STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201333199349302963
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T09:22:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112868878 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STATEN ISLAND UNIVERSITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % THOMAS RECA | InCareOfName |
| Name Control | STAT | NameControl |
| Phone | 7182261148 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS RECA | Name |
| Title | CFO | Title |
| Phone | 9738989494 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anthony J Panico | Name |
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANTHONY C FERRERI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 838881263 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.siuh.edu | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1869 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Staten Island University Hospital is part of the North Shore-LIJ Health System, WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITies IT SERVES. SEE PART III. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 136 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 128 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6679 | TotalNbrEmployees |
| Total Nbr Volunteers | 918 | TotalNbrVolunteers |
| Total Gross UBI | 8987748 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -105387 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3676168 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3971783 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 783155014 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 825262856 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1987289 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4083113 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5267929 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5563511 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 794086400 | TotalRevenuePriorYear |
| Total Revenue Current Year | 838881263 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 502034828 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 525486600 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 265494006 | OtherExpensePriorYear |
| Other Expenses Current Year | 270285594 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 767528834 | TotalExpensesPriorYear |
| Total Expenses Current Year | 795772194 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 26557566 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 43109069 | RevenuesLessExpensesCY |
| Total Assets BOY | 676230590 | TotalAssetsBOY |
| Total Assets EOY | 744558374 | TotalAssetsEOY |
| Total Liabilities BOY | 487447058 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 498952883 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 188783532 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 245605491 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | STATEN ISLAND UNIVERSITY HOSPITAL IS PART OF THE NORTH SHORE-LONG ISLAND JEWISH 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 537900232 | Expense |
| Grants | 0 | Grants |
| Revenue | 669319043 | Revenue |
| Description | STATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2012 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 42,172 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,904 DELIVERIES; 124,552 EMERGENCY DEPARTMENT VISITS (includes 31,632 admits); AND 15,392 AMBULATORY SURGERY CASES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 65715923 | Expense |
| Grants | 0 | Grants |
| Revenue | 58227826 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 45591133 | Expense |
| Grants | 0 | Grants |
| Revenue | 42262541 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING AMBULATORY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 33928086 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 55453446 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 683135374 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 402 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6679 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 136 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 128 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS RECA | NamePerson |
| Telephone Number | 7182261148 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE EDGEWATER PLAZA | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (149 entries)
| TitleTitle | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD D GOLDSTEIN | |||||||||
| CHAIRMAN - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |||
| JOHN W ALEXANDER | |||||||||
| TREASURER - TRUSTEE | 2.0 | X | X | 0 | 0 | 0 | |||
| RICHARD S ABRAMSON | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM ACHENBAUM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PHILIP S ALTHEIM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| STANLEY A APPLEBAUM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL L ASHNER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BEVERLY BANKER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RALPH M BARUCH | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| FRANK J BESIGNANO | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ELISE M BLOOM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ERIC S BLUMENCRANZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROGER A BLUMENCRANZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID BLUMENFELD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| EDWARD BLUMENFELD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| E STEVE BRAUN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DAYTON T BROWN JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ALLEN E BUSCHING | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JONATHAN S CANNO | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL CARIDI | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| REV DEMETRIUS CAROLINA SR EDD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RUDOLPH C CARRYL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT W CHASANOFF | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ALAN CHOPP | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MARK CLASTER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DIANA F COLGATE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DANIEL M CROWN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PHILIPPE P DAUMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DANIEL C DE ROULET | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LORINDA DE ROULET | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS E DEWEY JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS E DOOLEY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL J DOWLING | |||||||||
| TRUSTEE | 50.0 | X | 0 | 2823350 | 1128235 | ||||
| ROBERT N DOWNEY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MELVIN DUBIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PATRICK R EDWARDS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL A EPSTEIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LEONARD FEINSTEIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL E FELDMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ANTHONY C FERRERI | |||||||||
| PRESIDENT/CEO - TRUSTEE | 50.0 | X | X | 0 | 1049046 | 387210 | |||
| ARLENE LANE FISHER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CATHERINE C FOSTER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM H FRAZIER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| EUGENE B FRIEDMAN MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM J FRITZ PHD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SY GARFINKEL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LLOYD MICHAEL GOLDMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| J JOAQUIN GONZALEZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL GOULD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ALBERT L GRANGER DDS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ALAN I GREENE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JAMES R GREENE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| STANLEY GREY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD GUARASCI PHD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PAUL B GUENTHER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| AMY M HAGEDORN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| IRA HAZAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LINDA W HEANEY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MARLENE HESS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM O HILTZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| GEDALE B HOROWITZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD A HOROWITZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| M ALLAN HYMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MARK JACOBSON | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JEFFREY JURICK | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID M KATZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL KATZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SAUL B KATZ | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LISA A KAUFMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT KAUFMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CARY KRAVET | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| STANLEY KREITMAN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SETH KUPFERBERG | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JEFFREY B LANE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CURT N LAUNER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LAURA LAURIA | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| KEVIN F LAWLOR | |||||||||
| TRUSTEE | 50.0 | X | 0 | 799176 | 280574 | ||||
| DAVID W LEHR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JONATHAN W LEIGH | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SYLVIA LESTER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ARTHUR S LEVINE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| STUART R LEVINE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SETH LIPSAY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID S MACK | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM L MACK | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LINDA MANFREDI | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JAMES S MARCUS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BRADLEY MARSH DPM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JEFFREY S MAURER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RONALD J MAZZUCCO | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| F J MCCARTHY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PATRICK F MCDERMOTT | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JAMES MCMULLEN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CHARLES MERINOFF | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD D MONTI | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD MURCOTT | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RALPH A NAPPI | |||||||||
| TRUSTEE | 50.0 | X | 0 | 2276546 | 60770 | ||||
| RICHARD B NYE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CLYDE I PAYNE ED D | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ARNOLD S PENNER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN J RAGGIO | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LEWIS S RANIERI | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JAY R RAUBVOGEL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DENNIS RIESE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| TERRY P RIFKIN MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT F ROSE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT A ROSEN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MARCIE ROSENBERG | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT D ROSENTHAL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BERNARD M ROSOF MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JACK J ROSS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BARRY RUBENSTEIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| HERBERT RUBIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SCOTT RUDOLPH | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL H SAHN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| FRANK W SCARANGELLO SR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LOIS C SCHLISSEL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN M SHALL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MARC V SHAW | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SEAN G SIMON | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD SIMS | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL C SLADE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PHYLLIS HILL SLATER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| HOWARD D STAVE | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| RUSSELL STERN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN B THOMSON JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PETER TILLES | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SANDRA TYTEL | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| FREDERICK A VOLK | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| NANCY WALDBAUM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| EMMETT F WALKER JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| GARY WALTER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| LEWIS M WESTON | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BARBARA HRBEK ZUCKER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DONALD ZUCKER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROY J ZUCKERBERG | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ARTHUR KLEIN | |||||||||
| EXECUTIVE DIRECTOR | 50.0 | X | 0 | 1075608 | 288200 | ||||
| KEITH C THOMPSON | |||||||||
| ASSISTANT SECRETARY | 50.0 | X | 0 | 2868822 | 533031 | ||||
| HARRY E GINDI | |||||||||
| ASSISTANT TREASURER | 50.0 | X | 0 | 284558 | 42600 | ||||
| MARK P JARRETT MD | |||||||||
| CMO/VP CHIEF QUALITY OFFICER | 42.0 | X | 68884 | 596396 | 47159 | 8.0 | |||
| ROBERT S SHAPIRO | |||||||||
| SVP/CFO NS-LIJ HEALTH SYSTEM | 50.0 | 0 | 1139453 | 231819 | X | ||||
| THOMAS RECA | |||||||||
| CHIEF FINANCIAL OFFICER | 530046 | 100000 | 40776 | 50.0 | X | ||||
| DONNA PROSKE | |||||||||
| EVP - CHIEF NURSING EXECUTIVE | 564508 | 0 | 34578 | 50.0 | X | ||||
| GREGORY RADINSKY | |||||||||
| CHIEF COMPLIANCE OFFICER | 50.0 | 0 | 309590 | 42200 | X | ||||
| JOSEPH T MCGINN MD | |||||||||
| PHYSICIAN | 1495993 | 0 | 35682 | 50.0 | X | ||||
| JONATHON DEITCH MD | |||||||||
| PHYSICIAN | 998849 | 0 | 21386 | 50.0 | X | ||||
| MICHAEL L COOPER MD | |||||||||
| PHYSICIAN | 936524 | 0 | 35422 | 50.0 | X | ||||
| PHILIP M VIGNERI MD | |||||||||
| PHYSICIAN | 919968 | 0 | 37494 | 50.0 | X | ||||
| CHRISTOPHER DEMAS MD | |||||||||
| PHYSICIAN | 915959 | 0 | 30899 | 50.0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6430731 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 13322545 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3278035 | TotalOtherCompensation |
| Number Individuals GT100 K | 798 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| 12975 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | FOOD | 6902713 |
| ADVANTEDGE HEALTHCARE SOLUTIONS INC | |||||
| 30 TECHNOLOGY DRIVE | WARREN | NJ | 07059 | BILLING | 3459800 |
| UNIVERSITY PHYSICIANS GROUP PC | |||||
| ONE EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | MEDICAL | 3349940 |
| MCKESSON INFORMATION SOLUTIONS INC | |||||
| 5995 WINDWARD PARKWAY | ALPHARETTA | GA | 30005 | IT CONSULTANTS | 3246002 |
| QUEST DIAGNOSTICS INC | |||||
| 1 MALCOLM AVENUE | TETERBORO | NJ | 07608 | LABORATORY | 2279351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 86 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Related Organizations | 74514 | RelatedOrganizations |
| Government Grants | 3711795 | GovernmentGrants |
| All Other Contributions | 185474 | AllOtherContributions |
| Total Contributions | 3971783 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621500 | 781278630 | 772290882 | 8987748 |
| PROFESSIONAL SERVICES REVENUE | 621110 | 2004721 | 2004721 | |
| OTHER HEALTHCARE RELATED REVENUE | 621990 | 41979505 | 41979505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 825262856 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4082763 | TotalRevenueColumn |
| Exclusion | $4,082,763 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1813032 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1813032 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1813032 | TotalRevenueColumn |
| Exclusion | $1,813,032 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 350 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 350 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 350 | TotalRevenueColumn |
| Exclusion | $350 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA AND DIETARY | 722514 | 2422977 | $2,422,977 |
| PARKING REVENUE | 812930 | 533405 | $533,405 |
| REBATES | 812900 | 344602 | $344,602 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 449495 | TotalRevenueColumn |
| Exclusion | $449,495 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3750479 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 838881263 | TotalRevenueColumn |
| Related Or Exempt Function Income | 816275108 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8987748 | UnrelatedBusinessRevenue |
| Exclusion | $9,646,624 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1243351 | Total |
| Management And General | 1243351 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200620 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 200620 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400463510 | Total |
| Program Services | 359907302 | ProgramServices |
| Management And General | 40556208 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25391566 | Total |
| Program Services | 23540562 | ProgramServices |
| Management And General | 1851004 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69104313 | Total |
| Program Services | 64058341 | ProgramServices |
| Management And General | 5045972 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29083240 | Total |
| Program Services | 26959239 | ProgramServices |
| Management And General | 2124001 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776287 | Total |
| Management And General | 776287 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 986781 | Total |
| Management And General | 986781 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99071 | Total |
| Management And General | 99071 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13295739 | Total |
| Program Services | 13295739 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 944158 | Total |
| Program Services | 944158 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14750934 | Total |
| Program Services | 10699935 | ProgramServices |
| Management And General | 4050999 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2536806 | Total |
| Program Services | 1840132 | ProgramServices |
| Management And General | 696674 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9335128 | Total |
| Program Services | 3408463 | ProgramServices |
| Management And General | 5926665 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335984 | Total |
| Program Services | 243714 | ProgramServices |
| Management And General | 92270 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 705780 | Total |
| Program Services | 511954 | ProgramServices |
| Management And General | 193826 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7796775 | Total |
| Program Services | 5655573 | ProgramServices |
| Management And General | 2141202 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32616205 | Total |
| Program Services | 23658927 | ProgramServices |
| Management And General | 8957278 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30035466 | Total |
| Program Services | 29206933 | ProgramServices |
| Management And General | 828533 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EXPENSES | 83198234 | 60349785 | 22848449 |
| CONTRACTED SERVICES | 45252826 | 44944458 | 308368 |
| UTILITIES | 8791063 | 250000 | 8541063 |
| CENTRALIZED ADMIN. SVCS. | 17716410 | 12851012 | 4865398 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1111947 | Total |
| Program Services | 809147 | ProgramServices |
| Management And General | 302800 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 795772194 | Total |
| Program Services | 683135374 | ProgramServices |
| Management And General | 112636820 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | X | InfoInScheduleOPartX |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60201 | BOY |
| EOY | 60984 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108844454 | BOY |
| EOY | 35565305 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1906377 | BOY |
| EOY | 1522765 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88732941 | BOY |
| EOY | 83763758 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7975381 | BOY |
| EOY | 9156502 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1378627 | BOY |
| EOY | 1053041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 685542830 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 451415489 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226591836 | BOY |
| EOY | 234127341 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122727420 | BOY |
| EOY | 267590947 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27870431 | BOY |
| EOY | 22195105 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90142922 | BOY |
| EOY | 89522626 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 676230590 | BOY |
| EOY | 744558374 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94261683 | BOY |
| EOY | 99378036 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62626865 | BOY |
| EOY | 61359786 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52396935 | BOY |
| EOY | 54861388 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25902787 | BOY |
| EOY | 18300000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252258788 | BOY |
| EOY | 265053673 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 487447058 | BOY |
| EOY | 498952883 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178518820 | BOY |
| EOY | 232262508 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8780523 | BOY |
| EOY | 11858794 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1484189 | BOY |
| EOY | 1484189 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188783532 | BOY |
| EOY | 245605491 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 676230590 | BOY |
| EOY | 744558374 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 43109069 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5496809 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 8216081 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $99,071 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 99071 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B; LINES 1G AND 1H | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), THE HEALTH CARE ASSOCIATION OF NEW YORK STATE and THE AMERICAN HOSPITAL ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. PAYS DUES TO THESE ASSOCIATIONS ON BEHALF OF THIS ORGANIZATION. ADDITIONALLY, THROUGH GNYHA, THE ORGANIZATION PAYS DUES TO THE 1199 JOB SECURITY FUND. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $99,071. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4107673 | OtherCostOrOtherBasis |
| Book Value | 4107673 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 351657008 | OtherCostOrOtherBasis |
| Depreciation | 197417675 | Depreciation |
| Book Value | 154239333 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 247563 | OtherCostOrOtherBasis |
| Depreciation | 18654 | Depreciation |
| Book Value | 228909 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 289743765 | OtherCostOrOtherBasis |
| Depreciation | 241714168 | Depreciation |
| Book Value | 48029597 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39786821 | OtherCostOrOtherBasis |
| Depreciation | 12264992 | Depreciation |
| Book Value | 27521829 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 234127341 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (12 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN HEALTHFIRST | 10467815 | F |
| INVESTMENT IN VERIZON - AT&T | 10143 | F |
| U.S. GOVERNMENT OBLIGATIONS | 17403000 | F |
| CORPORATE BONDS | 3371000 | F |
| ACCRUED INTEREST RECEIVABLE | 430000 | F |
| FIXED INCOME MUTUAL FUNDS | 7442000 | F |
| COMMINGLED FIXED INCOME FUNDS | 2870000 | F |
| EQUITY SECURITIES | 12103000 | F |
| EQUITY MUTUAL FUNDS | 3419000 | F |
| FUNDS OF HEDGE FUNDS | 3341000 | F |
| LIMITED USE | 27502000 | F |
| CASH AND CASH EQUIVALENTS | 179231989 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 267590947 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM RELATED PARTIES | 0 |
| OTHER ASSETS | 232794 |
| OTHER RECEIVABLES | 935224 |
| DEPOSITS | 139417 |
| ASU 2010-04 | 88215191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 89522626 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PARTY PAYERS; CURRENT | $22,476,845 |
| LIABILITIES; CURRENT | $6,839,142 |
| INTEREST PAYABLE | $921,276 |
| OTHER LONG TERM LIABILITIES | $45,233,378 |
| LIABILITIES; NON-CURRENT | $67,187,666 |
| LIABILITIES; CURRENT | $5,438,260 |
| LIABILITIES; NON-CURRENT | $23,951,091 |
| INSURANCE PAYABLE | $88,215,191 |
| DUE TO RELATED PARTIES; NET | $4,790,824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 265053673 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 836050171 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 924051 | OtherRevenues |
| Revenue Not Rptd F990 | 924051 | RevenueNotRptdF990 |
| Revenue Subtotal | 835126120 | RevenueSubtotal |
| Other Revenues Not Included | 3755143 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3755143 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 838881263 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 790227194 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 790227194 | ExpensesSubtotal |
| Other Expenses Not Included | 5545000 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 5545000 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 795772194 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | SCHEDULE D, PART V, QUESTION 4 | ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. |
| TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE | SCHEDULE D, PART X | Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 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 PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI; LINE 2D | OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS - $924,051. |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 INCLUDE: - INVESTMENT INCOME - $3,755,143. |
| RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1 INCLUDE: - AMORTIZATION OF INTANGIBLE ASSET - $5,545,000. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures |
|---|---|---|---|
| Central America and the Caribbean | 1 | Investments | 3364982 |
| Central America and the Caribbean | 1 | Investments | 12043338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Employees | 2 | SubtotalNumberOfEmployees |
| Total Number Of Employees | 2 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 15408320 | SubtotalAmountSpent |
| Total Amount Spent | 15408320 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 7468 | PersonsServed |
| Total Community Benefit Expense | 12862000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5282000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7580000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 367918 | PersonsServed |
| Total Community Benefit Expense | 153393427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 128810613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24582814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03130 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 375386 | PersonsServed |
| Total Community Benefit Expense | 166255427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 134092613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32162814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04080 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 140 | NumberOfActivitiesOrPrograms |
| Persons Served | 128604 | PersonsServed |
| Total Community Benefit Expense | 6393259 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6393259 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 1845 | PersonsServed |
| Total Community Benefit Expense | 52010974 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15635155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36375819 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 14220 | PersonsServed |
| Total Community Benefit Expense | 5203000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3330000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1873000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 228 | PersonsServed |
| Total Community Benefit Expense | 234332 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 234332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 162 | NumberOfActivitiesOrPrograms |
| Persons Served | 144897 | PersonsServed |
| Total Community Benefit Expense | 63841565 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18965155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 44876410 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05710 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 164 | NumberOfActivitiesOrPrograms |
| Persons Served | 520283 | PersonsServed |
| Total Community Benefit Expense | 230096992 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 153057768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 77039224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09790 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 53 | PersonsServed |
| Total Community Building Expense | 8224 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8224 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 1050 | PersonsServed |
| Total Community Building Expense | 2443 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2443 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1366 | PersonsServed |
| Total Community Building Expense | 10667 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10667 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $7,774,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 188724591 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 171133423 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 17591168 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Facility Reporting GroupFacilityReportingGroup |
|---|---|---|---|---|---|---|---|---|---|---|
| STATEN ISLAND UNIV HOSPITAL - NORTH | ||||||||||
| 1 | 475 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | WWW.SIUH.EDU | X | X | X | X | 1 |
| STATEN ISLAND UNIV HOSPITAL - SOUTH | ||||||||||
| 2 | 375 SEGUINE AVENUE | STATEN ISLAND | NY | 10309 | WWW.SIUH.EDU | X | X | X | X | 1 |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STATEN ISLAND UNIV HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 500. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SOUTH BEACH PSYCHIATRIC CENTER | ||||
| 777 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| NEW DORP HIGH SCHOOL | ||||
| 465 NEW DORP LANE | STATEN ISLAND | NY | 10306 | CLINIC |
| AUDIOSPEECH PATHOLOGY CENTER | ||||
| 500 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CHEMICAL DEPENDENCE TREATMENT PROGRAM | ||||
| 111 WATER STREET | STATEN ISLAND | NY | 10304 | CLINIC |
| THE BAY STREET HEALTH CENTER | ||||
| 57 BAY STREET | STATEN ISLAND | NY | 10301 | CLINIC |
| PSYCHALCOHOLISM TREATMENT PROGRAM | ||||
| 450 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CANARSIE MULTI SERVICE CENTER | ||||
| 567 E 10TH STREET | BROOKLYN | NY | 11218 | CLINIC |
| SANFORD R NALITT INSTITUTUE FOR CANCER | ||||
| 256 MASON AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CONEY ISLAND MULTIPLE SERVICE CENTER | ||||
| 425-427 CONEY ISLAND AVENUE | BROOKYLN | NY | 11218 | CLINIC |
| CENTER FOR WOMENS HEALTH | ||||
| 440 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (27 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELIGIBILITY FOR DISCOUNTED CARE | 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. |
| COMMUNITY BENEFIT REPORT | SCHEDULE H, PART I; QUESTION 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. |
| SUBSIDIZED HEALTH SERVICES | SCHEDULE H, PART I; QUESTION 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. |
| COMMUNITY BUILDING ACTIVITIES | SCHEDULE H, 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. |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, SECTION A; QUESTION 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. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B; QUESTION 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. |
| COLLECTION POLICY | SCHEDULE H, PART III, SECTION B; QUESTION 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. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 9 | 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. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 10 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 11 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 12H | The hospital also uses household size. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 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. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 16E | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 17E | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 18E | Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 19C & 19D | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 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). |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 21 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 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. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI; QUESTION 2 | The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; E-BRFSS; 2010 US Census data and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern North Shore-LIJ's community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and children's health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, North Shore-LIJ participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CBOs, enables region wide leveraging of resources, consensus on health priorities and collaboration on health promotion strategies. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI; QUESTION 3 | North Shore-LIJ is a regional leader in the development of financial assistance programs for the uninsured. The System's financial assistance policy provides a uniformly-administered system of reduced fees for the uninsured residents of our service area. The current fee schedule includes patients with household incomes up to 500% of the FPL. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individual's financial and personal circumstances. All medically necessary services are covered under the financial assistance program and the public is notified of the availability of the program through: multilingual signage and educational brochures; centralized program administration accessible via phone ; staff outreach, and all bills include a notice about the financial assistance program. Soft credit scoring software is used to facilitate the application process, but is not used to deny an applicant. The Healthcare Access Center (HAC), staffed by bilingual employees, assists community residents' with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the HAC staff refers patients to the Medicaid Prenatal Care Program and to the Senior Navigator Program within North Shore-LIJ for assistance with Medicaid for pregnant women and Medicare enrollment for seniors. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI; QUESTION 4 | The North Shore-LIJ has a service area of more than approximately 7.2 million people covering Long Island (Nassau and Suffolk counties) and the Metropolitan area covering the boroughs of Manhattan, Queens, and Staten Island. The demographics of the community show a broad range of cultural and ethnic diversity, particularly in Queens, the most multi-ethnic county in the country. Overall the area has shown an increase in the number of uninsured and underinsured. The other counties in the service area continue to show trends of increasing diversity, as well. By 2018, our service area population 65 and older will grow by 14.5%, while residents under 65 will decline less than 1% (Thomson Reuters, Market Planner Plus). The service area has also shown high rates of obesity, diabetes, asthma and heart/cerebrovascular disease mortality. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI; QUESTION 5 | North Shore-LIJ works to promote community health through education, community advocacy, partnerships, and programs that result in improved access to care and health outcomes. The activities and strategies for achieving this goal include: establishing collaborative partnerships with local CBOs, health-related organizations, business, and government to identify and address community health needs; advocating for policies that benefit the broader community at state and local levels; providing community health programs and services based on identified community health needs/priorities; delivering preventive care services and education; conducting community outreach and engagement activities and expanding community member representation and involvement on committees/boards for programming and educational events. North Shore-LIJ provides community residents with a broad array of community health programs, such as: access to healthcare services and caring for the medically underserved; screenings and immunizations; health forums and health fairs; community education and outreach programs; support groups and counseling and emergency medical services. A comprehensive list of programs can be found in the Community Service Plans located on the North Shore-LIJ public website. North Shore-LIJ recognizes that, to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners who can address different components of program design, including: providing trust and "reach" into a community; access to capital and funding; policy guidance and best practices for program development. With thousands of community programs, our partners are many and varied; some of our partners include: government, national/professional associations, area businesses, other area health care providers, philanthropies, civic organizations and CBOs. |
| AFFILIATED HEALTHCARE SYSTEM | SCHEDULE H, PART VI; QUESTION 6 | The organization is an affiliate of the North Shore-LIJ Health System Inc., an integrated health care delivery system which includes 16 hospitals, 3 skilled nursing facilities, a world renowned children's hospital, post-acute services, ambulatory network, rehabilitation network and a freestanding research institute, which is chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. All North Shore-LIJ entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in the North Shore-LIJ Health System and as such is referred to as being commonly managed. Also, in a joint venture, the Hofstra North Shore-LIJ School of Medicine at Hofstra University provides an allopathic medical school for the benefit of the community. In keeping with its mission to improve the health and caring for the communities it serves, regardless of the ability to pay, North Shore-LIJ established the Office of Community and Public Health (OCPH) to promote health and wellness. The OCPH plays a key role in leading many of the mission-critical initiatives of the System and operates in alignment with the National Prevention Strategy and NYS Prevention Agenda. The OCPH is guided by the Committee on Community Health, a committee composed of the Board of Trustees, which is charged with identifying the overall health needs of the community and making recommendations for the population the System serves. The objectives of the Committee include: promoting a dialogue about the obligations of a large health system in addressing critical health issues of the public; reviewing information which assesses the health status of the communities served; promoting activities which have been shown to positively impact health; proposing policy recommendations to guide current programs or develop new ones; identifying opportunities to meet health care needs through improved delivery of health care; and recommending community health interventions to be provided by the System. North Shore-LIJ has established comprehensive and coordinated clinical programs that span across the enterprise. These programs not only provide a full continuum of services and seamless delivery of care, but offer community health activities, outreach and education as well; they include: Behavioral Health, Cancer, Cardiovascular Services, Dental Medicine, Emergency Medicine, Family Medicine, Hospice Care, Imaging/Radiology, Laboratory Medicine and Pathology, Medicine, Neurology, Neurosurgery, Obstetrics/Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology, Pediatrics, Physical Medicine & Rehabilitation, Population Health, Senior Services, Surgery, Urology, and Women's Health. The System's hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 120 accredited graduate medical education (GME) programs and trains more than 1,500 medical residents and fellows annually. Our hospitals and facilities collectively serve as teaching sites for more than 1,200 rotations for medical students from five medical schools. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | SCHEDULE H, PART VI; QUESTION 7 | New York |
| FACILITY REPORTING GROUP(S) | SCHEDULE H, PART VI; QUESTION 8 | For any facility reported in Section B, the answers provided in Question 1 are identical. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J DOWLING | ||||||||||||||
| TRUSTEE | 0 | 1172902 | 0 | 1628000 | 0 | 22448 | 0 | 1107110 | 0 | 21125 | 0 | 3951585 | 0 | 0 |
| ANTHONY C FERRERI | ||||||||||||||
| PRESIDENT/CEO - TRUSTEE | 0 | 873896 | 0 | 155000 | 0 | 20150 | 0 | 372110 | 0 | 15100 | 0 | 1436256 | 0 | 0 |
| KEVIN F LAWLOR | ||||||||||||||
| TRUSTEE | 0 | 665596 | 0 | 104400 | 0 | 29180 | 0 | 263381 | 0 | 17193 | 0 | 1079750 | 0 | 0 |
| RALPH A NAPPI | ||||||||||||||
| TRUSTEE | 0 | 672087 | 0 | 150000 | 0 | 1454459 | 0 | 41995 | 0 | 18775 | 0 | 2337316 | 0 | 1389266 |
| ARTHUR KLEIN | ||||||||||||||
| EXECUTIVE DIRECTOR | 0 | 871740 | 0 | 169000 | 0 | 34868 | 0 | 273100 | 0 | 15100 | 0 | 1363808 | 0 | 0 |
| KEITH C THOMPSON | ||||||||||||||
| ASSISTANT SECRETARY | 0 | 724852 | 0 | 113000 | 0 | 2030970 | 0 | 511950 | 0 | 21081 | 0 | 3401853 | 0 | 313468 |
| HARRY E GINDI | ||||||||||||||
| ASSISTANT TREASURER | 0 | 280027 | 0 | 0 | 0 | 4531 | 0 | 27500 | 0 | 15100 | 0 | 327158 | 0 | 0 |
| ROBERT S SHAPIRO | ||||||||||||||
| SVP/CFO NS-LIJ HEALTH SYSTEM | 0 | 921947 | 0 | 190000 | 0 | 27506 | 0 | 209519 | 0 | 22300 | 0 | 1371272 | 0 | 0 |
| THOMAS RECA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 468317 | 0 | 42443 | 0 | 19286 | 100000 | 27000 | 0 | 13776 | 0 | 570822 | 100000 | 0 | 0 |
| MARK P JARRETT MD | ||||||||||||||
| CMO/VP CHIEF QUALITY OFFICER | 67485 | 544552 | 0 | 0 | 1399 | 51844 | 3654 | 27500 | 905 | 15100 | 73443 | 638996 | 0 | 0 |
| DONNA PROSKE | ||||||||||||||
| EVP - CHIEF NURSING EXECUTIVE | 496339 | 0 | 44443 | 0 | 23726 | 0 | 27000 | 0 | 7578 | 0 | 599086 | 0 | 0 | 0 |
| GREGORY RADINSKY | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | 0 | 269330 | 0 | 21756 | 0 | 18504 | 0 | 27500 | 0 | 14700 | 0 | 351790 | 0 | 0 |
| JOSEPH T MCGINN MD | ||||||||||||||
| PHYSICIAN | 1495219 | 0 | 0 | 0 | 774 | 0 | 15000 | 0 | 20682 | 0 | 1531675 | 0 | 0 | 0 |
| JONATHON DEITCH MD | ||||||||||||||
| PHYSICIAN | 898849 | 0 | 100000 | 0 | 0 | 0 | 15000 | 0 | 6386 | 0 | 1020235 | 0 | 0 | 0 |
| MICHAEL L COOPER MD | ||||||||||||||
| PHYSICIAN | 936524 | 0 | 0 | 0 | 0 | 0 | 15000 | 0 | 20422 | 0 | 971946 | 0 | 0 | 0 |
| PHILIP M VIGNERI MD | ||||||||||||||
| PHYSICIAN | 728016 | 0 | 175000 | 0 | 16952 | 0 | 25000 | 0 | 12494 | 0 | 957462 | 0 | 0 | 0 |
| CHRISTOPHER DEMAS MD | ||||||||||||||
| PHYSICIAN | 795959 | 0 | 120000 | 0 | 0 | 0 | 11077 | 0 | 19822 | 0 | 946858 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | CORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4B | TWO individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SERP FOR WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RALPH A. NAPPI, $1,389,266 AND KEITH C. THOMPSON, $313,468. SEVEN individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS 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, AS TAXABLE MEDICARE WAGES. These amounts are included in Schedule J-II, Column C for Michael J. DowlinG, $1,079,610; ANTHONY C. FERRERI, $344,610; KEVIN F. LAWLOR, $233,853; Ralph A. Nappi, $14,495; ARTHUR KLEIN, $245,600; KEITH C. THOMPSON, $484,450 AND ROBERT S. SHAPIRO, $182,019. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 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-LONG ISLAND JEWISH 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. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 7 | ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II). |
| COMPENSATION INFORMATION | SCHEDULE J, PART II, COLUMN F | THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDE VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RALPH A. NAPPI, $1,389,266 AND KEITH C. THOMPSON, $313,468. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| DORMITORY AUTHORITY - STATE OF NEW YORK | ||||||||
| A | 146000293 | 649906JT2 | 2011-10-06 | 62381682 | CAPITAL IMPROVEMENT | false | false | false |
| DORMITORY AUTHORITY - STATE OF NEW YORK | ||||||||
| B | 146000293 | 2009-08-19 | 4744692 | LEASE OF EQUIPMENT | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 909984 | 0 | 62439590 | 5021231 | 517772 | 0 | 1104871 | 0 | 0 | 10277334 | 36053483 | 0 | true | true | false | true | |
| B | 770782 | 0 | 4744692 | 0 | 0 | 0 | 83250 | 0 | 0 | 4661442 | 0 | 0 | false | false | true | true | 2010 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | true |
| B | false | false | false | false | 0 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | true | true | false | false | false | false | 0 | false | true |
| 0 | ||||||||||
| B | false | true | true | false | false | false | false | 0 | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TONI A SPINELLA | |||
| DAUGHTER OF OFFICER | 34131 | EMPLOYEE | false |
| TARA MAZZUCCO | |||
| DAUGHTER OF TRUSTEE | 39942 | EMPLOYEE | false |
| SCARAN OIL | |||
| COMPANY/FAMILY OF TRUSTEE | 333874 | OIL/UTILITY PRODUCT | false |
| DONNA FERRERI | |||
| FAMILY MEMBER of officer | 20976 | EMPLOYEE | false |
| JAMES R WELLER | |||
| SON OF OFFICER | 79088 | EMPLOYEE | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | FRANK W. SCARANGELLO, SR. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, SCARAN OIL, DURING 2012. TOTAL FEES PAID TO SCARAN OIL WERE $333,874. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| BUSINESS AND FAMILY RELATIONSHIPS | CORE FORM, PART VI, SECTION A; QUESTION 2 | FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== 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 Blumencranz 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 Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allen Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese and 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 Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, 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 w. Chasanoff ------------------- has a business relationship with Michael h. Sahn. Alan Chopp ---------- has a business relationship with Patrick Mc Dermott. Mark Claster ------------ has a business relationship with Roger A. Blumencranz, Richard Goldstein, Saul Katz, robert d. rosenthal and Barry Rubenstein. Philippe Dauman --------------- has a business relationship with thomas dooley. Daniel de Roulet ---------------- has a family relationship with Lorinda de Roulet. Lorinda de Roulet ---------------- has a family relationship with Daniel de Roulet. 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 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 blumencranz and Roger Blumencranz. James R. Greene --------------- has a family relationship with Alan I. Green. He has a business relationship with Eric blumencranz and Roger Blumencranz. Stanley Grey ------------ has a business relationship with eric blumencranz 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 blumencranz, Roger Blumencranz and m. allen hyman. m. allen hyman -------------- has a business relationship with eric blumencranz, richard horowitz, saul katz and donald zucker. Jeffrey Jurick -------------- has a business relationship with Eric blumencranz 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, Michael Slade, m. allen hyman and david katz. 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 blumencranz and Roger blumencranz. 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. jeffrey maurer -------------- has a business relationship with william hiltz. Ronald Mazzucco --------------- has a business relationship with David Lehr. F.J. McCarthy ------------- has a business relationship with Robert Rosenthal. 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 Blumencranz 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 waldenbaum. Jack Ross --------- has a family relationship with Bradley Marsh. Barry Rubenstein ---------------- has a business relationship with mark claster, richard goldstein, william mack and Saul Katz. Scott Rudolph ------------- has a business relationship with michael ashner. 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. nancy waldenbaum ---------------- 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 and m. allen hyman. Roy Zuckerberg -------------- has a business relationship with William Mack. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTION 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 healthcare delivery system. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION b; QUESTION 11b | All North Shore-LONG ISLAND JEWISH 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a 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 filed 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE BY-LAWS OF THE HEALTH SYSTEM CREATE A COMMITTEE OF THE BOARD WITH FULL POWERS OF THE BOARD TO REVIEW AND APPROVE THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE CONSISTS OF APPROXIMATELY 6 TRUSTEES WHO HAVE NO CONNECTION TO THE SYSTEM EXCEPT AS TRUSTEES AND THEY HAVE NO CONFLICTS AS TO MATTERS THEY CONSIDER. THE COMMITTEE MEETS SEVERAL TIMES A YEAR AS NEEDED BUT ALWAYS MEETS IN NOVEMBER/DECEMBER TO REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE FOLLOWING YEAR. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. FOR PURPOSES OF THE REVIEW EACH YEAR THE COMMITTEE RECEIVES INFORMATION FROM AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT AS TO COMPENSATION FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS AND MAKES ITS DECISIONS ON THIS BASIS, WITH THE OVERALL OBJECTIVE OF PAYING BASE SALARY AT THE 50TH PERCENTILE. ANY CONTRACTS OR OTHER COMPENSATION FOR OFFICERS OR KEY EMPLOYEES ARE SEPARATELY CONSIDERED AND NORMALLY ONLY APPROVED AFTER RECEIPT OF A "FAIRNESS OPINION" FROM THE INDEPENDENT CONSULTANT. ALL THE WORK AND PROCESS OF THE COMMITTEE IS STRUCTURED TO FALL WITHIN THE APPLICABLE SAFE HARBOR REGULATIONS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| RELATED HOURS INFORMATION | CORE FORM, PART VII, SECTION A | This organization is affiliated with the North Shore - Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. |
| OFFICER DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | MARK P. JARRETT, M.D., WAS EMPLOYEED AS THE CHIEF MEDICAL OFFICER OF THIS ORGANIZATION FROM JANUARY 1, 2012 THROUGH FEBRUARY 28, 2012. AS OF MARCH 1, 2013 MARK P. JARRETT, M.D. BECAME THE VICE PRESIDENT CHIEF QUALITY OFFICER AT NORTH SHORE - LONG ISLAND JEWISH. THEREFORE THIS RETURN SHOWS COMPENSATION FROM THIS ORGANIZATION AS WELL AS A TAX-EXEMPT RELATED CODE SECTION 501(C)(3) ORGANIZATION. |
| RECONCILIATION OF NET ASSETS | CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $924,051; - CHANGE IN VALUE ON EQUITY METHOD INVESTMENTS - $3,171,541; - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - $172,273; - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $2,087,532; - PENSION AND OTHER POSTRETIREMENT LIABILITY ADJUSTMENTS - ($1,217,587); and - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $3,078,271. |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTHCARE SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASTLETON AVENUE ASSOCIATES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133943199 | EIN |
| Primary Activities | INACTIVE | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIUH | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHAPS Community Health Center Inc | ||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 113345477 | Inactive | NY | 501(C)(3) | 9 | SIUH | true |
| Feinstein Institute for Medical Research | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112673595 | Research | NY | 501(C)(3) | 4 | NS-LIJ HS | false |
| Forest Hills Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112163522 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Franklin Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112296824 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Glen Cove Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111633487 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Hillside Hospital Houses Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112113949 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| Hospice Care Network | ||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 112925757 | Hospice | NY | 501(C)(3) | 9 | NS-LIJ HS | false |
| Huntington Hospital | ||||||||||
| 270 Park Avenue | Huntington | NY | 11743 | 111630914 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Huntington Hosp Dolan Family Health Ctr | ||||||||||
| 284 Pulaski Rd | Greenlawn | NY | 11740 | 113368503 | HealthCare | NY | 501(C)(3) | 3 | Huntington | false |
| LIJ Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112661239 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| Long Island Jewish Medical Center | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112241326 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LIJ Medical Center at Home Pharmacy | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113251128 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore Community Services Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237273200 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| North Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111562701 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| NS Univ Hospital at Glen Cove Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237010468 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| North Shore University Hospital Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112171903 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| NSLIJ STERN FAMILY CENTER FOR REHAB | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237007485 | Nursing Home | NY | 501(C)(3) | 9 | NS-LIJ HC | false |
| North Shore-LIJ Health Care Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965586 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore-LIJ Health System | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113418133 | support org | NY | 501(C)(3) | 11, TYPE I | NA | false |
| North Shore-LIJ Health System Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965575 | Fundraising | NY | 501(C)(3) | 7 | NS-LIJ HS | false |
| North Shore-LIJ Health Sys Laboratories | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113412370 | Support Org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore-LIJ Medical Care Centers | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113473923 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| Plainview Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113241243 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| SIUH Systems Inc | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 061074604 | Fundraising | NY | 501(C)(3) | 7 | NS-LIJ HC | false |
| Southside Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111667761 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| SSH Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112774102 | support org | NY | 501(C)(3) | 11, TYPE I | SOUTHSIDE | false |
| Staten Island Univ Hospital Foundation | ||||||||||
| 360 Seaview Avenue | Staten Island | NY | 10305 | 870765787 | Fundraising | NY | 501(C)(3) | 7 | SIUH | true |
| THE HEART INSTITUTE | ||||||||||
| 475 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | 311757254 | inactive | NY | 501(C)(3) | 11, TYPE I | NA | false |
| PHYSICIANS OF UNIVERSITY HOSPITAL PC | ||||||||||
| 1 EDGEWATER PLAZA 6th floor | STATEN ISLAND | NY | 10305 | 200096809 | HEALTHCARE | NY | 501(C)(3) | 11, TYPE I | SIUH | true |
| LENOX HILL HOSPITAL | ||||||||||
| 100 EAST 77 STREET | NEW YORK | NY | 10021 | 131624070 | HEALTHCARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LHH CORPORATION | ||||||||||
| 100 EAST 77TH STREET | NEW YORK | NY | 10021 | 133272016 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113284934 | GRADUATE SCH | NY | 501(C)(3) | 2 | NS-LIJ HS | false |
| SPORTS PHYSICAL THERAPY AND REHAB SVCS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061655704 | HEALTHCARE | NY | 501(C)(3) | 9 | LIJ | false |
| NORTH SHORE - LIJ ALLIANCE | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263727582 | HEALTHCARE | NY | 501(C)(3) | 3 | NA | false |
| THE LONG ISLAND HOME | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLE | NY | 11701 | 112837244 | HEALTHCARE | NY | 501(c)(3) | 3 | LHH CORP | false |
| THE LONG ISLAND HOME FOUNDATION | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLE | NY | 11701 | 112049038 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | LHH CORP | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations |
|---|---|---|---|---|---|---|---|---|---|
| KRASNOFF CONS SVCS | |||||||||
| 972 Brush Hollow ROAD | WESTBURY | NY | 11590 | 262838027 | CONSULTING | NY | CARE MGT GROUP | N/A | false |
| LONG ISL BEHAV HLTH | |||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | NS-LIJ HC | RELATED | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (64 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adv Heart Phys & Surgeons Network PC | ||||||||||||||||||
| 130 East 77th St 4th Floor | New York | NY | 10021 | 133853125 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Adv Imag & Rad of Lenox Hill Hosp PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 200719612 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Aletta Corporation | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112622371 | Physician svcs. | NY | SOUTHSIDE | C CORPORATION | false | |||||||||
| Autoimmune Research Therapeutics | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 270701489 | Inactive | NY | RESEARCH | C CORPORATION | false | |||||||||
| Care Management Group of Greater NY | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113336381 | Business Services | NY | NSH ENTERPRISES | C CORPORATION | false | |||||||||
| Emergency Med Svcs of Staten Island PC | ||||||||||||||||||
| 1 Edgewater Plaza 6th floor | Staten Island | NY | 10305 | 134200899 | Medical ServiCES | NY | SIUH | C CORPORATION | true | 76689 | 8799 | 1.00000 | ||||||
| Goethals Radiology PC | ||||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 200010287 | Radiology SVCs. | NY | SIUH | C CORPORATION | true | 8425 | 10264 | 1.00000 | ||||||
| Lenox Hill Cardiology Associates PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133385163 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox Hill Int Card & Vasc Svcs PC | ||||||||||||||||||
| 130 East 77th St 9th floor | New York | NY | 10021 | 201435770 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox Hill Pathology PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133644370 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox Hill Phy Hospital Org Inc | ||||||||||||||||||
| 122 East 76th St suite 3-a | New York | NY | 100212834 | 133775996 | Managed Care | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox otolaryngology head & neck surgery | ||||||||||||||||||
| 186 East 76th St 2nd floor | New York | NY | 10021 | 208784395 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Manhattan Min Inv and Bar Surgery PC | ||||||||||||||||||
| 186 East 76th St 1st Floor | New York | NY | 10021 | 200250107 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| North Shore Health Enterprises | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 061605319 | Holding Comp | NY | NSHS ENTERPRISE | C CORPORATION | false | |||||||||
| NS Health System Enterprises | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113316922 | Holding Comp | NY | NS-LIJ HS | C CORPORATION | false | |||||||||
| North Shore IPA 5 Inc | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113383468 | Business Services | NY | NS-LIJ HC | C CORPORATION | false | |||||||||
| NS Radiology at Glen Cove PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113301179 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #1 | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533659 | Health Care | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #2 | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533670 | Health Care | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #3 | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533678 | Health Care | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #4 | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533677 | Health Care | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #5 | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533675 | Health Care | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Medical Gr at Huntington PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384049 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Gr at North Nassau PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384146 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Group at Syosset PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 273957752 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Group PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384249 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Network Inc | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 320257193 | Support Services | NY | NS-LIJ HS | C CORPORATION | false | |||||||||
| NS-LIJ Phys Insurance Co Risk Ret Group | ||||||||||||||||||
| 100 Bank St | Burlington | VT | 05401 | 261487515 | INSURANCE | VT | NS-LIJ HC | C CORPORATION | false | |||||||||
| North Shore-LIJ Physicians Group PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384326 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| North Shore-LIJ Radiology Services PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 223970667 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| North Shore-LIJ Service Alliance Inc | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 263651575 | Support Services | NY | NA | C CORPORATION | false | |||||||||
| Ocean Breeze Home Care Agency | ||||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133773601 | Inactive | NY | OVM | C CORPORATION | false | |||||||||
| Ocean View Management inc | ||||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133138888 | Management Svcs. | NY | SIUH | C CORPORATION | true | 211365 | 1106061 | 1.00000 | ||||||
| Palliative Care Medical Services PC | ||||||||||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 273957835 | Medical Services | NY | HOSPICE | C CORPORATION | false | |||||||||
| Park Lenox Emergency Medicine PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 262661082 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Medical PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133575380 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox OBGYN PC | ||||||||||||||||||
| 130 East 77th St 2nd Floor | New York | NY | 10021 | 133596988 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Orthopedics PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 264634966 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Pediatrics PC | ||||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133755683 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Surgical PC | ||||||||||||||||||
| 130 East 77th St 13th Floor | New York | NY | 10021 | 133397814 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Regency Alliance Services Inc | ||||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133277698 | inactive | NY | OVM | C CORPORATION | false | |||||||||
| Regional Insurance Company LTD | ||||||||||||||||||
| insurance | NS-LIJ HC | C CORPORATION | false | 41 Cedar Ave | Hamilton | BERMUDA | BD | HM 12 | BD | |||||||||
| Regioncare Inc | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113052191 | Homecare | NY | NSHS ENTERPRISE | C CORPORATION | false | |||||||||
| Staten Island Hospitalists PC | ||||||||||||||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 331010283 | Medical Services | NY | SIUH | C CORPORATION | true | 9599 | 164109 | 1.00000 | ||||||
| Staten Island Imaging Corp | ||||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133615474 | Inactive | NY | OVM | C CORPORATION | false | |||||||||
| Staten Island Medical Intensivist PC | ||||||||||||||||||
| 501 Seaview Ave Suite 102 | Staten Island | NY | 10305 | 043716494 | Medical Services | NY | SIUH | C CORPORATION | true | 278391 | 2110 | 1.00000 | ||||||
| Staten Island Neonatology PC | ||||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 133375474 | Medical Services | NY | SIUH | C CORPORATION | true | 29438 | 5100 | 1.00000 | ||||||
| SIUH Perinatology PC | ||||||||||||||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 134107082 | Medical Services | NY | SIUH | C CORPORATION | true | 1.00000 | ||||||||
| United Medical Surgical PC | ||||||||||||||||||
| 256 Mason Ave BLDG B 2nd FL | Staten Island | NY | 10305 | 134038780 | Surgical Services | NY | SIUH | C CORPORATION | false | 10039871 | 548848 | 1.00000 | ||||||
| Univ Ph OncHematology Gp PC | ||||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 133642729 | Medical Services | NY | SIUH | s CORPORATION | true | 808 | 16051 | 1.00000 | ||||||
| Verrazano Radiology Associates PC | ||||||||||||||||||
| 500 Seaview Ave Suite 200 | Staten Island | NY | 10305 | 200011201 | Radiology Svcs. | NY | SIUH | C CORPORATION | true | 9114742 | 2010280 | 1.00000 | ||||||
| Vivohealth Inc | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 264118016 | Inactive | NY | NSH ENTERPRISE | C CORPORATION | false | |||||||||
| PARK LENOX PSYCHIATRY PC | ||||||||||||||||||
| 130 EAST 77TH STREET | NEW YORK | NY | 10021 | 133424466 | Medical Services | NY | LENOX HILL | C CORPoration | false | |||||||||
| NS-LIJ CARDIOVASCULAR MEDICINE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078717 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ CARDIOLOGY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078531 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ HEART SURGERY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078838 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ INTERNAL MEDICINE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078361 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ MEDICAL GROUP URGENT MED CARE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078426 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| LENOX HILL HOSPITAL MEDICAL PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 452661543 | Medical Services | NY | lenox | C CORPORATION | false | |||||||||
| NS-LIJ MEDICAL PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453023019 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ OCCUPATIONAL MEDICINE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 451004103 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ OB-GYN PC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461382916 | Medical Services | NY | nsuh | c corporation | false | |||||||||
| NS-LIJ ANESTHESIOLOGY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617561 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ HEALTH PLANS INC | ||||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461617516 | Medical Services | NY | NS-LIJ HC | c corporation | false | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH RELATED ORGANIZATIONS | Identifier |
| Return Reference | SCHEDULE R, PART V | ReturnReference |
| Explanation | THIS ORGANIZATION IS AN AFFILIATE OF North Shore - long Island Jewish Health System ("sYSTEM"). ORGANIZATIONS WITHIN THE SYSTEM ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | Explanation |