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PLAINVIEW HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PLAINVIEW HOSPITAL (EIN 11-3241243)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201343179349301294
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T09:26:23-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113241243EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPITALBusinessNameLine1
Business Name Line2C/O NORTH SHORE-LIJ HEALTH SYSTEMBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% NORTH SHORE-LIJ HEALTH SYSTEInCareOfName
Name ControlPLAINameControl
Phone5168766061Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROBERT S SHAPIROName
TitleEXEC VP & CFOTitle
Date Signed2013-11-08DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts206671867GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nslij.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPlainview hospital strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body136NbrVotingMembersGoverningBody
Nbr Independent Voting Members128NbrIndependentVotingMembers
Total Nbr Employees1484TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year77184ContributionsGrantsPriorYear
Contributions Grants Current Year69192ContributionsGrantsCurrentYear
Program Service Revenue Prior Year198383104ProgramServiceRevenuePriorYear
Program Service Revenue CY203824054ProgramServiceRevenueCY
Investment Income Prior Year77632InvestmentIncomePriorYear
Investment Income Current Year-28208InvestmentIncomeCurrentYear
Other Revenue Prior Year1344874OtherRevenuePriorYear
Other Revenue Current Year2806829OtherRevenueCurrentYear
Total Revenue Prior Year199882794TotalRevenuePriorYear
Total Revenue Current Year206671867TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year125401685SalariesEtcPriorYear
Salaries Etc Current Year139355637SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year37279TotalFundrsngExpCurrentYear
Other Expense Prior Year75487850OtherExpensePriorYear
Other Expenses Current Year70618386OtherExpensesCurrentYear
Total Expenses Prior Year200889535TotalExpensesPriorYear
Total Expenses Current Year209974023TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1006741RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3302156RevenuesLessExpensesCY
Total Assets BOY94729772TotalAssetsBOY
Total Assets EOY93454253TotalAssetsEOY
Total Liabilities BOY112707957TotalLiabilitiesBOY
Total Liabilities EOY115052595TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-17978185NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-21598342NetAssetsOrFundBalancesEOY
Mission DescriptionPLAINVIEW HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense173852141Expense
Grants0Grants
Revenue190595859Revenue
DescriptionPlainview Hospital is a 204-bed community hospital that provides an array of medical services, with emphases on cardiac, neurosciences and pulmonary disease. It provides a broad range of maternal and new born health services, which include designation as a Level II Perinatal Center. The Hospital's cardiac services include state of the art cardiac diagnostic services and an innovative program of Early Heart Attach Care. In 2012, the Hospital had 11,355 inpatient discharges, delivered 1,169 babies, provided 34,355 emergency department visits and performed 5,197 ambulatory surgeries, including endoscopies.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11581401Expense
Grants0Grants
Revenue13228195Revenue
DescriptionThe Physician and Ambulatory Network Services (formerly Faculty Practice Plan) strive to make a measurable difference in the health status of communities it serves by providing a complete and comprehensive practice management infrastructure that enables the enterprise to achieve the financial status necessary to meet patient, physician and Health System needs.Description
FieldValueIRS element (for citing)
Total Program Service Expense185433542TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1484NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members136NbrVotingGoverningBodyMembers
Number Independent Voting Members128NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL J DOWLING
PRESIDENT & CEO50.0XX028233501128235
RALPH NAPPI
TRUSTEE AND PRES. FOUNDATION50.0X0227654760770
RICHARD D GOLDSTEIN
CHAIRMAN3.0XX000
MARK CLASTER
VICE CHAIRMAN2.0XX000
BARRY RUBENSTEIN
VICE CHAIRMAN2.0XX000
WILLIAM L MACK
VICE CHAIRMAN2.0XX000
ALAN I GREENE
TREASURER2.0XX000
DONALD ZUCKER
SECRETARY2.0XX000
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X01049046387210
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0799176280574
NON-COMPENSATED TRUSTEES
SEE SCHEDULE O2.0X000
HOWARD GOLD
SR VP, REVENUE & BUSINESS DEV50.0X01299856298209
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER50.0X01698389216113
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER50.0X01139452231819
LAWRENCE G SMITH MD
EVP & PHYSICIAN IN CHIEF50.0X0848130683709
KEITH THOMPSON
SR VP & GENERAL COUNSEL50.0X02868822533031
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING50.0X0826861201661
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0X0747445271298
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER50.0X057176742600
HARRY GINDI
ASSISTANT SECRETARY50.0X028455942600
MICHAEL FENER
EXECUTIVE DIRECTOR636552015395950.0X
DEBORAH TASCONE
REGIONAL EXECUTIVE DIRECTOR50.002976117251538X
WINIFRED MACK
REGIONAL EXECUTIVE DIRECTOR50.00748551361382X
JAN DAUER
PHYSICIAN48670104260050.0X
WILLIAM FORMAN
RADIOLOGIST46882404260050.0X
RICHARD SIEGMANN
CHIEF, RADIOLOGY43630204260050.0X
ALAN MENSCH
SVP, MEDICAL AFFAIRS41600004260050.0X
SAMUEL KIM
RADIOLOGIST40214104260050.0X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2846520TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs20958068TotalReportableCompFrmRltdOrgs
Total Other Compensation5357708TotalOtherCompensation
Number Individuals GT100 K266NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HYBERBARIC AND WOUND MGMT SERVICES
556 DAWSON LANEJERICHONY11753MEDICAL SERVICES2148130
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA30384STAFFING774660
URVASHI KAPOOR MD
26 STEPPING STONE CRESCENTDIX HILLSNY11746PHYSICIAN SERVICES680708
PARTNERS IN CRITICAL CARE LLP
32 CEDAR AVEISLIPNY11751PHYSICIAN SERVICES403191
ANGELICA TEXTILES SERVICES
44 NEWMANS COURTHEMPSTEADNY11550CLEANING401328
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations69192RelatedOrganizations
Total Contributions69192TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE621300126733610126733610
PHYSICIANS PRACTICE REVENUE6213002131198321311983
MEDICARE/MEDICAID PAYMENTS6213005577846155778461
FieldValueIRS element (for citing)
Total Program Service Revenue203824054TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-35478TotalRevenueColumn
Exclusion-$35,478ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column7270TotalRevenueColumn
Exclusion$7,270ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real60427Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real60427Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column60427TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
RESIDENCY ROTATION90009912984641298464
CAFETERIA SHOP900099769312$769,312
ELECTRONIC HEALTH RECORD900099205294205294

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column473332TotalRevenueColumn
Related Or Exempt Function Income275746RelatedOrExemptFunctionIncome
Exclusion$197,586ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2746402TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column206671867TotalRevenueColumn
Related Or Exempt Function Income205603558RelatedOrExemptFunctionIncome
Exclusion$938,690ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total636552Total
Program Services636552ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total96375197Total
Program Services88173668ProgramServices
Management And General8181025ManagementAndGeneral
Fundraising20504Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14999422Total
Program Services13722971ProgramServices
Management And General1273260ManagementAndGeneral
Fundraising3191Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20932780Total
Program Services19151400ProgramServices
Management And General1776926ManagementAndGeneral
Fundraising4454Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6411686Total
Program Services5866052ProgramServices
Management And General544270ManagementAndGeneral
Fundraising1364Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3608Total
Management And General3608ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4165622Total
Program Services3811128ProgramServices
Management And General353608ManagementAndGeneral
Fundraising886Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3227Total
Program Services2952ProgramServices
Management And General274ManagementAndGeneral
Fundraising1Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29110693Total
Program Services26633373ProgramServices
Management And General2471127ManagementAndGeneral
Fundraising6193Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1866066Total
Program Services1707264ProgramServices
Management And General158405ManagementAndGeneral
Fundraising397Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total81740Total
Program Services81740ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total214970Total
Program Services214970ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total958704Total
Management And General958704ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4362841Total
Program Services3991563ProgramServices
Management And General371278ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4544091Total
Program Services4544091ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT17961571796157
MEDICAL & OTHER PURCHASED SVCS1385677613856776
DUES & SUBSCRIPTIONS2115841935781796145
CENTRALIZED ADMIN EXP82953988295398

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1146909Total
Program Services1049307ProgramServices
Management And General97358ManagementAndGeneral
Fundraising244Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total209974023Total
Program Services185433542ProgramServices
Management And General24503202ManagementAndGeneral
Fundraising37279Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY56100BOY
EOY19323EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15903841BOY
EOY15669792EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2455702BOY
EOY2379201EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY52427BOY
EOY92556EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis66137101LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32055625LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35806622BOY
EOY34081476EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1988509BOY
EOY274561EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38466571BOY
EOY40937344EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY94729772BOY
EOY93454253EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22745528BOY
EOY21279996EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20702418BOY
EOY17163927EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY69260011BOY
EOY76608672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112707957BOY
EOY115052595EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-18388367BOY
EOY-22020899EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY410182BOY
EOY422557EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-17978185BOY
EOY-21598342EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94729772BOY
EOY93454253EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3302156ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-479ReconciliationUnrealizedInvest
Reconcilation Other Changes-317522ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$32,358RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB32358TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYIN ACTIVITYIdentifier
Return ReferencePART II-B, LINE 1HReturnReference
ExplanationPLAINVIEW HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ORGANIZATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7865080OtherCostOrOtherBasis
Book Value7865080BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28920499OtherCostOrOtherBasis
Depreciation17586527Depreciation
Book Value11333972BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis28515750OtherCostOrOtherBasis
Depreciation14090637Depreciation
Book Value14425113BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis835772OtherCostOrOtherBasis
Depreciation378461Depreciation
Book Value457311BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34081476TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN FOUNDATION489048
DEFERRED FINANCING COSTS338705
INSURANCE CLAIMS RECEIVABLE16449703
DUE FROM AFFILIATES23439475
DEPOSITS ON EQUIPMENT12831
SECURITY DEPOSITS15756
OTHER ASSETS191826
FieldValueIRS element (for citing)
Total Book Value Other Assets40937344TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
BOND PREM/DISC$926,561
DUE TO THIRD PARTY PAYORS$30,852,062
MALPRACTICE INSURANCE$11,711,000
OTHER LIABILITIES$206,390
PENSION$16,462,956
INSURANCE CLAIMS LIABILITY$16,449,703
FieldValueIRS element (for citing)
Total Of Amounts76608672TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt204545335TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-479NetUnrealizedGainsInvestments
Other Revenues-2126053OtherRevenues
Revenue Not Rptd F990-2126532RevenueNotRptdF990
Revenue Subtotal206671867RevenueSubtotal
Total Revenue Per Form990206671867TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt199897115TotExpensesEtcAuditedFinclStmt
Expenses Subtotal199897115ExpensesSubtotal
Other Expenses Not Included10076908OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10076908ExpensesNotRptdOnFinStmt
Total Expenses Per Form990209974023TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48PART X, LINE 2Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2012 and 2011, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income.
OTHER CHANGES IN NET ASSETSPART XI, LINE 8CHANGE IN EQUITY UNDER FAS 136 12,374 GAIN/LOSS REFUNDING OF LTD (329,896) TOTAL (317,522)
RECONCILIATION OF REVENUEPART XII, LINE 2DGAIN/LOSS REFUNDING LTD (329,896) PROVISION FOR BAD DEBTS (1,796,157) TOTAL (2,126,053)
RECONCILIATION OF EXPENSEPART XIII, LINE 4BADDITIONAL MINIMUM PENSION LIABILITY 8,280,751 PROVISION FOR BAD DEBTS 1,796,157 TOTAL 10,076,908

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4588PersonsServed
Total Community Benefit Expense3665000TotalCommunityBenefitExpense
Direct Offsetting Revenue148000DirectOffsettingRevenue
Net Community Benefit Expense3517000NetCommunityBenefitExpense
Percent Of Total Expense0.01760PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served5154PersonsServed
Total Community Benefit Expense12975976TotalCommunityBenefitExpense
Direct Offsetting Revenue8539107DirectOffsettingRevenue
Net Community Benefit Expense4436869NetCommunityBenefitExpense
Percent Of Total Expense0.02220PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served9742PersonsServed
Total Community Benefit Expense16640976TotalCommunityBenefitExpense
Direct Offsetting Revenue8687107DirectOffsettingRevenue
Net Community Benefit Expense7953869NetCommunityBenefitExpense
Percent Of Total Expense0.03980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served47084PersonsServed
Total Community Benefit Expense1006562TotalCommunityBenefitExpense
Net Community Benefit Expense1006562NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served801PersonsServed
Total Community Benefit Expense6412430TotalCommunityBenefitExpense
Direct Offsetting Revenue3412168DirectOffsettingRevenue
Net Community Benefit Expense3000262NetCommunityBenefitExpense
Percent Of Total Expense0.01500PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs27NumberOfActivitiesOrPrograms
Persons Served908PersonsServed
Total Community Benefit Expense58456TotalCommunityBenefitExpense
Net Community Benefit Expense58456NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs85NumberOfActivitiesOrPrograms
Persons Served48793PersonsServed
Total Community Benefit Expense7477448TotalCommunityBenefitExpense
Direct Offsetting Revenue3412168DirectOffsettingRevenue
Net Community Benefit Expense4065280NetCommunityBenefitExpense
Percent Of Total Expense0.02030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs87NumberOfActivitiesOrPrograms
Persons Served58535PersonsServed
Total Community Benefit Expense24118424TotalCommunityBenefitExpense
Direct Offsetting Revenue12099275DirectOffsettingRevenue
Net Community Benefit Expense12019149NetCommunityBenefitExpense
Percent Of Total Expense0.06010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served12PersonsServed
Total Community Building Expense50622TotalCommunityBuildingExpense
Net Community Building Expense50622NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served122PersonsServed
Total Community Building Expense50622TotalCommunityBuildingExpense
Net Community Building Expense50622NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,768,000BadDebtExpenseAmount
Amount Reimbursed By Medicare60785412AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare76778942CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15993530MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPTIALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1888 OLD COUNTRY ROADAddressLine1
CityPLAINVIEWCity
StateNYState
ZIP Code11803ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Other ReasonXOtherReason
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PREMIER INTERNAL MEDICINE
85O FULTON STREETFARMINGDALENY11735OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP AT PLAINVI
25 CENTRAL PARK ROADPLAINVIEWNY11803OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP THORACIC S
754 OLD COUNTRY ROADPLAINVIEWNY11803OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERIVCES
700-760 OLD COUNTRY ROADPLAINVIEWNY11803OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationQuestion 1. Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 10.9% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written off to bad debt. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Part V, Section B, line 8: N/A Part V, Section B, line 9b: The organization's financial assistance policy will review a patient's assets if they fall within the family size and income levels approved by the New York State to provide free or discounted care. Asset test cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12h: The hospital also uses household size. Part V, Section B, line 14g: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 16e: N/A Part V, Section B, line 17e: N/A Part V, Section B, line 18e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 19d: N/A Part V, Section B, line 20d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid) Part V, Section B, line 21: N/A Part V, Section B, line 22: In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. Question 2. NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. MExplanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL J DOWLING
PRESIDENT & CEO0117290201628000022448011071100211250395158500
HOWARD GOLD
SR VP, REVENUE & BUSINESS DEV0928383034000003147302831090151000159806500
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0974451070000002393801985000176130191450200
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER0921946019000002750602095190223000137127100
LAWRENCE G SMITH MD
EVP & PHYSICIAN IN CHIEF0720972010000002715806670340166750153183900
KEITH THOMPSON
SR VP & GENERAL COUNSEL07248530113000020309690511950021081034018530313468
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING0695349010101003050201865610151000102852200
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER062247209324003173302561980151000101874300
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER0479026035742056999027500015100061436700
HARRY GINDI
ASSISTANT SECRETARY02800280004531027500015100032715900
RALPH NAPPI
TRUSTEE AND PRES. FOUNDATION06720880150000014544590419950187750233731701389266
MICHAEL FENER
EXECUTIVE DIRECTOR54252606500002902601388590151000790511000
JAN DAUER
PHYSICIAN27609401200001986070275000151000529301000
WILLIAM FORMAN
RADIOLOGIST393055000757690275000151000511424000
RICHARD SIEGMANN
CHIEF, RADIOLOGY389282050000420200275000151000478902000
ALAN MENSCH
SVP, MEDICAL AFFAIRS3770500209400180100275000151000458600000
SAMUEL KIM
RADIOLOGIST375033050000221080275000151000444741000
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH0873895015500002015103721100151000143625600
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP0665596010440002918002633810171930107975000
DEBORAH TASCONE
REGIONAL EXECUTIVE DIRECTOR08326250113000020304920236438015100032276550237891
WINIFRED MACK
REGIONAL EXECUTIVE DIRECTOR062881808800003173303462820151000110993300

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, LINE 4BCertain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,079,610), Mark Solazzo ($171,000), Robert Shapiro ($182,019), Howard Gold ($255,609), Keith Thompson ($484,450), Lawrence Smith ($639,534) Jeffery Kraut ($159,061), Kathleen Gallo ($228,698), Ralph Nappi ($14,495), Michael Fener ($111,359), Debra Tascone ($208,938), Winifred Mack ($318,782), Anthony Ferreri ($344,610) and Kevin Lawlor ($233,853).
COMPENSATION CONTINGENT ON REVENUESPART 1, LINE 5APursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
BONUS AND INCENTIVE COMPENSATIONPART I, LINE 7On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF NEW YORK STATE
A14600029364983Q4R72006-10-1523907042005 BONDS-CAPITAL IMPROVEMENTfalsefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
B146000293649903LC32007-05-3165700252007 A&B BONDS - CAP IMPROV & REFUtruefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
C146000293649905QL32009-09-1732454372009 A&E BONDS - CAP IMPROV & REFIfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
D146000293649906UY82012-05-0359416752012 A BONDS - REFUND 1998 BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A42077003220069220959002823700109794286107802010truefalsetruetrue
B11263200416152128306385434457336412470097868122703830truetruefalsetrue
C00323809035392425096405261000143059153170702012truefalsefalsetrue
D006806931000128279000667865202012truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0falsefalsefalsetrue
Bfalsefalsefalsefalse0falsefalsefalsetrue
Cfalsefalsefalsefalse0falsefalsefalsetrue
Dfalsefalsefalsefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
0
Afalsefalsetruetruefalsefalsefalse0falsetrue
CITIBANK NA
BfalsefalsetruetruefalsetruetrueMBIAtruetrue25.9truefalse18.1true
0
Cfalsetruetruefalsefalsefalsefalse0truetrue
0
Dfalsetruetruefalsefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReference
PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEPRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS
PART IV, LINE 2C - REBATE CALCUATION PERFORMED 9/30/2011 FOR 2005 BONDS0
PART IV, LINE 2C - REBATE CALCUATION PERFORMED 5/31/2012 FOR 2007 BONDS0

Schedule K IRS990ScheduleK

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOARD MEMBER RELATIONSPART VI, SECTION A-GOVERNING BODY, LINE 2All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Shall. Michael Ashner has a business relationship with William Mack and Scott Rudolph. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Mark Claster, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Mark Solazzo, Donald Zucker, Barbara Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Roger Blumencranz, Richard Goldstein, Saul Katz, Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. Arlene Lane Fisher has a business relationship with Eric Blumencranz. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack, and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Eric and Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Richard Horowitz has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. M. Allan Hyman has a business relationship with Eric Blumencranz, Richard Horowitz, Saul Katz and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with Mark Claster, Michael Katz, Curt Launer and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. David Lehr has a business relationship with Ronald Mazzucco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric and Roger Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Mark Claster , Richard Goldstein, William Mack and Richard Murcott. Scott Rudolph has a business relationship with Michael Ashner. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Robert Rosenthal. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack.
EXECUTIVE COMMITTEEPART VI, SECTION B-POLICIES, LINE 11All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
CONFLICTS OF INTERESTPART VI, SECTION B-POLICIES, LINE 12CThe North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
OFFICERS COMPENSATIONPART VI, SECTION B-POLICIES, LINE 15The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons others 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 or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
DISCLOSURESPART VI, SECTION C-DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEESPART VII, SECTION A - LINE 1ARichard S. Abramson Lloyd M. Goldman F.J. McCarthy William Achenbaum Richard D. Goldstein Patrick F. McDermott John W. Alexander J. Joaquin Gonzalez James McMullen Philip S. Altheim Michael Gould Charles Merinoff Stanley A. Applebaum Albert L.Granger DDS Richard D. Monti Michael L. Ashner Alan I. Greene Richard Murcott Beverly VP. Banker James R. Greene Ralph A. Nappi Ralph M. Baruch Stanley Grey Richard B. Nye Frank J. Besignano Richard Guarasci,PhD Clyde I. Payne, Ed.D. Elise M. Bloom Paul B. Guenther Arnold S. Penner Eric S. Blumencranz Amy M. Hagedorn John J. Raggio Roger A. Blumencranz Ira Hazan Lewis S. Ranieri David Blumenfeld Linda W. Heaney Jay R. Raubvogel Edward Blumenfeld Marlene Hess Dennis Riese E. Steve Braun William O. Hiltz Terry P. Rifkin, M.D. Dayton T. Brown, Jr Gedale B. Horowitz Robert F. Rose Allen E. Busching Richard A. Horowitz Robert A. Rosen Jonathan S. Canno M. Allan Hyman Marcie Rosenberg Michael Caridi Mark Jacobson Robert D. Rosenthal Rev.Carolina Sr, Ed.D Jeffrey Jurick Bernard M. Rosof, M.D. Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa A. Kaufman Scott Rudolph Diana F. Colgate Robert Kaufman Michael H. Sahn Daniel M. Crown Cary Kravet Frank W. Scarangello, Sr. Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Marc V. Shaw Thomas E. Dewey, Jr. Curt N. Launer Sean G. Simon Thomas E. Dooley Laura Lauria Richard Sims Michael J. Dowling Kevin F. Lawlor Michael C. Slade Robert N. Downey David W. Lehr Phyllis Hill Slater Melvin Dubin Jonathan W. Leigh Howard D. Stave Patrick R. Edwards Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine John B. Thomson, Jr. Leonard Feinstein Stuart R. Levine Peter Tilles Michael E. Feldman Seth Lipsay Sandra Tytel Anthony C. Ferreri David S. Mack Frederick A. Volk Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Linda Manfredi Emmett F. Walker, Jr William H. Frazier James S. Marcus Gary Walter Eugene B. Friedman, MD Bradley Marsh, DPM Lewis M. Weston William J. Fritz, Ph.D. Jeffrey S. Maurer Barbara Hrbek Zucker Sy Garfinkel Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg
AVERAGE HOURSPART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
GOVERNING BODYPART VI, LINE 7North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
RECONCILIATION OF NET ASSETSPART XI, LINE 9GAINS/LOSSES REFINANCING OF LTD (329,896) CHANGE IN EQUITY UNDER FAS 136 12,374 TOTAL (317,522)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE 1NAfalse
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHSfalse
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHSfalse
NSLIJ STERN FAMILY CENTER FOR REHAB
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJHC INCfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJHC INCfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJHSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJHC INCfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHSfalse
SPORTS PHYSICAL THERAPY & REHAB SERVICES
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)9LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
972 BRUSH HOLLOW RDWESTBURYNY11590112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
THE LONG ISLAND HOME FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112049038SUPPORTNY501(C)(3)11, TYPE 1LHH CORPfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYCARE MGMT GROUP
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYNS-LIJHC INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPANYNS-LIJHSCfalse
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTCfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPANYNS-LIJ HCCfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTCfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJ HCCfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDECfalse
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCENYNS-LIJ HCCfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVINYNS-LIJHSCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RDWESTBURYNY11590113533678HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #4
972 BRUSH HOLLOW RDWESTBURYNY11590113533677HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RDWESTBURYNY11590113533675HEALTH CARENYLIJCfalse
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNS-LIJ HCCfalse
NORTH SHORE-LIJ NETWORK
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVINYNS-LIJHSCfalse
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MED SERVICESNYNSUHCfalse
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZASTATEN ISLANDNY10305133615474INACTIVENYOVMCfalse
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZASTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHCfalse
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZASTATEN ISLANDNY10305133773601INACTIVENYOVMCfalse
REGENCY ALLIANCE SERVICES
1 EDGEWATER PLAZASTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMCfalse
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVESTATEN ISLANDNY10305200011201MED SERVICESNYSIUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MED SERVICESNYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MED SERVICESNYSIUHCfalse
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVESTATEN ISLANDNY10305133642729MED SERVICESNYSIUHSfalse
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305134200899MED SERVICESNYSIUHCfalse
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MED SERVICESNYSIUHCfalse
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MED SERVICESNYSIUHCfalse
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305133375474MED SERVICESNYSIUHCfalse
STATEN ISLAND MEDICAL INTENSIVIST PC
501 SEAVIEW AVESTATEN ISLANDNY10305043716494MED SERVICESNYSIUHCfalse
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVDWOODBURYNY11797273957835MED SERVICESNYHOSPICECfalse
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MED SERVICESNYNSUHCfalse
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MED SERVICESNYNSUHCfalse
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MED SERVICESNYNSUHCfalse
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOX HILLCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MED SERVICESNYLENOX HILLCfalse
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FLNEW YORKNY10021133596988MED SERVICESNYLENOX HILLCfalse
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MED SERVICESNYLENOX HILLCfalse
ADVANCED HEART PHYSICIANS & SRUGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MED SERVICESNYLENOX HILLCfalse
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH STNEW YORKNY10021133385163MED SERVICESNYLENOX HILLCfalse
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MED SERVICESNYLENOX HILLCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MED SERVICESNYLENOX HILLCfalse
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH STNEW YORKNY10021262661082MED SERVICESNYLENOX HILLCfalse
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FLNEW YORKNY10021200250107MED SERVICESNYLENOX HILLCfalse
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MED SERVICESNYLENOX HILLCfalse
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH STNEW YORKNY10021264634966MED SERVICESNYLENOX HILLCfalse
PARK LENOX PEDIATRICS PC
100 EAST 77TH STNEW YORKNY10021133755683MED SERVICESNYLENOX HILLCfalse
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FLNEW YORKNY10021133397814MED SERVICESNYLENOX HILLCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016MED SERVICESNYNSH ENTERPRISECfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489MED SERVICESNYRESEARCHCfalse
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078361MED SERVICESNYNSUHCfalse
NS-LIJ MED GROUP URGENT MEDICAL CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MED SERVICESNYNSUHCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MED SERVICESNYLENOX HILLCfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MED SERVICESNYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MED SERVICESNYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MED SERVICESNYSOUTHSIDECfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516MED SERVICESNYNSLIJ HCICfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg