HUNTINGTON HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HUNTINGTON HOSPITAL ASSOCIATION (EIN 11-1630914)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349301734
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T09:16:22-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111630914 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntington Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MICHAEL FAGAN | InCareOfName |
| Name Control | HUNT | NameControl |
| Phone | 6313512000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 Park Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Huntington | City |
| State | NY | State |
| ZIP Code | 11743 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN LAWLOR | Name |
| Title | PRESIDENT & CEO | Title |
| Date Signed | 2013-11-13 | DateSigned |
| 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 | Kevin Lawlor CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 PARK AVENUE | AddressLine1 |
| City | Huntington | City |
| State | NY | State |
| ZIP Code | 11743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 297293767 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HUNTHOSP.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1916 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | The primary mission of Huntington Hospital Association is to provide a full range of inpatient, outpatient, and specialized healthcare services within an environment nurtured by respect and safety. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 34 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2245 | TotalNbrEmployees |
| Total Nbr Volunteers | 530 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1907708 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1556759 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 283143234 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 287172034 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2065049 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2733593 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1991176 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5831381 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 289107167 | TotalRevenuePriorYear |
| Total Revenue Current Year | 297293767 | 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 | 214282842 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 196920161 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 540807 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 103240551 | OtherExpensePriorYear |
| Other Expenses Current Year | 102403688 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 317523393 | TotalExpensesPriorYear |
| Total Expenses Current Year | 299323849 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -28416226 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2030082 | RevenuesLessExpensesCY |
| Total Assets BOY | 325714051 | TotalAssetsBOY |
| Total Assets EOY | 340932601 | TotalAssetsEOY |
| Total Liabilities BOY | 256929924 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 266565010 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 68784127 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 74367591 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE HUNTINGTON HOSPITAL ASSOCIATION'S (THE "HOSPITAL") MISSION IS TO PROVIDE A FULL RANGE OF INPATIENT, OUTPATIENT AND SPECIALIZED HEALTHCARE SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, WITHIN AN ENVIRONMENT NURTURED BY RESPECT AND SAFETY. THE HOSPITAL IS COMMITTED TO GIVING ITS PATIENTS HIGH QUALITY AND TECHNOLOGICALLY ADVANCED CARE BY COMPETENT PROFESSIONALS IN ORDER TO MAINTAIN AND IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 264136751 | Expense |
| Grants | 0 | Grants |
| Revenue | 287172034 | Revenue |
| Description | A member of the North Shore-LIJ Health System, Huntington Hospital is a 408 bed community hospital, with the following inpatient services; medical/surgical, pediatrics, intensive and critical care, maternity, Level II Perinatal service and psychiatry. The Hospital is a NYS Dept of Health Designated Stroke Center and a recipient of the American Heart Association Get With The Guidelines Stroke Gold Plus Award in 2011 In 2012, the Hospital had 15,843 inpatient discharges, including the delivery of 1,398 babies. Huntington Hospital provided 51,754 Emergency Department visits and performed 8,682 ambulatory surgeries, including endoscopies and outpatient cardiac catheterizations. | Description |
| Total Program Service Expense | 264136751 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | false | 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 | false | 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 | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 150 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2245 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form1098 C Filed | true | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 34 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | 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 | true | 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 | MICHAEL FAGAN | NamePerson |
| Telephone Number | 6314254262 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 PARK AVENUE | AddressLine1 |
| City | Huntington | City |
| State | NY | State |
| ZIP Code | 11743 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (40 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| KEVIN LAWLOR | |||||||||
| PRESIDENT/CEO | 50.0 | X | X | 799176 | 0 | 280574 | |||
| MICHAEL GROSSO MD | |||||||||
| VP MEDICAL AFFAIRS | 50.0 | X | X | 454528 | 0 | 45025 | |||
| MICHAEL ABOFF | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| CARMELA ANGLIM | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL ALESANDRO | |||||||||
| SECRETARY | 2.0 | X | 0 | 0 | 0 | ||||
| CHRISTOPHER BARBER | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL BROWN | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| FRED BUCKHOLTZ | |||||||||
| TREASURER | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL DOWLING | |||||||||
| BOARD MEMBER/CEO NSLIJ | X | 0 | 2823350 | 1128235 | 50.0 | ||||
| MICHAEL BUCKHOLTZ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| WILLIAM H FRAZIER | |||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | |||
| LKEITH FRIEDLANDER ESQ | |||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | |||
| CLIFFORD FRIEDMAN | |||||||||
| ASST TREASURER | 2.0 | X | X | 0 | 0 | 0 | |||
| J RONALD GAUDREAULT | |||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | ||||
| ANTHONY GIACCONE | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| ROSALYN C GORDON | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN KEAN | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS G LEDERER | |||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | ||||
| SHIRLEY LEVITT | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| PATRICIA MARCIN ESQ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| ANNE MARIE MIELE | |||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | ||||
| BRIAN MCNALLY | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| LEWIS MELTZER ESQ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD MURCOTT | |||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT MYERS | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| MARTHA CARLSTROM | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| PATRICIA PETERSEN | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| BERNARD M ROSOF MD | |||||||||
| Chairman | 3.0 | X | 0 | 0 | 0 | ||||
| JAMES ROMANELLI MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| DOLORES THOMPSON | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| NOAH FINKEL MD | |||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | ||||
| CARY KRAVET | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN R RICONDA | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD KLEINKNECHT | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| MICHAEL FAGAN | |||||||||
| VP FINANCE/CFO | 50.0 | 393133 | 0 | 55452 | X | ||||
| MICHAEL QUARTIER | |||||||||
| VP ADMINISTRATION | 50.0 | 429243 | 0 | 49077 | X | ||||
| PAUL MACCARO MD | |||||||||
| MEDICAL DIR OF EP LAB | 50.0 | 552622 | 0 | 55452 | X | ||||
| NICK FITTERMAN MD | |||||||||
| MED DIR OF HOSPITALIST SVC | 50.0 | 470344 | 0 | 52028 | X | ||||
| GARY STONE | |||||||||
| CHIEF PATHOLOGIST | 50.0 | 443047 | 0 | 54981 | X | ||||
| RUSSELL SCHIFF | |||||||||
| MED DIR HOSPITALIST SVC | 50.0 | 440219 | 0 | 23681 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3982312 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2823350 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1744505 | TotalOtherCompensation |
| Number Individuals GT100 K | 312 | 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 |
|---|---|---|---|---|---|
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | NURSING AGENCY | 1089653 |
| HUNTINGTON MEDICAL GROUP | |||||
| 180 E PULASKI RD | HUNTINGTON STATION | NY | 11746 | MEDICAL SERVICES | 653576 |
| TRITECH HEALTHCARE MGT LLC | |||||
| 125 NEWTON RD | PLAINVIEW | NY | 11803 | BILLING SERVICES | 404483 |
| INTENSIVIST CO FKA PHYSICIAN TECH | |||||
| PO BOX 82638 | PITTSBURGH | PA | 15218 | BILLING SERVICES | 459704 |
| MULLOOLY JEFF ROONEY FLYNN LLP | |||||
| 4 BRIDGE STREET | GLEN COVE | NY | 11542 | COLLECTION AGENCY | 432271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| All Other Contributions | 1556759 | AllOtherContributions |
| Total Contributions | 1556759 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SVC - HOSPITAL | 621300 | 274128952 | 274128952 |
| PATIENT SVC-PHYS INC | 621300 | 13043082 | 13043082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 287172034 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1775371 | TotalRevenueColumn |
| Exclusion | $1,775,371 | 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 | 389805 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 389805 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 389805 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 932579 | Securities |
| Other | 25643 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 932579 | Securities |
| Other | 25643 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 958222 | TotalRevenueColumn |
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 | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| ELECTRONIC HEALTH RECORD INCOME | 900099 | 3619434 | 3619434 | |
| CAFETERIA INCOME | 900099 | 931549 | $931,549 | |
| GIFT SHOP | 900099 | 152236 | $152,236 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 738357 | TotalRevenueColumn |
| Exclusion | $738,357 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5441576 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 297293767 | TotalRevenueColumn |
| Related Or Exempt Function Income | 290791468 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,597,513 | 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 | 1646837 | Total |
| Program Services | 1646837 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132921118 | Total |
| Program Services | 123663338 | ProgramServices |
| Management And General | 8786059 | ManagementAndGeneral |
| Fundraising | 471721 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30275355 | Total |
| Program Services | 25625061 | ProgramServices |
| Management And General | 4633993 | ManagementAndGeneral |
| Fundraising | 16301 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22568244 | Total |
| Program Services | 19101761 | ProgramServices |
| Management And General | 3454331 | ManagementAndGeneral |
| Fundraising | 12152 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9508607 | Total |
| Program Services | 8048085 | ProgramServices |
| Management And General | 1455402 | ManagementAndGeneral |
| Fundraising | 5120 | Fundraising |
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 | 185159 | Total |
| Management And General | 185159 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 8959200 | Total |
| Program Services | 7583067 | ProgramServices |
| Management And General | 1371309 | ManagementAndGeneral |
| Fundraising | 4824 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269029 | Total |
| Program Services | 227706 | ProgramServices |
| Management And General | 41178 | ManagementAndGeneral |
| Fundraising | 145 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51652322 | Total |
| Program Services | 43718525 | ProgramServices |
| Management And General | 7905985 | ManagementAndGeneral |
| Fundraising | 27812 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3993763 | Total |
| Program Services | 3380321 | ProgramServices |
| Management And General | 611292 | ManagementAndGeneral |
| Fundraising | 2150 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569 | Total |
| Program Services | 1569 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301051 | Total |
| Program Services | 254810 | ProgramServices |
| Management And General | 46079 | ManagementAndGeneral |
| Fundraising | 162 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2040244 | Total |
| Management And General | 2040244 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14386809 | Total |
| Program Services | 12176995 | ProgramServices |
| Management And General | 2209814 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6596001 | Total |
| Program Services | 6596001 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSES | 5065310 | 5065310 | ||
| OTHER PURCHASED SERVICES | 3985913 | 3985913 | ||
| CENTRALIZED ADMIN EXPENSE | 1786059 | 1786059 | ||
| DUES & SUBSCRIPTIONS | 312893 | 264833 | 47892 | 168 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2868366 | Total |
| Program Services | 2796619 | ProgramServices |
| Management And General | 71495 | ManagementAndGeneral |
| Fundraising | 252 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 299323849 | Total |
| Program Services | 264136751 | ProgramServices |
| Management And General | 34646291 | ManagementAndGeneral |
| Fundraising | 540807 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2617068 | BOY |
| EOY | 16212620 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112063289 | BOY |
| EOY | 104452307 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 623083 | BOY |
| EOY | 398445 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27659093 | BOY |
| EOY | 30900479 | 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 | 3719985 | BOY |
| EOY | 3514382 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2088563 | BOY |
| EOY | 2295000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 209199618 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 81847263 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121333316 | BOY |
| EOY | 127352355 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24101239 | BOY |
| EOY | 26451915 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31508415 | BOY |
| EOY | 29355098 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325714051 | BOY |
| EOY | 340932601 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41867069 | BOY |
| EOY | 35735202 | 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 | 43410000 | BOY |
| EOY | 42510000 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171652855 | BOY |
| EOY | 188319808 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256929924 | BOY |
| EOY | 266565010 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64196127 | BOY |
| EOY | 69960191 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3425000 | BOY |
| EOY | 3244025 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1163000 | BOY |
| EOY | 1163375 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68784127 | BOY |
| EOY | 74367591 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325714051 | BOY |
| EOY | 340932601 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2030082 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5825641 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1787905 | ReconcilationOtherChanges |
| 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 | $42,698 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 42698 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | PART II-B, LINE 1H | ReturnReference |
| Explanation | HUNTINGTON HOSPITAL ASSOCIATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. | Explanation |
Schedule D IRS990ScheduleD
| 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 | 1163375 | BeginningOfYearBalance |
| End Of Year Balance | 1163375 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1159948 | BeginningOfYearBalance |
| Contributions | 3427 | Contributions |
| Investment Earnings Or Losses | 22421 | InvestmentEarningsOrLosses |
| Other Expenditures | 22421 | OtherExpenditures |
| End Of Year Balance | 1163375 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1159948 | BeginningOfYearBalance |
| End Of Year Balance | 1159948 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1159948 | BeginningOfYearBalance |
| End Of Year Balance | 1159948 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1159948 | BeginningOfYearBalance |
| End Of Year Balance | 1159948 | 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 | 2991936 | OtherCostOrOtherBasis |
| Book Value | 2991936 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103796444 | OtherCostOrOtherBasis |
| Depreciation | 39275941 | Depreciation |
| Book Value | 64520503 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 97221 | OtherCostOrOtherBasis |
| Depreciation | 29957 | Depreciation |
| Book Value | 67264 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93116903 | OtherCostOrOtherBasis |
| Depreciation | 42029322 | Depreciation |
| Book Value | 51087581 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9197114 | OtherCostOrOtherBasis |
| Depreciation | 512043 | Depreciation |
| Book Value | 8685071 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 127352355 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATE | 4687591 |
| INSURANCE CLAIMS RECEIVABLE | 23272198 |
| BOND FINANCING | 1251162 |
| OTHER ASSETS | 144147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 29355098 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $116,306,090 |
| EST THIRD PARTY PAYOR LIBILITE | $29,372,418 |
| ACCRUED MALPRACTICE LIAB | $18,088,000 |
| INSURANCE CLAIMS PAYABLE | $23,272,198 |
| ACCRUED ASSET RETIREMENT OBLIG | $136,528 |
| BOND PREM/DISCOUNT | $1,144,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 188319808 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 296608663 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5825641 | NetUnrealizedGainsInvestments |
| Other Revenues | -5321910 | OtherRevenues |
| Revenue Not Rptd F990 | 503731 | RevenueNotRptdF990 |
| Revenue Subtotal | 296104932 | RevenueSubtotal |
| Other Revenues Not Included | 1188835 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1188835 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 297293767 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 283769075 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 283769075 | ExpensesSubtotal |
| Other Expenses Not Included | 15554774 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 15554774 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 299323849 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule D - Supplemental Information | Part V - Line 4 | The investment income on the permanently restricted endowment funds are unrestricted and used to help support the operations of the Hospital. |
| RECONCILIATIONS | PART XI-LINE 2D AND 4B, PART XII, LINE 2D AND 4B | PART XI - LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 403,106 SPECIAL EVENT EXP NET AGAINST REVENUE GAMING EVENT EXP NET AGAINST REVENUE NONOPERATING GAIN/LOSS (659,706) PROVISION FOR BAD DEBTS (5,065,310) TOTAL (5,321,910) PART XI - LINE 4B TEMP AND PERM RESTRICTED CONTRIBUTIONS 1,188,835 PART XII - LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 10,489,464 PROVISION FOR BAD DEBTS 5,065,310 TOTAL 15,554,774 |
| FIN 48 FOOTNOTE | Part X, LINE 2 | Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2012 and 2011, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income. |
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 | 10129 | PersonsServed |
| Total Community Benefit Expense | 7773000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | -143000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7916000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 16300 | PersonsServed |
| Total Community Benefit Expense | 33595904 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23099867 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10496036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 26429 | PersonsServed |
| Total Community Benefit Expense | 41368904 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22956867 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18412036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06490 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Persons Served | 67192 | PersonsServed |
| Total Community Benefit Expense | 908117 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8850 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 899267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 206 | PersonsServed |
| Total Community Benefit Expense | 912635 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 408338 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 504297 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 254 | PersonsServed |
| Total Community Benefit Expense | 27683 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27583 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 70 | NumberOfActivitiesOrPrograms |
| Persons Served | 67652 | PersonsServed |
| Total Community Benefit Expense | 1848435 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 417288 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1431147 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 72 | NumberOfActivitiesOrPrograms |
| Persons Served | 94081 | PersonsServed |
| Total Community Benefit Expense | 43217339 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23374155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19843183 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 75 | PersonsServed |
| Total Community Building Expense | 233 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 233 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 3 | PersonsServed |
| Total Community Building Expense | 546 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 546 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 138 | PersonsServed |
| Total Community Building Expense | 779 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 779 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,092,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 91722455 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 118282024 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -26559569 | 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 | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 PARK AVENUE | AddressLine1 |
| City | HUNTINGTON | City |
| State | NY | State |
| ZIP Code | 11743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| 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 | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOLAN FAMILY HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 284 PULASKI ROAD | AddressLine1 |
| City | GREENLAWN | City |
| State | NY | State |
| ZIP Code | 11740 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | FAMILY HEALTH CENTER | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART VI SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | Question 1. Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 10.9% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written off to bad debt. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Part V, Section B, line 8: N/A Part V, Section B, line 9b: The organization's financial assistance policy will review a patient's assets if they fall within the family size and income levels approved by the New York State to provide free or discounted care. Asset test cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12h: The hospital also uses household size. Part V, Section B, line 14g: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 16e: N/A Part V, Section B, line 17e: N/A Part V, Section B, line 18e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 19d: N/A Part V, Section B, line 20d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid) Part V, Section B, line 21: N/A Part V, Section B, line 22: In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. Question 2. NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. M | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 | false | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN LAWLOR | ||||||||||||||
| PRESIDENT/CEO | 665596 | 0 | 104400 | 0 | 29180 | 0 | 263381 | 0 | 17193 | 0 | 1079750 | 0 | 0 | 0 |
| MICHAEL GROSSO MD | ||||||||||||||
| VP MEDICAL AFFAIRS | 393360 | 0 | 35078 | 0 | 26090 | 0 | 29528 | 0 | 15497 | 0 | 499553 | 0 | 0 | 0 |
| MICHAEL DOWLING | ||||||||||||||
| BOARD MEMBER/CEO NSLIJ | 0 | 1172902 | 0 | 1628000 | 0 | 22448 | 0 | 1107110 | 0 | 21125 | 0 | 3951585 | 0 | 0 |
| MICHAEL FAGAN | ||||||||||||||
| VP FINANCE/CFO | 339118 | 0 | 31950 | 0 | 22065 | 0 | 29528 | 0 | 25924 | 0 | 448585 | 0 | 0 | 0 |
| MICHAEL QUARTIER | ||||||||||||||
| VP ADMINISTRATION | 384303 | 0 | 26650 | 0 | 18290 | 0 | 29528 | 0 | 19549 | 0 | 478320 | 0 | 0 | 0 |
| PAUL MACCARO MD | ||||||||||||||
| MEDICAL DIR OF EP LAB | 536331 | 0 | 0 | 0 | 16291 | 0 | 29528 | 0 | 25924 | 0 | 608074 | 0 | 0 | 0 |
| NICK FITTERMAN MD | ||||||||||||||
| MED DIR OF HOSPITALIST SVC | 470275 | 0 | 0 | 0 | 69 | 0 | 29528 | 0 | 22500 | 0 | 522372 | 0 | 0 | 0 |
| GARY STONE | ||||||||||||||
| CHIEF PATHOLOGIST | 374946 | 0 | 0 | 0 | 68101 | 0 | 29528 | 0 | 25453 | 0 | 498028 | 0 | 0 | 0 |
| RUSSELL SCHIFF | ||||||||||||||
| MED DIR HOSPITALIST SVC | 440150 | 0 | 0 | 0 | 69 | 0 | 23681 | 0 | 0 | 0 | 463900 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | PART I, LINE 4B | Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Kevin Lawlor ($233,853) and Michael Dowling ($1,079,610). |
| BONUS AND INCENTIVE COMPENSATION | PART I, LINE 7 | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY OF THE STATE OF NEW YORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 146000293 | IssuerEIN |
| CUSIP Number | 649906JT2 | CUSIPNumber |
| Date Issued | 2011-10-06 | DateIssued |
| Issue Price | 44125573 | IssuePrice |
| Description Of Purpose | 2011 BONDS - CAPITAL IMPROVEMENTS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 643624 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 44162975 | TotalProceeds |
| Amount In Reserve Fund | 3551472 | AmountInReserveFund |
| Capitalized Interest | 366216 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 718466 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 7269068 | CapitalExpenditures |
| Other Spent Proceeds | 25500313 | OtherSpentProceeds |
| Amount Unspent | 1451588 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Exception To Rebate | true | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE | Identifier |
| Return Reference | PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS | ReturnReference |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Contemporary Computer Services | |||
| J Riconda, BD Member | 356081 | Purchased Computer Services | false |
| Patrice Piretti | |||
| Daughter of BD Member | 132326 | Hospital Employee | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BOARD MEMBER RELATIONS | PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2 | All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Michael Brown has a business relationship with Thomas Lederer. Ron Gaudreault has a business relationship with Bernard Rosof, MD. Thomas Lederer has a business relationship with Michael Brown. Lewis Meltzer, Esq has a business relationship with John Riconda and Bernard Rosof, MD. John Riconda has a business relationship with Lewis Meltzer, Esq. Bernard Rosof, MD has a business relationship with Ron Gaudreault and Lewis Meltzer, Esq. |
| EXECUTIVE COMMITTEE | PART VI, SECTION B - POLICIES, LINE 11 | All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. |
| CONFLICTS OF INTEREST | PART VI, SECTION B - POLICIES, LINE 12C | As a member of the North Shore-Long Island Jewish Health System, the Hospital has several control mechanisms to mitigate conflicts of interest. The Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, the Code of Ethical Conduct requires individuals to conduct Hospital business in a manner that places the interests of the Hospital ahead of personal interests. In Addition, the Hospital 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 Hospital are required to fill out a conflicts of interest disclosure form on a regular basis. The system's 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 Hospital's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Hospital provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the code of ethical conduct or any related policy such as the conflicts of interest policy statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. |
| OFFICERS COMPENSATION | PART VI, SECTION B - POLICIES, LINE 15 | The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. |
| DISCLOSURES | PART VI, SECTION C - DISCLOSURES, LINE 19 | CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| AVERAGE HOURS | PART VII, SECTION A - LINE 1A, COLUMN (B) | This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. |
| GOVERNING BODY | PART VI, LINE 7 | North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. |
| RECONCILIATION OF NET ASSETS | PART XI, LINE 9 | TRANSFERS TO/FROM AFFILIATES 2,450,000 NON OPERATING GAIN/LOSS (659,706) NET ASSETS RELEASED (399) PY ROUNDING ADJUSTMENT (1,990) TOTAL CHANGE IN NET ASSETS 1,787,905 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (35 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| North Shore LIJ Health System | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113418133 | SUPPORT | NY | 501(C)(3) | 11, Type 1 | NA | false |
| North Shore LIJ Health Care Inc | ||||||||||
| 972 Brush Hollow RD | Westbury | NY | 11590 | 112965586 | SUPPORT | NY | 501(C)(3) | 11, Type 1 | NS-LIJHS | false |
| North Shore LIJ Health Sys Laboratories | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113412370 | SUPPORT | NY | 501(C)(3) | 11, Type 1 | NS-LIJHS | false |
| Huntington Hosp Dolan Family HLTH Center | ||||||||||
| 284 Pulaski Road | Greenlawn | NY | 11740 | 113368503 | Health Care | NY | 501(C)(3) | 3 | Huntington | true |
| North Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111562701 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Long Island Jewish Medical Center | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112241326 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Glen Cove Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111633487 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Forest Hills Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112163522 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Plainview Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113241243 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Franklin Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112296824 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Southside Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111667761 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| North Shore Univ Hosp Stern Family CECR | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237007485 | Nursing Home | NY | 501(C)(3) | 9 | NS-LIJ HCI | false |
| North Shore Community Services Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237273200 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| Feinstein Institute for Medical Research | ||||||||||
| 972 BRUSH HOLLOW RD | Westbury | NY | 11590 | 112673595 | RESEARCH | NY | 501(C)(3) | 4 | NS-LIJHS | false |
| North Shore-LIJ Health System Foundation | ||||||||||
| 972 BRUSH HOLLOW RD | Westbury | NY | 11590 | 112965575 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJHS | false |
| LIJ Medical Center at Home Pharmacy | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113251128 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| LIJ Foundation | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112661239 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| North Shore-LIJ Medical Care Centers | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113473923 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| SSH Inc | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112774102 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | SOUTHSIDE | false |
| North Shore University Hospital Housing | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112171903 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| NSUH at Glen Cove Housing | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 237010468 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| Hillside Hospital Houses Inc | ||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112113949 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| SIUH Systems Inc | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 061074604 | Fundraising | NY | 501(C)(3) | 7 | NS-LIJ HCI | false |
| Staten Island University Hospital | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 112868878 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| Staten Island University Hospital Founda | ||||||||||
| 360 Seaview Avenue | Staten Island | NY | 10305 | 870765787 | Fundraising | NY | 501(C)(3) | 7 | SIUH | false |
| The Heart Institute | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 311757254 | INACTIVE | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| CHAPS Community Health Center Inc | ||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 113345477 | Inactive | NY | 501(C)(3) | 9 | SIUH | false |
| Physicians of University Hospital PC | ||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 200096809 | Health Care | NY | 501(C)(3) | 11, TYPE 1 | SIUH | false |
| Hospice Care Network | ||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 112925757 | Hospice | NY | 501(C)(3) | 9 | NS-LIJHS | false |
| Lenox Hill Hospital | ||||||||||
| 100 East 77th Street | New York | NY | 10021 | 131624070 | Health Care | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| LHH Corporation | ||||||||||
| 100 East 77th Street | New York | NY | 10021 | 133272016 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| SPORTS PHYSICAL THERAPY AND REHAB SVCS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061655704 | HEALTH CARE | NY | 501(C)(3) | 11, TYPE1 | LIJ | false |
| NORTH SHORE-LIJ ALLIANCE | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263727582 | HEALTH CARE | NY | 501(C)(3) | 3 | NA | false |
| THE LONG ISLAND HOME | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLE | NY | 11701 | 112837244 | HEALTH CARE | NY | 501(C)(3) | 3 | LHH CORP | false |
| THE LONG ISLAND HOME FOUNDATION | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLE | NY | 11701 | 112049038 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | LHH CORP | false |
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 |
|---|---|---|---|---|---|---|---|
| Krasnoff Consultative Services | |||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 262838027 | CONSULTING | NY | NSH Enterprise |
| LONG ISLAND BEHAVIORAL HEALTH LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | HEALTH CARE INC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (63 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 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| North Shore Health System Enterprises | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113316922 | HOLDING COMP | NY | NS-LIJ HC | C | false | |||||
| Regioncare Inc | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113052191 | HOMECARE | NY | NSHS ENT | C | false | |||||
| North Shore Health Enterprises | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 061605319 | HOLDING COMPA | NY | NS-LIJ HC | C | false | |||||
| Care Management Group of Greater NY | ||||||||||||||
| 672 Brush Hollow Road | Westbury | NY | 11590 | 113336381 | BUSINESS SERV | NY | NSH ENT | C | false | |||||
| Regional Insurance Company LTD | ||||||||||||||
| 000000000 | INSURANCE | NS-LIJ HC | C | false | C/O Cedar House 41 Cedar Ave HM 12 | Hamilton | Bermuda | BD | N/A | |||||
| Aletta Corporation | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112622371 | PHYSICIAN SER | NY | SOUTHSIDE | C | false | |||||
| North Shore-LIJ Physician Insurance Comp | ||||||||||||||
| 100 Bank Street | Burlington | VT | 05401 | 261487515 | INSURANCE | NY | NS-LIJ HC | C | false | |||||
| North Shore-LIJ Service Alliance Inc | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 263651575 | SUPPORT | NY | NS-LIJHS | C | false | |||||
| North Shore-LIJ Health System IPA #1 | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533659 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Health System IPA #2 | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533670 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Health System IPA #3 | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533678 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Health System IPA #4 | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533677 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Health System IPA #5 | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533675 | Health Care | NY | LIJ | C | false | |||||
| North Shore IPA 5 Inc | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113383468 | BUSINESS SERV | NY | NS-LIJ HC | C | false | |||||
| North Shore-LIJ Network Inc | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 320257193 | SUPPORT | NY | NS-LIJHS | C | false | |||||
| Vivohealth Inc | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 264118016 | Inactive | NY | NSH ENTERPRISE | C | false | |||||
| Autoimmune Research Therapeutics | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 270701489 | Inactive | NY | NSH ENTERPRISE | C | false | |||||
| North Shore Radiology at Glen Cove PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113301179 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| North Shore-LIJ Radiology Service PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 223970667 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| North Shore-LIJ Medical Group at Syosset | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 273957752 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| Palliative Care Medical Services PC | ||||||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 273957835 | MEDICAL SERVI | NY | HOSPICE | C | false | |||||
| North Shore-LIJ Medical Group PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384249 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| NS-LIJ Medical Group at Huntington PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384049 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| NS-LIJ Medical Group at North Nassau PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384146 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| North Shore-LIJ Physicians Group PC | ||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384326 | MEDICAL SERVI | NY | NSUH | C | false | |||||
| Staten Island Imaging Corp | ||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133615474 | Inactive | NY | OVM | C | false | |||||
| Ocean View Management | ||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133138888 | Management Sv | NY | SIUH | C | false | |||||
| Ocean Breeze Home Care Agency | ||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133773601 | Inactive | NY | OVM | C | false | |||||
| Regency Alliances Services Inc | ||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133277698 | Management Sv | NY | OVM | C | false | |||||
| Verrazano Radiology Associates PC | ||||||||||||||
| 500 Seaview Ave Ste 200 | Staten Island | NY | 10305 | 200011201 | Radiology Ser | NY | SIUH | C | false | |||||
| Staten Island University Hospital Perina | ||||||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 134107082 | MEDICAL SERVI | NY | SIUH | C | false | |||||
| United Medical Surgical PC | ||||||||||||||
| 256 Mason Ave Bldg B 2nd Floor | Staten Island | NY | 10305 | 134038780 | Surgical Serv | NY | SIUH | C | false | |||||
| University Physicians OncologyHematolog | ||||||||||||||
| 500 Seaview Avenue | Staten Island | NY | 10305 | 133642729 | MEDICAL SERVI | NY | SIUH | S | false | |||||
| Emergency Medicine Services of Staten Is | ||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 134200899 | MEDICAL SERVI | NY | SIUH | C | false | |||||
| Goethals Radiology PC | ||||||||||||||
| 500 Seaview Avenue | Staten Island | NY | 10305 | 200010287 | Radiology Ser | NY | SIUH | C | false | |||||
| Staten Island Hospitalists PC | ||||||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 331010283 | MEDICAL SERVI | NY | SIUH | C | false | |||||
| Staten Island Neonatology PC | ||||||||||||||
| 500 Seaview Avenue | Staten Island | NY | 10305 | 133375474 | MEDICAL SERVI | NY | SIUH | C | false | |||||
| Staten Island Medical Intensivist PC | ||||||||||||||
| 501 Seaview Avenue Ste 102 | Staten Island | NY | 10305 | 043716494 | MEDICAL SERVI | NY | SIUH | C | false | |||||
| Lenox Hill Physicians Hospital Organizat | ||||||||||||||
| 122 East 76th St Suite 3-A | New York | NY | 100212834 | 133775996 | Managed Care | NY | LENOX HILL | C | false | |||||
| Lenox Otolaryngology Head & Neck Surgery | ||||||||||||||
| 186 East 76th Street 2nd Floor | New York | NY | 10021 | 208784395 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox OBGYN PC | ||||||||||||||
| 130 East 77th Street 2nd Floor | New York | NY | 10021 | 133596988 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Advanced Imaging & Radiology of Lenox Hi | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 200719612 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Advanced Heart Physicians & Surgeons Net | ||||||||||||||
| 130 East 77th Street 4th Floor | New York | NY | 10021 | 133853125 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Lenox Hill Cardiology Associates PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 133385163 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Lenox Hill Interventional Cardiac & Vasc | ||||||||||||||
| 130 East 77th Street 9th Floor | New York | NY | 10021 | 201435770 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Lenox Hill Pathology PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 133644370 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox Emergency Medicine PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 262661082 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Manhattan Minimally Invasive and Bariatr | ||||||||||||||
| 186 East 76th Street 1st Floor | New York | NY | 10021 | 200250107 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox Medical PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 133575380 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox Orthopedics PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 264634966 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox Pediatrics PC | ||||||||||||||
| 100 East 77th Street | New York | NY | 10021 | 133755683 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| Park Lenox Surgical PC | ||||||||||||||
| 130 East 77th Street 13th Floor | New York | NY | 10021 | 133397814 | MEDICAL SERVI | NY | LENOX HILL | C | false | |||||
| North Shore-LIJ Cardiovascular Medicine | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078717 | Medical Servi | NY | NSUH | C | false | |||||
| North Shore-LIJ Cardiology PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078531 | Medical Servi | NY | NSUH | C | false | |||||
| North Shore-LIJ Heart Surgery PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078838 | Medical Servi | NY | NSUH | C | false | |||||
| North Shore-LIJ Internal Medicine PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078361 | Medical Servi | NY | NSUH | C | false | |||||
| NS-LIJ Medical Group Urgent Medical Care | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078426 | Medical Servi | NY | NSUH | C | false | |||||
| Lenox Hill Hospital Medical PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 452661543 | Medical Servi | NY | LENOX HILL | C | false | |||||
| North Shore-LIJ Medical Care PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 453023019 | Medical Servi | NY | NSUH | C | false | |||||
| NS-LIJ Occupational Medicine PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 451004103 | Medical Servi | NY | NSUH | C | false | |||||
| NORTH SHORE-LIJ OB-GYN PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461382916 | MEDICAL SERVICES | NY | LIJ | C | false | |||||
| NORTH SHORE-LIJ ANESTHESIOLOGY PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617561 | MEDICAL SERVICES | NY | SOUTHSIDE | C | false | |||||
| NORTH SHORE-LIJ HEALTH PLAN INC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617516 | INSURANCE | NY | NSLIJ HCI | C | false | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | 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 | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntington Hospital Dolan Family HLTH Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | I | TransactionType |
| Amount Involved | 290616 | AmountInvolved |
| Method Of Amt Determination | AT COST | MethodOfAmtDetermination |