STRATEGY STUDIO / PUBLIC DATA EXPLORER

TRUE NORTH MEDICAL GROUP PC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
TRUE NORTH MEDICAL GROUP PC (EIN 27-5078717)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-02
IRS object ID
202003079349300125
Schema version
2019v5.1
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)
Return2020-11-02T08:08:33-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN275078717EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Shore-LIJ Cardiovascular Medicine PCBusinessNameLine1Txt
Business Name Line2dba Orlin & Cohen Medical Specialists GroupBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone5163216058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 Brush Hollow Road Suite 5th FlAddressLine1Txt
CityWestburyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE L CUSACKPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone5163216058PhoneNum
Signature2020-11-02SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.27.229.129IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id12949920203075000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-02FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id87211BDF332915DB2E02FE0E49662C4F08B7D931AtSubmissionCreationDeviceId
At Submission Filing Device IdF89BA41450ABCC6C5491E44FD75894B80F3F8948AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael J DowlingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 MARCUS AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$110,089,282GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionNorth Shore-LIJ Cardiovascular Medicine, Strives to improve the health of the communities it serves by providing the highest quality of clinical care.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee505TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$77,180,707PYProgramServiceRevenueAmt
CY Program Service Revenue$106,124,807CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$290,379PYOtherRevenueAmt
CY Other Revenue$3,964,475CYOtherRevenueAmt
PY Total Revenue$77,471,086PYTotalRevenueAmt
CY Total Revenue$110,089,282CYTotalRevenueAmt
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$58,096,910PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$86,931,532CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,638,954PYOtherExpensesAmt
CY Other Expenses$31,039,807CYOtherExpensesAmt
PY Total Expenses$83,735,864PYTotalExpensesAmt
CY Total Expenses$117,971,339CYTotalExpensesAmt
PY Revenues Less Expenses-$6,264,778PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,882,057CYRevenuesLessExpensesAmt
Total Assets BOY$113,325,511TotalAssetsBOYAmt
Total Assets EOY$170,146,926TotalAssetsEOYAmt
Total Liabilities BOY$99,772,793TotalLiabilitiesBOYAmt
Total Liabilities EOY$159,880,631TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,552,718NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,266,295NetAssetsOrFundBalancesEOYAmt
MissionNORTH SHORE-LIJ CARDIOVASCULAR MEDICINE, PC IS PART OF NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$105,453,716ExpenseAmt
Revenue$106,124,807RevenueAmt
DescNorth Shore-LIJ Cardiovascular Medicine, PC is an affiliated member of Northwell Health, Inc. ("Northwell") and part of Northwell's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay.Desc
Total Program Service Expenses$105,453,716TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
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 HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee505EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
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 OtherYes (true)CompensationProcessOtherInd
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 ROADAddressLine1Txt
CityWestburyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
CRAIG LEVITZ
Sprvsng Med Dir, Fluoroscopy50.00.0Yes (X)$2,308,355$0$64,303
GREGORY LIEBERMAN
Physician50.00.0Yes (X)$1,861,703$0$31,400
STANLEY KATZ
President & Secretary0.050.0$0$1,759,772$53,302Yes (X)Yes (X)
PHILIP SCHRANK
Physician50.00.0Yes (X)$1,583,931$0$31,400
JAMES PACI
Director50.00.0Yes (X)$1,493,202$0$64,254
DAVID BATTINELLI
VP & Treasurer0.050.0$0$1,423,390$64,303Yes (X)Yes (X)
MICHAEL FRACCHIA
Director50.00.0Yes (X)$1,260,712$0$49,257
MICHELE CUSACK
CFO0.050.0$0$1,123,405$64,254Yes (X)
DEBORAH SCHIFF
Chief Operating Officer0.050.0$0$1,116,354$53,756Yes (X)
LAURENCE KRAEMER
Asst Secretary & Chf Legal Off0.050.0$0$1,023,387$64,303Yes (X)
MICHAEL PASSET
CEO50.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,507,903TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,446,308TotReportableCompRltdOrgAmt
Total Other Compensation$540,532TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K108IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
CENTER MANAGEMENT SERVICES INC
1728 SUNRISE HIGHWAYMERRICKNY11566CONSULTING FEES$2,000,000
AUSTIN WILLIAMS INC
80 ARKAY DRIVE SUITE 220MERRICKNY11566ADVERTISEMENT$1,509,357
PRISTINE MEDICAL CLEANING INC
1040 STEELE BLVDBALDWINNY11510MAINTENANCE AND REPA$692,327
ACCESS STAFFING LLC
360 LEXINGTON AVENUENEW YORKNY10017TEMPORARY EMPLOYEES$557,391
HITACHI HEALTHCARE AMERICAS CORPORA
1959 SUMMIT COMMERCE PARKTWINSBURGOH44087MAINTENANCE AND REPA$286,124
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN REVENUE621300$86,110,945$86,110,945
MEDICARE/MEDICAID621300$20,013,862$20,013,862
FieldValueIRS element (for citing)
Total Program Service Revenue$106,124,807TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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$3,737RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,737RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,737TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$3,960,738TotalRevenueColumnAmt
Related Or Exempt Func Income$3,960,738RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,960,738OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,089,282TotalRevenueColumnAmt
Related Or Exempt Func Income$110,085,545RelatedOrExemptFuncIncomeAmt

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$3,331,742TotalAmt
Program Services$3,331,742ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,849,996TotalAmt
Program Services$66,232,820ProgramServicesAmt
Management And General$5,617,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,532,596TotalAmt
Program Services$2,334,600ProgramServicesAmt
Management And General$197,996ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,732,483TotalAmt
Program Services$5,284,322ProgramServicesAmt
Management And General$448,161ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,484,715TotalAmt
Program Services$3,212,283ProgramServicesAmt
Management And General$272,432ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,430,749TotalAmt
Management And General$2,430,749ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,370TotalAmt
Management And General$2,370ManagementAndGeneralAmt

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$95,598TotalAmt
Program Services$88,124ProgramServicesAmt
Management And General$7,474ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,649,588TotalAmt
Program Services$1,520,625ProgramServicesAmt
Management And General$128,963ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,276,566TotalAmt
Program Services$9,473,152ProgramServicesAmt
Management And General$803,414ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,628,893TotalAmt
Program Services$7,032,472ProgramServicesAmt
Management And General$596,421ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,496TotalAmt
Program Services$100,936ProgramServicesAmt
Management And General$8,560ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$221,368TotalAmt
Program Services$204,062ProgramServicesAmt
Management And General$17,306ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$385,532TotalAmt
Program Services$355,391ProgramServicesAmt
Management And General$30,141ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,422,972TotalAmt
Program Services$3,422,972ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER PURCHASED SERVICES$1,541,736$1,541,736
DUES AND SUBSCRIPTIONS$188,420$173,689$14,731
CENTRALIZED ADMIN EXPENSE$1,844,640$1,844,640
TEMPORARY EMPLOYEES$866,531$798,786$67,745

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$375,348TotalAmt
Program Services$346,004ProgramServicesAmt
Management And General$29,344ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$117,971,339TotalAmt
Program Services$105,453,716ProgramServicesAmt
Management And General$12,517,623ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,524,263BOYAmt
EOY$13,582,580EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$957,097BOYAmt
EOY$1,422,563EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,278,916LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$472,668LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$923,719BOYAmt
EOY$4,806,248EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

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$96,875,444BOYAmt
EOY$98,925,444EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,988BOYAmt
EOY$51,410,091EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$113,325,511BOYAmt
EOY$170,146,926EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,495,263BOYAmt
EOY$10,804,621EOYAmt

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$0BOYAmt
EOY$0EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,277,530BOYAmt
EOY$149,076,010EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,772,793BOYAmt
EOY$159,880,631EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,552,718BOYAmt
EOY$10,266,295EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,552,718BOYAmt
EOY$10,266,295EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,325,511BOYAmt
EOY$170,146,926EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,882,057ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,595,634OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH SHORE UNIVERSITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN111562701EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$643,867OtherCostOrOtherBasisAmt
Depreciation$17,300DepreciationAmt
Book Value$626,567BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,950,372OtherCostOrOtherBasisAmt
Depreciation$454,968DepreciationAmt
Book Value$2,495,404BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,684,677OtherCostOrOtherBasisAmt
Depreciation$400DepreciationAmt
Book Value$1,684,277BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,806,248TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSIT$44,988
RIGHT OF USE ASSET$51,365,103
FieldValueIRS element (for citing)
Total Book Value Other Assets$51,410,091TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATE$96,447,139
DEFERRED RENT LIABILITY$1,263,768
OPERATING LEASE LIABILITY$51,365,103
FieldValueIRS element (for citing)
Total Liability$149,076,010TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$109,917,533TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$171,749OtherRevenueAmt
Revenue Not Reported-$171,749RevenueNotReportedAmt
Revenue Subtotal$110,089,282RevenueSubtotalAmt
Total Revenue Per Form990$110,089,282TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$117,963,128TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$117,963,128ExpensesSubtotalAmt
Other Expenses Not Included$8,211OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,211ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$117,971,339TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2Certain 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, 2019 and 2018, Northwell has a deferred tax asset of approximately $112,000,000 and $118,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $540,000,000 at December 31, 2019. 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 2DREVENUE ON BOOKS NOT ON RETURN Additional minimum pension liability (8,211) Nonoperating Gain/(Loss) (163,538) Total (171,749)
PART XII, LINE 4BEXPENSE ON RETURN NOT ON BOOKS Additional minimum pension liability 8,211 Total 8,211

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 PaymentfalseSeverancePaymentInd
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 (10 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
DAVID BATTINELLI
VP & Treasurer$0$1,159,995$0$218,750$0$44,645$0$30,800$0$33,503$0$1,487,693$0$0
STANLEY KATZ
President & Secretary$0$1,744,983$0$0$14,789$0$30,800$0$22,502$0$1,813,074$0$0
MICHELE CUSACK
CFO$0$848,774$0$212,500$0$62,131$0$30,800$0$33,454$0$1,187,659$0$0
DEBORAH SCHIFF
Chief Operating Officer$0$856,747$0$223,125$0$36,482$0$30,800$0$22,956$0$1,170,110$0$0
LAURENCE KRAEMER
Asst Secretary & Chf Legal Off$0$784,745$0$175,000$0$63,642$0$30,800$0$33,503$0$1,087,690$0$0
CRAIG LEVITZ
Sprvsng Med Dir, Fluoroscopy$2,247,232$0$0$61,123$0$30,800$0$33,503$0$2,372,658$0$0$0
GREGORY LIEBERMAN
Physician$1,819,500$0$0$42,203$0$30,800$0$600$0$1,893,103$0$0$0
PHILIP SCHRANK
Physician$1,582,251$0$0$1,680$0$30,800$0$600$0$1,615,331$0$0$0
JAMES PACI
Director$1,472,156$0$0$21,046$0$30,800$0$33,454$0$1,557,456$0$0$0
MICHAEL FRACCHIA
Director$640,284$0$600,000$0$20,428$0$30,800$0$18,457$0$1,309,969$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationOn Form 990, Part VII, Section A, Line 1A, the organization may provide nonfixed 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 I,B (II).ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCENTER MANAGEMENT SERVICESPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBUS REL: MICHAEL PASSETRelationshipDescriptionTxt
Transaction$2,000,000TransactionAmt
TransactionMANAGEMENT FEESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 12CNorthwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
Part VI, Section 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 1A, Column (B)This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
Part VI, Line 15The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations..
PART VI, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, LINE 9TRANSFERS TO AFFILIATES 4,759,172 NONOPERATING GAINS/LOSSES (163,538) TOTAL 4,595,634

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (87 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
Central Suffolk Hospital Association
1300 Roanoke AveRiverheadNY11901111661359Health CareNY501(C)(3)3NW Healthcarfalse
CLNY Alliance Inc
972 Brush Hollow RdWestburyNY11590463146870LaboratoryNY501(C)(3)3NW Labsfalse
Community Drive Surgery PC
972 Brush Hollow RdWestburyNY11590821672429Medical ServiNY501(C)(3)12, Type INSUHfalse
The Feinstein Institute for Medical Rese
972 Brush Hollow RdWestburyNY11590112673595ResearchNY501(C)(3)4Northwell Hefalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487Health CareNY501(C)(3)3Northwell Hefalse
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)9Northwell Hefalse
Huntington Hospital Association
270 Park AvenueHuntingtonNY11743111630914Health CareNY501(C)(3)3Northwell Hefalse
Huntington Hospital Dolan Family Health
284 Pulaski RdGreenlawnNY11740113368503Health CareNY501(C)(3)3Huntingtonfalse
Lakeville Surgery PC
972 Brush Hollow RdWestburyNY11590474377760Medical ServiNY501(C)(3)10Lenox Hillfalse
Lenox Hill Hospital
972 Brush Hollow RdWestburyNY11590131624070Health CareNY501(C)(3)3Northwell Hefalse
Lenox Hill Hospital Medical PC
972 Brush Hollow RdWestburyNY11590452661543Medical ServiNY501(C)(3)10Lenox Hillfalse
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 Medical Center
972 Brush Hollow RdWestburyNY11590112241326Health CareNY501(C)(3)3Northwell Hefalse
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 ILenox Hillfalse
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 University Hospital
972 Brush Hollow RdWestburyNY11590111562701Health CareNY501(C)(3)3Northwell Hefalse
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
Northwell Health Alliance Inc
972 Brush Hollow RdWestburyNY11590263727582Health CareNY501(C)(3)3NAfalse
North Shore-LIJ Anesthesiology PC
972 Brush Hollow RdWestburyNY11590461617561Medical ServiNY501(C)(3)12, Type ISSIDEfalse
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow RdWestburyNY11590275078531Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Health Plan Inc
972 Brush Hollow RdWestburyNY11590461617516InsuranceNY501(C)(3)9Health Planfalse
North Shore-LIJ Health Plans Holding Com
972 Brush Hollow RdWestburyNY11590462478147Holding CompaNY501(C)(3)12, Type IINorthwell Hefalse
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 Care Centers
972 Brush Hollow RdWestburyNY11590113473923Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
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
400 East Main StreetMount KiscoNY10549131740118Health CareNY501(C)(3)3Northwell Hefalse
Northern Westchester Hospital Center Fou
400 East Main StreetMount KiscoNY10549134067064FoundationNY501(C)(3)9NWHAfalse
Northern Westchester Realty Holding Comp
400 East Main StreetMount KiscoNY10549912134215Holding CompaNY501(C)(2)N/ANWHAfalse
Northwell Health Foundation
972 Brush Hollow RdWestburyNY11590112965575FundraisingNY501(C)(3)7Northwell Hefalse
Northwell Health Laboratories
972 Brush Hollow RdWestburyNY11590113412370Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Health Stern Family Center for
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(C)(3)9Northwell Hefalse
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
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)3Northwell Hefalse
Physicians of Univeristy Hospital PC
1 Edgewater Plaza 6th FlStaten IslandNY10305200096809Health CareNY501(C)(3)12, Type ISIUHfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243Health CareNY501(C)(3)3Northwell Hefalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7Northwell Hefalse
Southside Hospital
972 Brush Hollow RdWestburyNY11590111667761Health CareNY501(C)(3)3Northwell Hefalse
Sports Physical Therapy Occupational Th
972 Brush Hollow RdWestburyNY11590061655704Health CareNY501(C)(3)9LIJfalse
Staten Island Performing Provider System
972 Brush Hollow RdWestburyNY11590472544659DSRIPNY501(C)(3)10NAfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878Health CareNY501(C)(3)3Northwell Hefalse
Staten Island University Hospital Founda
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHfalse
The Elmezzi Graduate School of Molecular
972 Brush Hollow RdWestburyNY11590113284934Graduate SchoNY501(C)(3)2Researchfalse
The Heart Institute
475 Seaview AvenueStaten IslandNY10305311757254InactiveNY501(C)(3)12, Type INAfalse
The Long Island Home
400 Sunrise HghwyAmityvilleNY11701112837244Health CareNY501(C)(3)3LHH Corporatfalse
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)10NW Healthcarfalse
VNA Home Health Services Inc
540 White Plains RdTarrytownNY10591133690105Home Health CNY501(C)(3)10VNA Hudsonfalse
Westchester Health Medical PC
972 Brush Hollow RdWestburyNY11590474539584Medical ServiNY501(C)(3)12, Type INSUHfalse
Suite 130 Plastic Surgery PC
972 Brush Hollow RdWestburyNY11590821772747Medical ServiNY501(C)(3)12, Type ILIJfalse
The Calverton Foundation Inc
972 Brush Hollow RdWestburyNY11590831118138Medical ServiNY501(C)(3)Applied ForHCIfalse
True North Flexstaff Inc
972 Brush Hollow RdWestburyNY11590821446568Medical ServiNY501(C)(3)Applied ForHCIfalse
John T Mather Memorial Hospital
75 North Country RdPort JeffersonNY11777111639818Health CareNY501(C)(3)3Healthcarefalse
Northwell Quality and Medical Affairs I
972 Brush Hollow RdWestburyNY11590824113233Supporting OrNY501(C)(3)12, Type IHealthcarefalse
True North Patient Safety Organization
972 Brush Hollow RdWestburyNY11590831429773Medical ServiNY501(C)(3)Applied ForNorthwell Hefalse
Harborview Medical Services PC
75 North Country RdPort JeffersonNY11777264517010Supporting OrNY501(C)(3)12, Type IMatherfalse
True North Health Management Inc
972 Brush Hollow RdWestburyNY11590813428274Supporting OrNY501(C)(3)12, Type IHCIfalse
Wellbridge Psychiatry PC
972 Brush Hollow RdWestburyNY11590465495054Medical ServiNY501(C)(3)12, Type INSUHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Brooklyn Ambulatory Services LLC
972 Brush Hollow RdWestburyNY11590812910850Medical SvcsNYNorthwell Healt
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 Medic
972 Brush Hollow RdWestburyNY11590464858222Air TransportNYNSUH
North Shore-LIJ Contract Research Organi
972 Brush Hollow RdWestburyNY11590464469806ResearchNYHealth Care
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 Urgent Care LLC
972 Brush Hollow RdWestburyNY11590464113494Medical SvcsNYNSLIJ Urgent Ca
True North V DC LLC
972 Brush Hollow RdWestburyNY11590320518811Medical SvcsNYDC Holding
DHCH LLC
972 Brush Hollow RdWestburyNY11590811030907Medical SvcsNYEndoscopy Ventu
True North Rad-Onc MSO LLC
972 Brush Hollow RdWestburyNY11590834660846Medical SvcsNYNorthwell Rad-O

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress 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 ServNYNSH EnterprisesCfalse
Northwell Direct Administrative Services
972 Brush Hollow RdWestburyNY11590475182974AdminNYNorthwell DirCfalse
CareConnect Group Holding Company Inc
972 Brush Hollow RdWestburyNY11590472478692Holding CoNYHplan HoldingCfalse
CareConnect Insurance Co
972 Brush Hollow RdWestburyNY11590462270382InsuranceNYGroup HoldingCfalse
Feinstein Center for Bioelectronic Medic
972 Brush Hollow RdWestburyNY11590812885700InactiveNYFeinsteinCfalse
Formativ Health HoldCo Inc
972 Brush Hollow RdWestburyNY11590813928672Holding CoDEFormativ HealthCfalse
Formativ Health Management Inc
972 Brush Hollow RdWestburyNY11590813454243Holding CoDEFormativ HealthCfalse
Formativ Health NewCo Inc
972 Brush Hollow RdWestburyNY11590813928889Holding CoDEFormativ HealthCfalse
Montauk Risk Retention Group Inc
972 Brush Hollow RdWestburyNY11590822587942InsuranceNYNACfalse
Narrows IPA Inc
972 Brush Hollow RdWestburyNY11590133978565Business ServNYNSUHCfalse
North Shore Health Enterprises
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNSHS EnterpriseCfalse
North Shore Health System Enterprises
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNorthwell HealtCfalse
North Shore IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServNYNorthwell HealtCfalse
North Shore Medical Accelerator PC
972 Brush Hollow RdWestburyNY11590112945979Medical ServiNYNSUHSfalse
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow RdWestburyNY11590471994548Insurance AgeNYGroup 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 ServiNYNorthwell HealtCfalse
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RdWestburyNY11590300930851InactiveNYNSUHCfalse
North Shore-LIJ Urgent Care PC
972 Brush Hollow RdWestburyNY11590471758444Medical ServiNYNSUHCfalse
Northeastern Anesthesia of New Jersey P
972 Brush Hollow RdWestburyNY11590208709500Medical ServiNJNSUHCfalse
Northern Westchester Surgical Services
400 East Main StMount KiscoNY10549274550915Medical SvcsNYNWHACfalse
Northwell FlexStaff Inc
972 Brush Hollow RdWestburyNY11590810836815InactiveNYNSH EnterpriseCfalse
Northwell Health Medical Surgical PC
972 Brush Hollow RdWestburyNY11590832198276Medical ServiNJSIUHCfalse
Northwell Health Regional Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServiNYNACfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPCfalse
PMHC Realty Corporation
701 North BroadwaySleepy HollowNY10591133645135Real EstateNYPhelps MemorialCfalse
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNSHS EnterpriseCfalse
Staten Island University Hospital Perina
475 Seaview AveStaten IslandNY10305134107082Medical ServiNYSIUHCfalse
True North Health Pharmacy Inc
972 Brush Hollow RdWestburyNY11590471020508PharmacyNYNSHS EnterpriseCfalse
True North Health Inc
972 Brush Hollow RdWestburyNY11590830616581Medical ServiDENorthwell HealtCfalse
United Medical Surgical PC
256 Mason Ave Bldg B 2nd FlStaten IslandNY10305134038780Surgical ServNYSIUHCfalse
VivoHealth Plan Inc
972 Brush Hollow RdWestburyNY11590461164689InactiveNYNorthwell HealtCfalse
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNSH EnterpriseCfalse
Regional Insurance Company LTD
000000000InsuranceHCICfalsec/o Cedar House 41 Cedar AveHamiltonBDHM 12BD
Northwell Direct Inc
972 Brush Hollow RdWestburyNY11590842739816Business ServicesNYHCICfalse
Northwell Holdings Inc
972 Brush Hollow RdWestburyNY11590834045975Business ServicesNYNSHS EnterpriseCfalse
True North 3D Inc
972 Brush Hollow RdWestburyNY11590845176444Business ServicesNYTrue North HealCfalse
True North Workforce Safety Consulting
972 Brush Hollow RdWestburyNY11590842395117Business ServicesNYTrue North HealCfalse
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd