CENTRAL SUFFOLK HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL SUFFOLK HOSPITAL (EIN 11-1661359)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-02
- IRS object ID
- 202003079349300215
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-02T08:08:33-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111661359 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Suffolk Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NORTHWELL HEALTH INC | InCareOfNm |
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 6315486074 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HEROES WAY | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL F O'DONNELL | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Phone | 6315486074 | PhoneNum |
| Signature | 2020-11-02 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 8.25.157.165 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 11046820203075000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-02 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 01FFBBAC11E76842625487E98750409A353038DD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A8E867FBD87B7B19EACF155E00BCAC716138C3E7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PECONIC BAY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL O'DONNELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HEROES WAY | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $230,860,131 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PBMCHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CENTRAL SUFFOLK HOSPITAL ("CSH") IS A NOT-FOR-PROFIT HOSPITAL, A SKILLED NURSING FACILITY, AND A CERTIFIED HOME CARE AGENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1432 | TotalEmployeeCnt |
| Total Volunteers | 170 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $22,167,813 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,825,013 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $199,992,496 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $219,414,487 | CYProgramServiceRevenueAmt |
| PY Investment Income | $356,106 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,380,245 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,724,431 | PYOtherRevenueAmt |
| CY Other Revenue | $1,253,984 | CYOtherRevenueAmt |
| PY Total Revenue | $224,240,846 | PYTotalRevenueAmt |
| CY Total Revenue | $223,873,729 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $117,532,406 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $130,433,736 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $242,368 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $84,287,709 | PYOtherExpensesAmt |
| CY Other Expenses | $91,664,430 | CYOtherExpensesAmt |
| PY Total Expenses | $201,820,115 | PYTotalExpensesAmt |
| CY Total Expenses | $222,098,166 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,420,731 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,775,563 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $200,846,927 | TotalAssetsBOYAmt |
| Total Assets EOY | $251,031,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $109,819,400 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $137,103,332 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $91,027,527 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $113,927,688 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CENTRAL 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $184,067,172 | ExpenseAmt |
| Revenue | $219,414,487 | RevenueAmt |
| Desc | CENTRAL SUFFOLK HOSPITAL ("CSH") IS A PROVIDER OF COMPREHENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY, SURGICAL, MEDICAL, ICU AND OBSTETRICS/GYNECOLOGICAL. IN 2019, CSH HAD 8,536 INPATIENT DISCHARGES, DELIVERED 389 BABIES, PROVIDED 35,931 EMERGENCY DEPARTMENT VISTS, AND PERFORMED 3,864 AMBULATORY SURGERIES INCLUDING ENDOSCOPIES AND CARDIAC CATHETERIZATIONS. | Desc |
| Total Program Service Expenses | $184,067,172 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1432 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NORTHWELL HEALTH INC | PersonNm |
| Phone | 5163216058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW RD 5TH FL | AddressLine1Txt |
| City | WESTBURY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11590 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW MITCHELL | ||||||||||
| President & CEO | 50.0 | 0.0 | Yes (X) | Yes (X) | $1,130,652 | $0 | $53,335 | |||
| RALPH NAPPI | ||||||||||
| Trustee/EVC Northwell | 0.0 | 50.0 | Yes (X) | $0 | $951,213 | $53,335 | ||||
| MICHAEL O'DONNELL | ||||||||||
| CFO | 50.0 | 0.0 | Yes (X) | $468,758 | $0 | $64,303 | ||||
| STEPHEN JOHN | ||||||||||
| Physician/Hospitalist | 50.0 | 0.0 | $429,926 | $0 | $42,351 | Yes (X) | ||||
| AMY LOEB | ||||||||||
| CNO | 50.0 | 0.0 | Yes (X) | Yes (X) | $377,837 | $0 | $64,254 | |||
| SUSAN SOMERVILLE | ||||||||||
| VP, Strategic Initiatives | 0.0 | 50.0 | $0 | $386,635 | $53,335 | Yes (X) | ||||
| STEVEN OUZOUNIAN | ||||||||||
| Trustee/Physician | 0.0 | 50.0 | Yes (X) | $0 | $391,249 | $30,800 | ||||
| AGOSTINO CERVONE | ||||||||||
| Trustee/Physician | 0.0 | 50.0 | Yes (X) | $0 | $374,999 | $30,800 | ||||
| LAWRENCE WALSER | ||||||||||
| Dir, Critical Care | 50.0 | 0.0 | $333,705 | $0 | $48,825 | Yes (X) | ||||
| ARTHUR CROWE | ||||||||||
| COO | 50.0 | 0.0 | Yes (X) | $303,935 | $0 | $53,724 | ||||
| MARIE DORVAL-DORCELY | ||||||||||
| Physician/Hospitalist | 50.0 | 0.0 | $291,420 | $0 | $52,103 | Yes (X) | ||||
| APRIL CAPERNA | ||||||||||
| Dir, Geriatric & Palliative Md | 50.0 | 0.0 | $276,186 | $0 | $64,254 | Yes (X) | ||||
| MAHMOOD AFGHANI | ||||||||||
| Physician/Hospitalist | 50.0 | 0.0 | $264,733 | $0 | $64,254 | Yes (X) | ||||
| RONALD MCMANUS | ||||||||||
| Former COO | 0.0 | 0.0 | $318,238 | $0 | $10,651 | Yes (X) | ||||
| SAMANTHA VIGLIOTTA | ||||||||||
| VP, Foundation & Extnl Affairs | 50.0 | 0.0 | $238,843 | $0 | $64,254 | Yes (X) | ||||
| MONICA RAULS | ||||||||||
| VP, Human Resources | 50.0 | 0.0 | $234,732 | $0 | $31,400 | Yes (X) | ||||
| SHARON PATTERSON | ||||||||||
| Chairman | 0.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANDREW MENDELSON | ||||||||||
| Vice Chairman | 0.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| J GORDON HUSZAGH | ||||||||||
| Vice Chairman, Treasurer | 0.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| REV GEORGE SUMMERS | ||||||||||
| Secretary | 0.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NON COMPENSATED TRUSTE | ||||||||||
| SEE SCHEDULE O | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,668,965 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,104,096 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $781,978 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 255 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sodexo Inc Affiliates | |||||
| 135 Santilli Highway | EVERETT | MA | 02149 | Cafeteria Services | $1,783,273 |
| Partners in Critical Care LLP | |||||
| 32 Cedar Avenue Ext | ISLIP | NY | 11751 | Physicians | $1,120,765 |
| Eugene S Krauss MD PC | |||||
| 20 Horseshoe Road | OLD WESTBURY | NY | 11568 | Consulting Svcs | $1,084,584 |
| Titan Global LLC | |||||
| 1757 Veterans Memorial Highway | ISLANDIA | NY | 11749 | Security Svcs | $1,069,593 |
| Crothall Facilities Management Inc | |||||
| 1500 Liberty Ridge Drive Ste 210 | WAYNE | PA | 19087 | Facility Mgmt Svcs | $1,009,814 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $346,433 | FundraisingAmt |
| Related Organizations | $149,641 | RelatedOrganizationsAmt |
| Government Grants | $807,472 | GovernmentGrantsAmt |
| All Other Contributions | $521,467 | AllOtherContributionsAmt |
| Total Contributions | $1,825,013 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $125,125,860 | $125,125,860 |
| PHYSICIAN PRACTICE REVENUE | 621300 | $4,908,213 | $4,908,213 |
| MEDICARE/MEDICAID PAYMENTS | 621300 | $89,380,414 | $89,380,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $219,414,487 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,288,658 | TotalRevenueColumnAmt |
| Exclusion | $1,288,658 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $116,376 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $116,376 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,376 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,004,805 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,913,218 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $91,587 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,587 | TotalRevenueColumnAmt |
| Exclusion | $91,587 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $128,533 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $346,433 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $73,184 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,349 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 624210 | $622,000 | $622,000 | |
| CLINIC | 900099 | $220,806 | $220,806 | |
| MEDICAL SCHOOL | 900099 | $55,053 | $55,053 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,400 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $184,400 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,082,259 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $223,873,729 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $219,770,316 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,223,051 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072,995 | TotalAmt |
| Program Services | $3,072,995 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,160,413 | TotalAmt |
| Program Services | $78,639,962 | ProgramServicesAmt |
| Management And General | $17,520,451 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,242,471 | TotalAmt |
| Program Services | $5,922,891 | ProgramServicesAmt |
| Management And General | $1,319,580 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,713,703 | TotalAmt |
| Program Services | $13,668,462 | ProgramServicesAmt |
| Management And General | $3,045,241 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,244,154 | TotalAmt |
| Program Services | $5,924,267 | ProgramServicesAmt |
| Management And General | $1,319,887 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,845 | TotalAmt |
| Management And General | $674,845 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,432 | TotalAmt |
| Management And General | $31,432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,005 | TotalAmt |
| Management And General | $321,005 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,917,925 | TotalAmt |
| Program Services | $8,928,676 | ProgramServicesAmt |
| Management And General | $1,989,249 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,884 | TotalAmt |
| Program Services | $700,516 | ProgramServicesAmt |
| Fundraising | $242,368 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,348,610 | TotalAmt |
| Program Services | $31,361,484 | ProgramServicesAmt |
| Management And General | $6,987,126 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,663,932 | TotalAmt |
| Program Services | $2,178,563 | ProgramServicesAmt |
| Management And General | $485,369 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,914 | TotalAmt |
| Program Services | $281,914 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,629 | TotalAmt |
| Program Services | $302,629 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,735,972 | TotalAmt |
| Management And General | $1,735,972 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,926,820 | TotalAmt |
| Program Services | $5,664,752 | ProgramServicesAmt |
| Management And General | $1,262,068 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,404,493 | TotalAmt |
| Program Services | $2,404,493 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $17,268,720 | $17,268,720 | |
| BAD DEBT | $4,577,873 | $4,577,873 | |
| CENTRALIZED ADMIN EXPENSE | $391,028 | $391,028 | |
| DUES & SUBSCRIPTIONS | $155,711 | $127,340 | $28,371 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,718,637 | TotalAmt |
| Program Services | $3,041,635 | ProgramServicesAmt |
| Management And General | $677,002 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,098,166 | TotalAmt |
| Program Services | $184,067,172 | ProgramServicesAmt |
| Management And General | $37,788,626 | ManagementAndGeneralAmt |
| Fundraising | $242,368 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,143,000 | BOYAmt |
| EOY | $8,379,717 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,059,201 | BOYAmt |
| EOY | $3,059,201 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,605,943 | BOYAmt |
| EOY | $27,251,373 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,441,195 | BOYAmt |
| EOY | $4,297,067 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,702,609 | BOYAmt |
| EOY | $129,866 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $157,911,083 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,076,948 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,964,990 | BOYAmt |
| EOY | $134,834,135 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,320,064 | BOYAmt |
| EOY | $29,890,134 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $549,311 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,230,000 | BOYAmt |
| EOY | $5,230,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,830,614 | BOYAmt |
| EOY | $37,959,527 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,846,927 | BOYAmt |
| EOY | $251,031,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,595,179 | BOYAmt |
| EOY | $37,466,229 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,565,000 | BOYAmt |
| EOY | $24,245,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,295,092 | BOYAmt |
| EOY | $13,556,838 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,364,129 | BOYAmt |
| EOY | $61,835,265 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,819,400 | BOYAmt |
| EOY | $137,103,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,274,520 | BOYAmt |
| EOY | $101,965,327 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,753,007 | BOYAmt |
| EOY | $11,962,361 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,027,527 | BOYAmt |
| EOY | $113,927,688 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,846,927 | BOYAmt |
| EOY | $251,031,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,775,563 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,795 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $21,116,803 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $10,491 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $10,491 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | CENTRAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $349,092 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $349,092 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $765,857 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $213,986 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $192,935 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $777,416 | BeginningYearBalanceAmt |
| Contributions | $21,460 | ContributionsAmt |
| Investment Earnings Or Losses | -$33,019 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $765,857 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Contributions | $20,485 | ContributionsAmt |
| Investment Earnings Or Losses | $22,979 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,956 | OtherExpendituresAmt |
| End Year Balance | $777,416 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,205,000 | OtherCostOrOtherBasisAmt |
| Book Value | $16,205,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,810,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,751,763 | DepreciationAmt |
| Book Value | $45,058,486 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,291,741 | OtherCostOrOtherBasisAmt |
| Depreciation | $846,899 | DepreciationAmt |
| Book Value | $2,444,842 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,570,283 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,305,764 | DepreciationAmt |
| Book Value | $19,264,519 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,033,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $172,522 | DepreciationAmt |
| Book Value | $51,861,288 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $134,834,135 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EQUITY INTEREST IN THE CSH FDN | $14,447,057 |
| SECURITY DEPOSITS | $169,971 |
| OTHER RECEIVABLES | $3,218,270 |
| INSURANCE CLAIM RECEIVABLE | $601,889 |
| RIGHT OF USE ASSET | $19,458,418 |
| OTHER ASSETS | $63,922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $37,959,527 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| MALPRACTICE INSURANCE | $15,753,894 |
| ESTIMATED THIRD PARTY PAYABLES | $5,739,937 |
| DUE TO AFFILIATES | $19,983,184 |
| INSURANCE CLAIMS LIABILITY | $601,889 |
| OPERATING LEASE LIABILITY | $19,458,418 |
| OTHER LIABILITIES | $297,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $61,835,265 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $221,116,105 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,795 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,838,603 | OtherRevenueAmt |
| Revenue Not Reported | -$2,830,808 | RevenueNotReportedAmt |
| Revenue Subtotal | $223,946,913 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$73,184 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$73,184 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $223,873,729 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $218,210,454 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $73,184 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $73,184 | ExpensesNotReportedAmt |
| Expenses Subtotal | $218,137,270 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,960,896 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,960,896 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $222,098,166 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4 - DESCRIPTION OF ORGANIZATION'S COLLECTIONS | THE 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 ENDOWMENTS | ENDOWMENT FUNDS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY CSH IN PERPETUITY. |
| PART X, LINE 2 - FIN 48 | Certain 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 2D & 4B - RECONCILIATION OF REVENUE | REVENUE ON BOOKS NOT ON RETURN NON-OPERATING NET BENEFIT COST 71,196 PROVISION FOR BAD DEBT (4,577,873) NET ASSETS RELEASED FROM RESTRICTION 1,668,074 TOTAL (2,838,603) REVENUE ON RETURN NOT ON BOOKS SPECIAL EVENTS RECLASS (73,184) TOTAL (73,184) |
| Part XII, Line 2D & 4B - RECONCILIATION OF EXPENSES | EXPENSE ON BOOKS NOT ON RETURN SPECIAL EVENTS RECLASS 73,184 TOTAL 73,184 EXPENSE ON RETURN NOT ON BOOKS PROVISION FOR BAD DEBT 4,577,873 ADDITIONAL MINIMUM PENSION LIAB ADJ (616,977) TOTAL 3,960,896 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPRING GALA | Event1Nm |
| Gross Receipts Event1 | $346,433 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $217,900 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $128,533 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $15,000 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $13,643 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $17,922 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $18,619 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $346,433 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $217,900 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $128,533 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $15,000 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,643 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $17,922 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $8,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $18,619 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $73,184 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $55,349 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,229,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$252,802 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,482,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,654,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,803,237 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,851,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,884,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,550,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,334,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $146,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,811,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,035,697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,776,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,751,161 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,751,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $865 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $865 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,337 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $140,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,850,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,786,858 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,063,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,735,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,337,293 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,398,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,581 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,701 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,701 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,151 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,151 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,470,038 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $69,100,844 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $78,152,248 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,051,404 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peconic Bay Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 Roanoke Avenue | AddressLine1Txt |
| City | Riverhead | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | Trauma unit | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peconic Bay Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.northwell.edu/education-and-resource | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.northwell.edu/education-and-resources/com | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.pbmchealth.org/admissions/bil | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.pbmchealth.org/admissions/billin | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.pbmchealth.org/admission | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V Section C - Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six 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/2019-12/Northwell-NYSD OH-2019-chip-workplan.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 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/A | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peconic Bay Physical Therapy & Rehab Cen | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 64 Commerce Drive | AddressLine1Txt |
| City | Riverhead | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Outpatient Physician Clinic | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI - Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Question 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/sites/northwell.edu/files/2020-10/nwh_community2 019-FINAL.pdf 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) 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. 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 12.7 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/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwell's community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention especially in at risk and diverse communities (Cancer, Diabetes, CVD, Obesity), healthy safe environments, health access, changes in the built environment - housing and access to affordable food, mental health and substance abuse and need for better health literacy. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit inform | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AGOSTINO CERVONE | ||||||||||||||
| Trustee/Physician | $0 | $374,999 | $0 | $0 | $0 | $30,800 | $0 | $0 | $405,799 | $0 | $0 | |||
| STEVEN OUZOUNIAN | ||||||||||||||
| Trustee/Physician | $0 | $391,249 | $0 | $0 | $0 | $30,800 | $0 | $0 | $422,049 | $0 | $0 | |||
| RALPH NAPPI | ||||||||||||||
| Trustee/EVC Northwell | $0 | $754,221 | $0 | $0 | $0 | $30,800 | $0 | $0 | $1,004,548 | $0 | $0 | $164,063 | $32,929 | $22,535 |
| SUSAN SOMERVILLE | ||||||||||||||
| VP, Strategic Initiatives | $0 | $290,061 | $0 | $0 | $0 | $30,800 | $0 | $0 | $439,970 | $0 | $0 | $86,780 | $9,794 | $22,535 |
| ANDREW MITCHELL | ||||||||||||||
| President & CEO | $820,432 | $0 | $286,912 | $23,308 | $30,800 | $0 | $22,535 | $1,183,987 | $0 | $0 | $0 | $0 | $0 | $0 |
| MICHAEL O'DONNELL | ||||||||||||||
| CFO | $370,423 | $0 | $70,084 | $28,251 | $30,800 | $0 | $33,503 | $533,061 | $0 | $0 | $0 | $0 | $0 | $0 |
| AMY LOEB | ||||||||||||||
| CNO | $287,385 | $0 | $86,780 | $3,672 | $30,800 | $0 | $33,454 | $442,091 | $0 | $0 | $0 | $0 | $0 | $0 |
| RONALD MCMANUS | ||||||||||||||
| Former COO | $8,291 | $0 | $309,947 | $0 | $10,651 | $328,889 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| ARTHUR CROWE | ||||||||||||||
| COO | $262,619 | $0 | $36,780 | $4,536 | $30,800 | $0 | $22,924 | $357,659 | $0 | $0 | $0 | $0 | $0 | $0 |
| SAMANTHA VIGLIOTTA | ||||||||||||||
| VP, Foundation & Extnl Affairs | $209,315 | $0 | $26,348 | $3,180 | $30,800 | $0 | $33,454 | $303,097 | $0 | $0 | $0 | $0 | $0 | $0 |
| MONICA RAULS | ||||||||||||||
| VP, Human Resources | $204,124 | $0 | $27,820 | $2,788 | $30,800 | $0 | $600 | $266,132 | $0 | $0 | $0 | $0 | $0 | $0 |
| STEPHEN JOHN | ||||||||||||||
| Physician/Hospitalist | $201,121 | $0 | $228,805 | $30,800 | $0 | $11,551 | $472,277 | $0 | $0 | $0 | $0 | $0 | $0 | |
| LAWRENCE WALSER | ||||||||||||||
| Dir, Critical Care | $327,032 | $0 | $6,673 | $30,800 | $0 | $18,025 | $382,530 | $0 | $0 | $0 | $0 | $0 | $0 | |
| MARIE DORVAL-DORCELY | ||||||||||||||
| Physician/Hospitalist | $206,129 | $0 | $85,291 | $30,800 | $0 | $21,303 | $343,523 | $0 | $0 | $0 | $0 | $0 | $0 | |
| APRIL CAPERNA | ||||||||||||||
| Dir, Geriatric & Palliative Md | $264,526 | $0 | $9,600 | $2,060 | $30,800 | $0 | $33,454 | $340,440 | $0 | $0 | $0 | $0 | $0 | $0 |
| MAHMOOD AFGHANI | ||||||||||||||
| Physician/Hospitalist | $201,291 | $0 | $63,442 | $30,800 | $0 | $33,454 | $328,987 | $0 | $0 | $0 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A - SEVERANCE PAY | INCLUDED IN THIS YEAR'S COMPENSATION IS SEVERANCE PAY FOR THE FOLLOWING LISTED EMPLOYEES: RONALD MCMANUS ($294,403). |
| PART I, LINE 7 | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWN OF RIVERHEAD INDUSTRIAL DEVELOPMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 112560077 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2015-05-06 | BondIssuedDt |
| Issue Price | $34,070,000 | IssuePriceAmt |
| Purpose | REFUND BONDS (6/23/06 & 6/27/07) | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $8,505,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $34,070,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $34,070,000 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HSBC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 17.2 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| STEVEN OUZOUNIAN MD | |||
| BOARD MEMBER | $75,000 | DIRECTORSHIP AGREEMENT | false |
| RICHARD ISRAEL | |||
| BOARD MEMBER | $531,331 | RENTAL PROPERTY | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, SECTION A - GOVERNING BODY, LINE 6 & 7 | NORTHWELL 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 11 | THE ANNUAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR NORTHWELL HEALTH, INC. AND AFFILIATED ENTITIES ARE PREPARED WITH INPUT FROM VARIOUS DEPARTMENTS INCLUDING CORPORATE COMPLIANCE, FINANCE, HUMAN RESOURCES, AND LEGAL. BEFORE FILING THE RETURNS, THE DOCUMENTS ARE ELECTRONICALLY MADE AVAILABLE TO ALL TRUSTEES THROUGH A SECURE ONLINE PORTAL. MEMBERS OF THE EXECUTIVE COMMITTEE ARE THEN INFORMED THE RETURNS ARE READY FOR REVIEW. THE EXECUTIVE COMMITTEE, WHICH IS A COMMITTEE MADE UP OF MEMBERS FROM THE BOARD OF TRUSTEES, MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF TRUSTEES EXCEPT AS SUCH AUTHORITY IS LIMITED BY APPLICABLE LAW AND EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY WOULD BE INCONSISTENT WITH ANY PROVISION OF THESE BY-LAWS OR IS LIMITED BY ANY RESOLUTION TO SUCH EFFECT ADOPTED BY THE BOARD OF TRUSTEES. |
| PART VI, SECTION B - POLICIES, LINE 12C | THE 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 15A | CENTRAL 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 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| PART VII, SECTION A - LINE 1A | Marc 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 ASSETS | NET ASSETS RELEASED FROM RESTRICTION 468,074 TRANSFER FROM AFFILIATES 15,899,413 CHANGE IN FAIR VALUE OF DERIVATIVES (579,820) CHANGE IN EQUITY UNDER FAS 136 5,478,780 PRIOR PERIOD ADJUSTMENT (149,644) TOTAL 21,116,803 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (88 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Brightwaters Gynecology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821883445 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Brooklyn Ambulatory Care PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474447289 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Carnegie Cardiovascular PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377825 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| CLNY Alliance Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 463146870 | Laboratory | NY | 501(C)(3) | 3 | NW Labs | false |
| Community Drive Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821672429 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Glen Cove Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111633487 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Harbor View Medical Services PC | ||||||||||
| 75 North Country Rd | Port Jefferson | NY | 11777 | 264517010 | Supporting Or | NY | 501(C)(3) | 12, Type I | Mather | false |
| Hillside Hospital Houses Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112113949 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| Hospice Care in Westchester and Putnam | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 133882602 | Hospice Care | NY | 501(C)(3) | 10 | VNA Hudson | false |
| Hospice Care Network | ||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 112925757 | Hospice | NY | 501(C)(3) | 9 | Northwell He | false |
| Huntington Hospital Association | ||||||||||
| 270 Park Avenue | Huntington | NY | 11743 | 111630914 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Huntington Hospital Dolan Family Health | ||||||||||
| 284 Pulaski Rd | Greenlawn | NY | 11740 | 113368503 | Health Care | NY | 501(C)(3) | 3 | Huntington | false |
| John T Mather Memorial Hospital | ||||||||||
| 75 North Country Rd | Port Jefferson | NY | 11777 | 111639818 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Lakeville Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377760 | Medical Servi | NY | 501(C)(3) | 10 | Lenox Hill | false |
| Lenox Hill Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 131624070 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Lenox Hill Hospital Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 452661543 | Medical Servi | NY | 501(C)(3) | 10 | Lenox Hill | false |
| Lenox Hill Pathology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 133644370 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| Lenox Otolaryngology Head & Neck Surgery | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 208784395 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| LHH Corporation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 133272016 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| LIJ Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112661239 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Long Island Jewish Medical Center | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112241326 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Long Island Jewish Medical Center at Hom | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113251128 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Marcus Avenue Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 810861452 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Medical Care of Queens PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377679 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| NORCORP Inc | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 133366748 | Support Org | NY | 501(C)(3) | 12, Type I | NWHA | false |
| North Shore Community Services Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237273200 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore-LIJ Medical Care Centers | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113473923 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| North Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111562701 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| North Shore University Hospital at Glen | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237010468 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore University Hospital Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112171903 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore-LIJ Anesthesiology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461617561 | Medical Servi | NY | 501(C)(3) | 12, Type I | SSIDE | false |
| North Shore-LIJ Cardiology at Deer Park | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078531 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Cardiovascular Medicine | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078717 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Health Plan Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461617516 | Insurance | NY | 501(C)(3) | 9 | Health Plan | false |
| Northwell Health Plans Holding Company | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462478147 | Holding Compa | NY | 501(C)(3) | 12, Type II | Northwell He | false |
| North Shore-LIJ Heart Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078838 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Internal Medicine at Lyn | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 463475908 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Internal Medicine at New | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462822879 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Internal Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078631 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group at Hunting | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384049 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group at North N | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384146 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Medical Group at Syosset | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 273957752 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384249 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Medical Group Urgent Med | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078426 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 453023019 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN at Garden City P | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462886776 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN at New Hyde Park | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 473722278 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461382916 | Medical Servi | NY | 501(C)(3) | 10 | LIJMC | false |
| North Shore-LIJ Occupational Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 451004103 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Pediatrics of Suffolk Co | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 465746956 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Radiology Services PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 223970667 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Northern Westchester Hospital Associatio | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 131740118 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Northern Westchester Hospital Center Fou | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 134067064 | Foundation | NY | 501(C)(3) | 9 | NWHA | false |
| Northern Westchester Realty Holding Comp | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 912134215 | Holding Compa | NY | 501(C)(2) | N/A | NWHA | false |
| Northwell Health Alliance Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 263727582 | Health Care | NY | 501(C)(3) | 3 | NA | false |
| Northwell Health Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965575 | Fundraising | NY | 501(C)(3) | 7 | Northwell He | false |
| Northwell Health Laboratories | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113412370 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Northwell Health Stern Family Center for | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237007485 | Nursing Home | NY | 501(C)(3) | 9 | Northwell He | false |
| Northwell Health Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113418133 | Supporting Or | NY | 501(C)(3) | 12, Type I | NA | false |
| Northwell Healthcare Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965586 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Northwell Proton Therapy PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 812766298 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Northwell Quality and Medical Affairs I | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 824113233 | Supporting Or | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| Peconic Cardiology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813149464 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Phelps Medical Services PC | ||||||||||
| 701 North Broadway | Sleepy Hollow | NY | 10591 | 274416017 | Medical Servi | NY | 501(C)(3) | 12, Type I | Phelps Memor | false |
| Phelps Memorial Hospital Association | ||||||||||
| 701 North Broadway | Sleepy Hollow | NY | 10591 | 131725076 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Physicians of Univeristy Hospital PC | ||||||||||
| 1 Edgewater Plaza 6th Fl | Staten Island | NY | 10305 | 200096809 | Health Care | NY | 501(C)(3) | 12, Type I | SIUH | false |
| Plainview Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113241243 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| SIUH Systems Inc | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 061074604 | Fundraising | NY | 501(C)(3) | 7 | Northwell He | false |
| Southside Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111667761 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Sports Physical Therapy Occupational Th | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 061655704 | Health Care | NY | 501(C)(3) | 9 | LIJ | false |
| Staten Island Performing Provider System | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 472544659 | DSRIP | NY | 501(C)(3) | 10 | NA | false |
| Staten Island University Hospital | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 112868878 | Health Care | NY | 501(C)(3) | 3 | Northwell He | false |
| Staten Island University Hospital Founda | ||||||||||
| 360 Seaview Avenue | Staten Island | NY | 10305 | 870765787 | Fundraising | NY | 501(C)(3) | 7 | SIUH | false |
| Suite 130 Plastic Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821772747 | Medical Servi | NY | 501(C)(3) | 12, Type I | LIJ | false |
| The Calverton Foundation Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 831118138 | Medical Servi | NY | 501(C)(3) | Applied For | HCI | false |
| The Elmezzi Graduate School of Molecular | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113284934 | Graduate Scho | NY | 501(C)(3) | 2 | Research | false |
| The Feinstein Institute for Medical Rese | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112673595 | Research | NY | 501(C)(3) | 4 | Northwell He | false |
| The Heart Institute | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 311757254 | Inactive | NY | 501(C)(3) | 12, Type I | NA | false |
| The Long Island Home | ||||||||||
| 400 Sunrise Hghwy | Amityville | NY | 11701 | 112837244 | Health Care | NY | 501(C)(3) | 3 | LHH Corporat | false |
| True North Flexstaff Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821446568 | Medical Servi | NY | 501(C)(3) | Applied For | HCI | false |
| True North Patient Safety Organization | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 831429773 | Medical Servi | NY | 501(C)(3) | Applied For | Northwell He | false |
| Virtual Health Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384326 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Visiting Nurse Association of Hudson Val | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 131739952 | Home Health C | NY | 501(C)(3) | 10 | NW Healthcar | false |
| VNA Home Health Services Inc | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 133690105 | Home Health C | NY | 501(C)(3) | 10 | VNA Hudson | false |
| Westchester Health Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474539584 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| True North Health Management Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813428274 | Supporting Or | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| Wellbridge Psychiatry PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 465495054 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Peconic Bay Medical Center Foundation | ||||||||||
| 1 HEROES WAY | RIVERHEAD | NY | 11901 | 200714587 | FUNDRAISING/P | NY | 501(C)(3) | 7 | Peconic Bay | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| Brooklyn Ambulatory Services LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 812910850 | Medical Svcs | NY | Northwell Healt |
| DHCH LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 811030907 | Medical Svcs | NY | Endoscopy Ventu |
| Endo Group LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 200248148 | Medical Svcs | NY | Ventures GCSC |
| Endoscopy Center of Long Island | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 260000980 | Medical Svcs | NY | NS-LIJ Ventures |
| Formativ Health Intermediate LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 814614788 | Holding Co | DE | Formativ Health |
| Formativ Health LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813121231 | Holding Co | DE | TN Health Svcs |
| Hospital City LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474091780 | Inactive | DE | Northwell Healt |
| Krasnoff Consultative Services LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 262838027 | Consulting | NY | Care Mgmt Grp |
| Melville SC LLC | |||||||
| 1895 Walt Whitman Rd | Melville | NY | 11747 | 203487522 | Medical Svcs | NY | Melville ASC |
| North Shore-LIJ and Yale New Haven Medic | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464858222 | Air Transport | NY | NSUH |
| North Shore-LIJ Contract Research Organi | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464469806 | Research | NY | Health Care |
| Northwell Genomics Alliance LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 810826710 | Inactive | DE | NWH Labs |
| Northwell Health Sleep Lab LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821516748 | Medical Svcs | NY | Sleep Holdings |
| Phelps Professional Building Corp LP | |||||||
| 777 North Broadway | Sleepy Hollow | NY | 10591 | 133645137 | Real Estate | NY | PMHA |
| South Shore Surgery Center LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 341997077 | Medical Svcs | NY | Multispecialty |
| Suffolk Surgery Center | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 200080609 | Medical Svcs | NY | Multispecialty |
| Technopath Northwell Health North Americ | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 822869458 | Lab Services | NY | Technopath USA |
| True North II DC LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 352568005 | Medical Svcs | NY | DC Holding |
| True North IV DC LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 611816900 | Medical Svcs | NY | DC Holding |
| True North Urgent Care LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464113494 | Medical Svcs | NY | NSLIJ Urgent Ca |
| True North V DC LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 320518811 | Medical Svcs | NY | DC Holding |
| True North Rad-Onc MSO LLC | |||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 834660846 | Medical Svcs | NY | Northwell Rad-O |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Insurance Company LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Cedar House 41 Cedar Ave | AddressLine1Txt |
| City | Hamilton | CityNm |
| Country | BD | CountryCd |
| Foreign Postal | HM 12 | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 000000000 | EIN |
| Primary Activities | Insurance | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | BD | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |