STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PHELPS MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION (EIN 13-1725076)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-02
IRS object ID
202013079349300741
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-02T08:50:02-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131725076EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHELPS MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% PATRICIA WEISSInCareOfNm
Business Name ControlPHELBusinessNameControlTxt
Phone5163216058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonED BOCHYNSKI AVPPreparerPersonNm

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.27.229.128IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26500720203075000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-02FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA8E867FBD87B7B19EACF155E00BCAC716138C3E7AtSubmissionCreationDeviceId
At Submission Filing Device IdFE6D4BC8627C1BF7E49D7105CE5A8CB468BF2CC7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL BLUMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 NORTH BROADWAYAddressLine1Txt
CitySLEEPY HOLLOWCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$356,762,515GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPMHA STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF CARE FOR THE COMMUNITY REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1613TotalEmployeeCnt
Total Volunteers305TotalVolunteersCnt
Total Gross UBI$3,508,475TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$180,700NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,328,030PYContributionsGrantsAmt
CY Contributions Grants$3,055,061CYContributionsGrantsAmt
PY Program Service Revenue$268,735,880PYProgramServiceRevenueAmt
CY Program Service Revenue$286,474,159CYProgramServiceRevenueAmt
PY Investment Income$2,059,053PYInvestmentIncomeAmt
CY Investment Income$6,257,926CYInvestmentIncomeAmt
PY Other Revenue$21,140,667PYOtherRevenueAmt
CY Other Revenue$10,859,745CYOtherRevenueAmt
PY Total Revenue$294,263,630PYTotalRevenueAmt
CY Total Revenue$306,646,891CYTotalRevenueAmt
PY Grants And Similar Paid$20,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$18,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$146,327,296PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$158,755,314CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$121,706CYTotalFundraisingExpenseAmt
PY Other Expenses$93,171,400PYOtherExpensesAmt
CY Other Expenses$129,291,455CYOtherExpensesAmt
PY Total Expenses$239,518,696PYTotalExpensesAmt
CY Total Expenses$288,064,769CYTotalExpensesAmt
PY Revenues Less Expenses$54,744,934PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,582,122CYRevenuesLessExpensesAmt
Total Assets BOY$369,337,695TotalAssetsBOYAmt
Total Assets EOY$432,505,212TotalAssetsEOYAmt
Total Liabilities BOY$91,058,605TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,833,949TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$278,279,090NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$339,671,263NetAssetsOrFundBalancesEOYAmt
MissionPHELPS MEMORIAL HOSPITAL ASSOCIATION ("PMHA") IS PART OF NORTHWELL HEALTH, INC ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$148,555,327ExpenseAmt
Grant$18,000GrantAmt
Revenue$103,487,462RevenueAmt
DescPHELPS MEMORIAL HOSPITAL ASSOCIATON PROVIDES ACUTE AND REHABILITATION INPATIENT HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE HOSPITAL HAD 5,241 ACUTE CARE ADMISSIONS AND 306 REHABILITATION ADMISSIONS. .Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$56,384,503ExpenseAmt
Grant$0GrantAmt
Revenue$163,378,072RevenueAmt
DescPMHA PROVIDES OUTPATIENT HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. PMHA'S LARGER OUTPATIENT PROGRAMS INCLUDE THE FOLLOWING SERVICES: EMERGENCY SERVICES: 24,968 VISITS; RADIOLOGY SERVICES: 44,123 PROCEDURES; WOUND & DIABETIC CARE: 7,286 VISITS; PHYSICAL THERAPY, ACQUA THERAPY AND OCCUPATIONAL THERAPY: 43,803 PROCEDURES; HYPERBARIC TREATMENTS: 2,091 PROCEDURES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$38,078,122ExpenseAmt
Grant$0GrantAmt
Revenue$19,608,626RevenueAmt
DescPHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. PHELPS MEMORIAL HOSPITAL ASSOCIATION HAD 780 BEHAVIORAL HEALTH ADMISSIONS AND 6,425 OUTPATIENT BEHAVIORAL HEALTH VISITS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$243,017,952TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document162IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1613EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPATRICIA WEISSPersonNm
Phone9143663000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 NORTH BROADWAYAddressLine1Txt
CitySLEEPY HOLLOWCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL BLUM
President & CEO50.00.0Yes (X)Yes (X)$1,054,565$0$63,838
KEVIN BEINER
Trustee/SVP Northwell0.050.0Yes (X)$0$1,027,394$42,368
RALPH NAPPI
Trustee/EVC Northwell0.050.0Yes (X)$0$951,213$53,335
TOBE BANC
Trustee/VP Med Dir Phelps50.00.0Yes (X)$586,631$0$63,838
FRANKLIN ZIMMERMAN
Trustee/Med Dir MDPMA0.050.0Yes (X)$0$553,611$53,057
MARY MCDERMOTT
SVP, PCS / CNO50.00.0$523,792$0$51,975Yes (X)
DENNIS CONNORS
Former SVP/Regional Exec Dir0.00.0$517,939$0$5,924Yes (X)
CRAIG ROGERS
Psychiatrist50.00.0$454,534$0$64,366Yes (X)
FALGUNI KALRA
Hospitalist50.00.0$428,413$0$63,886Yes (X)
JAMES MCCULLAGH
Assoc Exec Dir Fin Multi Sites50.00.0$389,821$0$61,346Yes (X)
VIVEK VENKATAKRISHNAN
Hospitalist50.00.0$411,167$0$31,400Yes (X)
JUSSI MAIJALA
VP, HR & Med Grp Opns0.00.0$398,270$0$21,478Yes (X)
EMIL NIGRO
Trustee/Physician Advisor Phel50.00.0Yes (X)$269,538$0$53,377
KEITH F SAFIAN
Former President & CEO0.00.0$289,181$0$0Yes (X)
VINCENT DESANTIS
Former VP & CFO0.00.0$201,844$0$7,607Yes (X)
KENNETH TABER
Chairman0.03.0Yes (X)Yes (X)$0$0$0
RICHARD SINI
Vice Chairman0.02.0Yes (X)Yes (X)$0$0$0
KENNETH MILLER
Vice Chairman0.02.0Yes (X)Yes (X)$0$0$0
BARD BUNAES
Treasurer0.02.0Yes (X)Yes (X)$0$0$0
JAMES GOLDSMITH
Secretary0.02.0Yes (X)Yes (X)$0$0$0
NON COMPENSATED TRUSTE
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,525,695TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,532,218TotReportableCompRltdOrgAmt
Total Other Compensation$637,795TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K410IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Hunter Roberts Construction Group
55 WATER STREET 51ST FLOORNEW YORKNY10041Construction Mgmt$4,027,165
WHITING TURNER CONTRACTING COMPANY
2 ENTERPRISE DRIVESHELTONCT06484Construction Mgmt$1,957,762
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA303844674Nursing Fees$1,862,790
ROTHMAN ORTHOPAEDICS INSTITUTE
NEW YORK PLLCPHILADELPHIAPA19107Physician Fees$1,387,800
OPEN DOOR FAMILY MED CENTER INC
165 MAIN STREETOSSININGNY10562Physician Fees$1,063,238
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Fundraising$690,374FundraisingAmt
Government Grants$701,315GovernmentGrantsAmt
All Other Contributions$1,663,372AllOtherContributionsAmt
Noncash Contributions$46,721NoncashContributionsAmt
Total Contributions$3,055,061TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE623000$204,707,847$204,707,847
PHYSICIANS PRACTICE REVENUE623000$1,888,505$1,888,505
MEDICARE/MEDICAID PAYMENTS623000$76,369,332$76,369,332
LAB OUTREACH623000$3,508,475$3,508,475
FieldValueIRS element (for citing)
Total Program Service Revenue$286,474,159TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,137,992TotalRevenueColumnAmt
Exclusion$4,137,992ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,763TotalRevenueColumnAmt
Exclusion$16,763ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,196,562RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,196,562RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,196,562TotalRevenueColumnAmt
Related Or Exempt Func Income$1,196,562RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,966,274SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$49,863,103SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,103,171SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,103,171TotalRevenueColumnAmt
Exclusion$2,103,171ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$690,374ContriRptFundraisingEventAmt
Fundraising Direct Expenses$252,521FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$252,521TotalRevenueColumnAmt
Exclusion-$252,521ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY INCOME900099$6,488,857$6,488,857
MLMIC DEMUTUALIZATION900099$1,868,091$1,868,091
CAFETERIA REVENUE900099$852,849$852,849

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$705,907TotalRevenueColumnAmt
Related Or Exempt Func Income$352,358RelatedOrExemptFuncIncomeAmt
Exclusion$353,549ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,915,704OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,646,891TotalRevenueColumnAmt
Related Or Exempt Func Income$286,382,695RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,508,475UnrelatedBusinessRevenueAmt
Exclusion$13,700,660ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Program Services$18,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,910,734TotalAmt
Program Services$1,910,734ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$136,457,574TotalAmt
Program Services$118,842,839ProgramServicesAmt
Management And General$17,542,890ManagementAndGeneralAmt
Fundraising$71,845FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,238,211TotalAmt
Program Services$5,432,947ProgramServicesAmt
Management And General$801,980ManagementAndGeneralAmt
Fundraising$3,284FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,835,768TotalAmt
Program Services$4,211,539ProgramServicesAmt
Management And General$621,683ManagementAndGeneralAmt
Fundraising$2,546FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,313,027TotalAmt
Program Services$8,110,847ProgramServicesAmt
Management And General$1,197,276ManagementAndGeneralAmt
Fundraising$4,904FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$989,967TotalAmt
Management And General$989,967ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$192,121TotalAmt
Management And General$192,121ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,164TotalAmt
Management And General$26,057ManagementAndGeneralAmt
Fundraising$107FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,370,667TotalAmt
Program Services$5,548,303ProgramServicesAmt
Management And General$819,008ManagementAndGeneralAmt
Fundraising$3,356FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,304,480TotalAmt
Program Services$2,007,004ProgramServicesAmt
Management And General$296,262ManagementAndGeneralAmt
Fundraising$1,214FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,976,593TotalAmt
Program Services$51,363,553ProgramServicesAmt
Management And General$7,581,989ManagementAndGeneralAmt
Fundraising$31,051FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,451,652TotalAmt
Program Services$3,877,007ProgramServicesAmt
Management And General$572,301ManagementAndGeneralAmt
Fundraising$2,344FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$195,338TotalAmt
Program Services$195,338ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$78,308TotalAmt
Program Services$78,308ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$912,908TotalAmt
Management And General$912,908ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,110,734TotalAmt
Program Services$13,160,153ProgramServicesAmt
Management And General$1,950,581ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$295,736TotalAmt
Program Services$295,736ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$5,115,721$5,115,721
PURCHASED SERVICES$3,648,268$3,648,268
CENTRALIZED ADMIN EXPENSE$11,159,440$11,159,440
SHARED SERVICES$17,315,924$17,315,924

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,147,434TotalAmt
Program Services$1,885,731ProgramServicesAmt
Management And General$260,648ManagementAndGeneralAmt
Fundraising$1,055FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$288,064,769TotalAmt
Program Services$243,017,952ProgramServicesAmt
Management And General$44,925,111ManagementAndGeneralAmt
Fundraising$121,706FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,822,025BOYAmt
EOY$1,422,910EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$212,933BOYAmt
EOY$577,190EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,773,317BOYAmt
EOY$37,964,254EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,733,743BOYAmt
EOY$4,762,380EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$731,692BOYAmt
EOY$673,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$219,740,738LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,643,897LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$165,462,680BOYAmt
EOY$169,096,841EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$136,525,700BOYAmt
EOY$198,330,963EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,075,605BOYAmt
EOY$19,676,686EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$369,337,695BOYAmt
EOY$432,505,212EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,558,606BOYAmt
EOY$29,499,986EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,210,000BOYAmt
EOY$26,525,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,289,999BOYAmt
EOY$36,808,963EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,058,605BOYAmt
EOY$92,833,949EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$265,670,130BOYAmt
EOY$330,305,450EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,608,960BOYAmt
EOY$9,365,813EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$278,279,090BOYAmt
EOY$339,671,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$369,337,695BOYAmt
EOY$432,505,212EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,582,122ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,666,059NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$30,143,992OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$3,858OtherActivitiesAmt
Total Lobbying Expenditures$3,858TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,835,439BeginningYearBalanceAmt
Investment Earnings Or Losses$3,486,061InvestmentEarningsOrLossesAmt
End Year Balance$12,321,500EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,064,711BeginningYearBalanceAmt
Investment Earnings Or Losses$2,770,728InvestmentEarningsOrLossesAmt
End Year Balance$8,835,439EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,420,000BeginningYearBalanceAmt
Investment Earnings Or Losses$655,030InvestmentEarningsOrLossesAmt
Other Expenditures$10,319OtherExpendituresAmt
End Year Balance$6,064,711EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,003,370BeginningYearBalanceAmt
Investment Earnings Or Losses$429,734InvestmentEarningsOrLossesAmt
Other Expenditures$13,104OtherExpendituresAmt
End Year Balance$5,420,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,016,694BeginningYearBalanceAmt
Investment Earnings Or Losses$4,389InvestmentEarningsOrLossesAmt
Other Expenditures$17,713OtherExpendituresAmt
End Year Balance$5,003,370EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.35000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,652,150OtherCostOrOtherBasisAmt
Book Value$18,652,150BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$115,786,334OtherCostOrOtherBasisAmt
Depreciation$17,762,571DepreciationAmt
Book Value$98,023,763BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,419,976OtherCostOrOtherBasisAmt
Depreciation$1,182,787DepreciationAmt
Book Value$1,237,189BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,907,250OtherCostOrOtherBasisAmt
Depreciation$30,891,654DepreciationAmt
Book Value$41,015,596BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,975,028OtherCostOrOtherBasisAmt
Depreciation$806,885DepreciationAmt
Book Value$10,168,143BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$169,096,841TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PLANS$5,421,433
MALPRACTICE CONTINGENCY$16,727,269
OTHER LIABILITIES$68,325
INSURANCE CLAIM LIABILITY$4,780,256
EST 3RD PARTY PAYABLE$8,117,783
OPERATING LEASE LIAB$1,693,897
FieldValueIRS element (for citing)
Total Liability$36,808,963TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$295,681,628TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$12,666,059NetUnrealizedGainsInvstAmt
Other Revenue-$5,120,891OtherRevenueAmt
Revenue Not Reported$7,545,168RevenueNotReportedAmt
Revenue Subtotal$288,136,460RevenueSubtotalAmt
Other Revenues Not Included$18,510,431OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$18,510,431RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$306,646,891TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$263,904,375TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$252,521OtherExpensesIncludedAmt
Expenses Not Reported$252,521ExpensesNotReportedAmt
Expenses Subtotal$263,651,854ExpensesSubtotalAmt
Other Expenses Not Included$24,412,915OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$24,412,915ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$288,064,769TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. At December 31, 2019 and 2018, Northwell has a deferred tax asset of approximately $112,000,000 and $118,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $540,000,000 at December 31, 2019. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations.
PART XI, LINE 2D & 4BRECONCILIATION OF REVENUE, LINE 2D NonOperating net periodic benefit cost (5,170) Provision for Bad Debt (5,115,721) Total (5,120,891) RECONCILIATION OF REVENUE, LINE 4B net asset adjustment (86,374) NonOperating Gain (442,698) Rental Expense Reclassed 1,976,100 fundraising events reclass from expenses (252,520) Affil- Admin Alloc- Purchased Services 17,315,924 total 18,510,431
PART XII, LINE 2D & 4BRECONCILIATION OF EXPENSE, LINE 2D Fundrasiing events reclass to revenue 252,521 RECONCILIATION OF EXPENSE, LINE 4B Provision for Bad Debt 5,115,721 Rental Expense Reclassed 1,976,100 NonOperating net periodic benefit cost 5,170 Affil- Admin Alloc- Purchased Services 17,315,924 TOTAL 24,412,915
PART V, LINE 4ALL INTEREST EARNED ON THE ENDOWMENT SUPPORT THE GENERAL OPERATION OF THE HOSPITAL. BOARD DESIGNATED FUNDS SUPPORT THE HOSPICE PROGRAM.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER DANCEEvent1Nm
Gross Receipts Event1$525,094GrossReceiptsEvent1Amt
Charitable Contri Event1$525,094CharitableContriEvent1Amt
Rent Facility Costs Event1$97,953RentFacilityCostsEvent1Amt
Entertainment Event1$23,100EntertainmentEvent1Amt
Other Direct Expenses Event1$53,152OtherDirectExpensesEvent1Amt
Event2GOLF CLASSICEvent2Nm
Gross Receipts Event2$115,918GrossReceiptsEvent2Amt
Charitable Contri Event2$115,918CharitableContriEvent2Amt
Rent Facility Costs Event2$37,186RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,000FoodAndBeverageEvent2Amt
Entertainment Event2$2,700EntertainmentEvent2Amt
Other Direct Expenses Event2$15,932OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$49,362GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$49,362CharitableContriOtherEventsAmt
Rent Fclty Costs Other Events$9,185RentFcltyCostsOtherEventsAmt
Entertainment Other Events$2,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$10,312OthDirectExpnssOtherEventsAmt
Gross Receipts Total$690,374GrossReceiptsTotalAmt
Charitable Contributions Tot$690,374CharitableContributionsTotAmt
Rent Fclty Costs Total Events$144,324RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,000FoodAndBeverageTotalEventsAmt
Entertainment Total Events$27,800EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$79,396OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$252,520DirectExpenseSummaryEventsAmt
Net Income Summary-$252,520NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,706,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,666,337NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,111,568TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,262,818DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,848,750NetCommunityBenefitExpnsAmt
Total Expense0.03700TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,818,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,303,277DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,515,087NetCommunityBenefitExpnsAmt
Total Expense0.04400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$621,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$621,893NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,158,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,111,301DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,047,650NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,719TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,719NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$346,631TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$346,631NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,153,194TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,111,301DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,041,893NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,971,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,414,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,556,980NetCommunityBenefitExpnsAmt
Total Expense0.06080TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,853TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,853NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,114TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,114NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,279TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,279NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,863TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,863NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,131TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,131NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$131,312TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$131,312NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$5,054,247BadDebtExpenseAmt
Reimbursed By Medicare$65,258,768ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$94,038,848CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$28,780,080MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PHELPS PROFESSIONALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesRENT OFFICE SPACEPrimaryActivitiesTxt
Org Profit Or Ownership0.73OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.27PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHELPS MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 NORTH BROADWAYAddressLine1Txt
CitySLEEPY HOLLOWCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10591ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PHELPSHOSPITAL.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PHELPS MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.northwell.edu/education-and-resourceOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.northwell.edu/education-and-resources/comStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.northwell.edu/billing-and-insFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.northwell.edu/billing-and-insuraFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.northwell.edu/billing-anFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Section C, Supplemental InformationFormAndLineReferenceDesc
ExplanationHospital Community Benefit Report IRS Form 990, Schedule H, Part V, Section C, Supplemental Information Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six 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/AExplanationTxt
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Phelps - Alcohol Treatment Services
22 Rockledge AvenueOssiningNY10562Outpatient Physician Clinic
Phelps Medical Associates Medicine
362 North BroadwaySleepy HollowNY10591Outpatient Physician Clinic
Northwell Health Physician Partners
440 South Riverside AvenueCrotonon HudsonNY10520Outpatient Physician Clinic
Phelps Hospital Imaging at Dobbs Ferry
11 Ashford AvenueDobbs FerryNY10522Diagnostic Center
Northwell Health Physician Partners
450 Mamaroneck AvenueHarrisonNY10528Outpatient Physician Clinic
Rehabilitation Extention Clinic
755 North BroadwaySleepy HollowNY10591Outpatient Physician Clinic
Phelps Medical Associates Cardiology
465 North State RoadBriarcliff ManorNY10510Outpatient Physician Clinic
Northwell Health Physician Partners
34-36 1/2 Main StreetTarrytownNY10591Outpatient Physician Clinic
Phelps Medical Associates Family Medicin
20 Beacon Hill DriveDobbs FerryNY10522Outpatient Physician Clinic
Northwell Health Physician Partners
310 North Highland AvenueOssiningNY10562Outpatient Physician Clinic
Northwell Health Physician Partners
320 Robinson AvenueNewburghNY12550Outpatient Physician Clinic
Northwell Health Physician Partners
100 South Highland AvenueOssiningNY10562Outpatient Physician Clinic
Northwell Health Physician Partners
1010 Kendal WaySleepy HollowNY10591Outpatient Physician Clinic
Echo Hills Family Counseling Center
Broadway and Main StreetHastings on the HudsonNY10706Outpatient Physician Clinic
Medicine Specialties at Dobbs Ferry
11 Ashford AvenueDobbs FerryNY10522Outpatient Physician Clinic
Phelps Medical Associates Behavioral Hea
315 South Highland AvenueBriarcliff ManorNY10510Outpatient Physician Clinic
Phelps Psychiatric Clinic
12 Schumann CourtBriarcliff ManorNY10510Outpatient Physician Clinic
Phelps Threshold and Alcoholism Clinic
155 White Plains RoadTarrytownNY10591Outpatient Physician Clinic
Family Medicine at Dobbs Ferry
20 Beacon Hill DriveDobbs FerryNY10522Outpatient Physician Clinic
Medicine Specialties at Sleepy Hollow
362 North BroadwaySleepy HollowNY10591Outpatient Physician Clinic
Phelps Medical Associates Wound Healing
701 North BroadwaySleepy HollowNY10591Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI - SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationHospital Community Benefit Report IRS Form 990, Schedule H, Part VI, Supplemental Information 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 strategiesExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNURSING TUITION ASSISTANCEGrantTypeTxt
Recipient3RecipientCnt
Cash Grant$18,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1, LINE 2FormAndLineReferenceDesc
ExplanationTHE nursing promise program awards financial assistance in the form of a forgivYble loan to cover living expenses for eligible employees who are accepted and enrolled in an accredited registered nursing school. continued eligibility in the program is subject to the nursing promise student successfully completing each semester's nursing course work and maintaining satisfactory work performance at phelps memorial hospital. nursing promise students who start work at phelps memorial hospital as a graduate nurse or r.n. within two months of graduation are eligible to earn loan forgiveness. The nursing promise coordinator and nurse educator serve as mentors to the nursing promise students and are responsible to monitor each student's compliance with the program. mentors meet with the students on a regular basis and discuss the students work performance with the student's supervisor. the hospital controls the entity as described on schedule o in answers to form 990, part vi, line 6 & 7a, therefore, the organization constantly monitors the monies used.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL BLUM
President & CEO$753,920$0$186,422$0$114,223$0$30,800$0$33,038$0$1,118,403$0$0$0
TOBE BANC
Trustee/VP Med Dir Phelps$464,824$0$83,565$0$38,242$0$30,800$0$33,038$0$650,469$0$0$0
EMIL NIGRO
Trustee/Physician Advisor Phel$246,850$0$0$22,688$0$30,800$0$22,577$0$322,915$0$0$0
FRANKLIN ZIMMERMAN
Trustee/Med Dir MDPMA$0$512,478$0$7,333$0$33,800$0$30,800$0$22,257$0$606,668$0$0
RALPH NAPPI
Trustee/EVC Northwell$0$754,221$0$164,063$0$32,929$0$30,800$0$22,535$0$1,004,548$0$0
MARY MCDERMOTT
SVP, PCS / CNO$385,946$0$73,086$0$64,760$0$30,800$0$21,175$0$575,767$0$0$0
CRAIG ROGERS
Psychiatrist$114,271$0$17,551$0$322,712$0$30,800$0$33,566$0$518,900$0$0$0
FALGUNI KALRA
Hospitalist$176,188$0$77,560$0$174,665$0$30,800$0$33,086$0$492,299$0$0$0
VIVEK VENKATAKRISHNAN
Hospitalist$188,489$0$70,159$0$152,519$0$30,800$0$600$0$442,567$0$0$0
JAMES MCCULLAGH
Assoc Exec Dir Fin Multi Sites$313,339$0$53,081$0$23,401$0$30,800$0$30,546$0$451,167$0$0$0
JUSSI MAIJALA
VP, HR & Med Grp Opns$2,831$0$34,181$0$361,258$0$0$21,478$0$419,748$0$0$0
VINCENT DESANTIS
Former VP & CFO$0$0$201,844$0$0$7,607$0$209,451$0$0$0
DENNIS CONNORS
Former SVP/Regional Exec Dir$0$0$517,939$0$0$5,924$0$523,863$0$0$0
KEITH F SAFIAN
Former President & CEO$0$0$289,181$0$0$0$289,181$0$0$0
KEVIN BEINER
Trustee/SVP Northwell$0$836,564$0$153,344$0$37,486$0$30,800$0$11,568$0$1,069,762$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationOn Form 990, Part VII, Section A, line 1A, the organization may provide 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).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WESTCHESTER COUNTY LOCAL DEVELOPMENT CORP
A4551355760000000002013-12-31$14,000,0002013 BONDS-CONSTRUCT & EQUIP FOR Hfalsefalsefalse
TOWN OF MT PLEASANT INDUSTRIAL DEVELOPMENT AGENCY
B5217232850000000002014-01-23$21,975,0002014 BONDS - REFUND 2005 BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,360,000$0$14,001,964$0$0$0$257,206$0$0$13,744,758$0$02015falsefalseYes (true)Yes (true)
B$6,090,000$0$21,975,000$0$0$0$0$0$0$0$21,975,000$02008Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)Yes (true)Yes (true)falsefalse0falseYes (true)
0
BfalsefalseYes (true)Yes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
B

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 3-TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I,COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 6/30/2015 FOR 2013 BONDS,SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 7/23/2014 FOR 2014 BONDS,SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$46,721NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION B-POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
PART VI, SECTION B-POLICIES, LINE 12CNorthwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
PART VI, SECTION B-POLICIES, LINE 15The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
PART VI, SECTION C-DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1APatricia Armstrong Ralph Nappi Tobe Banc, MD Emil Nigro, MD John Barnes Richard Peress, MD Kevin Beiner Kevin Plunkett Daniel Blum Diane Potter Bard Bunaes Richard Sinni James Goldsmith Peter Scherer Richard Goldstein Michael Sullivan Aubrey Hawes Kenneth Taber Loretta London Louis Watchel Fred Mascia Craig Zalvan, MD Andrew Merryman Frank Zimmerman, MD Kenneth Miller
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
PART VI, SECTION A-GOVERNING BODY, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, LINE 9NonOperating Gains 442,698 Transfer from Affiliates 32,275,000 Net Assets Released from restriction 161,037 Distributions to noncontrolling subsidiary 508,360 Change in PY Net Assets (3,243,104) Total 30,143,992

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (87 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Brightwaters Gynecology PC
972 Brush Hollow RdWestburyNY11590821883445Medical ServiNY501(C)(3)10NSUHfalse
Brooklyn Ambulatory Care PC
972 Brush Hollow RdWestburyNY11590474447289Medical ServiNY501(C)(3)12, Type INSUHfalse
Carnegie Cardiovascular PC
972 Brush Hollow RdWestburyNY11590474377825Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
Central Suffolk Hospital
1300 Roanoke AveRiverheadNY11901111661359Health CareNY501(C)(3)3Healthcarefalse
CLNY Alliance Inc
972 Brush Hollow RdWestburyNY11590463146870LaboratoryNY501(C)(3)3NW Labsfalse
Community Drive Surgery PC
972 Brush Hollow RdWestburyNY11590821672429Medical ServiNY501(C)(3)12, Type INSUHfalse
The Feinstein Institute for Medical Rese
972 Brush Hollow RdWestburyNY11590112673595ResearchNY501(C)(3)4Northwell Hefalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487Health CareNY501(C)(3)3Northwell Hefalse
Hillside Hospital Houses Inc
972 Brush Hollow RdWestburyNY11590112113949Housing CompNY501(C)(2)N/ANorthwell Hefalse
Hospice Care in Westchester and Putnam
540 White Plains RdTarrytownNY10591133882602Hospice CareNY501(C)(3)10VNA Hudsonfalse
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(C)(3)9Northwell Hefalse
Huntington Hospital Association
270 Park AvenueHuntingtonNY11743111630914Health CareNY501(C)(3)3Healthcarefalse
Huntington Hospital Dolan Family Health
284 Pulaski RdGreenlawnNY11740113368503Health CareNY501(C)(3)3Huntingtonfalse
Lakeville Surgery PC
972 Brush Hollow RdWestburyNY11590474377760Medical ServiNY501(C)(3)10Lenox Hillfalse
Lenox Hill Hospital
972 Brush Hollow RdWestburyNY11590131624070Health CareNY501(C)(3)3Northwell Hefalse
Lenox Hill Hospital Medical PC
972 Brush Hollow RdWestburyNY11590452661543Medical ServiNY501(C)(3)10Lenox Hillfalse
Lenox Hill Pathology PC
972 Brush Hollow RdWestburyNY11590133644370Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
Lenox Otolaryngology Head & Neck Surgery
972 Brush Hollow RdWestburyNY11590208784395Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
LHH Corporation
972 Brush Hollow RdWestburyNY11590133272016Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
LIJ Foundation
972 Brush Hollow RdWestburyNY11590112661239Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326Health CareNY501(C)(3)3Northwell Hefalse
Long Island Jewish Medical Center at Hom
972 Brush Hollow RdWestburyNY11590113251128Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Marcus Avenue Medical PC
972 Brush Hollow RdWestburyNY11590810861452Medical ServiNY501(C)(3)12, Type INSUHfalse
Medical Care of Queens PC
972 Brush Hollow RdWestburyNY11590474377679Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
NORCORP Inc
400 East Main StreetMount KiscoNY10549133366748Support OrgNY501(C)(3)12, Type INWHAfalse
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701Health CareNY501(C)(3)3Northwell Hefalse
North Shore University Hospital at Glen
972 Brush Hollow RdWestburyNY11590237010468Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore University Hospital Housing
972 Brush Hollow RdWestburyNY11590112171903Housing CompNY501(C)(2)N/ANorthwell Hefalse
Northwell Health Alliance Inc
972 Brush Hollow RdWestburyNY11590263727582Health CareNY501(C)(3)3NAfalse
North Shore-LIJ Anesthesiology PC
972 Brush Hollow RdWestburyNY11590461617561Medical ServiNY501(C)(3)12, Type ISSIDEfalse
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow RdWestburyNY11590275078531Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow RdWestburyNY11590275078717Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Health Plan Inc
972 Brush Hollow RdWestburyNY11590461617516InsuranceNY501(C)(3)9Health Planfalse
Northwell Health Plans Holding Company
972 Brush Hollow RdWestburyNY11590462478147Holding CompaNY501(C)(3)12, Type IIHealthcarefalse
North Shore-LIJ Heart Surgery PC
972 Brush Hollow RdWestburyNY11590275078838Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow RdWestburyNY11590463475908Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at New
972 Brush Hollow RdWestburyNY11590462822879Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Internal Medicine PC
972 Brush Hollow RdWestburyNY11590275078631Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Care Centers
972 Brush Hollow RdWestburyNY11590113473923Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
North Shore-LIJ Medical Group at Hunting
972 Brush Hollow RdWestburyNY11590274384049Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group at North N
972 Brush Hollow RdWestburyNY11590274384146Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group at Syosset
972 Brush Hollow RdWestburyNY11590273957752Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group PC
972 Brush Hollow RdWestburyNY11590274384249Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow RdWestburyNY11590275078246Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical PC
972 Brush Hollow RdWestburyNY11590453023019Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow RdWestburyNY11590462886776Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow RdWestburyNY11590473722278Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN PC
972 Brush Hollow RdWestburyNY11590461382916Medical ServiNY501(C)(3)10LIJMCfalse
North Shore-LIJ Occupational Medicine PC
972 Brush Hollow RdWestburyNY11590451004103Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Pediatrics of Suffolk Co
972 Brush Hollow RdWestburyNY11590465746956Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Radiology Services PC
972 Brush Hollow RdWestburyNY11590223970667Medical ServiNY501(C)(3)12, Type INSUHfalse
Northern Westchester Hospital Associatio
400 East Main StreetMount KiscoNY10549131740118Health CareNY501(C)(3)3Northwell Hefalse
Northern Westchester Hospital Center Fou
400 East Main StreetMount KiscoNY10549134067064FoundationNY501(C)(3)9NWHAfalse
Northern Westchester Realty Holding Comp
400 East Main StreetMount KiscoNY10549912134215Holding CompaNY501(C)(2)N/ANWHAfalse
Northwell Health Foundation
972 Brush Hollow RdWestburyNY11590112965575FundraisingNY501(C)(3)7Northwell Hefalse
Northwell Health Laboratories
972 Brush Hollow RdWestburyNY11590113412370Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Health Stern Family Center for
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(C)(3)9Northwell Hefalse
Northwell Health Inc
972 Brush Hollow RdWestburyNY11590113418133Supporting OrNY501(C)(3)12, Type INAfalse
Northwell Healthcare Inc
972 Brush Hollow RdWestburyNY11590112965586Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Proton Therapy PC
972 Brush Hollow RdWestburyNY11590812766298Medical ServiNY501(C)(3)10NSUHfalse
Peconic Cardiology PC
972 Brush Hollow RdWestburyNY11590813149464Medical ServiNY501(C)(3)12, Type INSUHfalse
Phelps Medical Services PC
701 North BroadwaySleepy HollowNY10591274416017Medical ServiNY501(C)(3)12, Type IPhelps MemorYes (true)
Physicians of Univeristy Hospital PC
1 Edgewater Plaza 6th FlStaten IslandNY10305200096809Health CareNY501(C)(3)12, Type ISIUHfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243Health CareNY501(C)(3)3Northwell Hefalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7Northwell Hefalse
Southside Hospital
972 Brush Hollow RdWestburyNY11590111667761Health CareNY501(C)(3)3Northwell Hefalse
Sports Physical Therapy Occupational Th
972 Brush Hollow RdWestburyNY11590061655704Health CareNY501(C)(3)9LIJfalse
Staten Island Performing Provider System
972 Brush Hollow RdWestburyNY11590472544659DSRIPNY501(C)(3)10NAfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878Health CareNY501(C)(3)3Northwell Hefalse
Staten Island University Hospital Founda
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHfalse
The Elmezzi Graduate School of Molecular
972 Brush Hollow RdWestburyNY11590113284934Graduate SchoNY501(C)(3)2Researchfalse
The Heart Institute
475 Seaview AvenueStaten IslandNY10305311757254InactiveNY501(C)(3)12, Type INAfalse
The Long Island Home
400 Sunrise HghwyAmityvilleNY11701112837244Health CareNY501(C)(3)3LHH Corporatfalse
Virtual Health Medicine PC
972 Brush Hollow RdWestburyNY11590274384326Medical ServiNY501(C)(3)10NSUHfalse
Visiting Nurse Association of Hudson Val
540 White Plains RdTarrytownNY10591131739952Home Health CNY501(C)(3)10NW Healthcarfalse
VNA Home Health Services Inc
540 White Plains RdTarrytownNY10591133690105Home Health CNY501(C)(3)10VNA Hudsonfalse
Westchester Health Medical PC
972 Brush Hollow RdWestburyNY11590474539584Medical ServiNY501(C)(3)12, Type INSUHfalse
Suite 130 Plastic Surgery PC
972 Brush Hollow RdWestburyNY11590821772747Medical ServiNY501(C)(3)12, Type ILIJfalse
The Calverton Foundation Inc
972 Brush Hollow RdWestburyNY11590831118138Medical ServiNY501(C)(3)Applied ForHCIfalse
True North Flexstaff Inc
972 Brush Hollow RdWestburyNY11590821446568Medical ServiNY501(C)(3)Applied ForHCIfalse
John T Mather Memorial Hospital
75 North Country RdPort JeffersonNY11777111639818Health CareNY501(C)(3)3Healthcarefalse
Northwell Quality and Medical Affairs I
972 Brush Hollow RdWestburyNY11590824113233Supporting OrNY501(C)(3)12, Type IHealthcarefalse
True North Patient Safety Organization
972 Brush Hollow RdWestburyNY11590831429773Medical ServiNY501(C)(3)Applied ForNorthwell Hefalse
Harbor View Medical Services PC
75 North Country RdPort JeffersonNY11777264517010Supporting OrNY501(C)(3)12, Type IMatherfalse
True North Health Management Inc
972 Brush Hollow RdWestburyNY11590813428274Supporting OrNY501(C)(3)12, Type IHealthcarefalse
Wellbridge Psychiatry PC
972 Brush Hollow RdWestburyNY11590465495054Medical ServiNY501(C)(3)12, Type INSUHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Brooklyn Ambulatory Services LLC
972 Brush Hollow RdWestburyNY11590812910850Medical SvcsNYHealthcare
Endo Group LLC
972 Brush Hollow RdWestburyNY11590200248148Medical SvcsNYVentures GCSC
Endoscopy Center of Long Island
972 Brush Hollow RdWestburyNY11590260000980Medical SvcsNYNS-LIJ Ventures
Formativ Health Intermediate LLC
972 Brush Hollow RdWestburyNY11590814614788Holding CoDEFormativ Health
Formativ Health LLC
972 Brush Hollow RdWestburyNY11590813121231Holding CoDETN Health Svcs
Hospital City LLC
972 Brush Hollow RdWestburyNY11590474091780InactiveDENorthwell Healt
Krasnoff Consultative Services LLC
972 Brush Hollow RdWestburyNY11590262838027ConsultingNYCare Mgmt Grp
Melville SC LLC
1895 Walt Whitman RdMelvilleNY11747203487522Medical SvcsNYMelville ASC
North Shore-LIJ and Yale New Haven Medic
972 Brush Hollow RdWestburyNY11590464858222Air TransportNYNSUH
North Shore-LIJ Contract Research Organi
972 Brush Hollow RdWestburyNY11590464469806ResearchNYHealth Care
Northwell Genomics Alliance LLC
972 Brush Hollow RdWestburyNY11590810826710InactiveDENWH Labs
Northwell Health Sleep Lab LLC
972 Brush Hollow RdWestburyNY11590821516748Medical SvcsNYSleep Holdings
Phelps Professional Building Corp LP
777 North BroadwaySleepy HollowNY10591133645137Real EstateNYPMHARelated$686,055$7,809,987falsefalse
South Shore Surgery Center LLC
972 Brush Hollow RdWestburyNY11590341997077Medical SvcsNYMultispecialty
Suffolk Surgery Center
972 Brush Hollow RdWestburyNY11590200080609Medical SvcsNYMultispecialty
Technopath Northwell Health North Americ
972 Brush Hollow RdWestburyNY11590822869458Lab ServicesNYTechnopath USA
True North II DC LLC
972 Brush Hollow RdWestburyNY11590352568005Medical SvcsNYDC Holding
True North IV DC LLC
972 Brush Hollow RdWestburyNY11590611816900Medical SvcsNYDC Holding
True North Urgent Care LLC
972 Brush Hollow RdWestburyNY11590464113494Medical SvcsNYNSLIJ Urgent Ca
True North V DC LLC
972 Brush Hollow RdWestburyNY11590320518811Medical SvcsNYDC Holding
DHCH LLC
972 Brush Hollow RdWestburyNY11590811030907Medical SvcsNYEndoscopy Ventu
True North Rad-Onc MSO LLC
972 Brush Hollow RdWestburyNY11590834660846Medical SvcsNYNorthwell Rad-O

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Autoimmune Research Therapeutics
972 Brush Hollow RdWestburyNY11590270701489InactiveNYResearchCfalse
Care Management Group of Greater NY
972 Brush Hollow RdWestburyNY11590113336381Business ServNYNSH EnterprisesCfalse
Northwell Direct Administrative Services
972 Brush Hollow RdWestburyNY11590475182974AdminNYNorthwell DirecCfalse
CareConnect Group Holding Company Inc
972 Brush Hollow RdWestburyNY11590472478692Holding CoNYHplan HoldingCfalse
CareConnect Insurance Co
972 Brush Hollow RdWestburyNY11590462270382InsuranceNYGroup HoldingCfalse
Feinstein Center for Bioelectronic Medic
972 Brush Hollow RdWestburyNY11590812885700InactiveNYFeinsteinCfalse
Formativ Health HoldCo Inc
972 Brush Hollow RdWestburyNY11590813928672Holding CoDEFormativ HealthCfalse
Formativ Health Management Inc
972 Brush Hollow RdWestburyNY11590813454243Holding CoDEFormativ HealthCfalse
Formativ Health NewCo Inc
972 Brush Hollow RdWestburyNY11590813928889Holding CoDEFormativ HealthCfalse
Montauk Risk Retention Group Inc
972 Brush Hollow RdWestburyNY11590822587942InsuranceNYNACfalse
Narrows IPA Inc
972 Brush Hollow RdWestburyNY11590133978565Business ServNYNSUHCfalse
North Shore Health Enterprises
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNSHS EnterpriseCfalse
North Shore Health System Enterprises
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNorthwell HealtCfalse
North Shore IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServNYNorthwell HealtCfalse
North Shore Medical Accelerator PC
972 Brush Hollow RdWestburyNY11590112945979Medical ServiNYNSUHSfalse
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow RdWestburyNY11590471994548Insurance AgeNYGroup HoldingCfalse
North Shore-LIJ Health System IPA #1
972 Brush Hollow RdWestburyNY11590113533659Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #2
972 Brush Hollow RdWestburyNY11590113533670Health CareNYLIJCfalse
North Shore-LIJ Network Inc
972 Brush Hollow RdWestburyNY11590320257193Support ServiNYNorthwell HealtCfalse
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RdWestburyNY11590300930851InactiveNYNSUHCfalse
North Shore-LIJ Urgent Care PC
972 Brush Hollow RdWestburyNY11590471758444Medical ServiNYNSUHCfalse
Northeastern Anesthesia of New Jersey P
972 Brush Hollow RdWestburyNY11590208709500Medical ServiNJNSUHCfalse
Northern Westchester Surgical Services
400 East Main StMount KiscoNY10549274550915Medical SvcsNYNWHACfalse
Northwell FlexStaff Inc
972 Brush Hollow RdWestburyNY11590810836815InactiveNYNSH EnterpriseCfalse
Northwell Health Medical Surgical PC
972 Brush Hollow RdWestburyNY11590832198276Medical ServiNJSIUHCfalse
Northwell Health Regional Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServiNYNACfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPCfalse
PMHC Realty Corporation
701 North BroadwaySleepy HollowNY10591133645135Real EstateNYPhelps MemorialCYes (true)$10,021$87,794
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNSHS EnterpriseCfalse
Staten Island University Hospital Perina
475 Seaview AveStaten IslandNY10305134107082Medical ServiNYSIUHCfalse
True North Health Pharmacy Inc
972 Brush Hollow RdWestburyNY11590471020508PharmacyNYNSHS EnterpriseCfalse
True North Health Inc
972 Brush Hollow RdWestburyNY11590830616581Medical ServiDENorthwell HealtCfalse
United Medical Surgical PC
256 Mason Ave Bldg B 2nd FlStaten IslandNY10305134038780Surgical ServNYSIUHCfalse
VivoHealth Plan Inc
972 Brush Hollow RdWestburyNY11590461164689InactiveNYHealthcareCfalse
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNSH EnterpriseCfalse
Regional Insurance Company LTD
000000000InsuranceHealthcareCfalsec/o Cedar House 41 Cedar AveHamiltonBDHM 12BD
Northwell Direct Inc
972 Brush Hollow RdWestburyNY11590842739816Business ServicesNYHealthcareCfalse
Northwell Holdings Inc
972 Brush Hollow RdWestburyNY11590834045975Business ServicesNYNSHS EnterpriseCfalse
True North 3D Inc
972 Brush Hollow RdWestburyNY11590845176444Business ServicesNYTrue North HealCfalse
True North Workforce Safety Consulting
972 Brush Hollow RdWestburyNY11590842395117Business ServicesNYTrue North HealCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHELPS PROFESSIONAL BUILDING
J$72,421BV
PHELPS PROFESSIONAL BUILDING
K$2,328,734BV
PHELPS PROFESSIONAL BUILDING
O$252,080BV