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CENTRAL SUFFOLK HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CENTRAL SUFFOLK HOSPITAL (EIN 11-1661359)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202103169349306355
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T11:05:12-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111661359EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Suffolk HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlCENTBusinessNameControlTxt
Phone6315486074PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEROES WAYAddressLine1Txt
CityRIVERHEADCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael F O'DonnellPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone6315486074PhoneNum
Signature2021-11-12SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichael FPersonFirstNm
Person LastODonnellPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Peconic Bay Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL O'DONNELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HEROES WAYAddressLine1Txt
CityRIVERHEADCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$255,844,002GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PBMCHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCENTRAL SUFFOLK HOSPITAL ("CSH") IS A NOT-FOR-PROFIT HOSPITAL, A SKILLED NURSING FACILITY, AND A CERTIFIED HOME CARE AGENCY.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1720TotalEmployeeCnt
Total Volunteers89TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,825,013PYContributionsGrantsAmt
CY Contributions Grants$27,159,248CYContributionsGrantsAmt
PY Program Service Revenue$219,414,487PYProgramServiceRevenueAmt
CY Program Service Revenue$224,384,578CYProgramServiceRevenueAmt
PY Investment Income$1,380,245PYInvestmentIncomeAmt
CY Investment Income$1,015,104CYInvestmentIncomeAmt
PY Other Revenue$1,253,984PYOtherRevenueAmt
CY Other Revenue$2,043,395CYOtherRevenueAmt
PY Total Revenue$223,873,729PYTotalRevenueAmt
CY Total Revenue$254,602,325CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$130,433,736PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$148,804,624CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$91,664,430PYOtherExpensesAmt
CY Other Expenses$105,560,186CYOtherExpensesAmt
PY Total Expenses$222,098,166PYTotalExpensesAmt
CY Total Expenses$254,364,810CYTotalExpensesAmt
PY Revenues Less Expenses$1,775,563PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$237,515CYRevenuesLessExpensesAmt
Total Assets BOY$251,031,020TotalAssetsBOYAmt
Total Assets EOY$309,735,219TotalAssetsEOYAmt
Total Liabilities BOY$137,103,332TotalLiabilitiesBOYAmt
Total Liabilities EOY$179,759,173TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$113,927,688NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$129,976,046NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCENTRAL SUFFOLK HOSPITAL ("CSH") D/B/A PECONIC BAY MEDICAL CENTER ("PBMC") IS A NOT-FOR-PROFIT HOSPITAL CONSISTING OF 122 ACUTE CARE BEDS, A 60-BED SKILLED NURSING FACILITY AND A CERTIFIED HOME CARE AGENCY. CSH PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE LOCAL COMMUNITY.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$205,272,579ExpenseAmt
Revenue$224,384,578RevenueAmt
DescCENTRAL SUFFOLK HOSPITAL ("CSH") IS A PROVIDER OF COMPREHENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY, SURGICAL, MEDICAL, ICU AND OBSTETRICS/GYNECOLOGICAL. IN 2020, CSH HAD 8,598 INPATIENT DISCHARGES, DELIVERED 423 BABIES, PROVIDED 28,555 EMERGENCY DEPARTMENT VISTS, AND PERFORMED 3,981 AMBULATORY SURGERIES INCLUDING ENDOSCOPIES AND CARDIAC CATHETERIZATIONS.Desc
Total Program Service Expenses$205,272,579TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document76IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1720EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTHWELL HEALTH INCPersonNm
Phone5163216058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RD 5TH FLAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREW MITCHELL
President50.00.0Yes (X)Yes (X)$3,050,820$0$55,274
RALPH NAPPI
Trustee/EVC Northwell0.050.0Yes (X)$0$1,021,093$55,274
MICHAEL O'DONNELL
CFO50.00.0Yes (X)$477,871$0$66,937
AMY LOEB
CNO50.00.0Yes (X)Yes (X)$442,761$0$66,885
STEVEN OUZOUNIAN
Trustee/Physician0.050.0Yes (X)$0$421,350$31,350
LAWRENCE WALSER
Dir, Critical Care50.00.0$388,109$0$54,184Yes (X)
STEPHEN JOHN
Physician/Hospitalist50.00.0$393,921$0$43,595Yes (X)
AGOSTINO CERVONE
Trustee/Physician0.050.0Yes (X)$0$376,670$31,350
APRIL CAPERNA
Dir, Geriatric & Palliative Md50.00.0$329,033$0$66,885Yes (X)
ARTHUR CROWE
COO50.00.0Yes (X)$324,699$0$55,239
KAUSHIK MANTHANI
Program Director50.00.0$309,563$0$66,885Yes (X)
MARIE DORVAL-DORCELY
Physician/Hospitalist50.00.0$338,753$0$32,816Yes (X)
SAMANTHA VIGLIOTTA
VP, Strategic Market Growth50.00.0$294,412$0$66,885Yes (X)
MONICA RAULS
VP, Human Resources50.00.0$237,447$0$27,670Yes (X)
RONALD MCMANUS
Former COO0.00.0$173,313$0$13,724Yes (X)
SHARON PATTERSON
Chairman0.03.0Yes (X)Yes (X)$0$0$0
ANDREW MENDELSON
Vice Chairman0.02.0Yes (X)Yes (X)$0$0$0
J GORDON HUSZAGH
Vice Chairman, Treasurer0.02.0Yes (X)Yes (X)$0$0$0
REV GEORGE SUMMERS
Secretary0.02.0Yes (X)Yes (X)$0$0$0
NON COMPENSATED TRUSTEES
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,760,702TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,819,113TotReportableCompRltdOrgAmt
Total Other Compensation$734,953TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K369IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Philips Medical Systems
22100 Bothell Everett HwyBOTHELLWA98041Equipment Services$2,680,186
Sodexo Inc Affiliates
135 Santilli HwyEVERETTMA02149Cafeteria Services$2,627,732
Cross Country Staffing
PO Box 404674ATLANTAGA303844674Temporary Employee$1,934,415
GE Precision Healthcare LLC
3000 N Grandview BlvdWAUKESHAWI53188Equipment Services$1,906,810
Partners in Critical Care LLP
32 Cedar Avenue ExtISLIPNY11751Physicians$1,838,610
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Related Organizations$100,000RelatedOrganizationsAmt
Government Grants$25,824,248GovernmentGrantsAmt
All Other Contributions$1,235,000AllOtherContributionsAmt
Total Contributions$27,159,248TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621300$130,391,981$130,391,981
PHYSICIAN PRACTICE REVENUE621300$4,639,295$4,639,295
MEDICARE/MEDICAID PAYMENTS621300$88,878,302$88,878,302
DSRIP PAYMENTS621300$475,000$475,000
FieldValueIRS element (for citing)
Total Program Service Revenue$224,384,578TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$932,687TotalRevenueColumnAmt
Exclusion$932,687ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$134,284RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$105,677RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$28,607RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,607TotalRevenueColumnAmt
Related Or Exempt Func Income$28,607RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,218,417SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,136,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$82,417SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,417TotalRevenueColumnAmt
Exclusion$82,417ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA624210$515,443$515,443
CLINIC900099$220,806$220,806
MEDICAL SCHOOL900099$246,477$246,477

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,032,062TotalRevenueColumnAmt
Related Or Exempt Func Income$1,032,062RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,014,788OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,602,325TotalRevenueColumnAmt
Related Or Exempt Func Income$225,691,724RelatedOrExemptFuncIncomeAmt
Exclusion$1,751,353ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,001,323TotalAmt
Program Services$5,001,323ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,496,077TotalAmt
Program Services$85,218,944ProgramServicesAmt
Management And General$22,277,133ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,262,152TotalAmt
Program Services$7,342,694ProgramServicesAmt
Management And General$1,919,458ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,834,109TotalAmt
Program Services$14,930,990ProgramServicesAmt
Management And General$3,903,119ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,210,963TotalAmt
Program Services$6,509,350ProgramServicesAmt
Management And General$1,701,613ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,512,598TotalAmt
Management And General$2,512,598ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$112,565TotalAmt
Management And General$112,565ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,452,423TotalAmt
Program Services$9,871,824ProgramServicesAmt
Management And General$2,580,599ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,063,822TotalAmt
Program Services$1,063,822ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,119,719TotalAmt
Program Services$34,183,731ProgramServicesAmt
Management And General$8,935,988ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,644,367TotalAmt
Program Services$2,096,357ProgramServicesAmt
Management And General$548,010ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$201,034TotalAmt
Program Services$201,034ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$211,408TotalAmt
Program Services$211,408ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,628,016TotalAmt
Management And General$1,628,016ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,510,871TotalAmt
Program Services$7,539,869ProgramServicesAmt
Management And General$1,971,002ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,228,165TotalAmt
Program Services$2,228,165ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$21,164,755$21,164,755
BAD DEBT$5,028,583$5,028,583
CENTRALIZED ADMIN EXPENSE$303,022$303,022
DUES & SUBSCRIPTIONS$110,657$87,725$22,932

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,268,181TotalAmt
Program Services$2,592,005ProgramServicesAmt
Management And General$676,176ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$254,364,810TotalAmt
Program Services$205,272,579ProgramServicesAmt
Management And General$49,092,231ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,379,717BOYAmt
EOY$44,726,407EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,059,201BOYAmt
EOY$3,059,201EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,251,373BOYAmt
EOY$29,179,914EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,297,067BOYAmt
EOY$4,297,524EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$129,866BOYAmt
EOY$132,243EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,224,727LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,354,870LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$134,834,135BOYAmt
EOY$151,869,857EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,890,134BOYAmt
EOY$27,305,930EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,230,000BOYAmt
EOY$5,230,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,959,527BOYAmt
EOY$43,934,143EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$251,031,020BOYAmt
EOY$309,735,219EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,466,229BOYAmt
EOY$38,021,832EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,245,000BOYAmt
EOY$22,850,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$13,556,838BOYAmt
EOY$7,171,898EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,835,265BOYAmt
EOY$111,715,443EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,103,332BOYAmt
EOY$179,759,173EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$101,965,327BOYAmt
EOY$112,086,149EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,962,361BOYAmt
EOY$17,889,897EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,927,688BOYAmt
EOY$129,976,046EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$251,031,020BOYAmt
EOY$309,735,219EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$237,515ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$15,810,843OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$243RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$243TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationCENTRAL SUFFOLK HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$786,908BeginningYearBalanceAmt
End Year Balance$786,908EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$786,908BeginningYearBalanceAmt
Investment Earnings Or Losses$349,092InvestmentEarningsOrLossesAmt
Other Expenditures$349,092OtherExpendituresAmt
End Year Balance$786,908EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$765,857BeginningYearBalanceAmt
Investment Earnings Or Losses$213,986InvestmentEarningsOrLossesAmt
Other Expenditures$192,935OtherExpendituresAmt
End Year Balance$786,908EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$777,416BeginningYearBalanceAmt
Contributions$21,460ContributionsAmt
Investment Earnings Or Losses-$33,019InvestmentEarningsOrLossesAmt
End Year Balance$765,857EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$786,908BeginningYearBalanceAmt
Contributions$20,485ContributionsAmt
Investment Earnings Or Losses$22,979InvestmentEarningsOrLossesAmt
Other Expenditures$52,956OtherExpendituresAmt
End Year Balance$777,416EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,205,000OtherCostOrOtherBasisAmt
Book Value$16,205,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,378,238OtherCostOrOtherBasisAmt
Depreciation$14,441,222DepreciationAmt
Book Value$81,937,016BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,291,741OtherCostOrOtherBasisAmt
Depreciation$1,059,362DepreciationAmt
Book Value$2,232,379BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,053,031OtherCostOrOtherBasisAmt
Depreciation$16,668,689DepreciationAmt
Book Value$45,384,342BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,296,717OtherCostOrOtherBasisAmt
Depreciation$185,597DepreciationAmt
Book Value$6,111,120BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$151,869,857TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
EQUITY INTEREST IN THE CSH FDN$23,853,726
SECURITY DEPOSITS$169,971
OTHER RECEIVABLES$966,767
INSURANCE CLAIM RECEIVABLE$842,264
RIGHT OF USE ASSET$18,037,493
OTHER ASSETS$63,922
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,934,143TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
MALPRACTICE INSURANCE$20,271,774
ESTIMATED THIRD PARTY PAYABLES$13,011,399
DUE TO AFFILIATES$21,840,668
INSURANCE CLAIMS LIABILITY$842,264
OPERATING LEASE LIABILITY$18,037,493
OTHER LIABILITIES$344,023
CMS COVID-19 ADVANCE$37,367,822
FieldValueIRS element (for citing)
Total Liability$111,715,443TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$249,894,250TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$3,737,633OtherRevenueAmt
Revenue Not Reported-$3,737,633RevenueNotReportedAmt
Revenue Subtotal$253,631,883RevenueSubtotalAmt
Other Revenues Not Included$970,442OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$970,442RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$254,602,325TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$248,713,271TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$105,677OtherExpensesIncludedAmt
Expenses Not Reported$105,677ExpensesNotReportedAmt
Expenses Subtotal$248,607,594ExpensesSubtotalAmt
Other Expenses Not Included$5,757,216OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,757,216ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$254,364,810TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4 - DESCRIPTION OF ORGANIZATION'S COLLECTIONSTHE DONATED ARTWORK PROVIDES A SOOTHING AND CALMING ENVIRONMENT TO THE PATIENTS AND THEIR FAMILIES WHEN THEY ATTEND CSH FOR MEDICAL SERVICES. CSH HOPES THAT WITH A GOOD EXPERIENCE, THEIR PATIENTS CONTINUE TO UTILIZE CSH TO PROVIDE MEDICAL SERVICES.
PART V, LINE 4 - INTENDED USE OF ENDOWMENTSENDOWMENT FUNDS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY CSH IN PERPETUITY.
PART X, LINE 2 - FIN 48Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations 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, 2020, Northwell has a deferred tax asset of approximately $175,000,000, which has been partially offset by a related valuation allowance of approximately $141,000,000 and is recorded within other current assets in the accompanying consolidated statement of financial position at December 31, 2020. At December 31, 2019, Northwell had a deferred tax asset of approximately $112,000,000, which was 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 net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $514,000,000 at December 31, 2020. 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 REVENUEREVENUE ON BOOKS NOT ON RETURN NON-OPERATING NET BENEFIT COST 249,881 PROVISION FOR BAD DEBT (5,028,583) NET ASSETS RELEASED FROM RESTRICTION 1,041,069 TOTAL (3,737,633) REVENUE ON RETURN NOT ON BOOKS RENTAL EXPENSE RECLASS (105,677) INVESTMENT INCOME 76,119 RESTRICTED CONTRIBUTIONS 1,000,000 TOTAL 970,442
Part XII, Line 2D & 4B - RECONCILIATION OF EXPENSESEXPENSE ON BOOKS NOT ON RETURN RENTAL EXPENSE RECLASS 105,677 TOTAL 105,677 EXPENSE ON RETURN NOT ON BOOKS PROVISION FOR BAD DEBT 5,028,583 ADDITIONAL MINIMUM PENSION LIAB ADJ 728,633 TOTAL 5,757,216

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,699,883TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$807,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$892,137NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,278,503TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,380,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,898,206NetCommunityBenefitExpnsAmt
Total Expense0.06190TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,978,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,188,044DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,790,343NetCommunityBenefitExpnsAmt
Total Expense0.06520TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,790,265TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$392,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,397,993NetCommunityBenefitExpnsAmt
Total Expense0.03070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,275,438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,057,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,217,649NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,640,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,461,837DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,178,308NetCommunityBenefitExpnsAmt
Total Expense0.02630TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$838TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$838NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,232TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,232NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,726,918TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,911,897DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,815,020NetCommunityBenefitExpnsAmt
Total Expense0.06520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,705,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,099,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,605,363NetCommunityBenefitExpnsAmt
Total Expense0.13040TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,601TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,601NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,016NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$246TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$246NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,929TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,929NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,289,723BadDebtExpenseAmt
Reimbursed By Medicare$68,899,018ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$98,094,908CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$29,195,890MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Peconic Bay Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Heroes WayAddressLine1Txt
CityRiverheadCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11901ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherTrauma unitOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Peconic Bay Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.northwell.edu/education-and-resourceOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.northwell.edu/education-and-resources/comStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLComplete web address in Part VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLComplete web address in Part VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLComplete web address in PartFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V Section C - Supplemental InformationFormAndLineReferenceDesc
ExplanationPart 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-county 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 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 web link: https://www.northwell.edu/sites/northwell.edu/files/2019-12/Northwell-Heal th-2019-CHNA-FINAL.pdf Part V, Section B, line 7d: N/A Part V, Section B, line 11: The Northwell Health Implementation Plan for 2019-2021 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 web link: https://www.northwell.edu/sites/northwell.edu/files/2020-01/Northwell-Heal th-NYSDOH%20-2019-2021-CHNA-and-CSP-Summary.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.pbmchealth.org/admissions/billing/financial-aid Part V, Section B, line 16j: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions, 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/AExplanationTxt
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Peconic Bay Skilled Nursing Facility
1 Heroes WayRiverheadNY11901Rehabilitation
Peconic Bay Homehealth Services
1 Heroes WayRiverheadNY11901Outpatient Physician Clinic
Peconic Bay Physical Therapy & Rehab Cen
64 Commerce DriveRiverheadNY11901Rehabilitation

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VI - Supplemental InformationFormAndLineReferenceDesc
ExplanationQuestion 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health Inc. ("Northwell"). Northwell uses 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: The 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/education-and-resources/community-engagement/com munity-health-investment/needs-assessment-community-health-implementation- plan Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) 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. These costs are offset by the obligated federal funding Northwell reported in their year-end December 31, 2020 audited financial statements. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(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 Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 22.6 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwell has taken the lead in increasing awareness of gun violence as a public health issue. The Gun Violence Prevention Forum brought together physicians, researchers, policy experts, health care executives, NYPD counterterrorism and victims' advocates to share their thoughts on how leaders in health care can address this national public health crisis. Northwell's bioterrorism & disaster preparedness includes 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 provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand 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. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. 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. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. 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 who 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 data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/DirExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW MITCHELL
President$837,857$0$2,185,494$0$27,469$0$31,350$0$23,924$0$3,106,094$0$0$0
MICHAEL O'DONNELL
CFO$382,007$0$66,858$0$29,006$0$31,350$0$35,587$0$544,808$0$0$0
AMY LOEB
CNO$384,364$0$55,656$0$2,741$0$31,350$0$35,535$0$509,646$0$0$0
RONALD MCMANUS
Former COO$0$0$173,313$0$0$13,724$0$187,037$0$0$0
ARTHUR CROWE
COO$270,584$0$50,087$0$4,028$0$31,350$0$23,889$0$379,938$0$0$0
AGOSTINO CERVONE
Trustee/Physician$0$376,670$0$0$0$31,350$0$0$408,020$0$0
STEVEN OUZOUNIAN
Trustee/Physician$0$421,350$0$0$0$31,350$0$0$452,700$0$0
RALPH NAPPI
Trustee/EVC Northwell$0$784,283$0$203,125$0$33,685$0$31,350$0$23,924$0$1,076,367$0$0
SAMANTHA VIGLIOTTA
VP, Strategic Market Growth$244,789$0$47,109$0$2,514$0$31,350$0$35,535$0$361,297$0$0$0
MONICA RAULS
VP, Human Resources$208,269$0$26,539$0$2,639$0$27,070$0$600$0$265,117$0$0$0
STEPHEN JOHN
Physician/Hospitalist$200,518$0$0$193,403$0$31,350$0$12,245$0$437,516$0$0$0
LAWRENCE WALSER
Dir, Critical Care$339,557$0$39,000$0$9,552$0$31,350$0$22,834$0$442,293$0$0$0
MARIE DORVAL-DORCELY
Physician/Hospitalist$243,145$0$14,000$0$81,608$0$31,350$0$1,466$0$371,569$0$0$0
APRIL CAPERNA
Dir, Geriatric & Palliative Md$323,338$0$0$5,695$0$31,350$0$35,535$0$395,918$0$0$0
KAUSHIK MANTHANI
Program Director$262,948$0$11,188$0$35,427$0$31,350$0$35,535$0$376,448$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4A - SEVERANCE PAYINCLUDED IN THIS YEAR'S COMPENSATION IS SEVERANCE PAY FOR THE FOLLOWING LISTED EMPLOYEES: RONALD MCMANUS ($179,202).
PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATIONOn Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TOWN OF RIVERHEAD INDUSTRIAL DEVELOPMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN112560077BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-05-06BondIssuedDt
Issue Price$34,070,000IssuePriceAmt
PurposeREFUND BONDS (6/23/06 & 6/27/07)PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,220,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$34,070,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$34,070,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2009SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1HSBC BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge17.2TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2C - REBATE CALCULATION PERFORMED 04/30/2016 FOR 2015 BONDS,FormAndLineReferenceDesc
ExplanationSINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
STEVEN OUZOUNIAN MD
BOARD MEMBER$75,000DIRECTORSHIP AGREEMENTfalse
RICHARD ISRAEL
BOARD MEMBER$540,236RENTAL PROPERTYfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY, LINE 6 & 7NORTHWELL HEALTHCARE, INC. ("NORTHWELL HEALTHCARE") IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. NORTHWELL HEALTHCARE 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 NORTHWELL HEALTHCARE ARE PART OF NORTHWELL HEALTH, INC., AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
PART VI, SECTION B - POLICIES, LINE 11THE 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 12CTHE CONFLICTS OF INTEREST POLICY APPLIES TO MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, VICE PRESIDENTS, ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, CLINICAL DIRECTORS OF DEPARTMENTS AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISIONS BETWEEN CSH AND VENDORS. THE DIRECTOR OF CORPORATE COMPLIANCE CONTINUOUSLY MONITORS ALL TRANSACTIONS TO DETERMINE IF ANY POTENTIAL CONFLICT EXISTS. IF IT IS DETERMINED THAT A POTENTIAL CONFLICT EXISTS, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DECISION OF THE TRANSACTION.
PART VI, SECTION B - POLICIES, LINE 15ACENTRAL SUFFOLK HOSPITAL UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN 2018.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1AMarc Alessi, Esq Andrew J. Mitchell Agostino Cervone, MD Richard Musto Emilie Roy Corey, MSW Anne K. Nolon Michael Dempsey, MD Steven Ouzounian, MD Father Larry Duncklee Sharon Patterson J. Gordon Huszagh Rev. George Summers Richard Israel Carol Aspinall Joan Levan Richard Winslow, PHD Kareem Massoud Stanley Zinberg, MD Amy Loeb Ralph Nappi Andrew S. Mendelson Robert F. Rose
PART XI, LINE 9 - RECONCILIATION OF NET ASSETSNET ASSETS RELEASED FROM RESTRICTION 41,234 TRANSFER FROM AFFILIATES 10,576,149 CHANGE IN FAIR VALUE OF DERIVATIVES (666,527) CHANGE IN EQUITY UNDER FAS 136 5,859,987 TOTAL 15,810,843
PART III, LINE 2 - Significant New Program ServicesDue to the declared National Emergency, Northwell Health, Inc. and its related subsidiaries undertook many program services specifically developed to combat the COVID-19 pandemic.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (96 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Brightwaters Gynecology PC
972 Brush Hollow RdWestburyNY11590821883445Medical ServiNY501(C)(3)10NSUHfalse
Brooklyn Ambulatory Care PC
972 Brush Hollow RdWestburyNY11590474447289Medical ServiNY501(C)(3)12, Type INSUHfalse
Carnegie Cardiovascular PC
972 Brush Hollow RdWestburyNY11590474377825Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
CLNY Alliance Inc
972 Brush Hollow RdWestburyNY11590463146870LaboratoryNY501(C)(3)3NAfalse
Community Drive Surgery PC
972 Brush Hollow RdWestburyNY11590821672429Medical ServiNY501(C)(3)12, Type INSUHfalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487Health CareNY501(C)(3)3Healthcarefalse
Harbor View Medical Services PC
75 North Country RdPort JeffersonNY11777264517010Supporting OrNY501(C)(3)12, Type IMatherfalse
Hillside Hospital Houses Inc
972 Brush Hollow RdWestburyNY11590112113949Housing CompNY501(C)(2)N/ANorthwell Hefalse
Hospice Care in Westchester and Putnam
540 White Plains RdTarrytownNY10591133882602Hospice CareNY501(C)(3)10VNA Hudsonfalse
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(C)(3)9Healthcarefalse
Huntington Faculty Medical Affiliates U
972 Brush Hollow RdWestburyNY11590850642554BillingNY501(C)(3)Applied ForHuntingtonfalse
Huntington Hospital Association
270 Park AvenueHuntingtonNY11743111630914Health CareNY501(C)(3)3Healthcarefalse
Huntington Hospital Dolan Family Health
284 Pulaski RdGreenlawnNY11740113368503Health CareNY501(C)(3)3Huntingtonfalse
John T Mather Memorial Hospital
75 North Country RdPort JeffersonNY11777111639818Health CareNY501(C)(3)3Healthcarefalse
Lakeville Surgery PC
972 Brush Hollow RdWestburyNY11590474377760Medical ServiNY501(C)(3)10Lenox Hillfalse
Lenox Hill Faculty Medical Affiliates U
972 Brush Hollow RdWestburyNY11590850656357BillingNY501(C)(3)Applied ForLenox Hillfalse
Lenox Hill Hospital
972 Brush Hollow RdWestburyNY11590131624070Health CareNY501(C)(3)3Healthcarefalse
Lenox Hill Hospital Medical PC
972 Brush Hollow RdWestburyNY11590452661543Medical ServiNY501(C)(3)10NSUHfalse
Lenox Hill Pathology PC
972 Brush Hollow RdWestburyNY11590133644370Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
Lenox Otolaryngology Head & Neck Surgery
972 Brush Hollow RdWestburyNY11590208784395Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
LHH Corporation
972 Brush Hollow RdWestburyNY11590133272016Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
LIJ Foundation
972 Brush Hollow RdWestburyNY11590112661239Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Long Island Jewish Faculty Medical Affil
972 Brush Hollow RdWestburyNY11590850667316BillingNY501(C)(3)Applied ForLIJMCfalse
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326Health CareNY501(C)(3)3Healthcarefalse
Long Island Jewish Medical Center at Hom
972 Brush Hollow RdWestburyNY11590113251128Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Marcus Avenue Medical PC
972 Brush Hollow RdWestburyNY11590810861452Medical ServiNY501(C)(3)12, Type INSUHfalse
Medical Care of Queens PC
972 Brush Hollow RdWestburyNY11590474377679Medical ServiNY501(C)(3)12, Type INSUHfalse
NORCORP Inc
400 East Main StreetMount KiscoNY10549133366748Support OrgNY501(C)(3)12, Type INWHAfalse
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore Faculty Medical Affiliates
972 Brush Hollow RdWestburyNY11590852887872BillingNY501(C)(3)Applied ForNSUHfalse
North Shore Long Island Jewish Medical C
972 Brush Hollow RdWestburyNY11590113473923Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701Health CareNY501(C)(3)3Healthcarefalse
North Shore University Hospital at Glen
972 Brush Hollow RdWestburyNY11590237010468Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore University Hospital Housing
972 Brush Hollow RdWestburyNY11590112171903Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore-LIJ Anesthesiology PC
972 Brush Hollow RdWestburyNY11590461617561Medical ServiNY501(C)(3)12, Type ISouth Shorefalse
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow RdWestburyNY11590275078531Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow RdWestburyNY11590275078717Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Health Plan Inc
972 Brush Hollow RdWestburyNY11590461617516InsuranceNY501(C)(3)9Health Planfalse
North Shore-LIJ Heart Surgery PC
972 Brush Hollow RdWestburyNY11590275078838Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow RdWestburyNY11590463475908Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at New
972 Brush Hollow RdWestburyNY11590462822879Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Internal Medicine PC
972 Brush Hollow RdWestburyNY11590275078631Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group at Hunting
972 Brush Hollow RdWestburyNY11590274384049Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group at North N
972 Brush Hollow RdWestburyNY11590274384146Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group at Syosset
972 Brush Hollow RdWestburyNY11590273957752Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group PC
972 Brush Hollow RdWestburyNY11590274384249Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow RdWestburyNY11590275078246Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical PC
972 Brush Hollow RdWestburyNY11590453023019Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow RdWestburyNY11590462886776Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow RdWestburyNY11590473722278Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN PC
972 Brush Hollow RdWestburyNY11590461382916Medical ServiNY501(C)(3)10LIJMCfalse
North Shore-LIJ Occupational Medicine PC
972 Brush Hollow RdWestburyNY11590451004103Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Pediatrics of Suffolk Co
972 Brush Hollow RdWestburyNY11590465746956Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Radiology Services PC
972 Brush Hollow RdWestburyNY11590223970667Medical ServiNY501(C)(3)12, Type INSUHfalse
Northern Westchester Hospital Associatio
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Northern Westchester Hospital Center Fou
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Northern Westchester Realty Holding Comp
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Northwell Health Alliance Inc
972 Brush Hollow RdWestburyNY11590263727582Health CareNY501(C)(3)3NAfalse
Northwell Health Foundation
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Northwell Health Gastroenterology Instit
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Northwell Health Laboratories
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Northwell Health Plans Holding Company
972 Brush Hollow RdWestburyNY11590462478147Holding CompaNY501(C)(3)12, Type IIHealthcarefalse
Northwell Health Stern Family Center for
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Northwell Health Inc
972 Brush Hollow RdWestburyNY11590113418133Supporting OrNY501(C)(3)12, Type INAfalse
Northwell Healthcare Inc
972 Brush Hollow RdWestburyNY11590112965586Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Proton Therapy PC
972 Brush Hollow RdWestburyNY11590812766298Medical ServiNY501(C)(3)10NSUHfalse
Northwell Quality and Medical Affairs I
972 Brush Hollow RdWestburyNY11590824113233Supporting OrNY501(C)(3)12, Type IHealthcarefalse
Nurse Heroes of Northwell Health Foundat
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Peconic Cardiology PC
972 Brush Hollow RdWestburyNY11590813149464Medical ServiNY501(C)(3)12, Type INSUHfalse
Phelps Medical Services PC
701 North BroadwaySleepy HollowNY10591274416017Medical ServiNY501(C)(3)12, Type IPhelps Memorfalse
Phelps Memorial Hospital Association
701 North BroadwaySleepy HollowNY10591131725076Health CareNY501(C)(3)3Healthcarefalse
Physicians of University Hospital PC
1 Edgewater Plaza 6th FlStaten IslandNY10305200096809Health CareNY501(C)(3)12, Type ISIUHfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243Health CareNY501(C)(3)3Healthcarefalse
Sandi and Bill Nicholson - The Women Who
972 Brush Hollow RdWestburyNY11590850554966FundraisingNY501(C)(3)Applied ForNAfalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7Healthcarefalse
South Shore University Hospital
972 Brush Hollow RdWestburyNY11590111667761Health CareNY501(C)(3)3Healthcarefalse
Southside Faculty Medical Affiliates Un
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Sports Physical Therapy Occupational Th
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Staten Island Faculty Medical Affiliates
972 Brush Hollow RdWestburyNY11590850710387BillingNY501(C)(3)Applied ForSIUHfalse
Staten Island Performing Provider System
972 Brush Hollow RdWestburyNY11590472544659DSRIPNY501(C)(3)10SIUHfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878Health CareNY501(C)(3)3Healthcarefalse
Staten Island University Hospital Founda
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHfalse
Suite 130 Plastic Surgery PC
972 Brush Hollow RdWestburyNY11590821772747Medical ServiNY501(C)(3)12, Type ILIJMCfalse
The Calverton Foundation Inc
972 Brush Hollow RdWestburyNY11590831118138Medical ServiNY501(C)(3)12, Type IHealthcarefalse
The Elmezzi Graduate School of Molecular
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The Feinstein Institute for Medical Rese
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The Heart Institute
475 Seaview AvenueStaten IslandNY10305311757254InactiveNY501(C)(3)12, Type INAfalse
The Long Island Home
400 Sunrise HighwayAmityvilleNY11701112837244Health CareNY501(C)(3)3LHH Corporatfalse
True North Flexstaff Inc
972 Brush Hollow RdWestburyNY11590821446568Medical ServiNY501(C)(3)12, Type IHealthcarefalse
True North Health Management Inc
972 Brush Hollow RdWestburyNY11590813428274Supporting OrNY501(C)(3)12, Type IHealthcarefalse
True North Patient Safety Organization
972 Brush Hollow RdWestburyNY11590831429773Medical ServiNY501(C)(3)12, Type INorthwell Hefalse
Virtual Health Medicine PC
972 Brush Hollow RdWestburyNY11590274384326Medical ServiNY501(C)(3)10NSUHfalse
Visiting Nurse Association of Hudson Val
540 White Plains RdTarrytownNY10591131739952Home Health CNY501(C)(3)10Healthcarefalse
VNA Home Health Services Inc
540 White Plains RdTarrytownNY10591133690105Home Health CNY501(C)(3)10VNA Hudsonfalse
Wellbridge Psychiatry PC
972 Brush Hollow RdWestburyNY11590465495054Medical ServiNY501(C)(3)12, Type INSUHfalse
Westchester Health Medical PC
972 Brush Hollow RdWestburyNY11590474539584Medical ServiNY501(C)(3)12, Type INSUHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

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Brooklyn Ambulatory Services LLC
972 Brush Hollow RdWestburyNY11590812910850Medical SvcsNYNorthwell Healt
DHCH LLC
972 Brush Hollow RdWestburyNY11590811030907Medical SvcsNYEndoscopy Ventu
Endo Group LLC
972 Brush Hollow RdWestburyNY11590200248148Medical SvcsNYVentures GCSC
Endoscopy Center of Long Island
972 Brush Hollow RdWestburyNY11590260000980Medical SvcsNYNS-LIJ Ventures
Formativ Health Intermediate LLC
972 Brush Hollow RdWestburyNY11590814614788Holding CoDEFormativ Health
Formativ Health LLC
972 Brush Hollow RdWestburyNY11590813121231Holding CoDETN Health Svcs
Hospital City LLC
972 Brush Hollow RdWestburyNY11590474091780InactiveDENorthwell Healt
Krasnoff Consultative Services LLC
972 Brush Hollow RdWestburyNY11590262838027ConsultingNYCare Mgmt Grp
Melville SC LLC
1895 Walt Whitman RdMelvilleNY11747203487522Medical SvcsNYMelville ASC
North Shore-LIJ and Yale New Haven Healt
972 Brush Hollow RdWestburyNY11590464858222Air TransportNYNSUH
North Shore-LIJ Contract Research Organi
972 Brush Hollow RdWestburyNY11590464469806ResearchNYHealthcare
Northwell Genomics Alliance LLC
972 Brush Hollow RdWestburyNY11590810826710InactiveDENWH Labs
Northwell Health Sleep Lab LLC
972 Brush Hollow RdWestburyNY11590821516748Medical SvcsNYSleep Holdings
Phelps Professional Building Corp LP
777 North BroadwaySleepy HollowNY10591133645137Real EstateNYPMHA
South Shore Surgery Center LLC
972 Brush Hollow RdWestburyNY11590341997077Medical SvcsNYMultispecialty
Suffolk Surgery Center
972 Brush Hollow RdWestburyNY11590200080609Medical SvcsNYMultispecialty
Technopath Northwell Health North Americ
972 Brush Hollow RdWestburyNY11590822869458Lab ServicesNYTechnopath USA
True North II DC LLC
972 Brush Hollow RdWestburyNY11590352568005Medical SvcsNYDC Holding
True North IV DC LLC
972 Brush Hollow RdWestburyNY11590611816900Medical SvcsNYDC Holding
True North Rad-Onc MSO LLC
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True North Urgent Care LLC
972 Brush Hollow RdWestburyNY11590464113494Medical SvcsNYNSLIJ Urgent Ca
True North V DC LLC
972 Brush Hollow RdWestburyNY11590320518811Medical SvcsNYDC Holding

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (48 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Autoimmune Research Therapeutics
972 Brush Hollow RdWestburyNY11590270701489InactiveNYResearchCfalse
Care Management Group of Greater NY
972 Brush Hollow RdWestburyNY11590113336381Business ServiceNYNSH EnterpriseCfalse
CareConnect Group Holding Company Inc
972 Brush Hollow RdWestburyNY11590472478692Holding CoNYHplan HoldingCfalse
CareConnect Insurance Co
972 Brush Hollow RdWestburyNY11590462270382InsuranceNYGroup HoldingCfalse
EvidencePoint Inc
972 Brush Hollow RdWestburyNY11590853582198InactiveNYNorthwell HoldiCfalse
Feinstein Center for Bioelectronic Medic
972 Brush Hollow RdWestburyNY11590812885700InactiveNYFeinsteinCfalse
Formativ Health Management Inc
972 Brush Hollow RdWestburyNY11590813454243Holding CoDEFormativ HealthCfalse
Formativ Health NewCo Inc
972 Brush Hollow RdWestburyNY11590813928889Holding CoDEFormativ HealthCfalse
Krauss Joint Replacement Program PC
972 Brush Hollow RdWestburyNY11590300920275Medical ServicesNYCentral SuffolkCYes (true)$0$01.00000
Medical Services of Kips Bay PC
972 Brush Hollow RdWestburyNY11590853052457Medical ServicesNYNSUHCfalse
Medical Services of Lynbrook PC
972 Brush Hollow RdWestburyNY11590844268663Medical ServicesNYNSUHCfalse
Medical Services of Setauket PC
972 Brush Hollow RdWestburyNY11590844305970Medical ServicesNYNSUHCfalse
Medical Services of Uniondale PC
972 Brush Hollow RdWestburyNY11590844279391Medical ServicesNYNSUHCfalse
Montauk Risk Retention Group Inc
972 Brush Hollow RdWestburyNY11590822587942InsuranceNYHealthcareCfalse
Narrows IPA Inc
972 Brush Hollow RdWestburyNY11590133978565Business ServicesNYHealthcareCfalse
North Shore Health Enterprises Inc
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNSHS EnterpriseCfalse
North Shore Health System Enterprises I
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNorthwell HealtCfalse
North Shore IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServicesNYHealthcareCfalse
North Shore Medical Accelerator PC
972 Brush Hollow RdWestburyNY11590112945979Medical ServicesNYNSUHSfalse
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow RdWestburyNY11590471994548Insurance AgencyNYGroup HoldingCfalse
North Shore-LIJ Health System IPA #1
972 Brush Hollow RdWestburyNY11590113533659Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #2
972 Brush Hollow RdWestburyNY11590113533670Health CareNYLIJCfalse
North Shore-LIJ Network Inc
972 Brush Hollow RdWestburyNY11590320257193Support ServicesNYNorthwell HealtCfalse
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RdWestburyNY11590300930851InactiveNYHealthcareCfalse
North Shore-LIJ Urgent Care PC
972 Brush Hollow RdWestburyNY11590471758444Medical ServicesNYNSUHCfalse
Northeastern Anesthesia of New Jersey P
972 Brush Hollow RdWestburyNY11590208709500Medical ServicesNJSouth ShoreCfalse
Northwell Direct Inc
972 Brush Hollow RdWestburyNY11590842739816Business ServicesNYNW HoldingsCfalse
Northwell Direct Administrative Services
972 Brush Hollow RdWestburyNY11590475182974AdminNYNorthwell DirecCfalse
Northwell FlexStaff Inc
972 Brush Hollow RdWestburyNY11590810836815Medical ServicesNYNSH EnterpriseCfalse
Northwell Health Medical Surgical PC
972 Brush Hollow RdWestburyNY11590832198276Medical ServicesNJSIUHCfalse
Northwell Health Regional Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServicesNYNACfalse
Northwell Holdings Inc
972 Brush Hollow RdWestburyNY11590834045975Business ServicesNYNSHS EnterpriseCfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPCfalse
Peconic Bay Medical Services PC
972 Brush Hollow RdWestburyNY11590472151802Medical ServicesNYCentral SuffolkCYes (true)$0$659,8501.00000
Peconic Bay Primary Medical Care PC
972 Brush Hollow RdWestburyNY11590113265111Medical ServicesNYCentral SuffolkCYes (true)$24,423,053$5,423,5201.00000
PMHC Realty Corporation
701 North BroadwaySleepy HollowNY10591133645135Real EstateNYPhelps MemorialCfalse
Prime Care Medical of Long Island PC
972 Brush Hollow RdWestburyNY11590204398486Medical ServicesNYCentral SuffolkCYes (true)$0$1,542,8131.00000
Regional Insurance Company LTD
000000000InsuranceHealthcareCfalsec/o Cedar House 41 Cedar AveHamiltonBDHM 12BD
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNSHS EnterpriseCfalse
Staten Island University Hospital Perina
475 Seaview AveStaten IslandNY10305134107082Medical ServicesNYSIUHCfalse
True North 3D Inc
972 Brush Hollow RdWestburyNY11590845176444Business ServicesNYTrue North HealCfalse
True North Enterprises Inc
972 Brush Hollow RdWestburyNY11590000000000InactiveNYHealthcareCfalse
True North Health Pharmacy Inc
972 Brush Hollow RdWestburyNY11590471020508PharmacyNYNSHS EnterpriseCfalse
True North Health Inc
972 Brush Hollow RdWestburyNY11590830616581Medical ServicesDEHealthcareCfalse
True North Workforce Safety Consulting
972 Brush Hollow RdWestburyNY11590842395117Business ServicesNYTrue North HealCfalse
United Medical Surgical PC
256 Mason Ave Bldg B 2nd FlStaten IslandNY10305134038780Surgical ServicesNYSIUHCfalse
VivoHealth Plan Inc
972 Brush Hollow RdWestburyNY11590461164689InactiveNYHealthcareCfalse
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNSH EnterpriseCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd