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STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349302664
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-11T10:28:13-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112868878EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIVERSITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTATNameControl
Phone7182261148Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS RECAName
TitleCFOTitle
Date Signed2011-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAnthony J PanicoName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANTHONY C FERRERINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
Gross Receipts790445789GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.siuh.eduWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1869YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionStaten Island University Hospital is part of the North Shore-LIJ Health System, WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITies IT SERVES. SEE PART III.ActivityOrMissionDescription
Nbr Voting Members Governing Body150NbrVotingMembersGoverningBody
Nbr Independent Voting Members142NbrIndependentVotingMembers
Total Nbr Employees6520TotalNbrEmployees
Total Nbr Volunteers784TotalNbrVolunteers
Total Gross UBI9281913TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5926663ContributionsGrantsPriorYear
Contributions Grants Current Year4580924ContributionsGrantsCurrentYear
Program Service Revenue Prior Year693067387ProgramServiceRevenuePriorYear
Program Service Revenue CY747224860ProgramServiceRevenueCY
Investment Income Prior Year4356656InvestmentIncomePriorYear
Investment Income Current Year2679414InvestmentIncomeCurrentYear
Other Revenue Prior Year5586247OtherRevenuePriorYear
Other Revenue Current Year5986695OtherRevenueCurrentYear
Total Revenue Prior Year708936953TotalRevenuePriorYear
Total Revenue Current Year760471893TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year431994655SalariesEtcPriorYear
Salaries Etc Current Year472344760SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year249974179OtherExpensePriorYear
Other Expenses Current Year261087391OtherExpensesCurrentYear
Total Expenses Prior Year681968834TotalExpensesPriorYear
Total Expenses Current Year733432151TotalExpensesCurrentYear
Revenues Less Expenses Prior Year26968119RevenuesLessExpensesPriorYear
Revenues Less Expenses CY27039742RevenuesLessExpensesCY
Total Assets BOY502882072TotalAssetsBOY
Total Assets EOY548865872TotalAssetsEOY
Total Liabilities BOY370467138TotalLiabilitiesBOY
Total Liabilities EOY388588775TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY132414934NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY160277097NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionStaten Island University Hospital is part of the North Shore-LIJ Health System ("the System"), which strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of healthcare professionals; searching for new advances in medicine through the conduct of biomedical research; promoting health education; and caring for the entire community regardless of the ability to pay.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense491029811Expense
Grants0Grants
Revenue609567000Revenue
DescriptionSTATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2010 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 41,649 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES), 3,087 DELIVERIES, 110,779 EMERGENCY DEPARTMENT VISITS, AND 16,257 AMBULATORY SURGERY CASES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense57641244Expense
Grants0Grants
Revenue44052000Revenue
DescriptionEXPENSES INCURRED IN PROVIDING EMERGENCY ROOM SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense41581800Expense
Grants0Grants
Revenue19076000Revenue
DescriptionEXPENSES INCURRED IN PROVIDING CLINICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp37406040TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev74241408TotalOfOtherProgramServiceRev
Total Program Service Expense627658895TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096474NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6520NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members150NbrVotingGoverningBodyMembers
Number Independent Voting Members142NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS RECANamePerson
Telephone Number7182261148TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE EDGEWATER PLAZAAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (163 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD D GOLDSTEIN
CHAIRMAN - TRUSTEE3.0XX000
JOHN ALEXANDER
TREASURER - TRUSTEE2.0XX000
RICHARD S ABRAMSON
TRUSTEE2.0X000
WILLIAM ACHENBAUM
TRUSTEE2.0X000
IRA I ALTFEDER
TRUSTEE2.0X000
PHILIP ALTHEIM
TRUSTEE2.0X000
STANLEY A APPLEBAUM
TRUSTEE2.0X000
MICHAEL L ASHNER
TRUSTEE2.0X000
BEVERLY BANKER
TRUSTEE2.0X000
RALPH M BARUCH
TRUSTEE2.0X000
MORTON M BASS
TRUSTEE2.0X000
FRANK J BESIGANO
TRUSTEE2.0X000
ELISE M BLOOM
TRUSTEE2.0X000
ERIC S BLUMENCRANZ
TRUSTEE2.0X000
ROGER A BLUMENCRANZ
TRUSTEE2.0X000
DAVID BLUMENFELD
TRUSTEE2.0X000
EDWARD BLUMENFELD
TRUSTEE2.0X000
E STEVE BRAUN
TRUSTEE2.0X000
DAYTON T BROWN JR
TRUSTEE2.0X000
ALLEN E BUSCHING
TRUSTEE2.0X000
JONATHAN S CANNO
TRUSTEE2.0X000
MICHAEL CARIDI
TRUSTEE2.0X000
RUDOLPH C CARRYL
TRUSTEE2.0X000
ROBERT W CHASANOFF
TRUSTEE2.0X000
ALAN CHOPP
TRUSTEE2.0X000
MARK CLASTER
TRUSTEE2.0X000
BARRY H COHEN MD
TRUSTEE2.0X000
DIANA F COLGATE
TRUSTEE2.0X000
DANIEL M CROWN
TRUSTEE2.0X000
PHILIPPE P DAUMAN
TRUSTEE2.0X000
DANIEL C DE ROULET
TRUSTEE2.0X000
LORINDA DE ROULET
TRUSTEE2.0X000
THOMAS E DEWEY JR
TRUSTEE2.0X000
THOMAS E DOOLEY
TRUSTEE2.0X000
MICHAEL J DOWLING
TRUSTEE2.0X02279412719399
ROBERT N DOWNEY
TRUSTEE2.0X000
MELVIN DUBIN
TRUSTEE2.0X000
PATRICK R EDWARDS
TRUSTEE2.0X000
TONY J ELLIOTT
TRUSTEE2.0X000
MICHAEL A EPSTEIN
TRUSTEE2.0X000
LEONARD FEINSTEIN
TRUSTEE2.0X000
MICHAEL E FELDMAN
TRUSTEE2.0X000
ANTHONY C FERRERI
PRESIDENT/CEO - TRUSTEE50.0XX993016035815
ARLENE LANE FISHER
TRUSTEE2.0X000
CATHERINE C FOSTER
TRUSTEE2.0X000
EUGENE B FRIEDMAN MD
TRUSTEE2.0X000
SY GARFINKEL
TRUSTEE2.0X000
ANTHONY GIACCONE
TRUSTEE2.0X000
LLOYD MICHAEL GOLDMAN
TRUSTEE2.0X000
J JOAQUIN GONZALEZ
TRUSTEE2.0X000
ALBERT L GRANGER DDS
TRUSTEE2.0X000
ALAN I GREENE
TRUSTEE2.0X000
JAMES R GREENE
TRUSTEE2.0X000
STANLEY GREY
TRUSTEE2.0X000
PAUL B GUENTHER
TRUSTEE2.0X000
HENRY L HACKMANN
TRUSTEE2.0X000
AMY M HAGEDORN
TRUSTEE2.0X000
STEPHEN L HAMMERMAN
TRUSTEE2.0X000
IRA HAZAN
TRUSTEE2.0X000
LINDA W HEANEY
TRUSTEE2.0X000
MARLENE HESS
TRUSTEE2.0X000
WILLIAM O HILTZ
TRUSTEE2.0X000
MICHAEL HOFFMAN
TRUSTEE2.0X000
GEDALE B HOROWITZ
TRUSTEE2.0X000
RICHARD A HOROWITZ
TRUSTEE2.0X000
M ALLAN HYMAN
TRUSTEE2.0X000
MARK JACOBSON
TRUSTEE2.0X000
JEFFREY JURICK
TRUSTEE2.0X000
LYN JURICK
TRUSTEE2.0X000
ARTHUR KALISH
TRUSTEE2.0X000
STEVEN L KANTOR
TRUSTEE2.0X000
DAVID M KATZ
TRUSTEE2.0X000
MICHAEL KATZ
TRUSTEE2.0X000
SAUL B KATZ
TRUSTEE2.0X000
LISA KAUFMAN
TRUSTEE2.0X000
ROBERT KAUFMAN
TRUSTEE2.0X000
CARY KRAVET
TRUSTEE2.0X000
STANLEY KREITMAN
TRUSTEE2.0X000
SETH KUPFERBERG
TRUSTEE2.0X000
JEFFREY B LANE
TRUSTEE2.0X000
CURT LAUNER
TRUSTEE2.0X000
KEVIN F LAWLOR
TRUSTEE50.0X0160946432542
MICHAEL S LEEDS
TRUSTEE2.0X000
DAVID W LEHR
TRUSTEE2.0X000
JONATHAN W LEIGH
TRUSTEE2.0X000
SYLVIA LESTER
TRUSTEE2.0X000
ARTHUR S LEVINE
TRUSTEE2.0X000
STUART R LEVINE
TRUSTEE2.0X000
SETH LIPSAY
TRUSTEE2.0X000
DAVID S MACK
TRUSTEE2.0X000
WILLIAM L MACK
TRUSTEE2.0X000
HOWARD S MAIER
TRUSTEE2.0X000
LINDA MANFREDI
TRUSTEE2.0X000
JAMES S MARCUS
TRUSTEE2.0X000
BRADLEY MARSH DPM
TRUSTEE2.0X000
JEFFREY S MAURER
TRUSTEE2.0X000
RONALD J MAZZUCCO
TRUSTEE2.0X000
F J MCCARTHY
TRUSTEE2.0X000
PATRICK F MCDERMOTT
TRUSTEE2.0X000
KATHERINE MCENROE
TRUSTEE2.0X000
CHARLES MERINOFF
TRUSTEE2.0X000
AIMEE MERSZEI
TRUSTEE2.0X000
MARILYN B MONTER
TRUSTEE2.0X000
RICHARD DON MONTI
TRUSTEE2.0X000
RICHARD MURCOTT
TRUSTEE2.0X000
RALPH A NAPPI
TRUSTEE50.0X0646576505185
RICHARD B NYE
TRUSTEE2.0X000
CLYDE I PAYNE ED D
TRUSTEE2.0X000
ARNOLD S PENNER
TRUSTEE2.0X000
JOHN J RAGGIO
TRUSTEE2.0X000
LEWIS S RANIERI
TRUSTEE2.0X000
JAY R RAUBVOGEL
TRUSTEE2.0X000
ANGELO D REPPUCCI MD
TRUSTEE2.0X000
COREY RIBOTSKY
TRUSTEE2.0X000
DENNIS RIESE
TRUSTEE2.0X000
TERRY P RIFKIN MD
TRUSTEE2.0X000
ROBERT A ROSEN
TRUSTEE2.0X000
ALAN S ROSENBERG MD
TRUSTEE2.0X000
MARCIE ROSENBERG
TRUSTEE2.0X000
ROBERT D ROSENTHAL
TRUSTEE2.0X000
BERNARD M ROSOF MD
TRUSTEE2.0X000
JACK J ROSS
TRUSTEE2.0X000
BARRY RUBENSTEIN
TRUSTEE2.0X000
HERBERT RUBIN
TRUSTEE2.0X000
SCOTT RUDOLPH
TRUSTEE2.0X000
MICHAEL H SAHN
TRUSTEE2.0X000
FRANK W SCARANGELLO SR
TRUSTEE2.0X000
NORMAN SCHLANGER
TRUSTEE2.0X000
LOIS C SCHLISSSEL
TRUSTEE2.0X000
JOHN M SHALL
TRUSTEE2.0X000
ROBERT F SHAPIRO
TRUSTEE2.0X000
MARC V SHAW
TRUSTEE2.0X000
SEAN G SIMON
TRUSTEE2.0X000
RICHARD SIMS
TRUSTEE2.0X000
MICHAEL C SLADE
TRUSTEE2.0X000
PHYLLIS HILL SLATER
TRUSTEE2.0X000
HOWARD D STAVE
TRUSTEE2.0X000
RUSSELL STERN
TRUSTEE2.0X000
MAGANLAL SUTARIA MD
TRUSTEE2.0X000
JOHN B THOMSON JR
TRUSTEE2.0X000
PETER TILLES
TRUSTEE2.0X000
SANDRA TYTEL
TRUSTEE2.0X000
GERARD F VITALE MD
TRUSTEE2.0X000
NANCY WALDBAUM
TRUSTEE2.0X000
GARY WALTER
TRUSTEE2.0X000
HOWARD WEINGROW
TRUSTEE2.0X000
LEWIS M WESTON
TRUSTEE2.0X000
JON A WURTZBURGER
TRUSTEE2.0X000
BARBARA HRBEK ZUCKER
TRUSTEE2.0X000
DONALD ZUCKER
TRUSTEE2.0X000
ARTHUR J FRIED ESQ
SECRETARY50.0X040227648850
KEITH C THOMPSON
ASSISTANT SECRETARY50.0X076442448050
HARRY E GINDI
ASSISTANT SECRETARY50.0X028494341650
THOMAS RECA
CHIEF FINANCIAL OFFICER50.052016310000036863X
MARK P JARRETT MD
CHIEF MEDICAL OFFICER50.0492887033855X
DONNA PROSKE
EVP - CHIEF NURSING EXECUTIVE50.0499814032251X
NICHOLAS CARUSELLE
EXECUTIVE VICE PRESIDENT50.0410628040160X
GREGORY RADINSKY
CHIEF COMPLIANCE OFFICER50.0027748541650X
JOSEPH T MCGINN MD
PHYSICIAN50.01497539030176X
MICHAEL L COOPER MD
PHYSICIAN50.01127237028625X
ARMEN K KASABIAN MD
PHYSICIAN50.0855852027800X
PHILLIP M VIGNERI MD
PHYSICIAN50.0747893034303X
MARK J RADEN MD
PHYSICIAN50.0734870039151X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7879899TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6364580TotalReportableCompFrmRltdOrgs
Total Other Compensation1776325TotalOtherCompensation
Number Individuals GT100 K632NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT SPECIALISTS
12975 COLLECTIONS CENTER DRIVECHICAGOIL60693FOOD5783680
UNIVERSITY PHYSICIANS GROUP PC
ONE EDGEWATER PLAZASTATEN ISLANDNY10305MEDICAL3259645
QUEST DIAGNOSTICS INC
1 MALCOLM AVENUETETERBORONJ07608LABORATORY2701795
ADVANTAGE HEALTHCARE SOLUTION
30 TECHNOLOGY DRIVEWARRENNJ07059BILLING2335351
OCEAN SIDE INSTITUTIONAL INDUSTRIES
2325 LONG BEACH ROADOCEANSIDENY11572LAUNDRY2290923
FieldValueIRS element (for citing)
Number Of Contractors GT100 K84NumberOfContractorsGT100K
Related Organizations348060RelatedOrganizations
Government Grants3582545GovernmentGrants
All Other Contributions650319AllOtherContributions
Noncash Contributions12140NoncashContributions
Total Contributions4580924TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE6215007101915667009096539281913
PROFESSIONAL SERVICES REVENUE62111033406763340676
OTHER HEALTHCARE RELATED REVENUE6219903369261833692618
FieldValueIRS element (for citing)
Total Program Service Revenue747224860TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2098257TotalRevenueColumn
Exclusion$2,098,257ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column755TotalRevenueColumn
Exclusion$755ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1582795Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1582795Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1582795TotalRevenueColumn
Exclusion$1,582,795ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities24282412Securities
Other6271886Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities23865081Securities
Other6108815Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities417331Securities
Other163071Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column580402TotalRevenueColumn
Exclusion$580,402ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA AND DIETARY7221002139050$2,139,050
PARKING REVENUE812930677475$677,475
REBATES812900417813$417,813

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1169562TotalRevenueColumn
Exclusion$1,169,562ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4403900TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column760471893TotalRevenueColumn
Related Or Exempt Function Income737942947RelatedOrExemptFunctionIncome
Unrelated Business Revenue9281913UnrelatedBusinessRevenue
Exclusion$8,666,109ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3123878Total
Program Services0ProgramServices
Management And General3123878ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total247591Total
Program Services0ProgramServices
Management And General247591ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total363437734Total
Program Services330926739ProgramServices
Management And General32510995ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20692953Total
Program Services19175276ProgramServices
Management And General1517677ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total57931938Total
Program Services53683055ProgramServices
Management And General4248883ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26910666Total
Program Services24936966ProgramServices
Management And General1973700ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total799940Total
Program Services0ProgramServices
Management And General799940ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total995796Total
Program Services0ProgramServices
Management And General995796ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total185456Total
Program Services0ProgramServices
Management And General185456ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total18678024Total
Program Services18678024ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total1863601Total
Program Services1863601ProgramServices
Management And General0ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total95473110Total
Program Services71237202ProgramServices
Management And General24235908ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2022639Total
Program Services1509191ProgramServices
Management And General513448ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8811818Total
Program Services2885153ProgramServices
Management And General5926665ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total319547Total
Program Services238430ProgramServices
Management And General81117ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total442881Total
Program Services330455ProgramServices
Management And General112426ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9877694Total
Program Services7370235ProgramServices
Management And General2507459ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21727929Total
Program Services16212281ProgramServices
Management And General5515648ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total35117331Total
Program Services34449626ProgramServices
Management And General667705ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTED SERVICES352539292630469789492320
UTILITIES976997595734541965210
CENTRALIZED ADMIN. SVCS.87746459695586776900
OTHER EXPENSES10973076818755527855210

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total733432151Total
Program Services627658895ProgramServices
Management And General105773256ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY58656BOY
EOY59755EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55759431BOY
EOY85121616EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1741763BOY
EOY1862888EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY81547667BOY
EOY89529445EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12615560BOY
EOY9613088EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8387587BOY
EOY7711768EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY760091BOY
EOY1148465EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis385800865LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec157505315LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY226072671BOY
EOY228295550EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY114850987BOY
EOY124592658EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1087659BOY
EOY930639EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY502882072BOY
EOY548865872EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY85387407BOY
EOY89587345EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY71706715BOY
EOY62239585EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY85569341BOY
EOY80995254EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY127803675BOY
EOY155766591EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370467138BOY
EOY388588775EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY123599572BOY
EOY150162927EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7331173BOY
EOY8629981EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1484189BOY
EOY1484189EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY132414934BOY
EOY160277097EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY502882072BOY
EOY548865872EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses27039742ReconcilationRevenueExpenses
Reconcilation Other Changes822421ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$185,456RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB185456TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1HReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), THE HEALTH CARE ASSOCIATION OF NEW YORK STATE and THE AMERICAN HOSPITAL ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. PAYS DUES TO THESE ASSOCIATIONS ON BEHALF OF THIS ORGANIZATION. ADDITIONALLY, THROUGH GNYHA, THE ORGANIZATION PAYS DUES TO THE 1199 JOB SECURITY FUND. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $185,456.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1484189BeginningOfYearBalance
End Of Year Balance1484189EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1484189BeginningOfYearBalance
End Of Year Balance1484189EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1484189BeginningOfYearBalance
End Of Year Balance1484189EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4107673OtherCostOrOtherBasis
Book Value4107673BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis217354605OtherCostOrOtherBasis
Depreciation88090232Depreciation
Book Value129264373BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis68855OtherCostOrOtherBasis
Depreciation7064Depreciation
Book Value61791BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis84598769OtherCostOrOtherBasis
Depreciation45677045Depreciation
Book Value38921724BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis79670963OtherCostOrOtherBasis
Depreciation23730974Depreciation
Book Value55939989BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings228295550TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN HEALTHFIRST7040920F
INVESTMENT IN VERIZON - AT&T10143F
U.S. GOVERNMENT OBLIGATIONS11546000F
CORPORATE BONDS15893000F
MUTUAL FUNDS0F
ACCRUED INTEREST RECEIVABLE234000F
LIMITED USE999000F
LIMITED USE0F
LIMITED USE63443595F
CASH AND CASH EQUIVALENTS24902000F
MUNICIPAL BONDS524000F
FieldValueIRS element (for citing)
Total Of Book Value Program Related124592658TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
PARTY PAYERS; CURRENT$22,976,367
LIABILITIES; CURRENT$3,928,080
INTEREST PAYABLE$2,340,673
OTHER LONG TERM LIABILITIES$41,199,847
LIABILITIES; NON-CURRENT$44,005,496
LIABILITIES; CURRENT$6,724,054
LIABILITIES; NON-CURRENT$34,592,074
FieldValueIRS element (for citing)
Total Of Amounts155766591TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4ENDOWEMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XTHE ORGANIZATION ENGAGES AN INDEPENDENT BIG FOUR CPA FIRM TO PREPARE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION AND ITS AFFILIATED ENTITIES ANNUALLY. THE FIN 48 FOOTNOTE BELOW IS FROM THE 2010 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. 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, 2010 and 2009, 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 carryforwards. The System has net operating loss carryforwards of approximately $79,581,000, which expire in varying amounts through 2030, and are available to offset future taxable income.

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served5801PersonsServed
Total Community Benefit Expense19520000TotalCommunityBenefitExpense
Direct Offsetting Revenue8279921DirectOffsettingRevenue
Net Community Benefit Expense11240079NetCommunityBenefitExpense
Percent Of Total Expense0.01550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served363867PersonsServed
Total Community Benefit Expense169086530TotalCommunityBenefitExpense
Direct Offsetting Revenue103296896DirectOffsettingRevenue
Net Community Benefit Expense65789634NetCommunityBenefitExpense
Percent Of Total Expense0.09050PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served369668PersonsServed
Total Community Benefit Expense188606530TotalCommunityBenefitExpense
Direct Offsetting Revenue111576817DirectOffsettingRevenue
Net Community Benefit Expense77029713NetCommunityBenefitExpense
Percent Of Total Expense0.10600PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs136NumberOfActivitiesOrPrograms
Persons Served47746PersonsServed
Total Community Benefit Expense5242249TotalCommunityBenefitExpense
Direct Offsetting Revenue2000DirectOffsettingRevenue
Net Community Benefit Expense5240249NetCommunityBenefitExpense
Percent Of Total Expense0.00720PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served842PersonsServed
Total Community Benefit Expense44208324TotalCommunityBenefitExpense
Direct Offsetting Revenue13549333DirectOffsettingRevenue
Net Community Benefit Expense30658991NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served621PersonsServed
Total Community Benefit Expense485TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense485NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs145NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Benefit Expense282569TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense282569NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs295NumberOfActivitiesOrPrograms
Persons Served49409PersonsServed
Total Community Benefit Expense49733627TotalCommunityBenefitExpense
Direct Offsetting Revenue13551333DirectOffsettingRevenue
Net Community Benefit Expense36182294NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs297NumberOfActivitiesOrPrograms
Persons Served419077PersonsServed
Total Community Benefit Expense238340157TotalCommunityBenefitExpense
Direct Offsetting Revenue125128150DirectOffsettingRevenue
Net Community Benefit Expense113212007NetCommunityBenefitExpense
Percent Of Total Expense0.15580PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1177PersonsServed
Total Community Building Expense6260TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6260NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1177PersonsServed
Total Community Building Expense6260TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6260NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,498,963BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare180499813AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare164508605CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall15991208MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
STATEN ISLAND UNIVERSITY HOSPITAL-NORTH
1475 SEAVIEW AVENUESTATEN ISLANDNY10305XXXX
STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH
2375 SEGUINE AVENUESTATEN ISLANDNJ10309XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
STATEN ISLAND UNIVERSITY HOSPITAL-NORTH
1
STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SOUTH BEACH PSYCHIATRIC CENTER
777 SEAVIEW AVENUESTATEN ISLANDNY10305CLINIC
NEW DORP HIGH SCHOOL
465 NEW DORP LANESTATEN ISLANDNY10306CLINIC
AUDIOSPEECH PATHOLOGY CENTER
500 SEAVIEW AVENUESTATEN ISLANDNY10305CLINIC
CHEMICAL DEPENDENCE TREATMENT PROGRAM
111 WATER STREETSTATEN ISLANDNY10304CLINIC
THE BAY STREET HEALTH CENTER
57 BAY STREETSTATEN ISLANDNY10301CLINIC
PSYCHALCOHOLISM TREATMENT PROGRAM
450 SEAVIEW AVENUESTATEN ISLANDNY10305CLINIC
CANARSIE MULTI SERVICE CENTER
567 E 10TH STREETBROOKLYNNY11218CLINIC
SANFORD R NALITT INSTITUTUE FOR CANCER
256 MASON AVENUESTATEN ISLANDNY10305CLINIC
CONEY ISLAND MULTIPLE SERVICE CENTER
425-427 CONEY ISLAND AVENUEBROOKYLNNY11218CLINIC
CENTER FOR WOMENS HEALTH
440 SEAVIEW AVENUESTATEN ISLANDNY10305CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CAREPART I, LINE 3CThis hospital is an affiliated organization of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses 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 the New York State. Asset tests can not be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. In the consideration of assets, the following assets will not be included: primary residence, tax-deferred or comparable retirement accounts, college savings accounts and cars used by the patient or patient's family.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I; QUESTION 6AThe Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore - Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed by clicking onto the link: http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I; QUESTION 7Row (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 of for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary service. 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 departmental hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (g) Costs associated with Subsidized Health 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 departmental hourly rates, and were adjusted to include fringe benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. The organization does not include as Subsidized Health Services any costs attributed to a physician clinic. Such costs are reported as organization costs. Programs included in Subsidized Health Services include but not limited to services related to emergency medicine. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 11.91% as a percentage of expenses.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A; QUESTION 4For 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. A portion of the bad debt is derived from the hospitals obligation not to turn away the community it serves, regardless of ability to pay.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B; QUESTION 8Medicare expenses in this section were obtained from the Medicare Cost Report. The cost finding methodology utilized in the Medicare cost Reports differ from the ratio of cost to charge (RCC) method used elsewhere in the Schedule H. 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. This method excludes revenue and expenses related to Skilled Nursing Facilities, Home Health Care agencies, professional medical education, subsidized health services, community health improvement services and patient enrolled in Medicare managed care plans. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. If the RCC cost finding method had been utilized, and revenue and expenses from these activities been included in the report data, the Medicare surplus would be significantly reduced or eliminated.
COLLECTION POLICYSCHEDULE H, PART III, SECTION B; QUESTION 9BThe organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available.
FACILITY INFORMATIONSCHEDULE H, PART VStaten Island University Hospital (SIUH) is a major teaching hospital and tertiary care center with 714-beds at two acute care facilities in Richmond County, New York. SIUH is comprised of two campuses: the 508-bed North Campus located at 475 Seaview Avenue and the 206-bed South Campus located at 375 Seguine Avenue. SIUH is a major affiliate of the State University of New York (SUNY) Health Sciences Center at Brooklyn. Among the Centers of Excellence offered at SIUH are: the Center for Bariatric Surgery; the Regional Burn Center with its deserved national reputation for pediatric burn care, plus a Trauma Center; the Center for Women's Health; and the Heart Institute of New York, a joint-venture of SIUH and Richmond University Medical Center, providing a full range of cardiovascular services. Specialty services also include programs for high-risk pregnancies and maternal care, Geriatric Psychiatry and a range of psychiatric and substance abuse services. SIUH also has one of the region's largest educational facilities. SIUH is a NYS DOH-Designated Stroke Center, an American Society of Metabolic and Bariatric Surgery Bariatric Surgery Center of Excellence, a fully accredited hospital-based Sleep Center, by the American Academy of Sleep Medicine, and a NYS DOH-Designated Regional Burn Center.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 1Community Needs Assessment Strategies is done on an ongoing basis, North Shore-LIJ conducts and participates in population, demographic and health status evaluations of our respective hospitals' service areas and the regions we serve. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Ongoing input concerning our communities' needs is also obtained through: (1) Our Board of Trustees/Directors who are all area residents and leaders in their respective communities, (2) Facility based Advisory Boards and Councils, (3) The feedback received by our facility administrators and clinicians that serve on local community agency boards, (4) Internal hospital data, including Prevention Quality Indicators (PQI), (5) Department of Health Community Health Assessments, (6) Community Health Assessments (Volume One, Two, and Three), (7) Local Public Meetings, (8) Local Regional New York State Prevention Agenda Meetings, (9) Community Based Prevention Agenda Needs Surveys, (10) 2010 E-BRFSS, and (11) Statewide Planning and Research System (SPARCS) data. The Board's Committee on Community Health serves as a forum for the identification and discussion of the health needs of the community. The Committee makes recommendations concerning community health interventions to be provided by the Health System independently or in cooperation with community based organizations and government. This Committee is staffed by the Department of Community Health and Public Policy. In fulfilling its charge, the Committee on Community Health also seeks input from local Community Advisory Boards of the constituent hospitals within the health system. Throughout the spring, at all scheduled meetings of the Committee and CABs, the Prevention Agenda was discussed and feedback was solicited regarding community needs. Access to care was frequently cited as a concern and staff was able to provide detailed information on the unique work that is underway within the Department of Health Access, in collaboration with Finance. In addition, specific feedback on the priorities identified for the Prevention Agenda programs was also solicited. Regional Department of Health Community Health Assessments (CHA) - Regional stakeholders include: Nassau County Department of Health (NCDOH), Suffolk County Department of Health Services (SCDHS), and New York City Department of Health and Mental Hygiene (NYCDHMH). These regional partners implemented a community survey to solicit additional information on community need as part of the preparation of their CHAs. Public meetings were held to solicit information on the needs and concerns of local community residents. These events were open to the general public and were advertised through local media and posting on the regional DOHs' web sites. Additionally, each regional department of health organizations convened a series of meetings for regional providers to discuss the shared responsibility for public health planning within the New York State Prevention Agenda. Staff from the Office of Community Health of North Shore-LIJ participated in these meetings. These meetings were open to all area hospitals and provided an opportunity for general discussion regarding the public health goals of the Prevention Agenda and the selection of shared priorities for collaborative regional planning.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3North Shore-LIJ is a regional leader in the development of financial assistance programs for the uninsured. The North Shore-LIJ financial assistance policy provides a uniformly-administered system of reduced fees for the uninsured residents of our service area. The current fee schedule includes patients with household incomes up to 500% of the FPL. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individual's financial and personal circumstances. All medically necessary services are covered under the financial assistance program and the public is notified of the availability of the program through: (1) Multilingual signage throughout facilities (i.e. patient access & registration areas), (2) Multilingual educational brochures at key points of patient contact, (3) Centralized program administration accessible via phone (1-888-214-4065), (4) Staff outreach, and (5) Patient bills - all bills include a notice about the financial assistance program. Bilingual staff at the Healthcare Access Center provides community residents with information and enrollment assistance for government health coverage, including Child Health Plus, Family Health Plus, the Prenatal Program, and Medicaid. For those not eligible, referrals are made to primary care, through the North Shore-LIJ sliding scale program. North Shore-LIJ's FAP is streamlined to 1-page. Staff members use soft credit scoring software to reduce the administrative burden of compiling documentation for the application. This information is used to facilitate the application process, but is not used to deny an applicant.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4The North Shore-LIJ Health System has a service area of more than seven million people covering Long Island (Nassau and Suffolk counties) and the Metropolitan area covering the boroughs of Manhattan, Queens, and Staten Island. The demographics of the community show a broad range of cultural an ethnic diversity. Overall the area has shown an increase in the number of uninsured and underinsured. By 2014, our service area population 65 and older will grow by 13% while residents under 65 will only grow by 3% (Cornell Institute of Social and Economic Research). The service area has also shown high rates of obesity, diabetes, and heart disease mortality.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI; QUESTION 5North Shore-LIJ ensures that all community building activities improve access to health services. They 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. Community Outreach Strategies: The system is continually striving toward our goal to become an indispensable community asset by responding to identified health needs through education, community advocacy, partnerships and programs that result in improved access to care and health outcomes. The strategies and tactics for achieving this goal include to: (A) Expand community representation on committees for educational events. (B) Provide cultural competence in-service training programs to outreach staff. (C) Inventory and quantify community benefit activities annually for all its facilities. (D) Educate and involve employees and medical staff in the provision of community benefit activities. (E) Assure compliance with New York State Limited English Proficiency standards. (F) Support community partnerships with sustainability strategies via identification of external funding streams. (G) Improve the effectiveness of the North Shore-LIJ Health Care Access Center by targeting outreach programs toward community and staff. (H) Collaborate with community partners to provide locations for community health prevention screenings. North Shore-LIJ recognizes that to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners; who can address different components of program design, including: providing trust and "reach" into a community; access to capital and funding; policy guidance; and, best practices for program development. With hundreds of community programs, our partners are many and varied. A representative sample of our partners includes: government, national/professional associations, area businesses, other area health care provider, philanthropies, civic organizations and CBOs. North Shore-LIJ provides community residents with a broad array of community benefit programs, such as: improving access to healthcare services and caring for the medically underserved, free screenings and health fairs, community education and outreach programs, support groups, and emergency medical services. The comprehensive list of these programs can be found on the North Shore-LIJ web site: http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6The organization is an affiliate of the North Shore-LIJ Health System Inc., a NYS not-for-profit corporation. All North Shore-LIJ entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in the North Shore-LIJ Health System and as such is referred to as being commonly managed. As a not-for-profit hospital, the hospital facility: (i) Operates emergency rooms that are open to all persons regardless of ability to pay, (ii) Extends medical staff privileges to all qualified physicians in its community for some or all of its departments, (iii) Has a governing body in which independent persons representative of the community comprise a majority, (iv) Engages in medical or scientific research programs, (v) Engages in the training and education of health care professionals, (vi) Participates in government-sponsored health insurance programs including: Medicaid, Medicare, S-Child Health Plus, Family Health Plus, Cancer Services Program, and the Prenatal Program (formally known as Prenatal Care Assistance Program, PCAP). The Committee on Community Health, a committee of the Board of Trustees, is charged with the overall health of the population served by the Health System through oversight of coordinated links between North Shore-LIJ's clinical services and the larger public health arena. Staffed by the Health System's Office of Community Health and Public Policy (OCHPP), the objectives of the Committee include: (a) Promote a dialogue about the obligations of a large health system to address the critical issues for the health of the public. (b) Review information which assesses the health status of the communities served. (c) Promote activities which have been shown to positively impact health status indicators of the public. (d) Identify sub-sets of the population which may experience disparities in morbidity and mortality. (e) Study and recommend community health interventions to be provided by the Health System independently or in cooperation with community based organizations and government. (f) Propose policy recommendations to guide current programs or develop new programs. (g) Identify opportunities to meet health care needs through improved delivery of health care. (h) Review North Shore-LIJ's various service lines and evaluate within the context of the Strategic Plan and national best practices. (i) Make recommendations about resources based on program evaluation results. OCHPP provides an infrastructure for the System to organize and promote existing and new community health activities. The office, whose leadership reports to the Community Health Committee, organizes, implements, and reports activities that promote this goal. The scope of OCHPP encompasses programs and partnerships that: (1) Facilitate access to primary and specialty care, (2) Educate the public and professionals about health and mental health issues, (3) Promote prevention and screening for common conditions, (4) Reach out to special and vulnerable populations, and (5) Advocate for public policies that support healthier communities. The North Shore-Long Island Jewish Health System is an integrated health care delivery system which includes 15 hospitals, two long-term care facilities, a hospice network, a major research center (The Feinstein Institute for Medical Research) and many other related entities. With a service area of 7 million persons, encompassing Long Island, Queens, Manhattan, and Staten Island, we have become the nation's second-largest nonprofit, secular healthcare system and one of the largest clinically integrated healthcare networks in the country. The System's 15 hospitals contain more than 5,600 beds and includes four tertiary, two specialty and eight community hospitals and it also has affiliated and clinical relationships with a number of area hospitals. The System's four major tertiary teaching hospitals include North Shore University Hospital (NSUH) in Manhasset (804 beds), Staten Island University Hospital's North Campus on Staten Island (SIUH) (714 beds), Lenox Hill Hospital in Manhattan (652 beds), Long Island Jewish Medical Center (LIJ) in New Hyde Park (888 beds) whose campus is also home to two free-standing specialty hospitals: Steven and Alexandra Cohen Children's Medical Center (488 beds), and The Zucker Hillside Hospital (236 beds), a psychiatric hospital. As a market share leader, the North Shore-LIJ Health System, headquartered in Great Neck, New York, it provided the following continuum of services in 2010: 250,000 inpatient discharges; 136,000 ambulatory care surgeries; 25,400 deliveries; 616,300 emergency department visits; and 709,400 home health visits. The System has more than 9,000 physicians, employs more than 10,000 nurses, and has a total workforce of about 43,000. It is the largest employer on Long Island and the ninth largest employer in the City of New York. Clinical programs that are currently coordinated across the Health System include: Behavioral Health, Cancer Care Services, Cardiovascular Services, Children's Health Services, Home Care, Hospice, Rehabilitation, Skilled Nursing, Diagnostic Imaging Services, Emergency Services, Laboratory Services, Physical Medicine and Rehabilitation, Radiation Oncology, Research, Neurosciences, Orthopedics, Urology and Women's Health Services. The System is currently expanding centers of excellence system-wide in neurosciences, tertiary cardiac care, women's health and orthopedics. The System has established a free-standing research institute, The Feinstein Institute for Medical Research, which is home to over 800 scientists and investigators. The Feinstein receives more NIH funding than 38 of the 125 US medical schools and ranks in the top 6th percentile of all research institutions that receive NIH support. The Feinstein is also chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. The System's hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 90 accredited graduate medical education (GME) programs and trains more than 1,470 medical residents annually. Our hospitals and facilities collectively serve as teaching sites for more than 870 rotations for medical students from five medical schools.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VINY,

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARTHUR J FRIED ESQ
036354103675501980026950021900045112600
KEITH C THOMPSON
06287440113000022680026950021100081247400
HARRY E GINDI
02732170834303383026950014700032659300
MICHAEL J DOWLING
011679320107800003348006982990211000299881100
ANTHONY C FERRERI
80889201150000691240264600935501028831000
KEVIN F LAWLOR
057848901100000920975024278082640164200600
RALPH A NAPPI
06252790002129704840850211000115176100
THOMAS RECA
44489304667402859610000026460010403055702610000000
MARK P JARRETT MD
44459204563702658024500093550526742000
DONNA PROSKE
431069042733026012026460057910532065000
NICHOLAS CARUSELLE
3549640357830198810264600137000450788000
GREGORY RADINSKY
024839502489004200026950014700031913500
JOSEPH T MCGINN MD
149679500074401470001547601527715000
MICHAEL L COOPER MD
836803023300005743401470001392501155862000
ARMEN K KASABIAN MD
804600043775074770147000131000883652000
PHILLIP M VIGNERI MD
73139300016500024500098030782196000
MARK J RADEN MD
73487000000245000146510774021000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONCORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4BTWO individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J-II, Column C for Michael J. Dowling ($671,349) AND Ralph A. Nappi ($457,135). IN 2010, KEVIN LAWLOR RECIEVED PROCEEDS FROM A SPLIT DOLLAR LIFE INSURANCE POLICY ESTABLISHED IN 1995, UNDER INTERNAL REVENUE CODE SECTION 457(F). THE PROCEEDS TO LAWLOR ($877,969) WERE INCLUDED AS INCOME IN BOX 5 OF FORM W-2.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 5APURSUANT TO THE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A, THERE IS NO CONTRACTUAL OBLIGATION TO PAY OR ACCRUE ANY COMPENSATION TO OFFICERS OF THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM BASED ON THE REVENUE OF THE ORGANIZATION. A LISTED PERSON(S) THAT MAY QUALIFY UNDER THIS CONDITION COULD BE ONE OR MORE OF THE PHYSICIANS LISTED AS A HIGHLY COMPENSATED EMPLOYEE.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMATORY AUTHORITY OF NY STATE
1460002932006-11-097750186MASTER LEASE/SUBLEASEfalsefalsefalse
DORMATORY AUTHORITY OF NY STATE
1460002932009-08-194744692MASTER LEASE/SUBLEASE

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
50482510807400200040524008033478002009falsefalsetruetrue
1114900474469200083250004661442002010falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierTOTAL PROCEEDSIdentifier
Return ReferenceSCHEDULE K, PART II; QUESTION 3ReturnReference
ExplanationPart II, line 3 The total proceeds do not agree to the issue price in Part I Column (e) due to investment earnings.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
TONI A SPINELLA
DAUGHTER OF OFFICER61329EMPLOYEEfalse
TARA MAZZUCCO
DAUGHTER OF TRUSTEE37328EMPLOYEEfalse
SCARAN OIL
COMPANY/FAMILY OF TRUSTEE314422OIL/UTILITY PRODUCTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (163 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCORE FORM, PART III; LINE 4DEXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.
BUSINESS AND FAMILY RELATIONSHIPSCORE FORM, PART VI, SECTION A; QUESTION 2FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== ALL TRANSACTIONS WITH NORTH SHORE-LIJ HEALTH SYSTEM ENTITIES ARE AS FOLLOWS: (1) NEGOTIATED AT ARM'S LENGTH; (2) ALL PURCHASES ARE AT FAIR MARKET VALUE; AND (3) ALL PRODUCTS OR SERVICES ARE RENDERED ON AN "AS NEEDED" BASIS. William Achenbaum ----------------- has a business relationship with Eric and Roger Blumencranz. John Alexander -------------- has a business relationship with John Shall and Stanley Applebaum. Stanley Applebaum ----------------- has a business relationship with John Alexander and John Shall. Michael Ashner -------------- has a business relationship with William Mack. Frank Besignano --------------- has a business relationship with Roger Blumencranz. Eric Blumencranz ---------------- has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, ARLENE LANE FISHER, Richard D. Goldstein, Lloyd MICHAEL Goldman, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Donald Zucker and Barbara HRBEK Zucker. Roger Blumencranz ----------------- has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, Frank Besignano, Richard D. Goldstein, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Donald Zucker, Barbara Zucker, Michael Katz and Saul Katz. David Blumenfeld ---------------- has a family relationship with Edward Blumenfeld. Edward Blumenfeld ----------------- has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun ----------- has a family relationship with Richard Sims. Alan Chopp ---------- has a business relationship with Patrick Mc Dermott. Mark Claster ------------ has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz, and Barry Rubenstein. Philippe Dauman --------------- has a business relationship with William Hiltz. Daniel de Roulet --------------- has a family relationship with Lorinda de Roulet. Lorinda de Roulet ---------------- has a family relationship with Daniel de Roulet. Leonard Feinstein ----------------- has a business relationship with Michael Feldman and William Mack. Michael Feldman --------------- has a business relationship with Leonard Feinstein. Anthony Ferreri --------------- has a family and business relationship with John Shall. Arlene LANE Fisher ------------------ has a business relationship with Eric Blumencranz. Lloyd Goldman ------------- has a business relationship with William Mack, Barry Rubenstein and Richard Goldstein. RICHARD D. GOLDSTEIN -------------------- HAS A BUSINESS RELATIONSHIP WITH MARK CLASTER, LLOYD GOLDMAN, WILLIAM MACK, ROGER BLUMENCRANZ, ERIC BLUMENCRANZ AND BARRY RUBENSTEIN. Joaquin Gonzalez ---------------- has a business relationship with John Shall. Alan I. Greene -------------- has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene --------------- has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. Stanley Grey ------------ has a business relationship with Eric and Roger Blumencranz. Paul Guenther ------------- has a business relationship with Michael Hoffman and William Hiltz. MARLENE HESS ------------ HAS A BUSINESS RELATIONSHIP WITH WILLIAM HILTZ. William Hiltz ------------- has a business relationship with Philiippe Dauman, Paul Guenther, Marlene Hess, Jeff Maurer and Richard Nye. Michael Hoffman --------------- has a business relationship with Paul Guenther. Richard Horowitz ---------------- has a business relationship with Eric and Roger Blumencranz. Jeffrey Jurick -------------- has a family relationship with Lyn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lyn Jurick ----------- has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. David Katz ---------- has a family relationship with Saul Katz and Michael Katz. Michael Katz ------------ has a family relationship with Saul Katz and David Katz. He has a business relationship with Michael Slade and Roger Blumencranz. Saul Katz --------- has a family relationship with Michael Katz and David Katz. He has a business relationship with Donald Zucker, Mark Claster, Barry Rubenstein, Michael Slade and Roger Blumencranz. Jeffrey Lane ------------ has a business relationship with William Mack. Curt Launer ----------- has a business relationship with Michael Slade. 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 AND Richard Goldstein. Bradley Marsh ------------- has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. F.J. McCarthy ------------- has a business relationship with Robert Rosenthal. Patrick McDermott ----------------- has a business relationship with Alan Chopp and John Shall. Richard Murcott --------------- has a business relationship with Barry Rubenstein. Richard Nye ----------- has a busienss relationship with William Hiltz. Clyde Payne ----------- has a business relationship with Scott Rudolph. Dennis Riese ------------ has a business relationship with Eric Blumencranz. Robert Rosenthal ---------------- has a business relationship with Mark Claster and F.J. McCarthy. Jack Ross --------- has a family relationship with Bradley Marsh. Barry Rubenstein ---------------- has a business relationship with Saul Katz, Richard Goldstein, William Mack, Richard Murcott, Lloyd Goldman, and Mark Claster. Scott Rudolph ------------- has a business relationship with Clyde Payne and 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 Saul Katz, Michael Katz and Curt Launer. Barbara Hrbek Zucker -------------------- has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. Donald Zucker ------------- has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Saul Katz, Eric Blumencranz and Roger Blumencranz.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 7North Shore-Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated healthcare delivery system.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION b; QUESTION 11aAll North Shore-LONG ISLAND JEWISH Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal). Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filed out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE BY-LAWS OF THE HEALTH SYSTEM CREATE A COMMITTEE OF THE BOARD WITH FULL POWERS OF THE BOARD TO REVIEW AND APPROVE THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE CONSISTS OF APPROXIMATELY 6 TRUSTEES WHO HAVE NO CONNECTION TO THE SYSTEM EXCEPT AS TRUSTEES AND THEY HAVE NO CONFLICTS AS TO MATTERS THEY CONSIDER. THE COMMITTEE MEETS SEVERAL TIMES A YEAR AS NEEDED BUT ALWAYS MEETS IN NOVEMBER/DECEMBER TO REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE FOLLOWING YEAR. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. FOR PURPOSES OF THE REVIEW EACH YEAR THE COMMITTEE RECEIVES INFORMATION FROM AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT AS TO COMPENSATION FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS AND MAKES ITS DECISIONS ON THIS BASIS, WITH THE OVERALL OBJECTIVE OF PAYING BASE SALARY AT THE 50TH PERCENTILE. ANY CONTRACTS OR OTHER COMPENSATION FOR OFFICERS OR KEY EMPLOYEES ARE SEPARATELY CONSIDERED AND NORMALLY ONLY APPROVED AFTER RECEIPT OF A "FAIRNESS OPINION" FROM THE INDEPENDENT CONSULTANT. ALL THE WORK AND PROCESS OF THE COMMITTEE IS STRUCTURED TO FALL WITHIN THE APPLICABLE SAFE HARBOR REGULATIONS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
RELATED HOURS INFORMATIONCORE FORM, PART VII, SECTION AThis organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
RECONCILIATION OF NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND POST RETIREMENT ADJUSTMENTS - $175,051 - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS - ($896,658) - CHANGE IN NET UNREALIZED GAINS/(LOSSES) AND CHANGE IN VALUE ON EQUITY RELATED INVESTMENTS - $1,880,886 - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS - ($2,086,858) - CLINICAL PRACTICE FUNDS - $1,750,000
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF STATEN ISLAND UNIVERSITY HOSPITAL AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTHCARE SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN - TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN ALEXANDER TITLE:TREASURER - TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD S ABRAMSON TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM ACHENBAUM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:IRA I ALTFEDER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP ALTHEIM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STANLEY A APPLEBAUM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL L ASHNER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BEVERLY BANKER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RALPH M BARUCH TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MORTON M BASS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANK J BESIGANO TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ELISE M BLOOM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ERIC S BLUMENCRANZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROGER A BLUMENCRANZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID BLUMENFELD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDWARD BLUMENFELD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:E STEVE BRAUN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAYTON T BROWN JR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALLEN E BUSCHING TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JONATHAN S CANNO TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL CARIDI TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RUDOLPH C CARRYL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT W CHASANOFF TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALAN CHOPP TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK CLASTER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARRY H COHEN MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANA F COLGATE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL M CROWN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIPPE P DAUMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL C DE ROULET TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LORINDA DE ROULET TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS E DEWEY JR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS E DOOLEY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL J DOWLING TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT N DOWNEY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MELVIN DUBIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICK R EDWARDS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TONY J ELLIOTT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL A EPSTEIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEONARD FEINSTEIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL E FELDMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY C FERRERI TITLE:PRESIDENT/CEO - TRUSTEE HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARLENE LANE FISHER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CATHERINE C FOSTER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EUGENE B FRIEDMAN MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SY GARFINKEL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY GIACCONE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LLOYD MICHAEL GOLDMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:J JOAQUIN GONZALEZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALBERT L GRANGER DDS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALAN I GREENE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES R GREENE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STANLEY GREY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL B GUENTHER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HENRY L HACKMANN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AMY M HAGEDORN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN L HAMMERMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:IRA HAZAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA W HEANEY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARLENE HESS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM O HILTZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL HOFFMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEDALE B HOROWITZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD A HOROWITZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:M ALLAN HYMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK JACOBSON TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY JURICK TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LYN JURICK TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARTHUR KALISH TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEVEN L KANTOR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID M KATZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL KATZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SAUL B KATZ TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LISA KAUFMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT KAUFMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CARY KRAVET TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STANLEY KREITMAN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SETH KUPFERBERG TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY B LANE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CURT LAUNER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN F LAWLOR TITLE:TRUSTEE HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL S LEEDS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID W LEHR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JONATHAN W LEIGH TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SYLVIA LESTER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARTHUR S LEVINE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STUART R LEVINE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SETH LIPSAY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID S MACK TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM L MACK TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD S MAIER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA MANFREDI TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES S MARCUS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRADLEY MARSH DPM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY S MAURER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RONALD J MAZZUCCO TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:F J MCCARTHY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICK F MCDERMOTT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KATHERINE MCENROE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES MERINOFF TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AIMEE MERSZEI TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARILYN B MONTER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD DON MONTI TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD MURCOTT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RALPH A NAPPI TITLE:TRUSTEE HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD B NYE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CLYDE I PAYNE ED D TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARNOLD S PENNER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN J RAGGIO TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEWIS S RANIERI TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAY R RAUBVOGEL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANGELO D REPPUCCI MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:COREY RIBOTSKY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENNIS RIESE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TERRY P RIFKIN MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT A ROSEN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALAN S ROSENBERG MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARCIE ROSENBERG TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT D ROSENTHAL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BERNARD M ROSOF MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JACK J ROSS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARRY RUBENSTEIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HERBERT RUBIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SCOTT RUDOLPH TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL H SAHN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANK W SCARANGELLO SR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NORMAN SCHLANGER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LOIS C SCHLISSSEL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN M SHALL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT F SHAPIRO TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARC V SHAW TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SEAN G SIMON TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD SIMS TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL C SLADE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHYLLIS HILL SLATER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD D STAVE TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RUSSELL STERN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MAGANLAL SUTARIA MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN B THOMSON JR TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER TILLES TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SANDRA TYTEL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GERARD F VITALE MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY WALDBAUM TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GARY WALTER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD WEINGROW TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEWIS M WESTON TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JON A WURTZBURGER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARBARA HRBEK ZUCKER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD ZUCKER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARTHUR J FRIED ESQ TITLE:SECRETARY HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEITH C THOMPSON TITLE:ASSISTANT SECRETARY HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HARRY E GINDI TITLE:ASSISTANT SECRETARY HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CASTLETON AVENUE ASSOCIATES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
EIN133943199EIN
Primary ActivitiesINACTIVEPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SIUHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHAPS Community Health Center Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305113345477InactiveNY501(c)(3)509(A)(2)SIUH
Feinstein Institute for Medical Research
972 Brush Hollow RdWestburyNY11590112673595ResearchNY501(c)(3)RESEARCHNS-LIJ HS
Forest Hills Hospital
972 Brush Hollow RdWestburyNY11590112163522HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
Franklin Hospital
972 Brush Hollow RdWestburyNY11590112296824HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
Hillside Hospital Houses Inc
972 Brush Hollow RdWestburyNY11590112113949Housing CompNY501(c)(2)N/ANS-LIJ HS
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(c)(3)509(A)(2)NA
Huntington Hospital
270 Park AvenueHuntingtonNY11743111630914HealthCareNY501(c)(3)HOSPITALNA
Huntington Hosp Dolan Family Health Ctr
284 Pulaski RdGreenlawnNY11740113368503HealthCareNY501(c)(3)HOSPITALHuntington
LIJ Foundation
972 Brush Hollow RdWestburyNY11590112661239support orgNY501(c)(3)509(A)(3)NS-LIJ HS
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
LIJ Medical Center at Home Pharmacy
972 Brush Hollow RdWestburyNY11590113251128support orgNY501(c)(3)509(A)(3)NS-LIJ HS
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(c)(2)N/ANS-LIJ HS
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
NS Univ Hospital at Glen Cove Housing
972 Brush Hollow RdWestburyNY11590237010468Housing CompNY501(c)(2)N/ANS-LIJ HS
North Shore University Hospital Housing
972 Brush Hollow RdWestburyNY11590112171903Housing CompNY501(c)(2)N/ANS-LIJ HS
NS Univ Hospital Stern Family CECR
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(c)(3)509(A)(2)NS-LIJ HS
North Shore-LIJ Health Care Inc
972 Brush Hollow RdWestburyNY11590112965586support orgNY501(c)(3)509(A)(3)NS-LIJ HS
North Shore-LIJ Health System
972 Brush Hollow RdWestburyNY11590113418133support orgNY501(c)(3)509(A)(3)NA
North Shore-LIJ Health System Foundation
972 Brush Hollow RdWestburyNY11590112965575FundraisingNY501(c)(3)170(B)(1)(ANS-LIJ HS
North Shore-LIJ Health Sys Laboratories
972 Brush Hollow RdWestburyNY11590113412370Support OrgNY501(c)(3)509(A)(3)NS-LIJ HS
North Shore-LIJ Medical Care Centers
972 Brush Hollow RdWestburyNY11590113473923support orgNY501(c)(3)509(A)(3)NS-LIJ HS
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(c)(3)170(B)(1)(ANS-LIJ HS
Southside Hospital
972 Brush Hollow RdWestburyNY11590111667761HealthCareNY501(c)(3)HOSPITALNS-LIJ HS
SSH Inc
972 Brush Hollow RdWestburyNY11590112774102support orgNY501(c)(3)509(A)(3)NS-LIJ HS
Staten Island Univ Hospital Foundation
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(c)(3)170(B)(1)(ASIUH
HEART INSTITUTE
475 SEAVIEW AVENUESTATEN ISLANDNY10305311757254SUPPORT ORGNY501(c)(3)509(A)(3)SIUHRUMC
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305200096809HEALTHCARENY501(C)(3)509(a)(3)NS-LIJ HS
LENOX HILL HOSPITAL
100 EAST 77 STREETNEW YORKNY10021131624070HEALTHCARENY501(C)(3)HOSPITALNS-LIJ HS
LHH CORPORATION
100 EAST 77TH STREETNEW YORKNY10021133272016SUPPORT ORGNY501(C)(3)509(a)(3)NS-LIJ HS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KRASNOFF CONS SVCSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 Brush Hollow ROADAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
EIN262838027EIN
Primary ActivityCONSULTINGPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations

Form990 Schedule R Part IV Form990ScheduleRPartIV (57 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Activity Works LLC
972 Brush Hollow RdWestburyNY11590264708923Medical ServicesNYNAC CORPORATION
Adv Heart Phys & Surgeons Network PC
130 East 77th St 4th FloorNew YorkNY10021133853125Medical ServicesNYNAS CORPORATION
Adv Imag & Rad of Lenox Hill Hosp PC
100 East 77th StNew YorkNY10021200719612Medical ServicesNYNAC CORPORATION
Aletta Corporation
972 Brush Hollow RdWestburyNY11590112622371Physician ServiceNYNAC CORPORATION
Autoimmune Research Therapeutics
972 Brush Hollow RdWestburyNY11590270701489InactiveNYNAC CORPORATION
Care Management Group of Greater NY
972 Brush Hollow RdWestburyNY11590113336381Business ServiceNYNAC CORPORATION
Emergency Med Svcs of Staten Island PC
1 Edgewater Plaza 6th floorStaten IslandNY10305134200899Medical ServicesNYNAC CORPORATION
Goethals Radiology PC
500 Seaview AveStaten IslandNY10305200010287Radiology ServiceNYNAC CORPORATION
Lenox Hill Cardiology Associates PC
100 East 77th StNew YorkNY10021133385163Medical ServicesNYNAC CORPORATION
Lenox Hill Int Card & Vasc Svcs PC
130 East 77th St 9th floorNew YorkNY10021201435770Medical ServicesNYNAC CORPORATION
Lenox Hill Pathology PC
100 East 77th StNew YorkNY10021133644370Medical ServicesNYNAC CORPORATION
Lenox Hill Phy Hospital Org Inc
122 East 76th St suite 3-aNew YorkNY100212834133775996Managed CareNYNAC CORPORATION
Lenox Ot Head & Neck Surgery PC
186 East 76th St 2nd floorNew YorkNY10021208784395Medical ServicesNYNAC CORPORATION
Long Island Medical Care PC
972 Brush Hollow RdWestburyNY11590113217006Medical ServicesNYNAC CORPORATION
Manhattan Min Inv and Bar Surgery PC
186 East 76th St 1st FloorNew YorkNY10021200250107Medical ServicesNYNAC CORPORATION
North Shore Health Enterprises
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNAC CORPORATION
NS Health System Enterprises
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNAC CORPORATION
NS IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServicesNYNAC CORPORATION
NS Radiology at Glen Cove PC
972 Brush Hollow RdWestburyNY11590113301179Medical ServicesNYNAC CORPORATION
NS-LIJ Alliance
972 Brush Hollow RdWestburyNY11590263727582Support ServicesNYNAC CORPORATION
NS-LIJ Health System IPA #1
972 Brush Hollow RdWestburyNY11590113533659Health CareNYNAC CORPORATION
NS-LIJ Health System IPA #2
972 Brush Hollow RdWestburyNY11590113533670Health CareNYNAC CORPORATION
NS-LIJ Health System IPA #3
972 Brush Hollow RdWestburyNY11590113533678Health CareNYNAC CORPORATION
NS-LIJ Health System IPA #4
972 Brush Hollow RdWestburyNY11590113533677Health CareNYNAC CORPORATION
NS-LIJ Health System IPA #5
972 Brush Hollow RdWestburyNY11590113533675Health CareNYNAC CORPORATION
NS-LIJ Medical Gr at Huntington PC
972 Brush Hollow RdWestburyNY11590274384049Medical ServicesNYNAC CORPORATION
NS-LIJ Medical Gr at North Nassau PC
972 Brush Hollow RdWestburyNY11590274384146Medical ServicesNYNAC CORPORATION
NS-LIJ Medical Gr at Syosset PC
972 Brush Hollow RdWestburyNY11590273957752Medical ServicesNYNAC CORPORATION
NS-LIJ Medical Group PC
972 Brush Hollow RdWestburyNY11590274384249Medical ServicesNYNAC CORPORATION
NS-LIJ Network Inc
972 Brush Hollow RdWestburyNY11590320257193Support ServicesNYNAC CORPORATION
NS-LIJ Phys Ins Co Risk Ret Gp
100 Bank StBurlingtonVT05401261487515FINANCIAL VEHICLENYNAC CORPORATION
North Shore-LIJ Physicians Group PC
972 Brush Hollow RdWestburyNY11590274384326Medical ServicesNYnaC CORPORATION
North Shore-LIJ Radiology Services PC
972 Brush Hollow RdWestburyNY11590223970667Medical ServicesNYNAC CORPORATION
North Shore-LIJ Service Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServicesNYNAC CORPORATION
Ocean Breeze Home Care Agency
1 Edgewater Plaza 6th FloorStaten IslandNY10305133773601InactiveNYNAC CORPORATION
Ocean View Management
2 Edgewater Plaza 6th FloorStaten IslandNY10305133138888Management SvcsNYSIUHC CORPORATION79629515434311.00000
Palliative Care Medical Services PC
99 Sunnyside BlvdWoodburyNY11797273957835Medical ServicesNYNAC CORPORATION
Park Lenox Emergency Medicine PC
100 East 77th StNew YorkNY10021262661082Medical ServicesNYNAC CORPORATION
Park Lenox Medical PC
100 East 77th StNew YorkNY10021133575380Medical ServicesNYNAC CORPORATION
Park Lenox OBGYN PC
130 East 77th St 2nd FloorNew YorkNY10021133596988Medical ServicesNYNAC CORPORATION
Park Lenox Orthopedics PC
100 East 77th StNew YorkNY10021264634966Medical ServicesNYNAC CORPORATION
Park Lenox Pediatrics PC
100 East 77th StNew YorkNY10021133755683Medical ServicesNYNAC CORPORATION
Park Lenox Surgical PC
130 East 77th St 13th FloorNew YorkNY10021133397814Medical ServicesNYNAC CORPORATION
Regency Alliance Services Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305133277698Management SvcsNYNAC CORPORATION
Regional Insurance Company LTD
FINANCIAL VEHICLENAC CORPORATION41 Cedar AveHamiltonBERMUDABDHM 12BD
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNAC CORPORATION
SPT & RS OF NORTH SHORE PLLC
972 Brush Hollow RdWestburyNY11590061655704Medical ServicesNYNAC CORPORATION
Staten Island Hospitalists PC
475 Seaview AveStaten IslandNY10305331010283Medical ServicesNYNAC CORPORATION
Staten Island Imaging Corp
1 Edgewater Plaza 6th FloorStaten IslandNY10305133615474InactiveNYNAC CORPORATION
Staten Island Medical Intensivist PC
501 Seaview Ave Suite 102Staten IslandNY10305043716494Medical ServicesNYNAC CORPORATION
Staten Island Neonatology PC
500 Seaview AveStaten IslandNY10305133375474Medical ServicesNYNAC CORPORATION
SIUH Perinatology PC
475 Seaview AveStaten IslandNY10305134107082Medical ServicesNYNAC CORPORATION
United Medical Surgical PC
256 Mason Ave BLDG B 2nd FLStaten IslandNY10305134038780Surgical ServicesNYNAC CORPORATION
Univ Ph OncHematology Gp PC
500 Seaview AveStaten IslandNY10305133642729Medical ServicesNYNAS CORPORATION
Verrazano Radiology Assoc PC
500 Seaview Ave Suite 200Staten IslandNY10305200011201Radiology ServiceNYNAC CORPORATION
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNAC CORPORATION
1PARK LENOX PSYCHIATRY PC
130 EAST 77TH STREETNEW YORKNY10021133424466MEDICAL SERVICESNYNAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIVERSITY HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved289020AmountInvolved