STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-12-14
- IRS object ID
- 201203499349300315
- Schema version
- 2011v1.3
- 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 | 2012-12-14T10:28:04-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112868878 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STATEN ISLAND UNIVERSITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % THOMAS RECA | InCareOfName |
| Name Control | STAT | NameControl |
| Phone | 7182261148 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS RECA | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Date Signed | 2012-12-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANTHONY C FERRERI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 810208767 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.siuh.edu | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1869 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Staten Island University Hospital is part of the North Shore-LIJ Health System, WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITies IT SERVES. SEE PART III. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 152 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 144 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6617 | TotalNbrEmployees |
| Total Nbr Volunteers | 890 | TotalNbrVolunteers |
| Total Gross UBI | 10382410 | TotalGrossUBI |
| Contributions Grants Prior Year | 4580924 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3676168 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 747224860 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 783155014 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2679414 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1987289 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5986695 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5267929 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 760471893 | TotalRevenuePriorYear |
| Total Revenue Current Year | 794086400 | 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 | 472344760 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 502034828 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 261087391 | OtherExpensePriorYear |
| Other Expenses Current Year | 265494006 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 733432151 | TotalExpensesPriorYear |
| Total Expenses Current Year | 767528834 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 27039742 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 26557566 | RevenuesLessExpensesCY |
| Total Assets BOY | 548865872 | TotalAssetsBOY |
| Total Assets EOY | 676230590 | TotalAssetsEOY |
| Total Liabilities BOY | 388588775 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 487447058 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 160277097 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 188783532 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | STATEN ISLAND UNIVERSITY HOSPITAL IS PART OF THE NORTH SHORE-Long Island Jewish HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 512905294 | Expense |
| Grants | 0 | Grants |
| Revenue | 656730000 | Revenue |
| Description | STATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2011 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 42,105 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES), 3,069 DELIVERIES, 117,838 EMERGENCY DEPARTMENT VISITS, AND 16,264 AMBULATORY SURGERY CASES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 55892864 | Expense |
| Grants | 0 | Grants |
| Revenue | 48358000 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 48823213 | Expense |
| Grants | 0 | Grants |
| Revenue | 38310000 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING AMBULATORY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 37939143 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 39757014 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 655560514 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | true | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | 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 | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 481 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6617 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 152 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 144 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS RECA | NamePerson |
| Telephone Number | 7182261148 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE EDGEWATER PLAZA | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (166 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RICHARD D GOLDSTEIN | ||||||||
| CHAIRMAN - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | ||
| JOHN ALEXANDER | ||||||||
| TREASURER - TRUSTEE | 2.0 | X | X | 0 | 0 | 0 | ||
| RICHARD S ABRAMSON | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM ACHENBAUM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| IRA I ALTFEDER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PHILIP S ALTHEIM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STANLEY A APPLEBAUM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL L ASHNER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BEVERLY BANKER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RALPH M BARUCH | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MORTON M BASS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| FRANK J BESIGNANO | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ELISE M BLOOM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ERIC S BLUMENCRANZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROGER A BLUMENCRANZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DAVID BLUMENFELD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| EDWARD BLUMENFELD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| E STEVE BRAUN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DAYTON T BROWN JR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ALLEN E BUSCHING | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JONATHAN S CANNO | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL CARIDI | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| REVEREND DEMETRIUS S CAROLINA SR | ||||||||
| TRUSTE | 2.0 | X | 0 | 0 | 0 | |||
| RUDOLPH C CARRYL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT W CHASANOFF | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ALAN CHOPP | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MARK CLASTER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DIANA F COLGATE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DANIEL M CROWN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PHILIPPE P DAUMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DANIEL C DE ROULET | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LORINDA DE ROULET | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| THOMAS E DEWEY JR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| THOMAS E DOOLEY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL J DOWLING | ||||||||
| TRUSTEE | 50.0 | X | 0 | 2521221 | 742813 | |||
| ROBERT N DOWNEY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MELVIN DUBIN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | ||||
| PATRICK R EDWARDS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| TONI J ELLIOTT | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL A EPSTEIN | ||||||||
| TRUSTEE | 2.0 | X | ||||||
| LEONARD FEINSTEIN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL E FELDMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ANTHONY C FERRERI | ||||||||
| PRESIDENT/CEO - TRUSTEE | 50.0 | X | X | 119268 | 921874 | 291142 | ||
| ARLENE LANE FISHER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| CATHERINE C FOSTER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM H FRAZIER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| EUGENE B FRIEDMAN MD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SY GARFINKEL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LLOYD MICHAEL GOLDMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| J JOAQUIN GONZALEZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL GOULD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ALBERT L GRANGER DDS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ALAN I GREENE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JAMES R GREENE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STANLEY GREY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD GUARASCI PHD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PAUL B GUENTHER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| HENRY L HACKMANN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| AMY M HAGEDORN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STEPHEN L HAMMERMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| IRA HAZAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LINDA W HEANEY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MARLENE HESS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM O HILTZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL HOFFMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| GEDALE B HOROWITZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD A HOROWITZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| M ALLAN HYMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MARK JACOBSON | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JEFFREY JURICK | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LYN JURICK | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ARTHUR KALISH | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STEVEN L KANTOR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DAVID M KATZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL KATZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SAUL B KATZ | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LISA A KAUFMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT KAUFMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| CARY KRAVET | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STANLEY KREITMAN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SETH KUPFERBERG | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JEFFREY B LANE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| CURT N LAUNER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LAURA LAURIA | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| KEVIN F LAWLOR | ||||||||
| TRUSTEE | 50.0 | X | 0 | 744807 | 313444 | |||
| MICHAEL S LEEDS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DAVID W LEHR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JONATHAN W LEIGH | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SYLVIA LESTER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ARTHUR S LEVINE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STUART R LEVINE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SETH LIPSAY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DAVID S MACK | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM L MACK | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| HOWARD S MAIER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LINDA MANFREDI | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JAMES S MARCUS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BRADLEY MARSH DPM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JEFFREY S MAURER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RONALD J MAZZUCCO | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| F J MCCARTHY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PATRICK F MCDERMOTT | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| KATHERINE MCENROE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JAMES MCMULLEN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| CHARLES MERINOFF | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| AIMEE MERSZEI | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD D MONTI | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| TOMAS D MORALES PHD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD MURCOTT | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RALPH A NAPPI | ||||||||
| TRUSTEE | 50.0 | X | 0 | 774818 | 534580 | |||
| RICHARD B NYE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| CLYDE I PAYNE ED D | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ARNOLD S PENNER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JOHN J RAGGIO | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LEWIS S RANIERI | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JAY R RAUBVOGEL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| COREY RIBOTSKY | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DENNIS RIESE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| TERRY P RIFKIN MD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT A ROSEN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MARCIE ROSENBERG | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT D ROSENTHAL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BERNARD M ROSOF MD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JACK J ROSS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BARRY RUBENSTEIN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| HERBERT RUBIN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SCOTT RUDOLPH | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL H SAHN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| FRANK W SCARANGELLO SR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| NORMAN SCHLANGER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LOIS C SCHLISSSEL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JOHN M SHALL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT F SHAPIRO | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MARC V SHAW | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SEAN G SIMON | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD SIMS | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL C SLADE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PHYLLIS HILL SLATER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| HOWARD D STAVE | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| RUSSELL STERN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| MAGANLAL SUTARIA MD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JOHN B THOMSON JR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PETER TILLES | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| SANDRA TYTEL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| NANCY WALDBAUM | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| GARY WALTER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| HOWARD WEINGROW | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| LEWIS M WESTON | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JON A WURTZBURGER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BARBARA HRBEK ZUCKER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| DONALD ZUCKER | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROY J ZUCKERBERG | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ARTHUR J FRIED ESQ | ||||||||
| SECRETARY | 50.0 | X | 0 | 276046 | 44700 | |||
| KEITH C THOMPSON | ||||||||
| ASSISTANT SECRETARY | 50.0 | X | 0 | 856803 | 356015 | |||
| HARRY E GINDI | ||||||||
| ASSISTANT TREASURER | 50.0 | X | 0 | 304339 | 42050 | |||
| ROBERT S SHAPIRO | ||||||||
| SVP/CFO NS-LIJ HEALTH SYSTEM | 50.0 | 0 | 1047340 | 262780 | X | |||
| THOMAS RECA | ||||||||
| CHIEF FINANCIAL OFFICER | 50.0 | 519533 | 100000 | 39156 | X | |||
| MARK P JARRETT MD | ||||||||
| CHIEF MEDICAL OFFICER | 50.0 | 503417 | 0 | 35980 | X | |||
| DONNA PROSKE | ||||||||
| EVP - CHIEF NURSING EXECUTIVE | 50.0 | 537697 | 0 | 39708 | X | |||
| NICHOLAS CARUSELLE | ||||||||
| EXECUTIVE VICE PRESIDENT | 50.0 | 406417 | 0 | 16688 | X | |||
| GREGORY RADINSKY | ||||||||
| CHIEF COMPLIANCE OFFICER | 50.0 | 0 | 295321 | 41650 | X | |||
| JOSEPH T MCGINN MD | ||||||||
| PHYSICIAN | 50.0 | 1497218 | 0 | 32801 | X | |||
| MICHAEL L COOPER MD | ||||||||
| PHYSICIAN | 50.0 | 1005545 | 0 | 32801 | X | |||
| JONATHON DEITCH MD | ||||||||
| PHYSICIAN | 50.0 | 998808 | 0 | 6106 | X | |||
| CHRISTOPHER DEMAS MD | ||||||||
| PHYSICIAN | 50.0 | 893107 | 0 | 19116 | X | |||
| PHILLIP M VIGNERI MD | ||||||||
| PHYSICIAN | 50.0 | 870275 | 0 | 35640 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7351285 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7842569 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2887170 | TotalOtherCompensation |
| Number Individuals GT100 K | 692 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| 12975 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | FOOD | 6881615 |
| UNIVERSITY PHYSICIANS GROUP PC | |||||
| ONE EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | MEDICAL | 3260622 |
| MCKESSON INFORMATION SOLUTIONS INC | |||||
| 5995 WINDWARD PARKWAY | ALPHARETTA | GA | 30005 | IT CONSULTANTS | 2977470 |
| QUEST DIAGNOSTICS INC | |||||
| 1 MALCOLM AVENUE | TETERBORO | NJ | 07608 | LABORATORY | 2739239 |
| OCEANSIDE INSTITUTIONAL INDUSTRIES | |||||
| 2325 LONG BEACH ROAD | OCEANSIDE | NY | 11572 | LAUNDRY | 2357067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 87 | NumberOfContractorsGT100K |
| Related Organizations | 98260 | RelatedOrganizations |
| Government Grants | 3577908 | GovernmentGrants |
| Total Contributions | 3676168 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621500 | 745356637 | 734974227 | 10382410 |
| PROFESSIONAL SERVICES REVENUE | 621110 | 2573226 | 2573226 | |
| OTHER HEALTHCARE RELATED REVENUE | 621990 | 35225151 | 35225151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 783155014 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2110868 | TotalRevenueColumn |
| Exclusion | $2,110,868 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 835 | TotalRevenueColumn |
| Exclusion | $835 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1543876 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1543876 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1543876 | TotalRevenueColumn |
| Exclusion | $1,543,876 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15980036 | Securities |
| Other | 17917 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16122367 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -142331 | Securities |
| Other | 17917 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -124414 | TotalRevenueColumn |
| Exclusion | -$124,414 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA AND DIETARY | 722100 | 2337827 | $2,337,827 |
| PARKING REVENUE | 812930 | 562270 | $562,270 |
| REBATES | 812900 | 317215 | $317,215 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 506741 | TotalRevenueColumn |
| Exclusion | $506,741 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3724053 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 794086400 | TotalRevenueColumn |
| Related Or Exempt Function Income | 772772604 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10382410 | UnrelatedBusinessRevenue |
| Exclusion | $7,255,218 | 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 | 2231392 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2231392 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101490 | Total |
| Management And General | 101490 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 383413511 | Total |
| Program Services | 346836944 | ProgramServices |
| Management And General | 36576567 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24117541 | Total |
| Program Services | 22356194 | ProgramServices |
| Management And General | 1761347 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64214217 | Total |
| Program Services | 59524538 | ProgramServices |
| Management And General | 4689679 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27956677 | Total |
| Program Services | 25914951 | ProgramServices |
| Management And General | 2041726 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006020 | Total |
| Management And General | 1006020 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 964781 | Total |
| Management And General | 964781 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247981 | Total |
| Management And General | 247981 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16121943 | Total |
| Program Services | 16121943 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510180 | Total |
| Program Services | 1510180 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98257351 | Total |
| Program Services | 73356519 | ProgramServices |
| Management And General | 24900832 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3459594 | Total |
| Program Services | 2582848 | ProgramServices |
| Management And General | 876746 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8919467 | Total |
| Program Services | 2992802 | ProgramServices |
| Management And General | 5926665 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 631707 | Total |
| Program Services | 471617 | ProgramServices |
| Management And General | 160090 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 515318 | Total |
| Program Services | 384724 | ProgramServices |
| Management And General | 130594 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9174792 | Total |
| Program Services | 6849674 | ProgramServices |
| Management And General | 2325118 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27420872 | Total |
| Program Services | 20471748 | ProgramServices |
| Management And General | 6949124 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30958596 | Total |
| Program Services | 30240543 | ProgramServices |
| Management And General | 718053 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CONTRACTED SERVICES | 39292914 | 29335122 | 9957792 | 0 |
| UTILITIES | 9760759 | 9331475 | 429284 | 0 |
| CENTRALIZED ADMIN. SVCS. | 7591361 | 66498 | 7524863 | 0 |
| OTHER EXPENSES | 9660370 | 7212194 | 2448176 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 767528834 | Total |
| Program Services | 655560514 | ProgramServices |
| Management And General | 111968320 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59755 | BOY |
| EOY | 60201 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85121616 | BOY |
| EOY | 108844454 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1862888 | BOY |
| EOY | 1906377 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89529445 | BOY |
| EOY | 88732941 | 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 | 4269815 | BOY |
| EOY | 615547 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7711768 | BOY |
| EOY | 7975381 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1148465 | BOY |
| EOY | 1378627 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 396919108 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 170327272 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228295550 | BOY |
| EOY | 226591836 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124592658 | BOY |
| EOY | 122727420 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 27870431 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6273912 | BOY |
| EOY | 89527375 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 548865872 | BOY |
| EOY | 676230590 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89587345 | BOY |
| EOY | 94261683 | 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 | 62239585 | BOY |
| EOY | 62626865 | 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 | 80995254 | BOY |
| EOY | 52396935 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 25902787 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155766591 | BOY |
| EOY | 252258788 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 388588775 | BOY |
| EOY | 487447058 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150162927 | BOY |
| EOY | 178518820 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8629981 | BOY |
| EOY | 8780523 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1484189 | BOY |
| EOY | 1484189 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160277097 | BOY |
| EOY | 188783532 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 548865872 | BOY |
| EOY | 676230590 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 26557566 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1948869 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $247,981 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 247981 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B; LINES 1G AND 1H | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), THE HEALTH CARE ASSOCIATION OF NEW YORK STATE and THE AMERICAN HOSPITAL ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. PAYS DUES TO THESE ASSOCIATIONS ON BEHALF OF THIS ORGANIZATION. ADDITIONALLY, THROUGH GNYHA, THE ORGANIZATION PAYS DUES TO THE 1199 JOB SECURITY FUND. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $247,981. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1484189 | BeginningOfYearBalance |
| End Of Year Balance | 1484189 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4107673 | OtherCostOrOtherBasis |
| Book Value | 4107673 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 236142914 | OtherCostOrOtherBasis |
| Depreciation | 93796356 | Depreciation |
| Book Value | 142346558 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68855 | OtherCostOrOtherBasis |
| Depreciation | 10596 | Depreciation |
| Book Value | 58259 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94488301 | OtherCostOrOtherBasis |
| Depreciation | 54437913 | Depreciation |
| Book Value | 40050388 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 62111365 | OtherCostOrOtherBasis |
| Depreciation | 22082407 | Depreciation |
| Book Value | 40028958 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 226591836 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (9 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN HEALTHFIRST | 8226227 | F |
| INVESTMENT IN VERIZON - AT&T | 10143 | F |
| U.S. GOVERNMENT OBLIGATIONS | 17470000 | F |
| CORPORATE BONDS | 11247000 | F |
| ACCRUED INTEREST RECEIVABLE | 183000 | F |
| LIMITED USE | 0 | F |
| LIMITED USE | 51649050 | F |
| CASH AND CASH EQUIVALENTS | 33942000 | F |
| MUNICIPAL BONDS | 0 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 122727420 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS, NET | 201254 |
| DEPOSITS | 139417 |
| ASU 2010-04 | 89186704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 89527375 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PARTY PAYERS; CURRENT | $24,533,604 |
| LIABILITIES; CURRENT | $5,575,931 |
| INTEREST PAYABLE | $1,089,378 |
| OTHER LONG TERM LIABILITIES | $42,247,594 |
| LIABILITIES; NON-CURRENT | $56,844,069 |
| LIABILITIES; CURRENT | $5,438,260 |
| LIABILITIES; NON-CURRENT | $29,248,095 |
| INSURANCE PAYABLE | $87,281,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 252258788 | TotalOfAmounts |
| Total Revenue | 794086400 | TotalRevenue |
| Total Expenses | 767528834 | TotalExpenses |
| Excess Or Deficit For Year | 26557566 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1710848 | NetUnrealizedGLOnInvestments |
| Other | $88,479 | OtherAmount |
| Total Adjustments | 1799327 | TotalAdjustments |
| Excess Or Deficit Per FS | 28356893 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 793181993 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1064965 | OtherRevenues |
| Revenue Not Rptd F990 | 1064965 | RevenueNotRptdF990 |
| Revenue Subtotal | 792117028 | RevenueSubtotal |
| Other Revenues Not Included | 1969372 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1969372 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 794086400 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 762907622 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 762907622 | ExpensesSubtotal |
| Other Expenses Not Included | 4621212 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 4621212 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 767528834 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | SCHEDULE D, PART V, QUESTION 4 | ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. |
| REC. OF CHANGE IN NET ASSETS FROM 990 TO AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI; LINE 8 | OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND OTHER POSTRETIREMENT LIABILITY ADJUSTMENTS - ($33,398) - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - ($1,091,789) - MEDICAL RESIDENT TAX RECOVERY - $1,305,546 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $1,912,222 - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $1,064,965 - DEFEASEMENT OF LONG-TERM DEBT - ($3,070,067) |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII; LINE 2D | OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS - $1,064,965 |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XIII; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 INCLUDE: - INVESTMENT INCOME - $1,969,372 |
| RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XIII; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1 INCLUDE: - AMORTIZATION OF INTANGIBLE ASSET - $4,621,212 |
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 | 6753 | PersonsServed |
| Total Community Benefit Expense | 18414000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5030000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13384000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 365216 | PersonsServed |
| Total Community Benefit Expense | 171178132 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119242824 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 51935308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06810 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 371969 | PersonsServed |
| Total Community Benefit Expense | 189592132 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 124272824 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65319308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08570 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 207 | NumberOfActivitiesOrPrograms |
| Persons Served | 86512 | PersonsServed |
| Total Community Benefit Expense | 4484596 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 183 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4484413 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 2045 | PersonsServed |
| Total Community Benefit Expense | 45607081 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15339193 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30267888 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03970 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Benefit Expense | 339877 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 339877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 231 | NumberOfActivitiesOrPrograms |
| Persons Served | 88558 | PersonsServed |
| Total Community Benefit Expense | 50431554 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15339376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35092178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 233 | NumberOfActivitiesOrPrograms |
| Persons Served | 460527 | PersonsServed |
| Total Community Benefit Expense | 240023686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 139612200 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 100411486 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13170 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 91 | PersonsServed |
| Total Community Building Expense | 10654 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10654 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 4050 | PersonsServed |
| Total Community Building Expense | 2584 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2584 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 4141 | PersonsServed |
| Total Community Building Expense | 13238 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13238 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,238,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 176906621 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 175352519 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1554102 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|
| STATEN ISLAND UNIVERSITY HOSPITAL-NORTH | ||||||||
| 1 | 475 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | X | X | X | X |
| STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH | ||||||||
| 2 | 375 SEGUINE AVENUE | STATEN ISLAND | NJ | 10309 | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Other FactorsOtherFactors | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Other Actions TakenOtherActionsTaken | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STATEN ISLAND UNIVERSITY HOSPITAL-NORTH | |||||||||||||||||||||||||||||||||
| 1 | true | true | 100 | true | 500. | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | X | true | false | X | X | X | X | X | true | X | false | true |
| STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH | |||||||||||||||||||||||||||||||||
| 2 | true | true | 100 | true | 500. | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | X | true | false | X | X | X | X | X | true | X | false | true |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SOUTH BEACH PSYCHIATRIC CENTER | ||||
| 777 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| NEW DORP HIGH SCHOOL | ||||
| 465 NEW DORP LANE | STATEN ISLAND | NY | 10306 | CLINIC |
| AUDIOSPEECH PATHOLOGY CENTER | ||||
| 500 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CHEMICAL DEPENDENCE TREATMENT PROGRAM | ||||
| 111 WATER STREET | STATEN ISLAND | NY | 10304 | CLINIC |
| THE BAY STREET HEALTH CENTER | ||||
| 57 BAY STREET | STATEN ISLAND | NY | 10301 | CLINIC |
| PSYCHALCOHOLISM TREATMENT PROGRAM | ||||
| 450 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CANARSIE MULTI SERVICE CENTER | ||||
| 567 E 10TH STREET | BROOKLYN | NY | 11218 | CLINIC |
| SANFORD R NALITT INSTITUTUE FOR CANCER | ||||
| 256 MASON AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
| CONEY ISLAND MULTIPLE SERVICE CENTER | ||||
| 425-427 CONEY ISLAND AVENUE | BROOKYLN | NY | 11218 | CLINIC |
| CENTER FOR WOMENS HEALTH | ||||
| 440 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (25 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELIGIBILITY FOR DISCOUNTED CARE | PART I, LINE 3C | This hospital is an affiliated entity of the North Shore-LIJ Health System, Inc. ("North Shore-LIJ") or ("the System"). North Shore-LIJ uses Federal Poverty Guidelines ("FPG') to determine eligibility. North Shore-LIJ utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets and will only review a patient's assets if they fall within the family size and income levels approved by New York State. 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. In the consideration of assets, the following assets will not be included: primary residence, tax-deferred or comparable retirement accounts, college savings accounts and cars used by the patient or patient's family. |
| COMMUNITY BENEFIT REPORT | SCHEDULE H, PART I; QUESTION 6A | The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-LIJ Health System, Inc.) 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/NSLIJ/About+Us+Community+Service+Plans |
| SUBSIDIZED HEALTH SERVICES | SCHEDULE H, PART I; QUESTION 7 | Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written-off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method 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) is not included for purposes of calculating the percent of total expense in column (f). 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 hospital 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 7 (a)-(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 programs. Column (f) for Rows (a)-(k) Theses percentages are calculated using Net Community Benefit Expenses divided by Total Expenses, excluding bad debt, for the hospital. Note: For the entire North Shore-LIJ Health System, Part I, Line 7 Row (k), Column (f) is approximately 10.5% as a percentage of expenses. |
| COMMUNITY BUILDING ACTIVITIES | SCHEDULE H, PART II | All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and are open to the public. These activities 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 the Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and is a designated 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 North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances will assist with the transport of patients throughout the metropolitan area, stand ready to distribute food, medicine, and blankets to numerous individuals who may lose power in their homes. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, SECTION A; QUESTION 4 | For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The bad debt expense is multiplied by the ratio of cost to charges for purposes of inclusion in the total uncompensated care amount identified. 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. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. As a result of the fulfillment of the exemption under 501(c)(3) of the Internal Revenue Code, a portion of the bad debt is derived from the hospital's obligation not to turn away the community it serves, regardless of ability to pay. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B; QUESTION 8 | Medicare costs are determined utilizing a combination of the step down method of cost findings to arrive at the routine costs of services provided for each patient type, and a 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 is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. |
| COLLECTION POLICY | SCHEDULE H, PART III, SECTION B; QUESTION 9B | The hospital's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 9 | The hospital used the federal poverty guidelines (FPG) limit of 100% to determine eligibility for providing free care although in practice that percentage can be higher based on the facts and circumstances on a case by case basis. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 10 | The hospital used the FPG limit of 500% to determine eligibility for providing discounted care. The amount of discounted care is based on the facts and circumstances on a case by case basis. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 11H | The hospital used the following factors to determine the basis for calculating amounts charged to patients: (a) income level, (b) asset level, (d) insurance status, (e) uninsured discount, (f) Medicaid/Medicare, (g) state regulation, and (h) other - household size. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 13G | The hospital used the following measures to publicize the policy within the community served by the hospital facility: (a) the policy is posted on the hospital facility's website, (b) the policy is attached to billing invoices, (c) the policy is posted in the hospital facility's emergency rooms or waiting rooms, (d) the policy is posted in the hospital facility's admissions offices, (e) the policy is provided, in writing, to patients on admission to the hospital facility, (f) the policy is available on request, (g) the policy is included in the hospital's Community Service Plan and (h) other - the policy is provided at health fairs and presentations open to the community at no cost, in addition to the mailing of financial policy summary brochures. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 15E | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 16E | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 17E | Before initiating any of the actions checked in line 16, the hospital facility made the following efforts: (a) notified patients of the financial assistance policy on admission, (b) notified patients of the financial assistance policy prior to discharge, (c) notified patients of the financial assistance policy in communications with the patients regarding the patients' bills, (d) documented its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy, and (e) other - letters and telephone calls and presumptive eligibility. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 18D | The hospital facility had in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 19D | The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 20 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 21 | In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI; QUESTION 2 | Community Needs Assessment Strategies are done on an ongoing basis, North Shore-LIJ conducts and participates in population, demographic and health status evaluations of its respective hospitals' service areas and the regions they serve. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Ongoing input concerning the communities' needs is also obtained through: (1) the System's Board of Trustees/Directors who are all area residents and leaders in their respective communities, (2) Facility based Advisory Boards and Councils, (3) The feedback received by the facility administrators and clinicians that serve on local community agency boards, (4) Internal hospital data, including Prevention Quality Indicators (PQI), (5) Department of Health Community Health Assessments, (6) Community Health Assessments (Volume One, Two, and Three), (7) Local Public Meetings, (8) Local Regional New York State Prevention Agenda Meetings, (9) Community Based Prevention Agenda Needs Surveys, (10) 2010 E-BRFSS, and (11) Statewide Planning and Research System (SPARCS) data. The Committee on Community Health ("the Committee"), a committee of the Board of Trustees, serves as a forum for the identification and discussion of the health needs of the community. The Committee makes recommendations concerning community health interventions to be provided by the System independently or in cooperation with community based organizations and government. The Committee is staffed by the Office of Community and Public Health ("OCPH'). In fulfilling its charge, the Committee also seeks input from local Community Advisory Boards ("CABs") of the constituent hospitals within the System. Throughout the spring, at all scheduled meetings of the Committee and CABs, the Prevention Agenda was discussed and feedback was solicited regarding community needs. Access to care was frequently cited as a concern and staff was able to provide detailed information on the unique work that is underway within the Healthcare Access Center, in collaboration with finance. In addition, specific feedback on the priorities identified for the Prevention Agenda programs was also solicited. Regional Department of Health Community Health Assessments ("CHAs") - Regional stakeholders include: Nassau County Department of Health (NCDOH), Suffolk County Department of Health Services (SCDHS), and New York City Department of Health and Mental Hygiene (NYCDHMH). These regional partners implemented a community survey to solicit additional information on community need as part of the preparation of their CHAs. Public meetings were held to solicit information on the needs and concerns of local community residents. These events were open to the general public and were advertised through local media and posting on the regional DOHs' web sites. Additionally, each regional department of health organizations convened a series of meetings for regional providers to discuss the shared responsibility for public health planning within the New York State Prevention Agenda. Staff from the Office of Community Health of North Shore-LIJ participated in these meetings. These meetings were open to all area hospitals and provided an opportunity for general discussion regarding the public health goals of the Prevention Agenda and the selection of shared priorities for collaborative regional planning. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI; QUESTION 3 | North Shore-LIJ is a regional leader in the development of financial assistance programs for the uninsured. The North Shore-LIJ financial assistance policy provides a uniformly-administered system of reduced fees for the uninsured residents of its service area. The current fee schedule includes patients with household incomes up to 500% of the FPG. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individual's financial and personal circumstances. All medically necessary services are covered under the financial assistance program and the public is notified of the availability of the program through: (1) Multilingual signage throughout facilities (i.e. patient access & registration areas), (2) Multilingual educational brochures at key points of patient contact, (3) Centralized program administration accessible via phone (1-888-214-4065), (4) Staff outreach, and (5) Patient bills - all bills include a notice about the financial assistance program. North Shore-LIJ's FAP is streamlined to 1-page. Staff members use soft credit scoring software to reduce the administrative burden of compiling documentation for the application. This information is used to facilitate the application process, but is not used to deny an applicant. The Healthcare Access Center (HAC), staffed by bilingual employees, assists community residents' with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the HAC staff refers patients to the Medicaid Prenatal Care Program and to the Senior Navigator Program within North Shore-LIJ for assistance with Medicaid for pregnant women and Medicare enrollment for seniors. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI; QUESTION 4 | The North Shore-LIJ has a service area of more than approximately 7.2 million people covering Long Island (Nassau and Suffolk counties) and the Metropolitan area covering the boroughs of Manhattan, Queens, and Staten Island. The demographics of the community show a broad range of cultural and ethnic diversity, particularly in Queens, the most multi-ethnic county in the country. Overall the area has shown an increase in the number of uninsured and underinsured. The other counties in the service area continue to show trends of increasing diversity, as well. By 2017, the service area population 65 and older will grow by 13.5%, while residents under 65 will decline less than 1% (Thomson Reuters, Market Planner Plus). The service area has also shown high rates of obesity, diabetes, asthma and heart/cerebrovascular disease mortality. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI; QUESTION 5 | North Shore-LIJ's community outreach strategies identify health needs through education, community advocacy, partnerships and programs that result in improved access to care and health outcomes. The strategies and tactics for achieving this goal include: (A) Expand community representation on committees for educational events. (B) Provide cultural competence in-service training programs to outreach staff. (C) Inventory and quantify community benefit activities annually for all its facilities. (D) Educate and involve employees and medical staff in the provision of community benefit activities. (E) Assure compliance with New York State Limited English Proficiency standards. (F) Support community partnerships with sustainability strategies via identification of external funding streams. (G) Improve the effectiveness of the North Shore-LIJ Health Care Access Center by targeting outreach programs toward community and staff. (H) Collaborate with community partners to provide locations for community health prevention screenings. North Shore-LIJ recognizes that, to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners who can address different components of program design, including: providing trust and "reach" into a community; access to capital and funding; policy guidance; and, best practices for program development. With thousands of community programs, the System's partners are many and varied. A representative sample of these partners includes: government, national/professional associations, area businesses, other area health care provider, philanthropies, civic organizations and CBOs. North Shore-LIJ provides community residents with a broad array of community benefit programs, such as: improving access to healthcare services and caring for the medically underserved, free screenings and health fairs, community education and outreach programs, support groups, and emergency medical services. The comprehensive list of these programs can be found in the Community Service Plans located on the North Shore-LIJ web site: Http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans. |
| AFFILIATED HEALTHCARE SYSTEM | SCHEDULE H, PART VI; QUESTION 6 | The hospital is an affiliate of the North Shore-LIJ Health System Inc., a NYS not-for-profit corporation. All North Shore-LIJ entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in the System and as such is referred to as being commonly managed. As a not-for-profit hospital, the hospital facility: (i) Operates emergency rooms that are open to all persons regardless of ability to pay, (ii) Extends medical staff privileges to all qualified physicians in its community for some or all of its departments, (iii) Has a governing body in which independent persons representative of the community comprise a majority, (iv) Engages in medical or scientific research programs, (v) Engages in the training and education of health care professionals, (vi) Participates in government-sponsored health insurance programs including: Medicaid, Medicare, S-Child Health Plus, Family Health Plus, Cancer Services Program, and the Prenatal Program. The Committee on Community Health, a committee of the Board of Trustees, is charged with the overall health of the population served by the System through oversight of coordinated links between North Shore-LIJ's clinical services and the larger public health arena. Staffed by the System's Office of Community and Public Health, the objectives of the committee include: (a) Promote a dialogue about the obligations of a large health system to address the critical issues for the health of the public. (b) Review information which assesses the health status of the communities served. (c) Promote activities which have been shown to positively impact health. (d) Identify demographic studies regarding population disparities in morbidity and mortality. (e) Study and recommend community health interventions to be provided by the System either independently or as a collaborative effort. (f) Propose policy recommendations to guide current programs or develop new programs. (g) Identify opportunities to meet health care needs through improved delivery of health care. (h) Review North Shore-LIJ's service lines and evaluate them within the context of the Strategic Plan and national best practices (i) Make recommendations about resources based on program evaluation results. OCHP provides an infrastructure for the System to organize and promote existing and new community health activities. The office, whose leadership reports to the Community Health Committee, organizes, implements, and reports activities that promote this goal. The scope of OCHP encompasses programs and partnerships that: (1) Facilitate access to primary and specialty care, (2) Educate the public and professionals about health and mental health issues, (3) Promote prevention and screening for common conditions, (4) Reach out to special and vulnerable populations, and (5) Advocate for public policies that support healthier communities. North Shore-LIJ is an integrated health care delivery system which includes 15 hospitals, two long-term care facilities, a world renowned children's medical center, a hospice network, a major research center and many other related entities. With a service area of 7 million persons, encompassing the New York metropolitan, the System has become the nation's second-largest nonprofit, secular health care system and one of the largest clinically integrated health care networks in the country. The System's 15 hospitals contain more than 5,600 beds and include five tertiary, two specialty and eight community hospitals as well as affiliated and clinical relationships with a number of area hospitals. The System's five major tertiary teaching hospitals include North Shore University Hospital (NSUH) in Manhasset (804 beds), Staten Island University Hospital's North Campus on Staten Island (SIUH) (714 beds), Lenox Hill Hospital in Manhattan (652 beds), Southside Hospital in Suffolk (341 beds), and Long Island Jewish Medical Center (LIJMC) in New Hyde Park (888 beds). The LIJMC campus is also home to two free-standing specialty hospitals: Steven and Alexandra Cohen Children's Medical Center (488 beds), and The Zucker Hillside Hospital (236 beds), a psychiatric hospital. As a market share leader, the System, headquartered in Great Neck, New York, provided the following continuum of services in 2011: 283,700 inpatient discharges; 133,400 ambulatory care surgeries; 25,600 deliveries; 640,000 emergency department visits (including emergency admits); and 503,600 home health visits. The System has more than 9,430 physicians and 10,000 nurses, and has a total workforce of more than 43,000 employees. It is the largest employer on Long Island and the third-largest private employer in New York City. Additionally, it has the nation's sixth-largest physician group practice with more than 2,400 full-time physicians in the North Shore-LIJ Medical Group. Clinical programs that are currently coordinated across the health system include: Behavioral Health, Cancer Services, Cardiovascular Services, Children's Health Services, Home Care, Hospice, Rehabilitation, Skilled Nursing, Diagnostic Imaging Services, Emergency Services, Laboratory Services, Physical Medicine and Rehabilitation, Radiation Oncology, Research, Neurosciences, Orthopedics, Urology, and Women's Health Services. North Shore-LIJ is currently expanding centers of excellence system-wide in neurosciences, women's health and orthopedics. North Shore-LIJ has established a free-standing research institute, The Feinstein Institute for Medical Research ("the Institute'), which is comprised of more than 1,500 scientists who work in their laboratories on clinical reasarch programs and closely with clinicians and patients throughout the health system. The Institute ranks in the top 5 percent of all research institutions that receive NIH support and is also chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. Hofstra University and North Shore-LIJ entered into a joint academic partnership to develop an allopathic medical school, known as the Hofstra North Shore-LIJ School of Medicine which is the first new allopathic medical school in the New York metropolitan area in more than 35 years. The academic partnership enhanced recruitment of faculty, leadership, and researchers; furthered the expansions of residencies and fellowships; increased North Shore-LIJ's competitiveness for grants and referrals for patient care; and enhanced integration of clinical and translational science. Hofstra North Shore-LIJ School of Medicine welcomed its inaugural class of 40 students in the summer of 2011. The System's hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 115 accredited graduate medical education (GME) programs and trains more than 1,500 medical residents and fellows annually. The hospitals and facilities collectively serve as teaching sites for more than 1,200 rotations for medical students from five medical schools. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | SCHEDULE H, PART VI; QUESTION 7 | New York. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J DOWLING | |||||||||||||
| 0 | 1173096 | 0 | 1328520 | 0 | 19605 | 0 | 721638 | 0 | 21175 | 0 | 3264034 | 0 | 0 |
| ANTHONY C FERRERI | |||||||||||||
| 107373 | 773357 | 0 | 140660 | 11895 | 7857 | 10821 | 262514 | 2707 | 15100 | 132796 | 1199488 | 0 | 0 |
| KEVIN F LAWLOR | |||||||||||||
| 0 | 597817 | 0 | 119000 | 0 | 27990 | 0 | 296193 | 0 | 17251 | 0 | 1058251 | 0 | 0 |
| RALPH A NAPPI | |||||||||||||
| 0 | 649111 | 0 | 100000 | 0 | 25707 | 0 | 515655 | 0 | 18925 | 0 | 1309398 | 0 | 0 |
| ARTHUR J FRIED ESQ | |||||||||||||
| 0 | 225429 | 0 | 25863 | 0 | 24754 | 0 | 26950 | 0 | 17750 | 0 | 320746 | 0 | 0 |
| KEITH C THOMPSON | |||||||||||||
| 0 | 697420 | 0 | 130000 | 0 | 29383 | 0 | 340418 | 0 | 15597 | 0 | 1212818 | 0 | 0 |
| HARRY E GINDI | |||||||||||||
| 0 | 272365 | 0 | 28591 | 0 | 3383 | 0 | 26950 | 0 | 15100 | 0 | 346389 | 0 | 0 |
| ROBERT S SHAPIRO | |||||||||||||
| 0 | 869950 | 0 | 155520 | 0 | 21870 | 0 | 244560 | 0 | 18220 | 0 | 1310120 | 0 | 0 |
| THOMAS RECA | |||||||||||||
| 486112 | 0 | 32233 | 0 | 1188 | 100000 | 26460 | 0 | 12696 | 0 | 558689 | 100000 | 0 | 0 |
| MARK P JARRETT MD | |||||||||||||
| 470712 | 0 | 31517 | 0 | 1188 | 0 | 24500 | 0 | 11480 | 0 | 539397 | 0 | 0 | 0 |
| DONNA PROSKE | |||||||||||||
| 505215 | 0 | 31294 | 0 | 1188 | 0 | 26460 | 0 | 13248 | 0 | 577405 | 0 | 0 | 0 |
| NICHOLAS CARUSELLE | |||||||||||||
| 379912 | 0 | 25731 | 0 | 774 | 0 | 16688 | 0 | 0 | 0 | 423105 | 0 | 0 | 0 |
| GREGORY RADINSKY | |||||||||||||
| 0 | 251571 | 0 | 26980 | 0 | 16770 | 0 | 26950 | 0 | 14700 | 0 | 336971 | 0 | 0 |
| JOSEPH T MCGINN MD | |||||||||||||
| 1496444 | 0 | 0 | 0 | 774 | 0 | 14700 | 0 | 18101 | 0 | 1530019 | 0 | 0 | 0 |
| MICHAEL L COOPER MD | |||||||||||||
| 953623 | 0 | 0 | 0 | 51922 | 0 | 14700 | 0 | 18101 | 0 | 1038346 | 0 | 0 | 0 |
| JONATHON DEITCH MD | |||||||||||||
| 898808 | 0 | 100000 | 0 | 0 | 0 | 0 | 0 | 6106 | 0 | 1004914 | 0 | 0 | 0 |
| CHRISTOPHER DEMAS MD | |||||||||||||
| 797482 | 0 | 95625 | 0 | 0 | 0 | 0 | 0 | 19116 | 0 | 912223 | 0 | 0 | 0 |
| PHILLIP M VIGNERI MD | |||||||||||||
| 745275 | 0 | 125000 | 0 | 0 | 0 | 24500 | 0 | 11140 | 0 | 905915 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | CORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4B | SIX individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J-II, Column C for Michael J. DowlinG, $694,688; ANTHONY C. FERRERI, $235,564; KEVIN F. LAWLOR, $273,978; Ralph A. Nappi, $488,705; KEITH C. THOMPSON, $313,468 AND ROBERT S. SHAPIRO, $217,610. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 5A | PURSUANT TO THE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A, THERE IS NO CONTRACTUAL OBLIGATION TO PAY OR ACCRUE ANY COMPENSATION TO OFFICERS OF THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM BASED ON THE REVENUE OF THE ORGANIZATION. A LISTED PERSON(S) THAT MAY QUALIFY UNDER THIS CONDITION COULD BE ONE OR MORE OF THE PHYSICIANS LISTED AS A HIGHLY COMPENSATED EMPLOYEE. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 7 | ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| DORMITORY AUTHORITY - STATE OF NEW YORK | ||||||
| 146000293 | 2006-11-09 | 7750186 | LEASE OF EQUIPMENT | false | false | false |
| DORMITORY AUTHORITY - STATE OF NEW YORK | ||||||
| 126000293 | 2009-08-19 | 4744692 | LEASE OF EQUIPMENT | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6429115 | 0 | 8074242 | 0 | 0 | 0 | 40524 | 0 | 0 | 8033718 | 0 | 0 | 2009 | false | false | true | true |
| 422979 | 0 | 4744692 | 0 | 0 | 0 | 83250 | 0 | 0 | 4661442 | 0 | 0 | 2010 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | true |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TONI A SPINELLA | |||
| DAUGHTER OF OFFICER | 44195 | EMPLOYEE | false |
| TARA MAZZUCCO | |||
| DAUGHTER OF TRUSTEE | 38983 | EMPLOYEE | false |
| SCARAN OIL | |||
| COMPANY/FAMILY OF TRUSTEE | 403711 | OIL/UTILITY PRODUCT | false |
| JAMES R WELLER | |||
| SON OF OFFICER | 42115 | EMPLOYEE | false |
| DONNA FERRERI | |||
| FAMILY MEMBER of officer | 44299 | EMPLOYEE | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | FRANK W. SCARANGELLO, SR. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, SCARAN OIL, DURING 2011. TOTAL FEES PAID TO SCARAN OIL WERE $403,711. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (176 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| BUSINESS AND FAMILY RELATIONSHIPS | CORE FORM, PART VI, SECTION A; QUESTION 2 | FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== ALL TRANSACTIONS WITH NORTH SHORE-LIJ HEALTH SYSTEM ENTITIES ARE AS FOLLOWS: (1) NEGOTIATED AT ARM'S LENGTH; (2) ALL PURCHASES ARE AT FAIR MARKET VALUE; AND (3) ALL PRODUCTS OR SERVICES ARE RENDERED ON AN "AS NEEDED" BASIS. William Achenbaum ----------------- has a business relationship with Eric and Roger Blumencranz. John Alexander -------------- has a business relationship with John Shall and Stanley Applebaum. Philip Altheim -------------- has a business relationship with Eric Blumencranz. Stanley Applebaum ----------------- has a business relationship with John Alexander and John Shall. Michael Ashner -------------- has a business relationship with William Mack. Eric Blumencranz ---------------- has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Richard Guarasci, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Seth Kupferberg, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese and Michael Slade. Roger Blumencranz ----------------- has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Donald Zucker, Barbara Zucker. David Blumenfeld ---------------- has a family relationship with Edward Blumenfeld. Edward Blumenfeld ----------------- has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun ----------- has a family relationship with Richard Sims. Alan Chopp ---------- has a business relationship with Patrick Mc Dermott. Mark Claster ------------ has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz and Barry Rubenstein. Philippe Dauman --------------- has a business relationship with Michael Hoffman. Daniel de Roulet --------------- has a family relationship with Lorinda de Roulet. Lorinda de Roulet ---------------- has a family relationship with Daniel de Roulet. Leonard Feinstein ----------------- has a business relationship with William Mack. Anthony Ferreri --------------- has a family and business relationship with John Shall. Lloyd Goldman ------------- has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. RICHARD D. GOLDSTEIN -------------------- has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack, and Barry Rubenstein. Joaquin Gonzalez ---------------- has a business relationship with John Shall. Alan I. Greene -------------- has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene --------------- has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. Stanley Grey ------------ has a business relationship with Roger Blumencranz. Richard Guarasci ---------------- has a business relationship with Eric Blumencranz. Paul Guenther ------------- has a business relationship with Michael Hoffman. MARLENE HESS ------------ HAS A BUSINESS RELATIONSHIP WITH michael hoffman. William Hiltz ------------- has a business relationship with Michael Hoffman. Michael Hoffman --------------- has a business relationship with Phillipe Dauman, Paul Guenther, Marlene Hess, William Hiltz and Richard Nye. Richard Horowitz ---------------- has a business relationship with Eric and Roger Blumencranz. Jeffrey Jurick -------------- has a family relationship with Lyn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lyn Jurick ----------- has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. David Katz ---------- has a family relationship with Saul Katz and Michael Katz. Michael Katz ------------ has a family relationship with Saul Katz and David Katz. He has a business relationship with Saul Katz, Curt Launer and Michael Slade. Saul Katz --------- has a family relationship with Michael Katz and David Katz. He has a business relationship with Mark Claster, Michael Katz, Curt Launer and Michael Slade. Seth Kupferberg --------------- has a business relationship with Eric Blumencranz. Jeffrey Lane ------------ has a business relationship with William Mack. Curt Launer ----------- has a business relationship with Michael Katz and Saul Katz. David Lehr ---------- has a business relationship with Ronald Mazzucco. Arthur Levine ------------- has a business relationship with Eric Blumencranz. Stuart Levine ------------- has a business relationship with Eric and Roger Blumencranz. David MACK ---------- has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack ------------ has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Scott Rudolph, Richard Goldstein and Roy Zuckerberg. Bradley Marsh ------------- has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. Ronald Mazzucco --------------- has a business relationship with David Lehr. F.J. McCarthy ------------- has a business relationship with Robert Rosenthal. Patrick McDermott ----------------- has a business relationship with Alan Chopp and John Shall. Charles Merinoff ---------------- has a business relationship with Eric and Roger Blumencranz. Ralph Nappi ----------- has a business relationship with Eric Blumencranz. Richard Nye ----------- has a busienss relationship with Michael Hoffman. Dennis Riese ------------ has a business relationship with Eric Blumencranz. Robert Rosenthal ---------------- has a business relationship with Mark Claster and F.J. McCarthy. Dr Bernard Rosof ---------------- has a business relationship with Huntington Hospital Trustees. Jack Ross --------- has a family relationship with Bradley Marsh. Barry Rubenstein ---------------- has a business relationship with Saul Katz, Richard Goldstein, William Mack and Mark Claster. Scott Rudolph ------------- has a business relationship with William Mack. John Shall ---------- has a family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims ------------ has a family relationship with Steve Braun. Michael Slade ------------- has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Barbara Hrbek Zucker -------------------- has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker ------------- has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. Roy Zuckerberg -------------- has a business relationship with William Mack. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTION 4 | The By-Law changes makes the corporation a member of an obligated group for financing purposes, with other member-hospitals of the North Shore-Long Island Jewish Health System. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTION 7 | North Shore-Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore - long Island Jewish Health System, an integrated healthcare delivery system. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION b; QUESTION 11b | All North Shore-LONG ISLAND JEWISH Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal). Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filed out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE BY-LAWS OF THE HEALTH SYSTEM CREATE A COMMITTEE OF THE BOARD WITH FULL POWERS OF THE BOARD TO REVIEW AND APPROVE THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE CONSISTS OF APPROXIMATELY 6 TRUSTEES WHO HAVE NO CONNECTION TO THE SYSTEM EXCEPT AS TRUSTEES AND THEY HAVE NO CONFLICTS AS TO MATTERS THEY CONSIDER. THE COMMITTEE MEETS SEVERAL TIMES A YEAR AS NEEDED BUT ALWAYS MEETS IN NOVEMBER/DECEMBER TO REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE FOLLOWING YEAR. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. FOR PURPOSES OF THE REVIEW EACH YEAR THE COMMITTEE RECEIVES INFORMATION FROM AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT AS TO COMPENSATION FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS AND MAKES ITS DECISIONS ON THIS BASIS, WITH THE OVERALL OBJECTIVE OF PAYING BASE SALARY AT THE 50TH PERCENTILE. ANY CONTRACTS OR OTHER COMPENSATION FOR OFFICERS OR KEY EMPLOYEES ARE SEPARATELY CONSIDERED AND NORMALLY ONLY APPROVED AFTER RECEIPT OF A "FAIRNESS OPINION" FROM THE INDEPENDENT CONSULTANT. ALL THE WORK AND PROCESS OF THE COMMITTEE IS STRUCTURED TO FALL WITHIN THE APPLICABLE SAFE HARBOR REGULATIONS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| RELATED HOURS INFORMATION | CORE FORM, PART VII, SECTION A | This organization is affiliated with the North Shore - Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. |
| RECONCILIATION OF NET ASSETS | CORE FORM, PART XI; QUESTION 5 | OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND OTHER POSTRETIREMENT LIABILITY ADJUSTMENTS - ($33,398) - CHANGE IN NET UNREALIZED GAINS/(LOSSES) AND CHANGE IN VALUE ON EQUITY METHOD INVESTMENTS - $1,710,848 - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - ($1,091,789) - MEDICAL RESIDENT TAX RECOVERY - $1,305,546 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $1,912,222 - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $1,064,965 - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $150,542 - DEFEASEMENT OF LONG-TERM DEBT - ($3,070,067) |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTHCARE SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN - TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN ALEXANDER TITLE:TREASURER - TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD S ABRAMSON TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM ACHENBAUM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:IRA I ALTFEDER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHILIP S ALTHEIM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STANLEY A APPLEBAUM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL L ASHNER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BEVERLY BANKER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RALPH M BARUCH TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MORTON M BASS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK J BESIGNANO TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ELISE M BLOOM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ERIC S BLUMENCRANZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROGER A BLUMENCRANZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID BLUMENFELD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:EDWARD BLUMENFELD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:E STEVE BRAUN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAYTON T BROWN JR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALLEN E BUSCHING TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JONATHAN S CANNO TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL CARIDI TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:REVEREND DEMETRIUS S CAROLINA SR TITLE:TRUSTE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RUDOLPH C CARRYL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT W CHASANOFF TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALAN CHOPP TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK CLASTER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DIANA F COLGATE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DANIEL M CROWN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHILIPPE P DAUMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DANIEL C DE ROULET TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LORINDA DE ROULET TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS E DEWEY JR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS E DOOLEY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL J DOWLING TITLE:TRUSTEE HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT N DOWNEY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MELVIN DUBIN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PATRICK R EDWARDS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TONI J ELLIOTT TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL A EPSTEIN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEONARD FEINSTEIN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL E FELDMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ARLENE LANE FISHER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CATHERINE C FOSTER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM H FRAZIER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:EUGENE B FRIEDMAN MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SY GARFINKEL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LLOYD MICHAEL GOLDMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J JOAQUIN GONZALEZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL GOULD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALBERT L GRANGER DDS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALAN I GREENE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES R GREENE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STANLEY GREY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD GUARASCI PHD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAUL B GUENTHER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HENRY L HACKMANN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:AMY M HAGEDORN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN L HAMMERMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:IRA HAZAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LINDA W HEANEY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARLENE HESS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM O HILTZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL HOFFMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GEDALE B HOROWITZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD A HOROWITZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:M ALLAN HYMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK JACOBSON TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY JURICK TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LYN JURICK TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ARTHUR KALISH TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEVEN L KANTOR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID M KATZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL KATZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SAUL B KATZ TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LISA A KAUFMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT KAUFMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CARY KRAVET TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STANLEY KREITMAN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SETH KUPFERBERG TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY B LANE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CURT N LAUNER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAURA LAURIA TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEVIN F LAWLOR TITLE:TRUSTEE HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL S LEEDS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID W LEHR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JONATHAN W LEIGH TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SYLVIA LESTER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ARTHUR S LEVINE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STUART R LEVINE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SETH LIPSAY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID S MACK TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM L MACK TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD S MAIER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LINDA MANFREDI TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES S MARCUS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRADLEY MARSH DPM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY S MAURER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RONALD J MAZZUCCO TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:F J MCCARTHY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PATRICK F MCDERMOTT TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHERINE MCENROE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES MCMULLEN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES MERINOFF TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:AIMEE MERSZEI TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD D MONTI TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TOMAS D MORALES PHD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD MURCOTT TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RALPH A NAPPI TITLE:TRUSTEE HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD B NYE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CLYDE I PAYNE ED D TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ARNOLD S PENNER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN J RAGGIO TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEWIS S RANIERI TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAY R RAUBVOGEL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:COREY RIBOTSKY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DENNIS RIESE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TERRY P RIFKIN MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT A ROSEN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARCIE ROSENBERG TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT D ROSENTHAL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BERNARD M ROSOF MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JACK J ROSS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARRY RUBENSTEIN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HERBERT RUBIN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SCOTT RUDOLPH TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL H SAHN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK W SCARANGELLO SR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NORMAN SCHLANGER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LOIS C SCHLISSSEL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN M SHALL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT F SHAPIRO TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARC V SHAW TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SEAN G SIMON TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD SIMS TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL C SLADE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHYLLIS HILL SLATER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD D STAVE TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RUSSELL STERN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MAGANLAL SUTARIA MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN B THOMSON JR TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PETER TILLES TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SANDRA TYTEL TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NANCY WALDBAUM TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY WALTER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD WEINGROW TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEWIS M WESTON TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JON A WURTZBURGER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARBARA HRBEK ZUCKER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONALD ZUCKER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROY J ZUCKERBERG TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ARTHUR J FRIED ESQ TITLE:SECRETARY HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEITH C THOMPSON TITLE:ASSISTANT SECRETARY HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HARRY E GINDI TITLE:ASSISTANT TREASURER HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT S SHAPIRO TITLE:SVP/CFO NS-LIJ HEALTH SYSTEM HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS RECA TITLE:CHIEF FINANCIAL OFFICER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK P JARRETT MD TITLE:CHIEF MEDICAL OFFICER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONNA PROSKE TITLE:EVP - CHIEF NURSING EXECUTIVE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NICHOLAS CARUSELLE TITLE:EXECUTIVE VICE PRESIDENT HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GREGORY RADINSKY TITLE:CHIEF COMPLIANCE OFFICER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSEPH T MCGINN MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL L COOPER MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JONATHON DEITCH MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRISTOPHER DEMAS MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHILLIP M VIGNERI MD TITLE:PHYSICIAN HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASTLETON AVENUE ASSOCIATES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133943199 | EIN |
| Primary Activities | INACTIVE | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIUH | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHAPS Community Health Center Inc | ||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 113345477 | Inactive | NY | 501(C)(3) | 9 | SIUH | true |
| Feinstein Institute for Medical Research | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112673595 | Research | NY | 501(C)(3) | 4 | NS-LIJ HS | false |
| Forest Hills Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112163522 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Franklin Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112296824 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Glen Cove Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111633487 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Hillside Hospital Houses Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112113949 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| Hospice Care Network | ||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 112925757 | Hospice | NY | 501(C)(3) | 9 | NS-LIJ HS | false |
| Huntington Hospital | ||||||||||
| 270 Park Avenue | Huntington | NY | 11743 | 111630914 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| Huntington Hosp Dolan Family Health Ctr | ||||||||||
| 284 Pulaski Rd | Greenlawn | NY | 11740 | 113368503 | HealthCare | NY | 501(C)(3) | 3 | Huntington | false |
| LIJ Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112661239 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| Long Island Jewish Medical Center | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112241326 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LIJ Medical Center at Home Pharmacy | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113251128 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore Community Services Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237273200 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| North Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111562701 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| NS Univ Hospital at Glen Cove Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237010468 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| North Shore University Hospital Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112171903 | Housing Comp | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| NS Univ Hospital Stern Family CECR | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237007485 | Nursing Home | NY | 501(C)(3) | 9 | NS-LIJ HC | false |
| North Shore-LIJ Health Care Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965586 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore-LIJ Health System | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113418133 | support org | NY | 501(C)(3) | 11, TYPE I | NA | false |
| North Shore-LIJ Health System Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965575 | Fundraising | NY | 501(C)(3) | 7 | NS-LIJ HS | false |
| North Shore-LIJ Health Sys Laboratories | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113412370 | Support Org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| North Shore-LIJ Medical Care Centers | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113473923 | support org | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| Plainview Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113241243 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| SIUH Systems Inc | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 061074604 | Fundraising | NY | 501(C)(3) | 7 | NS-LIJ HC | false |
| Southside Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111667761 | HealthCare | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| SSH Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112774102 | support org | NY | 501(C)(3) | 11, TYPE I | SOUTHSIDE | false |
| Staten Island Univ Hospital Foundation | ||||||||||
| 360 Seaview Avenue | Staten Island | NY | 10305 | 870765787 | Fundraising | NY | 501(C)(3) | 7 | SIUH | true |
| THE HEART INSTITUTE | ||||||||||
| 475 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | 311757254 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE I | NA | false |
| PHYSICIANS OF UNIVERSITY HOSPITAL PC | ||||||||||
| 1 EDGEWATER PLAZA 6th floor | STATEN ISLAND | NY | 10305 | 200096809 | HEALTHCARE | NY | 501(C)(3) | 11, TYPE I | SIUH | true |
| LENOX HILL HOSPITAL | ||||||||||
| 100 EAST 77 STREET | NEW YORK | NY | 10021 | 131624070 | HEALTHCARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LHH CORPORATION | ||||||||||
| 100 EAST 77TH STREET | NEW YORK | NY | 10021 | 133272016 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE I | NS-LIJ HS | false |
| THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113284934 | GRADUATE SCH | NY | 501(C)(3) | 2 | NS-LIJ HS | false |
| SPORTS PHYSICAL THERAPY AND REHAB SVCS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061655704 | HEALTHCARE | NY | 501(C)(3) | 9 | LIJ | false |
| NORTH SHORE - LIJ ALLIANCE | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263727582 | HEALTHCARE | NY | 501(C)(3) | 3 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| KRASNOFF CONS SVCS | ||||||||||
| 972 Brush Hollow ROAD | WESTBURY | NY | 10305 | 262838027 | CONSULTING | NY | CARE MGT GROUP | N/A | false | false |
| POPULATION HLTH MGT | ||||||||||
| 972 BRUSH HOLLOW | WESTBURY | NY | 11590 | 452409051 | ACO | NY | NS-LIJ HC | RELATED | false | false |
| LONG ISL BEHAV HLTH | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | NS-LIJ HC | REALTED | false | false |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Activity Works LLC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 264708923 | Medical ServiCES | NY | LIJ | C CORPORATION | |||||||||
| Adv Heart Phys & Surgeons Network PC | |||||||||||||||||
| 130 East 77th St 4th Floor | New York | NY | 10021 | 133853125 | Medical ServiCES | NY | LENOX HILL | S CORPORATION | |||||||||
| Adv Imag & Rad of Lenox Hill Hosp PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 200719612 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Aletta Corporation | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112622371 | Physician SVCS | NY | SOUTHSIDE | C CORPORATION | |||||||||
| Autoimmune Research Therapeutics | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 270701489 | Inactive | NY | RESEARCH | C CORPORATION | |||||||||
| Care Management Group of Greater NY | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113336381 | Business ServICES | NY | NSH ENTERPRISES | C CORPORATION | |||||||||
| Emergency Med Svcs of Staten Island PC | |||||||||||||||||
| 1 Edgewater Plaza 6th floor | Staten Island | NY | 10305 | 134200899 | Medical ServiCES | NY | SIUH | C CORPORATION | 3050673 | 11277 | 1.00000 | ||||||
| Goethals Radiology PC | |||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 200010287 | Radiology SVCS | NY | SIUH | C CORPORATION | 702069 | 19597 | 1.00000 | ||||||
| Lenox Hill Cardiology Associates PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133385163 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Lenox Hill Int Card & Vasc Svcs PC | |||||||||||||||||
| 130 East 77th St 9th floor | New York | NY | 10021 | 201435770 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Lenox Hill Pathology PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133644370 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Lenox Hill Phy Hospital Org Inc | |||||||||||||||||
| 122 East 76th St suite 3-a | New York | NY | 100212834 | 133775996 | Managed Care | NY | LENOX HILL | C CORPORATION | |||||||||
| Lenox otolaryngology head & neck | |||||||||||||||||
| 186 East 76th St 2nd floor | New York | NY | 10021 | 208784395 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Long Island Medical Care PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113217006 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| Manhattan Min Inv and Bar Surgery PC | |||||||||||||||||
| 186 East 76th St 1st Floor | New York | NY | 10021 | 200250107 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| North Shore Health Enterprises | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 061605319 | Holding Comp | NY | NSHS ENTERPRISE | C CORPORATION | |||||||||
| NS Health System Enterprises | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113316922 | Holding Comp | NY | NS-LIJ HS | C CORPORATION | |||||||||
| NS IPA 5 Inc | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113383468 | Business ServICES | NY | NS-LIJ HC | C CORPORATION | |||||||||
| NS Radiology at Glen Cove PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113301179 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ Health System IPA #1 | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533659 | Health Care | NY | LIJ | C CORPORATION | |||||||||
| NS-LIJ Health System IPA #2 | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533670 | Health Care | NY | LIJ | C CORPORATION | |||||||||
| NS-LIJ Health System IPA #3 | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533678 | Health Care | NY | LIJ | C CORPORATION | |||||||||
| NS-LIJ Health System IPA #4 | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533677 | Health Care | NY | LIJ | C CORPORATION | |||||||||
| NS-LIJ Health System IPA #5 | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533675 | Health Care | NY | LIJ | C CORPORATION | |||||||||
| NS-LIJ Medical Gr at Huntington PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384049 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ Medical Gr at North Nassau PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384146 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ Medical Gr at Syosset PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 273957752 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ Medical Group PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384249 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ Network Inc | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 320257193 | Support ServiCES | NY | NS-LIJ HS | C CORPORATION | |||||||||
| NS-LIJ Phys Ins Co Risk Ret Gp | |||||||||||||||||
| 100 Bank St | Burlington | VT | 05401 | 261487515 | FINANCIAL VEHICLE | VT | NS-LIJ HC | C CORPORATION | |||||||||
| North Shore-LIJ Physicians Group PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384326 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| North Shore-LIJ Radiology Services PC | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 223970667 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| North Shore-LIJ Service Alliance Inc | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 263651575 | Support ServiCES | NY | NA | C CORPORATION | |||||||||
| Ocean Breeze Home Care Agency | |||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133773601 | Inactive | NY | OVM | C CORPORATION | |||||||||
| Ocean View Management inc | |||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133138888 | Management SvCS | NY | SIUH | C CORPORATION | 204973 | 1107846 | 1.00000 | ||||||
| Palliative Care Medical Services PC | |||||||||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 273957835 | Medical ServiCES | NY | HOSPICE | C CORPORATION | |||||||||
| Park Lenox Emergency Medicine PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 262661082 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Park Lenox Medical PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133575380 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Park Lenox OBGYN PC | |||||||||||||||||
| 130 East 77th St 2nd Floor | New York | NY | 10021 | 133596988 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Park Lenox Orthopedics PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 264634966 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Park Lenox Pediatrics PC | |||||||||||||||||
| 100 East 77th St | New York | NY | 10021 | 133755683 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Park Lenox Surgical PC | |||||||||||||||||
| 130 East 77th St 13th Floor | New York | NY | 10021 | 133397814 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | |||||||||
| Regency Alliance Services Inc | |||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133277698 | Management SvCS | NY | OVM | C CORPORATION | |||||||||
| Regional Insurance Company LTD | |||||||||||||||||
| FINANCIAL VEHICLE | NS-LIJ HC | C CORPORATION | 41 Cedar Ave | Hamilton | BERMUDA | BD | HM 12 | BD | |||||||||
| Regioncare Inc | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113052191 | Homecare | NY | NSHS ENTERPRISE | C CORPORATION | |||||||||
| Staten Island Hospitalists PC | |||||||||||||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 331010283 | Medical ServiCES | NY | SIUH | C CORPORATION | 1034543 | 207565 | 1.00000 | ||||||
| Staten Island Imaging Corp | |||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133615474 | Inactive | NY | OVM | C CORPORATION | |||||||||
| Staten Island Medical Intensivist PC | |||||||||||||||||
| 501 Seaview Ave Suite 102 | Staten Island | NY | 10305 | 043716494 | Medical ServiCES | NY | SIUH | C CORPORATION | 2702836 | 2261 | 1.00000 | ||||||
| Staten Island Neonatology PC | |||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 133375474 | Medical ServiCES | NY | SIUH | C CORPORATION | 340704 | 5242 | 1.00000 | ||||||
| SIUH Perinatology PC | |||||||||||||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 134107082 | Medical ServiCES | NY | SIUH | C CORPORATION | 1.00000 | ||||||||
| United Medical Surgical PC | |||||||||||||||||
| 256 Mason Ave BLDG B 2nd FL | Staten Island | NY | 10305 | 134038780 | Surgical ServICES | NY | SIUH | C CORPORATION | 8990300 | 515509 | 1.00000 | ||||||
| Univ Ph OncHematology Gp PC | |||||||||||||||||
| 500 Seaview Ave | Staten Island | NY | 10305 | 133642729 | Medical ServiCES | NY | SIUH | C CORPORATION | 138947 | 17785 | 1.00000 | ||||||
| Verrazano Radiology Assoc PC | |||||||||||||||||
| 500 Seaview Ave Suite 200 | Staten Island | NY | 10305 | 200011201 | Radiology SVCS | NY | SIUH | C CORPORATION | 10903724 | 3146744 | 1.00000 | ||||||
| Vivohealth Inc | |||||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 264118016 | Inactive | NY | NSH ENTERPRISE | C CORPORATION | |||||||||
| PARK LENOX PSYCHIATRY PC | |||||||||||||||||
| 130 EAST 77TH STREET | NEW YORK | NY | 10021 | 133424466 | Medical ServiCES | NY | LENOX HILL | C CORPoration | |||||||||
| NS-LIJ CARDIOVASCULAR MEDICINE PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078717 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ CARDIOLOGY PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078531 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ HEART SURGERY PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078838 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ INTERNAL MEDICINE PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078361 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ MEDICAL GROUP URGENT MED CARE PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078426 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| LENOX HILL HOSPITAL MEDICAL PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 452661543 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ MEDICAL PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453023019 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| NS-LIJ OCCUPATIONAL MEDICINE PC | |||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 451004103 | Medical ServiCES | NY | NSUH | C CORPORATION | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STATEN ISLAND UNIVERSITY HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 98260 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |