494 MEDICAL SERVI NY SIUH C false NS-LIJ MEDICAL GROUP AT SYOSSET PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 273957752 MEDICAL SERVI NY NSUH C false PALLIATIVE CARE MEDICAL SERVICES PC 99 SUNNYSIDE BLVD WOODBURY NY 11797 273957835 MEDICAL SERVI NY HOSPICE C false NORTH SHORE-LIJ MEDICAL GROUP PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 274384249 MEDICAL SERVI NY NSUH C false NS-LIJ MEDICAL GROUP AT HUNTINGTON PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 274384049 MEDICAL SERVI NY NSUH C false NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 274384146 MEDICAL SERVI NY NSUH C false NS-LIJ PHYSICIANS GROUP PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 274384326 MEDICAL SERVI NY NSUH C false LENOX HILL PHYSICIAN HOSPITAL ORG 122 EAST 76TH ST STE 3-A NEW YORK NY 10021 133775996 MANAGED CARE NY LENOX C false LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY 186 EAST 76TH ST 2ND FL NEW YORK NY 10021 208784395 MEDICAL SERVI NY LENOX C false PARK LENOX OBGYN PC 130 EAST 77TH ST 2ND FL NEW YORK NY 10021 133596988 MEDICAL SERVI NY LENOX C false ADVANCED IMAGING & RADIOLOGY OF LHH PC 100 EAST 77TH ST NEW YORK NY 10021 200719612 MEDICAL SERVI NY LENOX C false ADVANCED HEART PHYSICIANS & SURGEONS NET 130 EAST 77TH ST 4TH FL NEW YORK NY 10021 133853125 MEDICAL SERVI NY LENOX C false LENOX HILL CARDIOLOGY ASSOCIATES PC 100 EAST 77TH ST NEW YORK NY 10021 133385163 MEDICAL SERVI NY LENOX C false LENOX HILL ICVS PC 130 EAST 77TH ST 9TH FL NEW YORK NY 10021 201435770 MEDICAL SERVI NY LENOX C false LENOX HILL PATHOLOGY PC 100 EAST 77TH ST NEW YORK NY 10021 133644370 MEDICAL SERVI NY LENOX C false PARK LENOX EMERGENCY MEDICINE PC 100 EAST 77TH ST NEW YORK NY 10021 262661082 MEDICAL SERVI NY LENOX C false MANHATTAN MINIMALLY INVASIVE & BARIATRIC 186 EAST 76TH ST 1ST FL NEW YORK NY 10021 200250107 MEDICAL SERVI NY LENOX C false PARK LENOX MEDICAL PC 100 EAST 77TH ST NEW YORK NY 10021 133575380 MEDICAL SERVI NY LENOX C false PARK LENOX ORTHOPEDICS PC 100 EAST 77TH ST NEW YORK NY 10021 264634966 MEDICAL SERVI NY LENOX C false PARK LENOX PEDIATRICS PC 100 EAST 77TH ST NEW YORK NY 10021 133755683 MEDICAL SERVI NY LENOX C false PARK LENOX SURGICAL PC 130 EAST 77TH ST 13TH FL NEW YORK NY 10021 133397814 MEDICAL SERVI NY LENOX C false VIVOHEALTH INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 264118016 MEDICAL SERVI NY NSH ENTERPRISE C false AUTOIMMUNE RESEARCH THERAPEUTICS 972 BRUSH HOLLOW RD WESTBURY NY 11590 270701489 MEDICAL SERVI NY RESEARCH C false NS-LIJ CARDIOVASCULAR MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078717 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ CARDIOLOGY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078531 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ HEART SURGERY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078838 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ INTERNAL MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078361 MEDICAL SERVI NY NSUH C false NS-LIJ MEDICAL GROUP URGENT CARE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078426 MEDICAL SERVI NY NSUH C false LENOX HILL HOSPITAL MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 452661543 MEDICAL SERVI NY LENOX C false NORTH SHORE-LIJ MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 453023019 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ OCCUPATIONAL MEDICINE 972 BRUSH HOLLOW RD WESTBURY NY 11590 451004103 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ OB-GYN PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461382916 MEDICAL SERVI NY LIJ C 0 91 1.00000 true NORTH SHORE-LIJ ANESTHESIOLOGY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461617561 MEDICAL SERVI NY SOUTHSIDE C false NORTH SHORE-LIJ HEALTH PLAN INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461617516 INSURANCE NY NSLIJ HCI C false false false false false false false false false false false false false false false true false false false