FOREST HILLS HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FOREST HILLS HOSPITAL (EIN 11-2163522)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-12-13
- IRS object ID
- 201233489349300728
- 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 C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-13T12:56:53-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112163522 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOREST HILLS HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | C/O NORTH SHORE-LIJ HEALTH SYSTEM | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % NORTH SHORE-LIJ HEALTH SYSTE | InCareOfName |
| Name Control | FORE | NameControl |
| Phone | 5168766061 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW ROAD 5TH FLOOR | AddressLine1 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT S SHAPIRO | Name |
| Title | EXEC VP & CFO | Title |
| Date Signed | 2012-12-12 | DateSigned |
| 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 | MICHAEL J DOWLING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 COMMUNITY DRIVE | AddressLine1 |
| City | GREAT NECK | City |
| State | NY | State |
| ZIP Code | 11021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 224315432 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nslij.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Forest Hills strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 152 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 144 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1457 | TotalNbrEmployees |
| Total Nbr Volunteers | 70 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3271501 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 202575089 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 216257281 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 110043 | InvestmentIncomePriorYear |
| Investment Income Current Year | 160815 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 944195 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7211542 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 206900828 | TotalRevenuePriorYear |
| Total Revenue Current Year | 223629638 | 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 | 120141125 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 130280375 | 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 | 71565937 | OtherExpensePriorYear |
| Other Expenses Current Year | 80401889 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 191707062 | TotalExpensesPriorYear |
| Total Expenses Current Year | 210682264 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15193766 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12947374 | RevenuesLessExpensesCY |
| Total Assets BOY | 79477997 | TotalAssetsBOY |
| Total Assets EOY | 101725855 | TotalAssetsEOY |
| Total Liabilities BOY | 128425394 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 137830570 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -48947397 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -36104715 | NetAssetsOrFundBalancesEOY |
| Mission Description | FOREST HILLS HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 169221855 | Expense |
| Revenue | 203424228 | Revenue |
| Description | Forest Hills Hospital is a 312-bed community hospital that provides inpatient medical and surgical care, intensive care, and obstetrics and gynecology services. It provides a broad range of maternal and new born health services, which include designation as a Level II Perinatal Center. The Emergency Department is a 911 receiving site and a certified heart station. In 2011, the hospital had 16,751 inpatient discharges, including the delivery of 2,338 babies, provided 46,545 Emergency Department visits, and performed 4,514 ambulatory surgeries, including endoscopies. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12466737 | Expense |
| Revenue | 12833053 | Revenue |
| Description | The Physician and Ambulatory Network Services (formerly Faculty Practice Plan) strive to make a measurable difference in the health status of communities it serves by providing a complete and comprehensive practice management infrastructure that enables the enterprise to achieve the financial status necessary to meet patient, physician and Health System needs. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 573666 | Expense |
| Revenue | 0 | Revenue |
| Description | North Shore-LIJ Health System Specialty Medical Center at Forest Hills provides access to a variety of physicians in a wide range of specialties all at one convenient location. This unique facility continues the System's commitment to providing first-class healthcare that is close to home for all Queens residents. At this facility, patients have easy access to specialists who are available for consultations and diagnoses and access to treatment options specific to patient's needs. needs | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 182262258 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1457 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | EI | NameOfForeignCountry |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| 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 | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NORTH SHORE-LIJ HEALTH SYSTE | NamePerson |
| Telephone Number | 5168766061 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW ROAD | AddressLine1 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (27 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 |
|---|---|---|---|---|---|---|---|---|
| MICHAEL DOWLING | ||||||||
| PRESIDENT & CEO | 50.0 | X | X | 0 | 2521221 | 742813 | ||
| RICHARD D GOLDSTEIN | ||||||||
| CHAIRMAN | 3.0 | X | X | 0 | 0 | 0 | ||
| WILLIAM L MACK | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| BARRY RUBENSTEIN | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| ALAN I GREENE | ||||||||
| TREASURER | 2.0 | X | X | 0 | 0 | 0 | ||
| DONALD ZUCKER | ||||||||
| SECRETARY | 2.0 | X | X | 0 | 0 | 0 | ||
| MARK CLASTER | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| RALPH NAPPI | ||||||||
| PRESIDENT, FOUNDATIONS | 50.0 | X | 0 | 774818 | 534580 | |||
| NON-COMPENSATED TRUSTEES | ||||||||
| SEE SCHEDULE 0 | 2.0 | X | 0 | 0 | 0 | |||
| ANTHONY C FERRERI | ||||||||
| PRES/CEO SIUH | 50.0 | X | 0 | 1041142 | 291142 | |||
| KEVIN F LAWLOR | ||||||||
| PRES/CEO HUNT. HOSP. | 50.0 | X | 0 | 744807 | 313444 | |||
| HOWARD GOLD | ||||||||
| SVP, REVENUE & BUSINESS DEV | 50.0 | X | 0 | 1039768 | 351634 | |||
| MARK J SOLAZZO | ||||||||
| EVP & CHIEF OPERATING OFFICER | 50.0 | X | 0 | 1312802 | 138838 | |||
| ROBERT S SHAPIRO | ||||||||
| SR VP, CHIEF FINANCIAL OFFICER | 50.0 | X | 0 | 1047340 | 262780 | |||
| LAWRENCE G SMITH | ||||||||
| EVP/PHYSICIAN-IN-CHIEF | 50.0 | X | 0 | 774723 | 43937 | |||
| KEITH THOMPSON | ||||||||
| SR VP & GENERAL COUNSEL | 50.0 | X | 0 | 856803 | 356015 | |||
| JEFFREY KRAUT | ||||||||
| SVP, PLANNING | 50.0 | X | 0 | 767349 | 221731 | |||
| KATHLEEN GALLO RN PHD | ||||||||
| CHIEF LEARNING OFFICER | 50.0 | X | 0 | 712494 | 347598 | |||
| EUGENE TANGNEY | ||||||||
| REGIONAL EXECUTIVE DIRECTOR | 50.0 | X | 0 | 705151 | 93957 | |||
| HARRY GINDI | ||||||||
| VP, LEGAL AFFAIRS | 50.0 | X | 0 | 304339 | 42050 | |||
| GERALYN RANDAZZO | ||||||||
| EXECUTIVE DIRECTOR | 50.0 | 497318 | 0 | 148109 | X | |||
| DEBORAH TASCONE | ||||||||
| REGIONAL EXECUTIVE DIRECTOR | 50.0 | 0 | 924646 | 285841 | X | |||
| GERARD BROGAN | ||||||||
| MEDICAL DIRECTOR | 50.0 | 581278 | 0 | 41042 | X | |||
| MOISES TENEMBAUM | ||||||||
| DIR, SURGERY | 50.0 | 914849 | 0 | 34700 | X | |||
| MICHAEL DREW | ||||||||
| DIR, AMB SVC & RESIDENCY TRNG | 50.0 | 505294 | 0 | 34700 | X | |||
| CHARLES CONTE | ||||||||
| CHAIR, SURGERY | 50.0 | 887020 | 0 | 42050 | X | |||
| ALEK KHAIMOV | ||||||||
| PHYSICIAN | 50.0 | 381693 | 0 | 34700 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3767452 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 13527403 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 4361661 | TotalOtherCompensation |
| Number Individuals GT100 K | 241 | 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 |
|---|---|---|---|---|---|
| GE HEALTHCARE | |||||
| 80 E SEAVIEW BLVD | PORT WASHINGTON | NY | 11050 | SERVICE CONTRACTOR | 1669803 |
| OCEANSIDE INSTITUTIONAL INDUSTRIES | |||||
| 2525 LONG BEACH ROAD | OCEANSIDE | NY | 11572 | LAUNDRY SERVICES | 921526 |
| RAVECO PC | |||||
| 54 SANDY HILL ROAD | OYSTER BAY COVE | NY | 11771 | MEDICAL SERVICES | 669680 |
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 303844674 | NURSING FEES | 467970 |
| S AND D MEDICAL LLP | |||||
| 52 MAIN STREET | BEDFORD HILLS | NY | 10507 | MEDICAL SERVICES | 403616 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | 134535184 | 134535184 |
| PHYSICIAN PRACTICE REVENUE | 621300 | 13207832 | 13207832 |
| MEDICARE/MEDICAID PAYMENTS | 621300 | 68514265 | 68514265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 216257281 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 91136 | TotalRevenueColumn |
| Exclusion | $91,136 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41398 | TotalRevenueColumn |
| Exclusion | $41,398 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 714075 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 685794 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 28281 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28281 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 900099 | 643210 | $643,210 | |
| RESIDENCY ROTATION | 900099 | 180482 | 180482 | |
| TELEPHONE | 900099 | 36000 | $36,000 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6351850 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6348922 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,928 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7211542 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 223629638 | TotalRevenueColumn |
| Related Or Exempt Function Income | 222786685 | RelatedOrExemptFunctionIncome |
| Exclusion | $814,672 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
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 | 497318 | Total |
| Program Services | 497318 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97701880 | Total |
| Program Services | 88769701 | ProgramServices |
| Management And General | 8932179 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6803290 | Total |
| Program Services | 6181314 | ProgramServices |
| Management And General | 621976 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18958536 | Total |
| Program Services | 17225294 | ProgramServices |
| Management And General | 1733242 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6319351 | Total |
| Program Services | 5741618 | ProgramServices |
| Management And General | 577733 | 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 | 7058 | Total |
| Management And General | 7058 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3910249 | Total |
| Program Services | 3552763 | ProgramServices |
| Management And General | 357486 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10617 | Total |
| Program Services | 9646 | ProgramServices |
| Management And General | 971 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29441638 | Total |
| Program Services | 26750001 | ProgramServices |
| Management And General | 2691637 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2681781 | Total |
| Program Services | 2436605 | ProgramServices |
| Management And General | 245176 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88294 | Total |
| Program Services | 88294 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256420 | Total |
| Program Services | 256420 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1864138 | Total |
| Management And General | 1864138 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6118943 | Total |
| Program Services | 5559532 | ProgramServices |
| Management And General | 559411 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5739829 | Total |
| Program Services | 5739829 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 5271890 | 5271890 | |
| OTHER PURCHASED SERVICES | 12943739 | 12943739 | |
| CENTRALIZED ADMIN EXP | 10778879 | 10778879 | |
| DUES & SUBSCRIPTIONS | 147608 | 134113 | 13495 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140806 | Total |
| Program Services | 1104181 | ProgramServices |
| Management And General | 36625 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210682264 | Total |
| Program Services | 182262258 | ProgramServices |
| Management And General | 28420006 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109108 | BOY |
| EOY | 35136 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19233143 | BOY |
| EOY | 21977926 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1489433 | BOY |
| EOY | 1428672 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93417 | BOY |
| EOY | 30491 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 101638484 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 53025481 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50892820 | BOY |
| EOY | 48613003 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3561674 | BOY |
| EOY | 3554876 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4098402 | BOY |
| EOY | 26085751 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79477997 | BOY |
| EOY | 101725855 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23923277 | BOY |
| EOY | 24917922 | 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 | 33933562 | BOY |
| EOY | 31452842 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70568555 | BOY |
| EOY | 81459806 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128425394 | BOY |
| EOY | 137830570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -49123957 | BOY |
| EOY | -36281365 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176560 | BOY |
| EOY | 176650 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -48947397 | BOY |
| EOY | -36104715 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79477997 | BOY |
| EOY | 101725855 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12947374 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -104692 | 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 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 | $21,251 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 21251 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1013175 | OtherCostOrOtherBasis |
| Book Value | 1013175 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70710653 | OtherCostOrOtherBasis |
| Depreciation | 36572334 | Depreciation |
| Book Value | 34138319 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28867311 | OtherCostOrOtherBasis |
| Depreciation | 16298796 | Depreciation |
| Book Value | 12568515 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1047346 | OtherCostOrOtherBasis |
| Depreciation | 154351 | Depreciation |
| Book Value | 892995 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 48613004 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND FINANCING | 704837 |
| INTEREST IN FOUNDATION | 176650 |
| OTHER ASSETS | 336097 |
| MALPRACTICE ASSETS | 2742868 |
| INSURANCE CLAIMS RECEIVABLE | 22125299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 26085751 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED PAYABLE TO 3RD PARTY | $12,403,826 |
| DUE TO AFFILIATES | $7,320,973 |
| OTHER LIABILITIES | $21,347,776 |
| MALPRACTICE SELF-INSURANCE | $16,489,000 |
| ACCRUED RETIREMENT BENEFITS | $1,487,337 |
| BOND PREM/DISC | $285,595 |
| INSURANCE CLAIMS LIABILITY | $22,125,299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 81459806 | TotalOfAmounts |
| Total Revenue | 223629638 | TotalRevenue |
| Total Expenses | 210682264 | TotalExpenses |
| Excess Or Deficit For Year | 12947374 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -105680 | NetUnrealizedGLOnInvestments |
| Other | $988 | OtherAmount |
| Total Adjustments | -104692 | TotalAdjustments |
| Excess Or Deficit Per FS | 12842682 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 223524856 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -105680 | NetUnrealizedGainsInvestments |
| Other Revenues | 898 | OtherRevenues |
| Revenue Not Rptd F990 | -104782 | RevenueNotRptdF990 |
| Revenue Subtotal | 223629638 | RevenueSubtotal |
| Total Revenue Per Form990 | 223629638 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 210132321 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 210132321 | ExpensesSubtotal |
| Other Expenses Not Included | 549943 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 549943 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 210682264 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 | PART X, LINE 2 | Certain organizations included in the System's consolidated financial statements are taxable entities under Federal or state laws. Generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2011 and 2010, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. The System has net operating loss carry forwards of approximately $113,555,000, which expire in varying amounts through 2031, and are available to offset future taxable income. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 8 | CHANGE IN EQUITY UNDER FAS 136 90 MEDICAL RESIDENT TAX RECOVERY 898 TOTAL 988 |
| RECONCILIATION OF REVENUE | PART XII, LINE 2D AND LINE 4B | REVENUE ON BOOK NOT ON RETURN MEDICAL RESIDENT TAX RECOVERY 898 |
| OTHER EXPENSE ON RETURN | PART XIII, LINE 4B | ADDITIONAL MINIMUM PENSION LIABILITY 549,943 |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures |
|---|---|---|
| Central America and the Caribbean | Investments | 210048 |
| Europe (Including Iceland and Greenland) | Investments | 209719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 419767 | SubtotalAmountSpent |
| Total Amount Spent | 419767 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 7177 | PersonsServed |
| Total Community Benefit Expense | 5878000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | -679000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6557000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 30681 | PersonsServed |
| Total Community Benefit Expense | 47114217 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41032294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6081924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 37858 | PersonsServed |
| Total Community Benefit Expense | 52992217 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40353294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12638924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 38605 | PersonsServed |
| Total Community Benefit Expense | 565560 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 388 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 565172 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 429 | PersonsServed |
| Total Community Benefit Expense | 8041590 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3119751 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4921839 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02400 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 4 | PersonsServed |
| Total Community Benefit Expense | 55511 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 55511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 48 | NumberOfActivitiesOrPrograms |
| Persons Served | 39038 | PersonsServed |
| Total Community Benefit Expense | 8662661 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3120139 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5542522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02710 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 50 | NumberOfActivitiesOrPrograms |
| Persons Served | 76896 | PersonsServed |
| Total Community Benefit Expense | 61654878 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 43473433 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18181446 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08880 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 23 | PersonsServed |
| Total Community Building Expense | 14723 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14723 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 2 | PersonsServed |
| Total Community Building Expense | 524 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 524 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 15247 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15247 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,464,000 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 61660541 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 49162390 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 12498151 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOREST HILLS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102-01 66TH RD | AddressLine1 |
| City | FOREST HILLS | City |
| State | NY | State |
| ZIP Code | 11375 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOREST HILLS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 500. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOREST HILLS SURGICAL SERVICES | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70-10 AUSTIN STREET | AddressLine1 |
| City | FOREST HILLS | City |
| State | NY | State |
| ZIP Code | 11375 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | OUTPATIENT PHYSICIAN CLINIC | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART VI - SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | 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. Part I, Line 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 Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written-off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method 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. 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. Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. 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. Part III, Line 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. Part III, Line 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. Part V, Section B, line 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. Part V, Section B, line 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. Part V, Section B, line 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. Part V, Section B, line 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 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 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 (20 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 DOWLING | |||||||||||||
| 0 | 1173096 | 0 | 1328000 | 0 | 20125 | 0 | 721638 | 0 | 21175 | 0 | 3264034 | 0 | 0 |
| HOWARD GOLD | |||||||||||||
| 0 | 870612 | 0 | 140520 | 0 | 28636 | 0 | 333605 | 0 | 18029 | 0 | 1391402 | 0 | 0 |
| MARK J SOLAZZO | |||||||||||||
| 0 | 975957 | 0 | 300000 | 0 | 36845 | 0 | 120413 | 0 | 18425 | 0 | 1451640 | 0 | 0 |
| ROBERT S SHAPIRO | |||||||||||||
| 0 | 869950 | 0 | 155520 | 0 | 21870 | 0 | 244560 | 0 | 18220 | 0 | 1310120 | 0 | 0 |
| LAWRENCE G SMITH | |||||||||||||
| 0 | 675150 | 0 | 75780 | 0 | 23793 | 0 | 26950 | 0 | 16987 | 0 | 818660 | 0 | 0 |
| KEITH THOMPSON | |||||||||||||
| 0 | 697420 | 0 | 130000 | 0 | 29383 | 0 | 340418 | 0 | 15597 | 0 | 1212818 | 0 | 0 |
| JEFFREY KRAUT | |||||||||||||
| 0 | 622817 | 0 | 120520 | 0 | 24012 | 0 | 203691 | 0 | 18040 | 0 | 989080 | 0 | 0 |
| KATHLEEN GALLO RN PHD | |||||||||||||
| 0 | 574034 | 0 | 109780 | 0 | 28680 | 0 | 332498 | 0 | 15100 | 0 | 1060092 | 0 | 0 |
| EUGENE TANGNEY | |||||||||||||
| 0 | 589571 | 0 | 105780 | 0 | 9800 | 0 | 74095 | 0 | 19862 | 0 | 799108 | 0 | 0 |
| HARRY GINDI | |||||||||||||
| 0 | 272365 | 0 | 28591 | 0 | 3383 | 0 | 26950 | 0 | 15100 | 0 | 346389 | 0 | 0 |
| RALPH NAPPI | |||||||||||||
| 0 | 649111 | 0 | 100000 | 0 | 25707 | 0 | 515655 | 0 | 18925 | 0 | 1309398 | 0 | 0 |
| GERALYN RANDAZZO | |||||||||||||
| 409033 | 0 | 54780 | 0 | 33505 | 0 | 126984 | 0 | 21125 | 0 | 645427 | 0 | 0 | 0 |
| GERARD BROGAN | |||||||||||||
| 514956 | 0 | 64774 | 0 | 1548 | 0 | 19600 | 0 | 21442 | 0 | 622320 | 0 | 0 | 0 |
| MOISES TENEMBAUM | |||||||||||||
| 895814 | 0 | 0 | 0 | 19035 | 0 | 19600 | 0 | 15100 | 0 | 949549 | 0 | 0 | 0 |
| MICHAEL DREW | |||||||||||||
| 486259 | 0 | 0 | 0 | 19035 | 0 | 19600 | 0 | 15100 | 0 | 539994 | 0 | 0 | 0 |
| CHARLES CONTE | |||||||||||||
| 851631 | 0 | 0 | 0 | 35389 | 0 | 26950 | 0 | 15100 | 0 | 929070 | 0 | 0 | 0 |
| ALEK KHAIMOV | |||||||||||||
| 380643 | 0 | 0 | 0 | 1050 | 0 | 19600 | 0 | 15100 | 0 | 416393 | 0 | 0 | 0 |
| ANTHONY C FERRERI | |||||||||||||
| 0 | 880730 | 0 | 140660 | 0 | 19752 | 0 | 273335 | 0 | 17807 | 0 | 1332284 | 0 | 0 |
| KEVIN F LAWLOR | |||||||||||||
| 0 | 597817 | 0 | 119000 | 0 | 27990 | 0 | 296193 | 0 | 17251 | 0 | 1058251 | 0 | 0 |
| DEBORAH TASCONE | |||||||||||||
| 0 | 777550 | 0 | 125260 | 0 | 21836 | 0 | 264841 | 0 | 21000 | 0 | 1210487 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | PART I, LINE 4B | Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($694,688), Ralph Nappi ($488,705), Mark Solazzo($93,463), Robert S Shapiro ($217,610), Howard Gold ($306,655), Keith Thompson ($313,468), Jeffrey Kraut ($176,741), Kathleen Gallo ($305,548), Eugene Tangney ($47,145), Deborah Tascone ($237,891), Geralyn Randazzo ($100,034), Anthony C Ferreri ($235,564) and Kevin F Lawlor ($273,978). |
| COMPENSATION CONTINGENT ON REVENUES | PART I, LINE 5A | Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee. |
| BONUS AND INCENTIVE COMPENSATION | PART I, LINE 7 | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| DORMITORY AUTHORITY OF THE STATE OF NEW YORK | |||||||
| 146000293 | 64983Q4R7 | 2006-10-18 | 3106550 | 2005 BONDS-CAPITAL IMPROVEMENT | false | false | false |
| DORMITORY AUTHORITY OF THE STATE OF NEW YORK | |||||||
| 146000293 | 649903LC3 | 2007-05-31 | 11222226 | 2007 A&B BONDS-CAP IMPROV & REFUND | true | false | false |
| DORMITORY AUTHORITY OF THE STATE OF NEW YORK | |||||||
| 146000293 | 649905QL3 | 2009-09-17 | 4170965 | 2009 A&E BONDS-CAP IMPROV & REFI 2 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 264270 | 0 | 2478296 | 170276 | 0 | 0 | 21730 | 0 | 0 | 84494 | 2201796 | 0 | 2010 | true | false | true | true |
| 2449190 | 0 | 9350117 | 631922 | 184195 | 2921202 | 93298 | 0 | 0 | 2213737 | 2158628 | 0 | true | true | false | true | |
| 0 | 0 | 4161523 | 454855 | 322534 | 0 | 67614 | 0 | 0 | 1838564 | 683338 | 0 | true | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | 0 | true |
| false | false | false | false | 0 | true |
| false | false | false | false | 0 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 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 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||||
| false | false | false | false | 0 | false | true | |||||
| CITIBANK NA | |||||||||||
| false | false | true | true | MBIA | false | true | 25.9 | false | false | 18.1 | true |
| 0 | |||||||||||
| false | false | false | false | 0 | false | true | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE | Identifier |
| Return Reference | PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS | ReturnReference |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (36 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BOARD MEMBER RELATIONS | PART VI, SECTION A - GOVERNING BODY, LINE 2 | All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall 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. Morton Bass has a family relationship with Sandra Atlas Bass. 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. 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, Mark Solazzo, Donald Zucker, Barbara Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun has a family relationship with Richard Sims. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz. Philippe Dauman has a business relationship with Michael Hoffman. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. 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. William Hiltz has a business relationship with Michael Hoffman and Jeff Maurer. 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 Lynn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lynn 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. 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 Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric Blumencranz. 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 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. |
| EXECUTIVE COMMITTEE | PART VI, SECTION B - POLICIES, LINE 11 | All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. |
| CONFLICTS OF INTEREST | PART VI, SECTION B-POLICIES, LINE 12C | The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. |
| OFFICERS COMPENSATION | PART VI, SECTION B-POLICIES, LINE 15 | The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons others than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. |
| DISCLOSURE | PART VI, SECTION C - DISCLOSURE, LINE 19 | CURRENTLY THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| NON-COMPENSATED TRUSTEES | PART VII, SECTION A - LINE 1A | Richard S. Abramson Albert L. Granger,DDS Katherine McEnroe William Achenbaum Alan I. Greene James McMullen John W. Alexander James R. Greene Charles Merinoff Ira I. Altfeder Stanley Grey Aimee Merszei Philip S. Altheim Richard Guarasci,PhD Richard D. Monti Stanley A. Applebaum Paul B. Guenther Tomas D. Morales, PhD Michael L. Ashner Henry L. Hackmann Richard Murcott Beverly VP. Banker Amy M. Hagedorn Ralph A. Nappi Ralph M. Baruch Stephen L. Hammerman Richard B. Nye Morton M. Bass Ira Hazan Clyde I. Payne, Ed.D. Frank J. Besignano Linda W. Heaney Arnold S. Penner Elise M. Bloom Marlene Hess John J. Raggio Eric S. Blumencranz William O. Hiltz Lewis S. Ranieri Roger A. Blumencranz Michael Hoffman Jay R. Raubvogel David Blumenfeld Gedale B. Horowitz Corey Ribotsky Edward Blumenfeld Richard A. Horowitz Dennis Riese E. Steve Braun M. Allan Hyman Terry P. Rifkin, M.D. Dayton T. Brown, Jr Mark Jacobson Robert A. Rosen Allen E. Busching Jeffrey Jurick Marcie Rosenberg Jonathan S. Canno Lyn Jurick Robert D. Rosenthal Michael Caridi Arthur Kalish Bernard M. Rosof, M.D. Rev.Carolina Sr,Ed.D Steven L. Kantor Jack J. Ross Rudolph C. Carryl David M. Katz Barry Rubenstein Robert W. Chasanoff Michael Katz Herbert Rubin Alan Chopp Saul B. Katz Scott Rudolph Mark Claster Lisa A. Kaufman Michael H. Sahn Diana F. Colgate Robert Kaufman Frank W. Scarangello, Sr. Daniel M. Crown Cary Kravet Norman Schlanger Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Robert F. Shapiro Thomas E. Dewey, Jr. Curt N. Launer Marc V. Shaw Thomas E. Dooley Laura Lauria Sean G. Simon Michael J. Dowling Kevin F. Lawlor Richard Sims Robert N. Downey Michale S. Leeds Michael C. Slade Melvin Dubin David W. Lehr Phyllis Hill Slater Patrick R. Edwards Jonathan W. Leigh Howard D. Stave Toni J. Elliott Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine Maganlal Sutaria, M.D. Leonard Feinstein Stuart R. Levine John B. Thomson, Jr. Michael E. Feldman Seth Lipsay Peter Tilles Anthony C. Ferreri David S. Mack Sandra Tytel Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Howard S. Maier Gary Walter William H. Frazier Linda Manfredi Howard Weingrow Eugene B. Friedman, M.D. James S. Marcus Lewis M. Weston Sy Garfinkel Bradley Marsh, D.P.M. Jon A. Wurtzburger Lloyd Michael Goldman Jeffrey S. Maurer Barbara Hrbek Zucker Richard D. Goldstein Ronald J. Mazzucco Donald Zucker J. Joaquin Gonzalez F.J. McCarthy Roy J. Zuckerberg Michael Gould Patrick F. McDermott |
| AVERAGE HOURS | PART VII, SECTION A - LINE 1A, COLUMN (B) | This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. |
| GOVERNING BODY | PART VI, LINE 7 | North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. |
| RECONCILIATION OF NET ASSETS | PART XI, LINE 5 | CHANGE IN NET UNREALIZED GAINS/LOSSES (105,680) CHANGE IN EQUITY UNDER FAS 136 90 MEDICAL RESIDENT TAX RECOVERY 988 TOTAL OTHER CHANGES IN NET ASSETS (104,692) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL DOWLING TITLE:PRESIDENT & CEO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM L MACK TITLE:VICE CHAIRMAN HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARRY RUBENSTEIN TITLE:VICE CHAIRMAN HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALAN I GREENE TITLE:TREASURER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONALD ZUCKER TITLE:SECRETARY HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK CLASTER TITLE:VICE CHAIRMAN HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RALPH NAPPI TITLE:PRESIDENT, FOUNDATIONS HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE 0 HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANTHONY C FERRERI TITLE:PRES/CEO SIUH HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEVIN F LAWLOR TITLE:PRES/CEO HUNT. HOSP. HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD GOLD TITLE:SVP, REVENUE & BUSINESS DEV HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK J SOLAZZO TITLE:EVP & CHIEF OPERATING OFFICER HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT S SHAPIRO TITLE:SR VP, CHIEF FINANCIAL OFFICER HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAWRENCE G. SMITH TITLE:EVP/PHYSICIAN-IN-CHIEF HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY KRAUT TITLE:SVP, PLANNING HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHLEEN GALLO RN PHD TITLE:CHIEF LEARNING OFFICER HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:EUGENE TANGNEY TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HARRY GINDI TITLE:VP, LEGAL AFFAIRS HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GERALYN RANDAZZO TITLE:EXECUTIVE DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEBORAH TASCONE TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GERARD BROGAN TITLE:MEDICAL DIRECTOR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MOISES TENEMBAUM TITLE:DIR, SURGERY HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL DREW TITLE:DIR, AMB SVC & RESIDENCY TRNG HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES CONTE TITLE:CHAIR, SURGERY HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALEK KHAIMOV TITLE:PHYSICIAN HOURS:50 |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE-LIJ HEALTH SYSTEM | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113418133 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| NORTH SHORE-LIJ HEALTH CARE INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112965586 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| NORTH SHORE UNIVERSITY HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111562701 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LONG ISLAND JEWISH MEDICAL CENTER | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112241326 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| GLEN COVE HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111633487 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| PLAINVIEW HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113241243 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| FRANKLIN HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112296824 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| SOUTHSIDE HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111667761 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| NORTH SHORE-LIJ HEALTH SYSTEM LABS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113412370 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112673595 | RESEARCH | NY | 501(C)(3) | 4 | NS-LIJHS | false |
| NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112965575 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJHS | false |
| NSUH STERN FAMILY CECR | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237007485 | NURSING HOME | NY | 501(C)(3) | 9 | NS-LIJ HC | false |
| LIJ AT HOME PHARMACY | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113251128 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| LIJ FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112661239 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| NORTH SHORE-LIJ MEDICAL CARE CENTERS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113473923 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| SSH INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112774102 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | SOUTHSIDE | false |
| NORTH SHORE COMMUNITY SERVICES | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237273200 | HOUSING COMP | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| NORTH SHORE UNIVERSITY HOSPITAL HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112171903 | HOUSING COMP | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| NSUH AT GLEN COVE HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237010468 | HOUSING COMP | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| HILLSIDE HOSPITAL HOUSES | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112113949 | HOUSING COMP | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| SIUH SYSTEMS INC | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 061074604 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJ HC | false |
| STATEN ISLAND UNIVERSITY HOSPITAL | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 112868878 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| STATEN ISLAND UNIVERSITY HOSPITAL FDN | ||||||||||
| 360 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 870765787 | FUNDRAISING | NY | 501(C)(3) | 7 | SIUH | false |
| THE HEART INSTITUTE | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 311757254 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| CHAPS COMMUNITY HEALTH CENTER | ||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 113345477 | INACTIVE | NY | 501(C)(3) | 9 | SIUH | false |
| HOSPICE CARE NETWORK | ||||||||||
| 99 SUNNYSIDE BLVD | WOODBURY | NY | 11797 | 112925757 | HOSPICE | NY | 501(C)(3) | 9 | NS-LIJHS | false |
| HUNTINGTON HOSPITAL | ||||||||||
| 270 PARK AVENUE | HUNTINGTON | NY | 11743 | 111630914 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH | ||||||||||
| 284 PULASKI RD | GREENLAWN | NY | 11740 | 113368503 | HEALTH CARE | NY | 501(C)(3) | 3 | HUNTINGTON | false |
| PHYSICIANS OF UNIVERSITY HOSPITAL PC | ||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 200096809 | HEALTH CARE | NY | 501(C)(3) | 11, TYPE 1 | SIUH | false |
| LENOX HILL HOSPITAL | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 131624070 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HC | false |
| LHH CORPORATION | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133272016 | SUPPORT ORG | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113284934 | GRADUATE SCHO | NY | 501(C)(3) | 2 | NS-LIJHS | false |
| SPORTS PHYSICAL THERAPY AND REHAB SVCS O | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 061655704 | HEALTH CARE | NY | 501(C)(3) | 9 | LIJ | false |
| NORTH SHORE-LIJ ALLIANCE | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 263727582 | HEALTH CARE | 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 |
|---|---|---|---|---|---|---|---|
| KRASNOFF CONSULTATIVE SERVICES LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 262838027 | CONSULTING | NY | CARE MGMT GRP |
| POPULATION HEALTH MANAGEMENT LLC | |||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 452409051 | ACO | NY | NS-LIJ HC |
| LONG ISLAND BEHAVIORAL HEALTH LLC | |||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | NS-LIJ HC |
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 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE HEALTH SYSTEM ENTERPRISES | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 10305 | 113316922 | HOLDING COMPA | NY | NS-LIJHS | C | ||||||
| REGIONCARE INC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113052191 | HOMECARE | NY | NSHS ENTERPRISE | C | ||||||
| NORTH SHORE HEALTH ENTERPRISES | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061605319 | HOLDING COMPA | NY | NSHS ENTERPRISE | C | ||||||
| CARE MANAGEMENT GROUP OF GREATER NY | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113336381 | BUSINESS SERV | NY | NSH ENTERPRISES | C | ||||||
| REGIONAL INSURANCE COMPANY LTD | ||||||||||||||
| 000000000 | INSURANCE | NS-LIJ HC | C | C/O CEDAR HOUSE 41 CEDAR AVE | HAMILTON | BERMUDA | BD | HM 12 | BD | |||||
| ALETTA CORPORATION | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112622371 | PHYSICIAN SER | NY | SOUTHSIDE | C | ||||||
| NS-LIJ PHYSICIAN INSURANCE COMPANY RRG | ||||||||||||||
| 100 BANK ST | BURLINGTON | VT | 05401 | 261487515 | INSURANCE | VT | NS-LIJ HC | PC | ||||||
| NORTH SHORE-LIJ SERVICE ALLIANCE | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263651575 | SUPPORT SERVI | NY | NA | C | ||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #1 | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533659 | HEALTH CARE | NY | LIJ | C | ||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #2 | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533670 | HEALTH CARE | NY | LIJ | C | ||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #3 | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533678 | HEALTH CARE | NY | LIJ | C | ||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #4 | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533677 | HEALTH CARE | NY | LIJ | C | ||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #5 | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533675 | HEALTH CARE | NY | LIJ | C | ||||||
| NORTH SHORE IPA 5 INC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113383468 | BUSINESS SERVICES | NY | NS-LIJ HC | C | ||||||
| NORTH SHORE-LIJ NETWORK INC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 320257193 | SUPPORT SERVI | NY | NS-LIJHS | C | ||||||
| LONG ISLAND MEDICAL CARE PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113217006 | MEDICAL SERVI | NY | NSUH | C | ||||||
| NORTH SHORE RADIOLOGY AT GLEN COVE PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113301179 | MEDICAL SERVI | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ RADIOLOGY SERVICES PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 223970667 | MEDICAL SERVI | NY | NSUH | C | ||||||
| STATEN ISLAND IMAGING CORP | ||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133615474 | INACTIVE | NY | OVM | C | ||||||
| OCEAN VIEW MANAGEMENT | ||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133138888 | MANAGEMENT SV | NY | SIUH | C | ||||||
| OCEAN BREEZE HOME CARE AGENCY | ||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133773601 | INACTIVE | NY | OVM | C | ||||||
| REGENCY ALLIANCE SERVICES INC | ||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133277698 | MANAGEMENT SV | NY | OVM | C | ||||||
| VERRAZANO RADIOLOGY ASSOCIATES PC | ||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 200011201 | RADIOLOGY SERVICE | NY | SIUH | C | ||||||
| SIUH PERINATOLOGY PC | ||||||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 134107082 | MEDICAL SERVI | NY | SIUH | C | ||||||
| UNITED MEDICAL SURGICAL PC | ||||||||||||||
| 256 MASON AVE | STATEN ISLAND | NY | 10305 | 134038780 | MEDICAL SERVI | NY | SIUH | C | ||||||
| UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG | ||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 133642729 | MEDICAL SERVI | NY | SIUH | S | ||||||
| EMERGENCY MEDICINE SERVICES OF SI PC | ||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 134200899 | MEDICAL SERVI | NY | SIUH | C | ||||||
| GOETHALS RADIOLOGY PC | ||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 200010287 | RADIOLOGY SER | NY | SIUH | C | ||||||
| STATEN ISLAND HOSPITALISTS PC | ||||||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 331010283 | MEDICAL SERVI | NY | SIUH | C | ||||||
| STATEN ISLAND NEONATOLOGY PC | ||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 133375474 | MEDICAL SERVI | NY | SIUH | C | ||||||
| STATEN ISLAND MEDICAL INTENSIVITS PC | ||||||||||||||
| 501 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 043716494 | MEDICAL SERVI | NY | SIUH | C | ||||||
| NS-LIJ MEDICAL GROUP AT SYOSSET PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 273957752 | MEDICAL SERVI | NY | NSUH | C | ||||||
| ACTIVITY WORKS LLC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 264708923 | MEDICAL SERVI | NY | LIJ | C | ||||||
| PALLIATIVE CARE MEDICAL SERVICES PC | ||||||||||||||
| 99 SUNNYSIDE BLVD | WOODBURY | NY | 11797 | 273957835 | MEDICAL SERVI | NY | HOSPICE | C | ||||||
| NORTH SHORE-LIJ MEDICAL GROUP PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384249 | MEDICAL SERVI | NY | NSUH | C | ||||||
| NS-LIJ MEDICAL GROUP AT HUNTINGTON PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384049 | MEDICAL SERVI | NY | NSUH | C | ||||||
| NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384146 | MEDICAL SERVI | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ PHSYCIANS GROUP PC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384326 | MEDICAL SERVI | NY | NSUH | C | ||||||
| LENOX HILL PHYSICIANS HOSPITAL ORG | ||||||||||||||
| 122 EAST 76TH ST STE 3-A | NEW YORK | NY | 10021 | 133775996 | MANAGED CARE | NY | LENOX HILL | C | ||||||
| LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY | ||||||||||||||
| 186 EAST 76TH 2ND FL | NEW YORK | NY | 10021 | 208784395 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX OBGYN PC | ||||||||||||||
| 130 EAST 77TH ST 2ND FL | NEW YORK | NY | 10021 | 133596988 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| ADVANCED IMAGING & RADIOLOGY OF LHH PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 200719612 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| ADVANCED HEART PHYSICIANS & SURGEONS NET | ||||||||||||||
| 130 EAST 77TH ST 4TH FL | NEW YORK | NY | 10021 | 133853125 | MEDICAL SERVI | NY | LENOX HILL | S | ||||||
| LENOX HILL CARDIOLOGY ASSOCIATES PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133385163 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| LENOX HILL ICV SERVICES PC | ||||||||||||||
| 130 EAST 77TH 9TH FL | NEW YORK | NY | 10021 | 201435770 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| LENOX HILL PATHOLOGY PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133644370 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX EMERGENCY MEDICINE PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 262661082 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| MANHATTAN MINIMALLY INVASIVE & BARIATRIC | ||||||||||||||
| 186 EAST 76TH ST 1ST FL | NEW YORK | NY | 10021 | 200250107 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX MEDICAL PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133575380 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX ORTHOPEDICS PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 264634966 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX PEDIATRICS PC | ||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133755683 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX SURGICAL PC | ||||||||||||||
| 130 EAST 77TH ST 13TH FL | NEW YORK | NY | 10021 | 133397814 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| PARK LENOX PSYCHIATRY PC | ||||||||||||||
| 130 EAST 77TH ST | NEW YORK | NY | 10021 | 133424466 | MEDICAL SERVI | NY | LENOX HILL | C | ||||||
| VIVOHEALTH INC | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 264118016 | INACTIVE | NY | NSH ENTERPRISES | C | ||||||
| AUTOIMMUNE RESEARCH THERAPEUTICS | ||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 270701489 | INACTIVE | NY | RESEARCH | C | ||||||
| NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 275078717 | MEDICAL SERVICE | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ CARDIOLOGY PC | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 275078531 | MEDICAL SERVICE | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ HEART SURGERY PC | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 275078838 | MEDICAL SERVICES | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ INTERNAL MEDICINE PC | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 275078361 | MEDICAL SERVICE | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ MEDICAL GROUP URGENT MED | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 275078426 | MEDICAL SERVICES | NY | NSUH | C | ||||||
| LENOX HILL HOSPITAL MEDICAL PC | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 452661543 | MEDICAL SERVICES | NY | LENOX | C | ||||||
| NORTH SHORE-LIJ MEDICAL PC | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 453023019 | MEDICAL SERVICES | NY | NSUH | C | ||||||
| NORTH SHORE-LIJ OCCUPATIONAL MEDICINE P | ||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 451004103 | MEDICAL SERVICES | NY | NSUH | C | ||||||
| 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 | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 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 | false | 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 |