2023-11-13T09:29:22-06:00 2022-12-31 990 2022-01-01 112241326 LONG ISLAND JEWISH MEDICAL CENTER C/O NORTHWELL HEALTH INC % NORTHWELL HEALTH INC LONG 5163216058 972 BRUSH HOLLOW RD 5TH FL WESTBURY NY 11590 MICHELE L CUSACK EVP & CFO 5163216058 2023-11-06 MICHELE L CUSACK 999009999 2 2022 2023-04-26 12:10:37Z MICHAEL J DOWLING 2000 MARCUS AVE NEW HYDE PARK NY 11042 4826370629 false X WWW.NORTHWELL.EDU X 1955 NY LIJMC strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to pay. 37 29 19178 476 0 20148077 54014577 3429046609 3702294303 97216754 2179912 67704553 90487979 3614115993 3848976771 0 0 0 0 2115543690 2324076456 0 0 3302846 1308324751 1439157120 3423868441 3763233576 190247552 85743195 3814565304 3639615927 2637802254 2609210643 1176763050 1030405284 X LONG ISLAND JEWISH MEDICAL CENTER IS PART OF THE NORTHWELL HEALTH ("NORTHWELL"), 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. false false 946873949 1288937617 Long Island Jewish Medical Center ("LIJ"),is a tertiary adult care hospital. LIJ serves as a clinical campus for the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and it is a NYS-DOH designated Stroke Center. In 2022, LIJMC had 37,146 inpatient discharges, provided 84,973 Emergency Department visits and performed 12,651 ambulatory surgeries including endoscopies and cardiac catheterizations. 547199873 666821651 Cohen Children's Medical Center ("CCMC"), is a pediatric hospital. CCMC provides primary, secondary, tertiary and quarternary care through a continuum of medical, surgical, psychiatric and dental programs and services, on an inpatient and ambulatory basis. The Regional Pediatric Trauma Center at CCMC is one of only three such centers in all of New York State that has received this designation. In 2022, CCMC had 18,759 inpatient discharges, delivered 6,728 babies, provided 68,453 Emergency Department visits and performed 2,926 ambulatory surgeries including endoscopies and cardiac catheterizations. 673380278 745826235 Zucker Hillside Hospital is a premier behavioral health hospital. In 2022, Zucker had 3,736 inpatient discharges and treated 158,905 patients that visited the Health Center. LIJ Forest Hills and LIJ Valley Stream are community hospitals that provide a variety of inpatient services. In 2022, the hospitals had 22,830 inpatient discharges, delivered 2,031 babies, provided 94,829 emergency department visits and performed 9,371 ambulatory surgeries, including endoscopies and outpatient cardiac catheterizations. 1069388073 1000708801 OTHER 1069388073 1000708801 3236842173 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false true true true false false false true 594 0 true 19178 true false false false false false false false false false false false false false false false true false X 37 29 true false false false false true true true true false false true true true true true true true true false NY X X NORTHWELL HEALTH INC 5163216058 972 BRUSH HOLLOW RD5TH FL WESTBURY NY 11590 MICHAEL DOWLING President & CEO 0.0 50.0 X X 0 5200818 67443 MARK SOLAZZO EVP & COO 0.0 50.0 X 0 3797212 61175 NICHOLAS BASTIDAS Plastic Surgeon 50.0 0.0 X 3201040 0 75114 LYLE LEIPZIGER Chf, Plastic Surgery 50.0 0.0 X 3163042 0 61459 NEIL TANNA Chf, Plastic Surgery 50.0 0.0 X 3013788 0 75114 JAMES BRADLEY Vice Chair, Plastic Surgery 50.0 0.0 X 2955838 0 60055 LEE SMITH Chf, Div Ped Otolaryngology 50.0 0.0 X 2840284 0 75052 JEFFREY KRAUT EVP Strategy & Analytics 0.0 50.0 X 0 2120360 61784 JOSEPH MOSCOLA EVP, Enterprise Management 0.0 50.0 X 0 1669901 47784 DAVID BATTINELLI EVP & Physician in Chief 0.0 50.0 X 0 1628772 75114 MICHELE CUSACK EVP & CFO 0.0 50.0 X 0 1581808 75053 EUGENE TANGNEY SVP & Chf Bus Continuity & Cri 0.0 50.0 X 0 1416560 75114 RICHARD MILLER EVP & Chf Business Strategy Of 0.0 50.0 X 0 1395198 59925 LAURENCE KRAEMER EVP, Chf Gen Counsel & Asst Se 0.0 50.0 X 0 1222834 75114 KATHLEEN GALLO EVP & Chf Learning Officer 0.0 50.0 X 0 1216122 61459 DONNA DRUMMOND SVP & Chf Expense Officer 0.0 50.0 X 0 1150407 63166 KONSTANTINE COSTALAS SVP, Managed Care 0.0 50.0 X 0 1116391 75052 RALPH NAPPI EVC 0.0 50.0 X X 0 1006335 61459 MICHAEL GOLDBERG Former Exec Director LIJMC 0.0 0.0 X 912818 0 58636 MARK GLOADE SVP, Dep Gen Counsel & Asst Se 0.0 50.0 X 0 874457 75114 MICHAEL GITMAN Executive Director LIJMC 0.0 50.0 X 0 800219 75052 HARRY GINDI Assistant Secretary 0.0 50.0 X 0 404079 61418 MARK CLASTER Immediate Past Chairman 0.0 2.0 X X 0 324000 0 MICHAEL EPSTEIN Chairman 0.0 3.0 X X 0 0 0 MARGARET CROTTY Chair - Elect 0.0 3.0 X X 0 0 0 RICHARD GOLDSTEIN Vice Chairman 0.0 2.0 X X 0 0 0 WILLIAM MACK Vice Chairman 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN Vice Chairman 0.0 2.0 X X 0 0 0 ROBERT ROSENTHAL Treasurer 0.0 2.0 X X 0 0 0 DONALD ZUCKER Secretary 0.0 2.0 X X 0 0 0 NON-COMPENSATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 16086810 26925473 1476656 5406 true true false AXIS CONSTRUCTION CO 125 LASER COURT HAUPPAUGE NY 11788 CONSTRUCTION MGMT 8401258 CROSS COUNTRY STAFFING PO Box 404674 ATLANTA GA 303844674 NURSING FEES 8313800 LEND LEASE US CONSTRUCTION 550 1ST AVENUE NEW YORK NY 10016 CONSTRUCTION MGMT 6629735 PHILIPS MEDICAL SYSTEMS 22100 BOTHELL EVERETT HIGHWAY BOTHELL WA 98041 EQUIPMENT SERVICES 5379342 UNITEX TEXTILE RENTAL 155 SOUTH TERRACE MOUNT VERNON NY 10550 LINEN SERVICES 4391323 166 7178810 46526002 309765 54014577 PATIENT SERVICE REVENUE 621300 2691222057 2691222057 PHYSICIAN PRACTICE REVENUE 621300 471477246 471477246 MEDICARE/MEDICAID PAYMENTS 621300 533963185 533963185 DSRIP PAYMENTS 621300 5631815 5631815 3702294303 10893836 10893836 54459 54459 0 43866135 25296778 18569357 0 18569357 18569357 943328697 952097080 -8768383 -8768383 -8768383 0 0 0 0 0 0 0 0 0 PHARMACY 900099 53584063 53584063 PARTNERSHIP INCOME 900099 6798839 6798839 CAFETERIA REVENUE 900099 3269437 3269437 8266283 5206085 3060198 71918622 3848976771 3714299227 80662967 0 0 0 0 912818 912818 0 1881009050 1776072738 102837586 2098726 88917497 83957035 4861253 99209 242090282 228584732 13235439 270111 111146809 104946235 6076563 124011 2975198 2809220 162658 3320 205486 205486 0 0 0 0 13890505 13115592 759415 15498 1575922 1488006 86158 1758 559101854 527911102 30566937 623815 0 0 48883249 46156187 2672521 54541 7194390 7194390 0 3530935 3530935 44438170 44438170 0 93239097 88037545 5201552 79476193 79476193 DIRECT PURCHASED SERVICES 194826026 194826026 BILLING AND COLLECTION 31991086 31991086 CENTRALIZED ADMIN EXPENSE 311187754 311187754 BAD DEBT EXPENSES 32141136 32141136 14500119 13691197 797065 11857 3763233576 3236842173 523088557 3302846 0 0 1103032209 693578683 9322367 96841065 417672147 438213571 0 0 0 0 0 0 30748388 37591260 5677229 6456134 2034680473 741052256 1281204546 1293628217 473200221 532076409 0 0 0 0 0 5168937 493708197 536061651 3814565304 3639615927 337374689 369935277 0 0 17135601 11597478 467176395 544458186 0 0 0 0 257497281 252303418 0 0 1558618288 1430916284 2637802254 2609210643 X 994533513 840655916 182229537 189749368 1176763050 1030405284 3814565304 3639615927 X 85743195 -217817492 -14283469 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 247493 247493 LOBBYING ACTIVITY LONG ISLAND JEWISH MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 17311439 2794087 375909 19729617 15477332 2273127 439020 17311439 13807570 2269753 599991 15477332 12028204 2272768 493402 13807570 12975245 -463202 483839 12028204 1.00000 false false 99219240 99219240 1262568728 500785928 761782800 1087676 655552 432124 522066357 224502094 297564263 149738472 15108682 134629790 1293628217 OTHER CURRENT ASSETS 9242918 DUE FROM AFFILIATES 191668433 INTEREST IN FOUNDATION 136955932 INVEST IN HEALTH FIRST 26379901 SECURITY DEPOSITS 333548 INSURANCE CLAIMS RECEIVABLE 67845738 RIGHT OF USE ASSET 103635181 536061651 0 MALPRACTICE TRUST 503121828 OPERATING LEASE LIABILITY 103635181 DUE TO THIRD PARTY PAYORS 402752923 SHORT TERM BORROWINGS 205021000 OTHER LIABILITIES 8543599 INSURANCE CLAIMS LIABILITY 67845738 BOND PREM/DISCOUNT 13562570 BOND FINANCING -3962934 2017 TAXABLE BOND 130396379 1430916284 X 3628466927 -214574972 -8329427 -222904399 3851371326 -2394555 -2394555 3848976771 3775481449 25296778 25296778 3750184671 13048905 13048905 3763233576 PART V, LINE 4 - INTENDED USE OF ENDOWMENTS There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment. PART X, LINE 2 - FIN 48 Certain entities included in Northwell's consolidated financial statements are taxable entities under federal or state laws. GAAP requires that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. 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. At December 31, 2022 and 2021, Northwell has net deferred tax assets of approximately $158,000,000 and $145,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. 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 net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $534,000,000 at December 31, 2022. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations. PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUE REVENUE ON BOOKS NOT ON RETURN NON-OPERATING GAINS 61,905 NON-OPERATING NET BENEFIT COST 6,062,995 PROVISION FOR BAD DEBT (32,141,136) NET ASSETS RELEASED FROM RESTRICTION 17,686,809 TOTAL (8,329,427) REVENUE ON RETURN NOT ON BOOKS RESTRICTED CONTRIBUTIONS 21,538,981 RESTRICTED OTHER REVENUE 3,369,951 RESTRICTED INVESTMENTS 430,933 HEALTH FIRST PARTNERSHIP INCOME (2,437,642) RENTAL EXPENSE ALLOCATED (25,296,778) TOTAL (2,394,555) PART XII, LINE 2D & 4B - RECONCILIATION OF EXPENSES EXPENSE ON BOOKS NOT ON RETURN RENTAL EXPENSE ALLOCATED 25,296,778 TOTAL 25,296,778 EXPENSE ON RETURN NOT ON BOOKS PROVISION FOR BAD DEBT 32,141,136 ADDITIONAL MINIMUM PENSION LIAB ADJ (19,092,231) TOTAL 13,048,905 true true X true X true X 500. true true true false true true 84382325 11362646 73019679 0.01890 948411965 639563294 308848671 0.08010 1032794290 650925940 381868350 0.09900 85728921 21218794 64510126 0.01670 182174862 69099095 113075767 0.02930 73767524 42473667 31293857 0.00810 100822302 43968916 56853386 0.01470 1933351 1933351 0.00050 444426960 176760472 267666487 0.06930 1477221250 827686412 649534837 0.16830 1845 1845 73372 73372 5787 5787 665 665 48625 48625 513386 513386 0.00020 65491 65491 709171 709171 0.00020 false 32141136 435601205 496776661 -61175456 X true true NASSAU QUEENS PERFOR PERFORMING PROVIDER SYSTEM 0.333 0.0 5 1 LONG ISLAND JEWISH MEDICAL CENTER 270-05 76TH AVENUE NEW HYDE PARK NY 11040 WWW.NORTHWELL.EDU X X X X A 2 Long Island Jewish Valley Stream 900 FRANKLIN AVENUE VALLEY STREAM NY 11580 WWW.NORTHWELL.EDU X X X X A 3 Long Island Jewish Forest Hills 102-01 66TH ROAD FOREST HILLS NY 11375 WWW.NORTHWELL.EDU X X X X A 4 ZUCKER HILLSIDE HOSPITAL 75-59 263RD ST GLEN OAKS NY 11040 WWW.NORTHWELL.EDU X A 5 COHEN CHILDREN'S MEDICAL CENTER 269-01 76TH AVENUE NEW HYDE PARK NY 11040 WWW.NORTHWELL.EDU X X PEDIATRIC TRAUMA CENTER A A false false true X X X X X X X X X 22 true true true true X COMPLETE WEB ADDRESS IN PART V X true 22 true COMPLETE WEB ADDRESS IN PART V false true X 100 500. X X X X true true X X X true X See Part V X See Part V X Web address in Part V X X X X X X X true X false X X X X X true X false false PART V, SECTION C - SUPPLEMENTAL INFORMATION Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six counties served by Northwell and its hospitals. External stakeholders included representatives from county health departments, area hospitals, academia, business, government agencies, and community-based organizations with an emphasis on those who serve communities with health disparities. Quantitative and qualitative data was collected from diverse community organizations that serve the population at large, as well as those communities with significant health disparities. Community partners were invited to participate via community member and community-based organization/provider surveys, facilitated focus groups, and community-based organization summits. Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to the web link: https://www.northwell.edu/doctors-and-care/locations?type=hospitals Part V, Section B, line 6b: For a detailed listing of other organizations go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf Part V, Section B, line 7a: Hospital facility's website/CHNA report go to web link: https://www.northwell.edu/sites/northwell.edu/files/2022-12/northwell-heal th-2022-2024-CHNA-CHIP-CSP-NYSDOH-implementation-plan.pdf Part V, Section B, line 7d: N/A Part V, Section B, line 10a: https://www.northwell.edu/sites/northwell.edu/files/2022-12/northwell-heal th-2022-2024-CHNA-CHIP-CSP-NYSDOH-implementation-plan.pdf Part V, Section B, line 11: The Northwell Health Implementation Plan for 2022-2024 includes the goals, objectives, activities, and performance measures planned to address the chosen New York State Prevention Agenda Priority Areas. The hospital identified and addressed primary needs based on an assessment of the highest-ranked health priorities of the community, regulatory input, and resources available. For further information go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16 a-c: https://www.northwell.edu/billing-and-insurance/financial-assistance-progr ams-policies/financial-assistance-policy Part V, Section B, line 16j: Information on our Financial Assistance Policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions listed, the hospital facility sends letters, makes telephone calls, and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A 114 Northwell Health Physician Partners 450 Lakeville Road Lake Success NY 11042 Outpatient Physician Clinic North Shore-LIJ Orzac Center for Rehabil 900 Franklin Avenue Valley Stream NY 11580 Skilled Nursing Facility Northwell Health Physician Partners 1554 Northern Boulevard Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Physician Partners 95-25 Queens Boulevard Rego Park NY 11374 Outpatient Physician Clinic Northwell Health Physician Partners 410 Lakeville Road New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Physician Partners 600 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 440 East Main Street Bay Shore NY 11706 Outpatient Physician Clinic Northwell Health Physician Partners 1991 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 1111 Marcus Avenue Suite M15 Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Sandra Atlas Bass Otola 444 Lakeville Road New Hyde Park NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 2001 Marcus Avenue Lake Success NY 11040 Outpatient Physician Clinic Northwell Health Physician Partners 271-11 76th Avenue New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Imaging at the Center f 450 Lakeville Road Lake Success NY 11042 Diagnostic Clinic Northwell Health Physician Partners 1999 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners at H 284 Pulaski Road 2nd Floor Huntington NY 11740 Outpatient Physician Clinic Northwell Health Physician Partners 430 Lakeville Road New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Physician Partners 220-22 Hillside Avenue Queens Village NY 11427 Outpatient Physician Clinic Northwell Health Physician Partners 600 Hempstead Turnpike West Hempstead NY 11552 Outpatient Physician Clinic Northwell Health Imaging at Bay Shore 440 East Main Street Bay Shore NY 11706 Diagnostic Clinic Northwell Health STARS at Manhasset Ambu 1554 Northern Boulevard 4th Floor Manhasset NY 11030 Rehabilitation Northwell Health Physician Partners Medi 215 Rockaway Turnpike Lawrence NY 11559 Outpatient Physician Clinic Northwell Health Physician Partners 420 Lakeville Road 1st Floor Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 1983 Marcus Avenue New Hyde Park NY 11042 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 222 Middle Country Road Suite 106 Smithtown NY 11787 Outpatient Physician Clinic Northwell Health Medicine Specialties at 256-11 Union Turnpike Glen Oaks NY 11004 Outpatient Physician Clinic Northwell Health Physician Partners 2119 Merrick Road Merrick NY 11566 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Orthopae 7 Vermont Drive Lake Success NY 11042 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Behavior 156 First Street Mineola NY 11501 Outpatient Physician Clinic Northwell Health Physician Partners Canc 270 Pulaski Road Suite D Greenlawn NY 11740 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 23-25 31st Street Astoria NY 11105 Outpatient Physician Clinic Northwell Health Garden City Treatment C 711 Stewart Avenue Garden City NY 11530 Outpatient Physician Clinic Northwell Health Physician Partners Obst 733 Sunrise Highway Second Floor Lynbrook NY 11563 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Specialt 400 Old Country Road Riverhead NY 11901 Outpatient Physician Clinic Northwell Health Far Rockaway Treatment 1600 Central Avenue Far Rockaway NY 11691 Outpatient Physician Clinic NHPP Plastic Surgery at Great Neck 900 Northern Blvd Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 205-07 Hillside Avenue Ste 5-9 Hollis NY 11423 Outpatient Physician Clinic NHPP Internal Medicine at New Hyde Park 1575 Hillside Avenue Suite 102 New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Physician Partners 300 Franklin Avenue Valley Stream NY 11580 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 877 Stewart Avenue Suite 33 Garden City NY 11530 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 100 Merrick Road Suite 102E Rockville Centre NY 11570 Outpatient Physician Clinic NHPP Obstetrics & Gynecology at Franklin 925 Hempstead Turnpike 2nd Fl Sui Franklin Square NY 11010 Outpatient Physician Clinic NHPP Urology and Surgery at Riverhead 1267 East Main Street Riverhead NY 11901 Outpatient Physician Clinic NHPP Obstetrics & Gynecology at Bellmore 2428 Merrick Road Bellmore NY 11710 Outpatient Physician Clinic Northwell Health Physician Partners 1300 Union Turnpike North New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Eye Institute at Bethpa 4300 Hempstead Turnpike Bethpage NY 11714 Outpatient Physician Clinic NHPP Northwell Health Physician Partners 865 Northern Blvd 3rd FL Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 1000 Northern Blvd Great Neck NY 11030 Outpatient Physician Clinic NHPP Medicine Specialties at Bayside 211-16 Union Turnpike Bayside NY 11364 Outpatient Physician Clinic NHPP Northwell Health Physician Partners 225 East 64th Street New York NY NY 10065 Outpatient Physician Clinic NHPP Center for Tobacco Control 225 Community Drive Ste 200 Great Neck NY 11020 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 2-20 50th Avenue Suite B Long Island NY 11101 Outpatient Physician Clinic NHPP Cardiology & Internal Medicine at R 115-06 Beach Channel Drive Rockaway Park NY 11694 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Urology 321 Crossways Park Drive A Woodbury NY 11797 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 200-14 44th Avenue Bayside NY 11361 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 990 Deer Park Avenue North Babylon NY 11703 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 69-40 Main Street Kew Gardens Hills NY 11367 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 1 School Street Glen Cove NY 11542 Outpatient Physician Clinic NHPP Ophthalmology at Fresh Meadows 176-60 Union Turnpike Fresh Meadows NY 11366 Outpatient Physician Clinic NHPP Smith Institute for Urology at Gard 233 Seventh Street Suite 203 Garden City NY 11530 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 504 Hicksville Road Massapequa NY 11758 Outpatient Physician Clinic NHPP Podiatry Foot and Ankle Surgery at 32-07 Francis Lewis Boulevard Bayside NY 11358 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 1575 Broadway Hewlett NY 11557 Outpatient Physician Clinic Northwell Health Mildred and Frank Feinb 132 East Main Street 1st Floor Bay Shore NY 11706 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 1800 Rockaway Avenue Suite 102 Hewlett NY 11557 Outpatient Physician Clinic Northwell Health Physician Partners 47-01 Queens Boulevard Sunnyside NY 11104 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 8622 Bay Parkway Suite 2D Brooklyn NY 11214 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 261 East 78th Street 3rd Floor New York NY 10075 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 5723 Avenue N Brooklyn NY 11234 Outpatient Physician Clinic Cohen Children's NHPP Behavioral Health 2171 Jericho Turnpike Commack NY 11725 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 158-49 84th Street Howard Beach NY 11414 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 994 West Jericho Turnpike Smithtown NY 11787 Outpatient Physician Clinic Northwell Health Rosen Family Wellness C 97-77 Queens Blvd Rego Park NY 11374 Outpatient Physician Clinic Northwell Health Queens World Trade Cent 97-77 Queens Blvd Rego Park NY 11374 Outpatient Physician Clinic NHPP Smith Institute for Urology at Haup 200 Motor Parkway D22 Hauppauge NY 11788 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 2920 Hempstead Turnpike Suite 4 Levittown NY 11756 Outpatient Physician Clinic Northwell Health Physician Partners 121 East 60th Street New York NY 10022 Outpatient Physician Clinic Cohen Children's NHPP Pediatric Speciali 52 Broadway Suite C Brooklyn NY 11211 Outpatient Physician Clinic NHPP Endocrinology at Lawrence 290 Central Avenue Suite 202 Lawrence NY 11559 Outpatient Physician Clinic NHPP Obstetrics & Gynecology at Justice 87-08 Justice Avenue Suite CN Elmhurst NY 11373 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 73-09 Myrtle Avenue Lower Level Glendale NY 11385 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 58 Main Street 1st Floor East Rockaway NY 11518 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 100 Courthouse Road Franklin Square NY 11010 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 333 Glen Head Road Suite 280 Old Brookville NY 11545 Outpatient Physician Clinic Cohen Children's NHPP General Pediatrics 4277 Hempstead Turnpike Bethpage NY 11714 Outpatient Physician Clinic NHPP Maternal Fetal Health Obstetrics a 61-55 98th Avenue 1K Rego Park NY 11374 Outpatient Physician Clinic Northwell Health Physician Partners 144-02 Jewel Avenue Flushing NY 11367 Outpatient Physician Clinic Northwell Health Physician Partners 37-44 75th Street Jackson Heights NY 11372 Outpatient Physician Clinic NHPP Cardiology at Garden City 520 Franklin Avenue Suite 114 Garden City NY 11530 Outpatient Physician Clinic Northwell Health Physician Partners 201 East 19th Street Suite 1 New York NY 10003 Outpatient Physician Clinic Northwell Health Physician Partners 563 Atlantic Avenue East Rockaway NY 11518 Outpatient Physician Clinic Northwell Health Physician Partners 630 Park Avenue New York NY 10065 Outpatient Physician Clinic Northwell Health Physician Partners 110-16 Sutphin Blvd Jamaica NY 11435 Outpatient Physician Clinic Northwell Health Physician Partners 210 East 68th Street Suite 1F New York NY 10065 Outpatient Physician Clinic Northwell Health Physician Partners 241-08 140th Avenue Rosedale NY 11422 Outpatient Physician Clinic Northwell Health Physician Partners 80-15 164th Street Brooklyn NY 11432 Outpatient Physician Clinic NH Brian PiccoloInt School #53 School C 1045 Nameoke Street Far Rockaway NY 11691 Outpatient Physician Clinic Northwell Health Physician Partners 812 Park Avenue New York NY 10021 Outpatient Physician Clinic Northwell Health Physician Partners 94-29 59th Avenue Elmhurst NY 11373 Outpatient Physician Clinic Northwell Health Physician Partners 145 Franklin Place Woodmere NY 11598 Outpatient Physician Clinic Northwell Health Physician Partners 37-03 92nd Street 1st FL Jackson Heights NY 11372 Outpatient Physician Clinic Northwell Health Physician Partners 97-12 63rd Drive Rego Park NY 11374 Outpatient Physician Clinic Northwell Health Physician Partners 372 Post Avenue Westbury NY 11590 Outpatient Physician Clinic Northwell Health Physician Partners 109-33 71st Road Suite 2G Suite 2G Forest Hills NY 11375 Outpatient Physician Clinic Northwell Health Physician Partners 69-05 Yellowstone Boulevard Forest Hills NY 11375 Outpatient Physician Clinic NH John Adams High School 101-01 Rockaway Boulevard Jamaica NY 11417 Outpatient Physician Clinic Manhasset Day Center Clinic 1351 Northern Blvd Manhasset NY 11030 Outpatient Physician Clinic NH August Martin High School Clinic 156-10 Baisley Boulevard Jamaica NY 11434 Outpatient Physician Clinic NH Student Health Center at Far Rockaway 821 Bay 25th Street Room 106 Far Rockaway NY 11691 Outpatient Physician Clinic NH Student Health Center at Franklin K 999 Jamaica Avenue Room 167 Brooklyn NY 11208 Outpatient Physician Clinic Nassau Day Training Program 4 Kuhl Avenue Hicksville NY 11801 Outpatient Physician Clinic Northwell Health Physician Partners 40-35 95th Street Elmhurst NY NY 11373 Outpatient Physician Clinic Northwell Health Physician Partners 94-07 156th Avenue Ste 200 Howard Beach NY 11414 Outpatient Physician Clinic Northwell Health BEST Healthcare Center 2150 Hempstead Turnpike Gate 6 Elmont NY 11003 Outpatient Physician Clinic Northwell Health BEST Healthcare Center 2150 Hempstead Turnpike Gate 6 Elmont NY 11003 Outpatient Physician Clinic PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health, Inc. ("Northwell"). Northwell uses U.S. Federal Poverty Guidelines (FPG) to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of resources. Resource tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: A Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website. https://www.northwell.edu/sites/northwell.edu/files/2022-08/Creating-Healt hy-Communities-Together.pdf Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost-to-charges (RCC) calculated using IRS Form 990, Schedule H instructions, Worksheet 2 applied to gross charges for patients qualifying for charity under the hospital's financial assistance policy. Bad debt expense is not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost-to-Charges method (or "RCC") is used to determine the cost of ancillary services. An RCC is calculated 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) In general, 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 system 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. On March 13, 2020, the Federal Government issued an emergency declaration under Section 501(b) of the Stafford Act, Public Health Service Act and National Emergencies Act due to the COVID-19 global pandemic. At the forefront of New York State's pandemic response, Northwell Health rose to the occasion leading on the front lines and behind the scenes. Northwell transformed areas in each of its hospitals to admit and care for COVID-19 patients, reimagining ways to deliver treatment while safeguarding those who step up to care for patients. In addition, Northwell conducted research and clinical trials in search of new treatments. At New York's COVID-19 epicenter, Northwell led the response to the pandemic partnering with the Department of Health to set up an Army field hospital in New York City and over 100 testing sites in the five boroughs of New York City, Nassau, Suffolk, and Westchester counties. Treating more coronavirus patients than any other organization, the health system gained valuable insights for the next widespread medical crisis. As a result of Northwell's extensive COVID-19 relief efforts, the health system incurred significant costs associated with infectious disease education, training, personal protective equipment, and other essential supplies which are reflected in the costs reported. Northwell continued its efforts throughout 2022 as COVID-19 cases emerged again in our service area. Row (f) The costs related to health professions education were determined by utilizing the step-down method of cost finding. Bad Debt Expense reported on Form 990, Part IX, Line 25 column (A), is not included for purposes of calculating the percentage of total expense in column (f). 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 and the cost or fair market value of medical supplies donated. 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 (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense excluding bad debt for the hospital (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 17% of expenses excluding bad debt. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include collaboration with various community coalitions, system-wide recycling initiatives, organizational response to worldly disasters, and bioterrorism efforts. Northwell has taken the lead in increasing awareness of gun violence as a public health crisis. The Gun Violence Prevention Forum brought together physicians, researchers, policy experts, healthcare executives, NYPD counterterrorism, and victims' advocates to share their thoughts on how leaders in healthcare can address this national public health crisis. Northwell's bioterrorism & disaster preparedness includes the Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell has provided a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stands ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. 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. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Information pertaining to bad debt can be found in footnote 3 on pages 23-27 of the audited financial statements. Part III, Line 8: Northwell hospitals treat patients eligible for Medicare, to alleviate the Federal government's burden of providing medical services, which meets the Internal Revenue Service's guideline of a charitable purpose. Medicare rates are non-negotiable and often do not cover the costs of treating Medicare patients therefore shortfalls should be reportable as a community benefit. Medicare costs are determined utilizing a combination of the step-down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Section C, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g., insured, underinsured, and uninsured). The hospital's collection policy states it will not send an account to collections and will suspend all collection activity if the patient has submitted a financial assistance application, 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. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations that serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends, and projections are developed, which identify areas of need for the continuum of health care services. Primary dat X X X X X true false false true false false false true false MICHAEL DOWLING President & CEO 0 3964181 0 1177778 0 58859 0 33550 0 33893 0 5268261 0 0 RALPH NAPPI EVC 0 787287 0 181967 0 37081 0 33550 0 27909 0 1067794 0 0 KATHLEEN GALLO EVP & Chf Learning Officer 0 761533 0 412000 0 42589 0 33550 0 27909 0 1277581 0 0 JEFFREY KRAUT EVP Strategy & Analytics 0 1110326 0 953250 0 56784 0 33550 0 28234 0 2182144 0 0 RICHARD MILLER EVP & Chf Business Strategy Of 0 1061917 0 291500 0 41781 0 33550 0 26375 0 1455123 0 0 JOSEPH MOSCOLA EVP, Enterprise Management 0 1156918 0 477250 0 35733 0 33550 0 14234 0 1717685 0 0 DAVID BATTINELLI EVP & Physician in Chief 0 1323880 0 283992 0 20900 0 33550 0 41564 0 1703886 0 0 MARK SOLAZZO EVP & COO 0 2956944 0 795000 0 45268 0 33550 0 27625 0 3858387 0 0 MICHELE CUSACK EVP & CFO 0 1206109 0 303958 0 71741 0 33550 0 41503 0 1656861 0 0 DONNA DRUMMOND SVP & Chf Expense Officer 0 888237 0 223750 0 38420 0 33550 0 29616 0 1213573 0 0 EUGENE TANGNEY SVP & Chf Bus Continuity & Cri 0 1132246 0 253958 0 30356 0 33550 0 41564 0 1491674 0 0 KONSTANTINE COSTALAS SVP, Managed Care 0 816583 0 287396 0 12412 0 33550 0 41502 0 1191443 0 0 LAURENCE KRAEMER EVP, Chf Gen Counsel & Asst Se 0 941463 0 209792 0 71579 0 33550 0 41564 0 1297948 0 0 MARK GLOADE SVP, Dep Gen Counsel & Asst Se 0 689566 0 152375 0 32516 0 33550 0 41564 0 949571 0 0 HARRY GINDI Assistant Secretary 0 350615 0 47084 0 6380 0 33550 0 27868 0 465497 0 0 MICHAEL GOLDBERG Former Exec Director LIJMC 14085 0 164521 0 734212 0 33550 0 25086 0 971454 0 0 0 MICHAEL GITMAN Executive Director LIJMC 0 602044 0 154583 0 43592 0 33550 0 41502 0 875271 0 0 NICHOLAS BASTIDAS Plastic Surgeon 3178867 0 0 0 22173 0 33550 0 41564 0 3276154 0 0 0 LYLE LEIPZIGER Chf, Plastic Surgery 3134821 0 0 0 28221 0 33550 0 27909 0 3224501 0 0 0 NEIL TANNA Chf, Plastic Surgery 2991615 0 0 0 22173 0 33550 0 41564 0 3088902 0 0 0 JAMES BRADLEY Vice Chair, Plastic Surgery 2920101 0 0 0 35737 0 33550 0 26505 0 3015893 0 0 0 LEE SMITH Chf, Div Ped Otolaryngology 2792572 0 25000 0 22712 0 33550 0 41502 0 2915336 0 0 0 MARK CLASTER Immediate Past Chairman 0 0 0 0 0 324000 0 0 0 0 0 324000 0 0 PART I, LINE 4A - SEVERANCE PAY INCLUDED IN THIS YEAR'S COMPENSATION IS SEVERANCE PAY FOR THE FOLLOWING LISTED EMPLOYEES: MICHAEL GOLDBERG ($713,958). PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUES Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell 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. PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (II). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906K78 2012-07-10 125000000 2009 B,C,D BONDS-CAPITAL IMPROVEME false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906UY8 2012-05-03 7378565 2012 A BONDS-REFUNDING 1998 false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BNL3 2015-06-23 354621493 2015 A BONDS - REFUND 03 & 05 false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990GTD4 2019-09-26 34897578 2019 A&B BONDS - REFUND 2009 false false false A 60000000 0 126350450 0 0 0 1330450 0 0 0 125020000 0 2012 true false true true B 7128240 0 8453068 0 0 0 159301 0 0 0 8293767 0 2012 true false true true C 47621072 0 397432937 0 2262463 0 3591009 0 0 51138957 340440508 0 2019 true true true true D 4118026 0 39386680 0 0 0 366318 0 0 29096623 7755590 137549 true false false true A false false true true true true 0.01060 0.01060 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true true false false 0 false 0 false true B false false true true false false 0 false 0 false true C false false true true false false 0 false 0 false true D false true true false true false 0 false 0 false true A true B true C true D true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS PART IV, LINE 2C-REBATE CALCULATION PERFORMED 6/30/2017 FOR 2009 BONDS BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. PART IV, LINE 2C-REBATE CALCULATION PERFORMED 11/3/2012 FOR 2012 BOND, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. PART IV, LINE 2C-REBATE CALCULATION PERFORMED 5/31/2020 FOR 2015 BOND, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 65000BNH7 2022-05-18 152208473 2022 A BONDS - CONSTRUCT FACILITY false false false A 0 0 146326547 0 0 0 1128226 0 0 93124299 11137205 8374624 true false false true A false false true true true true 0.00750 0.00750 false false false true A false true true false false false 0 false 0 false true A true STEVEN ALLEN FAM REL: JEFF KRAUT 600638 EMPLOYEE false NORTH AMERICAN PRTNRS IN ANESTHESIA BUS REL: MICHAEL FISCH 2449107 COMPANY false GLOBAL PACKAGING SOLUTIONS BUS REL: EMMETT WALKER 219080 COMPANY false PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with Northwell Health 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. Roger Blumencranz has a business relationship with Michele Cusack, Richard D. Goldstein, Alan Greene, Douglas Hammond, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Richard Mack, William Mack, Robert Rosenthal and Barry Rubenstein. Michele Cusack has a business relationship with Roger Blumencranz. Michael Fisch has a business relationship with Douglas Hammond, Saul Katz. Catherine Foster has a business relationship with Douglas Hammond. Lloyd Goldman has a business relationship with Richard Goldstein, Richard Mack and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman and Barry Rubenstein. Alan Greene has a business relationship with Roger Blumencranz and Douglas Hammond. Doulgas Hammond has a business relationship with Roger Blumencranz, Michael Fisch, Catherine Foster, Alan Greene, Ralph Nappi, Mark Solazzo and Donald Zucker. Saul Katz has a business relationship with Michael Fisch, Seth Lipsay, F.J. McCarthy and Barry Rubenstein. Jeffrey Lane has a business relationship with Richard Mack and William Mack. Seth Lipsay has a business relationship with Saul Katz, F.J. McCarthy, Robert Rosenthal and Barry Rubenstein. Richard Mack has a family relationship with William Mack. He has business relationships with Mark Claster, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. William Mack has a family relationship with Richard Mack. He has business relationships with Mark Claster, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz, Seth Lipsay, Robert Rosenthal and Emmett Walker, Jr. Ralph Nappi has a business relationship with Roger Blumencranz and Douglas Hammond. Robert Rosenthal has a business relationship with Mark Claster, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Mark Claster, Richard Goldstein, Saul Katz, Seth Lipsay, Richard Mack and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz and Douglas Hammond. Emmett Walker, Jr has a business relationship with F.J. McCarthy. Donald Zucker has a business relationship with Roger Blumencranz and Douglas Hammond. Roy Zuckerberg has a business relationship with Richard Mack and William Mack. PART VI, SECTION A - GOVERNING BODY, LINE 7 Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. 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. PART VI, SECTION B - POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell'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 Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell 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 Northwell are required to fill 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 Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell 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. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") 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 Northwell 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. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A Roger A. Blumencranz Richard D. Goldstein Sharon Patterson Michael Caridi Alan I. Greene Lewis S. Ranieri Mark L. Claster Paul B. Guenther Scott Rechler Gary A. Cohen Beth Hammack Robert D. Rosenthal Margaret M. Crotty Douglas W. Hammond Barry Rubenstein Michael J. Dowling Saul B. Katz Michael S. Smith Michael A. Epstein Cary Kravet Leo Sternlicht Michael E. Feldman Jeffrey B. Lane Kenneth Taber Michael G. Fisch Seth Lipsay Benjamin B. Tucker Catherine C. Foster Richard Mack Emmett F. Walker, Jr. Clifford Friedman William L. Mack Donald Zucker Lloyd M. Goldman F.J. McCarthy Roy J. Zuckerberg Ralph A. Nappi PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, 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 Northwell 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 Northwell and its affiliates. PART XI, LINE 9 - RECONCILIATION OF NET ASSETS NON-OPERATING GAIN/(LOSS) 61,905 NET ASSETS RELEASED FROM RESTRICED FUND 6,498 TRANSFER TO/FROM AFFILIATES (37,442,395) HEALTH FIRST BOOK/TAX ADJ 2,437,642 CHANGE IN EQUITY UNDER FAS 136 20,652,881 TOTAL (14,283,469) Activity Works LLC 972 Brush Hollow Rd Westbury NY 11590 264708923 Inactive NY 0 0 LIJMC LIJMC One Marcus Avenue LLC 972 Brush Hollow Rd Westbury NY 11590 825168695 Inactive NY 0 0 LIJMC Black Hall Dental PC 972 Brush Hollow Rd Westbury NY 11590 873777395 Inactive NY 501(C)(3) Applied For NSUH false Brightwaters Gynecology PC 972 Brush Hollow Rd Westbury NY 11590 821883445 Medical Servi NY 501(C)(3) 10 NSUH false Brooklyn Ambulatory Care PC 972 Brush Hollow Rd Westbury NY 11590 474447289 Medical Servi NY 501(C)(3) 12, Type I NSUH false Carnegie Cardiovascular PC 972 Brush Hollow Rd Westbury NY 11590 474377825 Medical Servi NY 501(C)(3) 12, Type I Lenox Hill false Central Suffolk Hospital 1 Heroes Way Riverhead NY 11901 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Medical Servi NY 501(C)(3) 10 NSUH false Lenox Hill Pathology PC 972 Brush Hollow Rd Westbury NY 11590 133644370 Medical Servi NY 501(C)(3) 12, Type I Lenox Hill false Lenox Otolaryngology Head & Neck Surgery 972 Brush Hollow Rd Westbury NY 11590 208784395 Medical Servi NY 501(C)(3) 12, Type I Lenox Hill false LHH Corporation 972 Brush Hollow Rd Westbury NY 11590 133272016 Supporting Or NY 501(C)(3) 12, Type I Northwell He false LIJ Foundation 972 Brush Hollow Rd Westbury NY 11590 112661239 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Long Island Jewish Faculty Medical Affil 972 Brush Hollow Rd Westbury NY 11590 850667316 Billing NY 501(C)(3) 12, Type I LIJMC true Long Island Jewish Medical Center at Hom 972 Brush Hollow Rd Westbury NY 11590 113251128 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Marcus Avenue Medical PC 972 Brush Hollow Rd Westbury NY 11590 810861452 Medical Servi NY 501(C)(3) 12, Type I NSUH false Mather Faculty Medical Affiliates Unive 972 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Medical Servi NY 501(C)(3) 12, Type I NWHA false Northern Westchester Hospital Associatio 400 East Main Street Mount Kisco NY 10549 131740118 Health Care NY 501(C)(3) 3 Healthcare false Northern Westchester Hospital Center Fou 400 East Main Street Mount Kisco NY 10549 134067064 Foundation NY 501(C)(3) 9 NWHA false Northern Westchester Realty Holding Comp 400 East Main Street Mount Kisco NY 10549 912134215 Holding Compa NY 501(C)(2) N/A NWHA false Northwell Health Alliance Inc 972 Brush Hollow Rd Westbury NY 11590 263727582 Health Care NY 501(C)(3) 3 NA false Northwell Health Cancer Institute Inc 972 Brush Hollow Rd Westbury NY 11590 874329881 Inactive NY 501(C)(3) Applied For Healthcare false Northwell Health Foundation 972 Brush Hollow Rd Westbury NY 11590 112965575 Fundraising NY 501(C)(3) 7 Northwell He false Northwell Health Gastroenterology Instit 972 Brush Hollow Rd Westbury NY 11590 852355853 Medical Servi NY 501(C)(3) Applied For Healthcare false Northwell Health Laboratories 972 Brush Hollow Rd Westbury NY 11590 113412370 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Northwell Health Physician Partners Inc 972 Brush Hollow Rd Westbury NY 11590 873328924 Inactive NY 501(C)(3) Applied For Healthcare false Northwell Health Plans Holding Company 972 Brush Hollow Rd Westbury NY 11590 462478147 Holding Compa NY 501(C)(3) 12, Type II Healthcare false Northwell Health Stern Family Center for 972 Brush Hollow Rd Westbury NY 11590 237007485 Nursing Home NY 501(C)(3) 9 Healthcare false Northwell Health Inc 972 Brush Hollow Rd Westbury NY 11590 113418133 Supporting Or NY 501(C)(3) 12, Type I NA false Northwell Healthcare Inc 972 Brush Hollow Rd Westbury NY 11590 112965586 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Northwell Proton Therapy PC 972 Brush Hollow Rd Westbury NY 11590 812766298 Medical Servi NJ 501(C)(3) 10 NSUH false Northwell Public Health Corps Inc 972 Brush Hollow Rd Westbury NY 11590 874434322 Inactive NY 501(C)(3) Applied For Healthcare false Northwell Quality and Medical Affairs I 972 Brush Hollow Rd Westbury NY 11590 824113233 Supporting Or NY 501(C)(3) 12, Type I Healthcare false Nurse Heroes of Northwell Health Foundat 972 Brush Hollow Rd Westbury NY 11590 853994359 Fundraising NY 501(C)(3) Applied For Foundation false Peconic Bay Faculty Medical Affiliates 972 Brush Hollow Rd Westbury NY 11590 871869119 Medical Servi NY 501(C)(3) 12, Type I PBMC false Peconic Cardiology PC 972 Brush Hollow Rd Westbury NY 11590 813149464 Medical Servi NY 501(C)(3) 12, Type I NSUH false Phelps Faculty Medical Affiliates Unive 972 Brush Hollow Rd Westbury NY 11590 873213128 Medical Servi NY 501(C)(3) 12, Type I Phelps Memor false Phelps Medical Services PC 701 North Broadway Sleepy Hollow NY 10591 274416017 Medical Servi NY 501(C)(3) 12, Type I Phelps Memor false Phelps Memorial Hospital Association 701 North Broadway Sleepy Hollow NY 10591 131725076 Health Care NY 501(C)(3) 3 Healthcare false Physicians of University Hospital PC 1 Edgewater Plaza 6th Fl Staten Island NY 10305 200096809 Health Care NY 501(C)(3) 12, Type I SIUH false Plainview Faculty Medical Affiliates Un 972 Brush Hollow Rd Westbury NY 11590 872116326 Medical Servi NY 501(C)(3) 12, Type I Plainview false Plainview Hospital 972 Brush Hollow Rd Westbury NY 11590 113241243 Health Care NY 501(C)(3) 3 Healthcare false Sandi and Bill Nicholson - The Women Who 972 Brush Hollow Rd Westbury NY 11590 850554966 Fundraising NY 501(C)(3) Applied For NA false SIUH Systems Inc 475 Seaview Avenue Staten Island NY 10305 061074604 Fundraising NY 501(C)(3) 7 Healthcare false South Shore Faculty Medical Affiliates 972 Brush Hollow Rd Westbury NY 11590 871744354 Medical Servi NY 501(C)(3) 12, Type I South Shore false South Shore University Hospital 972 Brush Hollow Rd Westbury NY 11590 111667761 Health Care NY 501(C)(3) 3 Healthcare false Southside Faculty Medical Affiliates Un 972 Brush Hollow Rd Westbury NY 11590 853953395 Billing NY 501(C)(3) 12, Type I South Shore false Sports Physical Therapy Occupational Th 972 Brush Hollow Rd Westbury NY 11590 061655704 Health Care NY 501(C)(3) 9 LIJMC true Staten Island Faculty Medical Affiliates 972 Brush Hollow Rd Westbury NY 11590 850710387 Billing NY 501(C)(3) 12, Type I SIUH false Staten Island Performing Provider System 972 Brush Hollow Rd Westbury NY 11590 472544659 DSRIP NY 501(C)(3) 10 SIUH false Staten Island University Hospital 475 Seaview Avenue Staten Island NY 10305 112868878 Health Care NY 501(C)(3) 3 Healthcare false Staten Island University Hospital Founda 360 Seaview Avenue Staten Island NY 10305 870765787 Fundraising NY 501(C)(3) 7 SIUH false Suite 130 Plastic Surgery PC 972 Brush Hollow Rd Westbury NY 11590 821772747 Medical Servi NY 501(C)(3) 12, Type I LIJMC true The Calverton Foundation Inc 972 Brush Hollow Rd Westbury NY 11590 831118138 Medical Servi NY 501(C)(3) 12, Type I Healthcare false The Elmezzi Graduate School of Molecular 972 Brush Hollow Rd Westbury NY 11590 113284934 Graduate Scho NY 501(C)(3) 2 Healthcare false The Feinstein Institute for Medical Rese 972 Brush Hollow Rd Westbury NY 11590 112673595 Research NY 501(C)(3) 4 Northwell He false The Heart Institute 475 Seaview Avenue Staten Island NY 10305 311757254 Inactive NY 501(C)(3) 12, Type I NA false The Long Island Home 400 Sunrise Hghwy Amityville NY 11701 112837244 Health Care NY 501(C)(3) 3 LHH Corporat false True North Flexstaff Inc 972 Brush Hollow Rd Westbury NY 11590 821446568 Medical Servi NY 501(C)(3) 12, Type I Healthcare false True North Health Management Inc 972 Brush Hollow Rd Westbury NY 11590 813428274 Supporting Or NY 501(C)(3) 12, Type I Healthcare false True North Medical Group PC 972 Brush Hollow Rd Westbury NY 11590 275078717 Medical Servi NY 501(C)(3) 12, Type I NSUH false True North Patient Safety Organization 972 Brush Hollow Rd Westbury NY 11590 831429773 Medical Servi NY 501(C)(3) 12, Type I Northwell He false Virtual Health Medicine PC 972 Brush Hollow Rd Westbury NY 11590 274384326 Medical Servi NY 501(C)(3) 10 NSUH false Visiting Nurse Association of Hudson Val 540 White Plains Rd Tarrytown NY 10591 131739952 Home Health C NY 501(C)(3) 10 Healthcare false VNA Home Health Services Inc 540 White Plains Rd Tarrytown NY 10591 133690105 Home Health C NY 501(C)(3) 10 VNA Hudson false Wellbridge Psychiatry PC 972 Brush Hollow Rd Westbury NY 11590 465495054 Medical Servi NY 501(C)(3) 12, Type I NSUH false Westchester Health Medical PC 972 Brush Hollow Rd Westbury NY 11590 474539584 Medical Servi NY 501(C)(3) 12, Type I NSUH false Black Hall Oral Maxillofacial Surgery P 972 Brush Hollow Rd Westbury NY 11590 920895708 Medical Servi NY 501(C)(3) Applied For NSUH false Marcus Ave OB-GYN PC 972 Brush Hollow Rd Westbury NY 11590 880775003 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Kips Bay PC 972 Brush Hollow Rd Westbury NY 11590 853052457 Medical Servi NY 501(C)(3) 12, Type I NSUH false Medical Services of Lenox Hill PC 972 Brush Hollow Rd Westbury NY 11590 923311309 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Lynbrook PC 972 Brush Hollow Rd Westbury NY 11590 844268663 Medical Servi NY 501(C)(3) 12, Type I NSUH false Medical Services of Manhasset PC 972 Brush Hollow Rd Westbury NY 11590 923278147 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Nassau PC 972 Brush Hollow Rd Westbury NY 11590 923137107 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Setauket PC 972 Brush Hollow Rd Westbury NY 11590 844305970 Medical Servi NY 501(C)(3) 12, Type I NSUH false Medical Services of South Nassau PC 972 Brush Hollow Rd Westbury NY 11590 923251451 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Stony Brook PC 972 Brush Hollow Rd Westbury NY 11590 923357143 Medical Servi NY 501(C)(3) Applied For NSUH false Medical Services of Uniondale PC 972 Brush Hollow Rd Westbury NY 11590 844279391 Medical Servi NY 501(C)(3) 12, Type I NSUH false North Shore ENT & Allergy Medical Affili 972 Brush Hollow Rd Westbury NY 11590 883448425 Medical Servi NY 501(C)(3) Applied For NSUH false North Shore Health System Medical Facult 972 Brush Hollow Rd Westbury NY 11590 853920020 Medical Servi NY 501(C)(3) 12, Type I NSUH false Northeastern Anesthesia of New Jersey P 972 Brush Hollow Rd Westbury NY 11590 208709500 Medical Servi NJ 501(C)(3) 12, Type I NSUH false Northwell Health Medical PC 972 Brush Hollow Rd Westbury NY 11590 882104467 Medical Servi PA 501(C)(3) Applied For NSUH false True North Medial of Stony Brook PC 972 Brush Hollow Rd Westbury NY 11590 883996234 Medical Servi NY 501(C)(3) Applied For NSUH false True North Medical of Lenox Hill PC 972 Brush Hollow Rd Westbury NY 11590 923491304 Medical Servi NY 501(C)(3) Applied For NSUH false True North Medical of Manhasset PC 972 Brush Hollow Rd Westbury NY 11590 923607865 Medical Servi NY 501(C)(3) Applied For NSUH false True North Medical of Nassau PC 972 Brush 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NY 11590 472478692 Holding Co NY Hplan Holding C false CareConnect Insurance Co 972 Brush Hollow Rd Westbury NY 11590 462270382 Insurance NY Group Holding C false EvidencePoint Inc 972 Brush Hollow Rd Westbury NY 11590 853582198 Inactive NY Northwell Holdi C false Feinstein Center for Bioelectronic Medic 972 Brush Hollow Rd Westbury NY 11590 812885700 Inactive NY Feinstein C false Formativ Health Management Inc 972 Brush Hollow Rd Westbury NY 11590 813454243 Holding Co DE Formativ Health C false Formativ Health NewCo Inc 972 Brush Hollow Rd Westbury NY 11590 813928889 Holding Co DE Formativ Health C false Krauss Joint Replacement Program PC 972 Brush Hollow Rd Westbury NY 11590 300920275 Medical Services NY Central Suffolk C false Montauk Risk Retention Group Inc 972 Brush Hollow Rd Westbury NY 11590 822587942 Insurance NY Healthcare C false North Shore Health Enterprises Inc 972 Brush Hollow Rd Westbury NY 11590 061605319 Holding Comp NY NSHS Enterprise C false North Shore Health 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475182974 Admin NY NW Holdings C false Northwell FlexStaff Inc 972 Brush Hollow Rd Westbury NY 11590 810836815 Medical Services NY NSH Enterprise C false Northwell Health Medical Surgical PC 972 Brush Hollow Rd Westbury NY 11590 832198276 Medical Services NJ SIUH C false Northwell Health Regional Alliance Inc 972 Brush Hollow Rd Westbury NY 11590 263651575 Support Services NY NA C false Northwell Holdings Inc 972 Brush Hollow Rd Westbury NY 11590 834045975 Business Services NY NSHS Enterprise C false NWHC Health Management Services Inc 400 East Main St Mount Kisco NY 10549 133697510 Health Mgmt NY NORCORP C false Peconic Bay Medical Services PC 972 Brush Hollow Rd Westbury NY 11590 472151802 Medical Services NY Central Suffolk C false Peconic Bay Primary Medical Care PC 972 Brush Hollow Rd Westbury NY 11590 113265111 Medical Services NY Central Suffolk C false PMHC Realty Corporation 701 North Broadway Sleepy Hollow NY 10591 133645135 Real Estate NY Phelps Memorial C false Prime Care Medical of Long Island PC 972 Brush Hollow Rd Westbury NY 11590 204398486 Medical Services NY Central Suffolk C false Regional Insurance Company LTD c/o Cedar House 41 Cedar Ave Hamilton BD HM 12 000000000 Insurance BD Healthcare C false Regioncare Inc 972 Brush Hollow Rd Westbury NY 11590 113052191 Homecare NY NSHS Enterprise C false Staten Island University Hospital Perina 475 Seaview Ave Staten Island NY 10305 134107082 Medical Services NY SIUH C false True North 3D Inc 972 Brush Hollow Rd Westbury NY 11590 845176444 Business Services NY True North Heal C false True North Enterprises Inc 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY Healthcare C false True North Health Pharmacy Inc 972 Brush Hollow Rd Westbury NY 11590 471020508 Pharmacy NY NSHS Enterprise C false True North Health Inc 972 Brush Hollow Rd Westbury NY 11590 830616581 Medical Services DE Northwell Healt C false True North Workforce Safety Consulting 972 Brush Hollow Rd Westbury NY 11590 842395117 Business Services NY True North Heal C false United Medical Surgical PC 256 Mason Ave Bldg B 2nd Fl Staten Island NY 10305 134038780 Surgical Services NY SIUH C false VivoHealth Plan Inc 972 Brush Hollow Rd Westbury NY 11590 461164689 Inactive NY Healthcare C false Vivohealth Inc 972 Brush Hollow Rd Westbury NY 11590 264118016 Inactive NY NSH Enterprise C false True North Medical at Work PC 972 Brush Hollow Rd Westbury NY 11590 880739758 Inactive NY NSUH C false false false false false false false false false false false false true false true true false false true