STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-02
IRS object ID: 202033079349300023
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-02T08:08:34-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	112868878	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STATEN ISLAND UNIVERSITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% NORTHWELL HEALTH INC	InCareOfNm
Business Name Control	STAT	BusinessNameControlTxt
Phone	5163216058	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD Suite 5TH FLR	AddressLine1Txt
City	WESTBURY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11590	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELE L CUSACK	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	5163216058	PhoneNum
Signature	2020-11-02	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ED BOCHYNSKI AVP	PreparerPersonNm

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	8.25.157.165	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	12551620203075000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-02	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	87211BDF332915DB2E02FE0E49662C4F08B7D931	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A8E867FBD87B7B19EACF155E00BCAC716138C3E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL J DOWLING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 MARCUS AVENUE	AddressLine1Txt
City	NEW HYDE PARK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11042	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,496,768,602	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTHWELL.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1869	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Staten Island 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 Body	33	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	6394	TotalEmployeeCnt
Total Volunteers	806	TotalVolunteersCnt
Total Gross UBI	$7,304,886	TotalGrossUBIAmt
PY Contributions Grants	$12,492,229	PYContributionsGrantsAmt
CY Contributions Grants	$4,506,205	CYContributionsGrantsAmt
PY Program Service Revenue	$949,674,967	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,042,480,741	CYProgramServiceRevenueAmt
PY Investment Income	$20,806,876	PYInvestmentIncomeAmt
CY Investment Income	$26,428,660	CYInvestmentIncomeAmt
PY Other Revenue	$20,237,986	PYOtherRevenueAmt
CY Other Revenue	$34,247,910	CYOtherRevenueAmt
PY Total Revenue	$1,003,212,058	PYTotalRevenueAmt
CY Total Revenue	$1,107,663,516	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$624,915,667	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$695,429,136	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$312,878	CYTotalFundraisingExpenseAmt
PY Other Expenses	$328,892,715	PYOtherExpensesAmt
CY Other Expenses	$355,704,157	CYOtherExpensesAmt
PY Total Expenses	$953,808,382	PYTotalExpensesAmt
CY Total Expenses	$1,051,133,293	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,403,676	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,530,223	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,000,035,684	TotalAssetsBOYAmt
Total Assets EOY	$1,227,267,269	TotalAssetsEOYAmt
Total Liabilities BOY	$454,638,554	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$564,902,980	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$545,397,130	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$662,364,289	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	STATEN ISLAND UNIVERSITY HOSPITAL IS AN AFFILIATE WITHIN 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$664,021,001	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$838,657,577	RevenueAmt
Desc	STATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2019 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 39,495 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,420 DELIVERIES; 125,975 EMERGENCY DEPARTMENT VISITS (includes 29,671 admits); AND 19,234 AMBULATORY SURGERY CASES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$88,048,068	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$73,708,370	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$119,998,191	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$22,748,522	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING CLINICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$35,324,084	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$107,366,273	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$907,391,344	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	416	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6394	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	33	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NORTHWELL HEALTH INC	PersonNm
Phone	5163216058	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW RD	AddressLine1Txt
City	WESTBURY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11590	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL DOWLING
President & CEO	0.0	50.0	Yes (X)	Yes (X)	$0	$3,965,552	$59,178
MARK SOLAZZO
EVP & COO	0.0	50.0		Yes (X)	$0	$2,898,072	$52,073
HOWARD GOLD
EVP & Chf Managed Care Officer	0.0	50.0		Yes (X)	$0	$1,751,396	$53,302
MOHAMMED IMAM
Chair, Cardiothoracic Surgery	50.0	0.0			$1,709,316	$0	$64,254	Yes (X)
LAWRENCE SMITH
EVP & Physician in Chief	0.0	50.0		Yes (X)	$0	$1,567,860	$43,864
EUGENE TANGNEY
SVP & Chf Admin Officer	0.0	50.0		Yes (X)	$0	$1,317,386	$64,303
RUBEN KANDOV
Physician	50.0	0.0			$1,293,761	$0	$64,254	Yes (X)
JEFFREY KRAUT
EVP & Strategy & Analytics	0.0	50.0		Yes (X)	$0	$1,260,950	$53,660
RICHARD MILLER
EVP & Chf Business Strategy Of	0.0	50.0		Yes (X)	$0	$1,203,432	$53,302
JONATHAN DEITCH
Dir, Vas/Endo Surgery	50.0	0.0			$1,198,282	$0	$42,368	Yes (X)
MICHELE CUSACK
SVP & CFO	0.0	50.0		Yes (X)	$0	$1,123,405	$64,254
THEODORE STRANGE
VP, Operations-South Site	50.0	0.0			$1,101,846	$0	$64,254	Yes (X)
DONNA DRUMMOND
SVP & Chf Expense Officer	0.0	50.0		Yes (X)	$0	$1,071,022	$31,400
LAURENCE KRAEMER
SVP, Chf Gen Counsel & Asst Se	0.0	50.0		Yes (X)	$0	$1,023,387	$64,303
ROMAN ROYZMAN
Physician	50.0	0.0			$1,020,450	$0	$64,254	Yes (X)
RALPH NAPPI
EVC	0.0	50.0	Yes (X)	Yes (X)	$0	$951,213	$53,335
KATHLEEN GALLO
EVP & Chf Learning Officer	0.0	50.0		Yes (X)	$0	$936,167	$53,335
BRAHIM ARDOLIC
Executive Director	50.0	0.0			$885,910	$0	$64,254		Yes (X)
DONNA PROSKE
Former Executive Director	0.0	0.0			$891,715	$0	$11,567			Yes (X)
MARK GLOADE
SVP, Dep Gen Counsel & Asst Se	0.0	50.0		Yes (X)	$0	$750,727	$52,672
ROBERT SHAPIRO
Former SVP & CFO	0.0	0.0			$0	$645,504	$11,847			Yes (X)
ANTHONY FERRERI
Former EVP, Chf Affiliation Of	0.0	0.0			$0	$559,375	$0			Yes (X)
HARRY GINDI
Assistant Secretary	0.0	50.0		Yes (X)	$0	$369,782	$53,302
MICHAEL EPSTEIN
Chairman	0.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
MARK CLASTER
Immediate Past Chairman	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD GOLDSTEIN
Vice Chairman	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM MACK
Vice Chairman	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
BARRY RUBENSTEIN
Vice Chairman	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT ROSENTHAL
Treasurer	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DONALD ZUCKER
Secretary	0.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
NON COMPENSATED TRUSTE
SEE SCHEDULE O	0.0	2.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,101,280	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,395,230	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,139,335	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1629	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SUNY HEALTH SCI CTR BROOKLYN
450 CLARKSON AVE FINANCE OFFICE MS	BROOKLYN	NY	112032098	Physician Fees	$2,790,252
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVE	MOUNT VERNON	NY	10550	Laundry Service	$2,503,480
STATEN ISLAND REHAB MEDICINE PC
475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	Physician Fees	$1,963,862
SI PULMONARY
501 SEAVIEW AVENUE SUITE 102	STATEN ISLAND	NY	10305	Physician Fees	$1,528,000
CROSS COUNTRY STAFFING
PO BOX 404674	ATLANTA	GA	303844674	Nursing Fees	$1,387,827

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Related Organizations	$156,795	RelatedOrganizationsAmt
Government Grants	$3,877,134	GovernmentGrantsAmt
All Other Contributions	$472,276	AllOtherContributionsAmt
Total Contributions	$4,506,205	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621300	$775,983,457	$768,678,571	$7,304,886
MEDICARE/MEDICAID PAYMENTS	621300	$254,611,462	$254,611,462
DSRIP REVENUE	621300	$11,800,915	$11,800,915
PHYSICIAN PRACTICE REVENUE	621300	$84,907	$84,907

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,042,480,741	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,768,832	TotalRevenueColumnAmt
Exclusion	$9,768,832	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,702	TotalRevenueColumnAmt
Exclusion	$114,702	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,726,668	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,726,668	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,726,668	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,726,668	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$405,650,212	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$389,105,086	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,545,126	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,545,126	TotalRevenueColumnAmt
Exclusion	$16,545,126	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY INCOME	900099	$12,603,064	$12,603,064
CAPITATION INCOME	900099	$10,129,839		$10,129,839
CAFETERIA REVENUE	900099	$2,649,934	$2,649,934

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,138,405	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,074,171	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,064,234	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$31,521,242	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,107,663,516	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,053,106,533	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,304,886	UnrelatedBusinessRevenueAmt
Exclusion	$42,745,892	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,777,625	TotalAmt
Program Services	$1,777,625	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$536,608,449	TotalAmt
Program Services	$490,895,284	ProgramServicesAmt
Management And General	$45,527,194	ManagementAndGeneralAmt
Fundraising	$185,971	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$35,675,023	TotalAmt
Program Services	$32,635,901	ProgramServicesAmt
Management And General	$3,026,758	ManagementAndGeneralAmt
Fundraising	$12,364	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$89,382,580	TotalAmt
Program Services	$81,768,163	ProgramServicesAmt
Management And General	$7,583,440	ManagementAndGeneralAmt
Fundraising	$30,977	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,985,459	TotalAmt
Program Services	$29,260,648	ProgramServicesAmt
Management And General	$2,713,726	ManagementAndGeneralAmt
Fundraising	$11,085	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,797,775	TotalAmt
Management And General	$1,797,775	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,860	TotalAmt
Management And General	$44,860	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,616	TotalAmt
Management And General	$3,616	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,633,238	TotalAmt
Program Services	$12,471,835	ProgramServicesAmt
Management And General	$1,156,678	ManagementAndGeneralAmt
Fundraising	$4,725	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$962,506	TotalAmt
Program Services	$880,511	ProgramServicesAmt
Management And General	$81,661	ManagementAndGeneralAmt
Fundraising	$334	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$172,323,368	TotalAmt
Program Services	$157,643,303	ProgramServicesAmt
Management And General	$14,620,343	ManagementAndGeneralAmt
Fundraising	$59,722	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,289,207	TotalAmt
Program Services	$17,645,978	ProgramServicesAmt
Management And General	$1,636,544	ManagementAndGeneralAmt
Fundraising	$6,685	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$614,733	TotalAmt
Program Services	$614,733	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$872,801	TotalAmt
Program Services	$872,801	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,606,761	TotalAmt
Management And General	$2,606,761	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,917,310	TotalAmt
Program Services	$21,879,817	ProgramServicesAmt
Management And General	$2,037,493	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,014,868	TotalAmt
Program Services	$18,014,868	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
CENTRALIZED ADMIN. SVCS.	$60,343,386	$60,343,386
PURCHASED SERVICES	$32,867,089		$32,867,089
BAD DEBT EXPENSES	$5,476,306		$5,476,306
DUES & SUBSCRIPTIONS	$1,022,079	$86,716	$935,009	$354

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,914,254	TotalAmt
Program Services	$1,751,473	ProgramServicesAmt
Management And General	$162,120	ManagementAndGeneralAmt
Fundraising	$661	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,051,133,293	TotalAmt
Program Services	$907,391,344	ProgramServicesAmt
Management And General	$143,429,071	ManagementAndGeneralAmt
Fundraising	$312,878	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$61,631	BOYAmt
EOY	$58,514	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,017,396	BOYAmt
EOY	$2,755,614	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,510,606	BOYAmt
EOY	$718,165	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$128,355,969	BOYAmt
EOY	$138,675,602	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,064,240	BOYAmt
EOY	$16,727,665	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,347,748	BOYAmt
EOY	$2,531,257	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$377,781,458	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$161,729,094	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$193,192,468	BOYAmt
EOY	$216,052,364	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$565,280,770	BOYAmt
EOY	$663,837,184	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$93,204,856	BOYAmt
EOY	$185,910,904	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,000,035,684	BOYAmt
EOY	$1,227,267,269	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$94,053,908	BOYAmt
EOY	$108,301,858	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$409,696	BOYAmt
EOY	$1,373,250	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,744,692	BOYAmt
EOY	$39,550,515	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,000,000	BOYAmt
EOY	$10,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,000,000	BOYAmt
EOY	$4,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$337,430,258	BOYAmt
EOY	$401,677,357	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$454,638,554	BOYAmt
EOY	$564,902,980	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$533,037,809	BOYAmt
EOY	$649,410,409	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,359,321	BOYAmt
EOY	$12,953,880	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$545,397,130	BOYAmt
EOY	$662,364,289	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,000,035,684	BOYAmt
EOY	$1,227,267,269	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,530,223	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$57,857,569	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,579,367	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$136,099	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$136,099	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART 11-B, line 1 h	FormAndLineReferenceDesc
Explanation	Staten Island University Hospital IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,179	BeginningYearBalanceAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,179	BeginningYearBalanceAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,179	BeginningYearBalanceAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,179	BeginningYearBalanceAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,179	BeginningYearBalanceAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,109,323	OtherCostOrOtherBasisAmt
Book Value	$4,109,323	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,285,558	OtherCostOrOtherBasisAmt
Depreciation	$92,971,138	DepreciationAmt
Book Value	$100,314,420	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,949	OtherCostOrOtherBasisAmt
Depreciation	$166,693	DepreciationAmt
Book Value	$225,256	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,571,675	OtherCostOrOtherBasisAmt
Depreciation	$66,811,944	DepreciationAmt
Book Value	$57,759,731	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,422,953	OtherCostOrOtherBasisAmt
Depreciation	$1,779,319	DepreciationAmt
Book Value	$53,643,634	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$216,052,364	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$3,446,323
DEPOSITS	$55,088
INSURANCE RECEIVABLE	$46,397,381
INVESTMENT IN HEALTHFIRST	$7,435,104
INVESTMENT IN VERIZON	$10,143
DUE FROM AFFILIATE	$54,465,719
RIGHT OF USE ASSETS	$74,101,146

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$185,910,904	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
PAYABLE TO THIRD PARTY PAYERS	$41,807,676
MALPRACTICE LIABILITIES	$169,299,545
INSURANCE CLAIMS LIABILITY	$46,397,381
OTHER LIABILITIES	$1,394,352
ASSET RETIREMENT BENEFITS	$971,132
2017 TAXABLE BOND	$54,903,813
BOND FINANCING	-$744,174
DEFERRED RENT LIABILITY	$14,003,783
GAAP ADJUSTMENT FOR TELP	-$4,744,692
OPERATING LEASE LIABILITY	$74,101,145
BOND PREMIUM	$4,287,396

Field	Value	IRS element (for citing)
Total Liability	$401,677,357	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,151,744,620	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$57,857,569	NetUnrealizedGainsInvstAmt
Other Revenue	-$13,537,354	OtherRevenueAmt
Revenue Not Reported	$44,320,215	RevenueNotReportedAmt
Revenue Subtotal	$1,107,424,405	RevenueSubtotalAmt
Other Revenues Not Included	$239,111	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$239,111	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,107,663,516	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,045,525,014	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,045,525,014	ExpensesSubtotalAmt
Other Expenses Not Included	$5,608,279	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,608,279	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,051,133,293	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V - Line 4	ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
Part X, LINE 2	Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. At December 31, 2019 and 2018, Northwell has a deferred tax asset of approximately $112,000,000 and $118,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $540,000,000 at December 31, 2019. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations.
PART XI-LINE 2D & 4B	PART XI - LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 298,146 NONOPERATING GAIN/LOSS (8,200,075) PROVISION FOR BAD DEBTS (5,476,306) NON-OPERATING NET PERIODIC BENEFIT (159,121) TOTAL (13,537,354) PART XI - LINE 4B TEMPORARY RESTRICTED CONTRIBUTIONS 629,068 TEMPORARY RESTRICTED INVESTMENT INCOME 732,818 HEALTH FIRST BOOK/ TAX ADJUSTMENT (1,122,776) TOTAL 239,111
PART XII, LINE 4B	ADDITIONAL MINIMUM PENSION (27,148) NONOPERATING NET PERIODIC BENEFIT COST 159,121 PROVISION FOR BAD DEBT 5,476,306 TOTAL 5,608,279

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,061,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,902,862	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,158,137	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$212,064,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,509,551	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,555,016	NetCommunityBenefitExpnsAmt
Total Expense	0.06880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,125,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$150,412,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,713,153	NetCommunityBenefitExpnsAmt
Total Expense	0.08720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,227,929	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,123,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,424,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,407,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,017,504	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,346,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,220,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,126,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$897,136	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$897,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$449,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$449,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,346,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,732,019	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,614,358	NetCommunityBenefitExpnsAmt
Total Expense	0.04950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$321,471,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$179,144,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$142,327,511	NetCommunityBenefitExpnsAmt
Total Expense	0.13670	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,900	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$99,279	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,072	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,072	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,768	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,768	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$585,558	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$585,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$887,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$887,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,966,202	BadDebtExpenseAmt
Reimbursed By Medicare	$209,372,272	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$225,627,374	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,255,102	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	STATEN ISLAND PERFOR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PERFORMING PROVIDER SYSTEM	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
STATEN ISLAND UNIV HOSPITAL - NORTH
1	475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	WWW.NORTHWELL.EDU	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
STATEN ISLAND UNIV HOSPITAL - SOUTH
2	375 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	WWW.NORTHWELL.EDU	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STATEN ISLAND UNIV HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.northwell.edu/education-and-resource	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.northwell.edu/education-and-resources/com	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.northwell.edu/billing-and-ins	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.northwell.edu/billing-and-insura	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.northwell.edu/billing-an	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Section C, Supplemental Information	FormAndLineReferenceDesc
Explanation	Hospital 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/A	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	43	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Northwell Health Physician Partners
1 Edgewater Plaza	Staten Island	NY	10305	Outpatient Physician Clinic
Northwell Health Physician Partners
256 Mason Ave - Building A Original	Staten Island	NY	10305	Outpatient Physician Clinic
Northwell Health Physician Partners
256 Mason Ave - Building C - Ambula	Staten Island	NY	10305	Outpatient Physician Clinic
Verrazano Imaging At Staten Island Unive
256 Mason Ave - Building B -Radiolo	Staten Island	NY	10305	Diagnostic Center
Northwell Health Physician Partners
78 Meisner Avenue	Staten Island	NY	10306	Outpatient Physician Clinic
Northwell Health Physician Partners
450 Seaview Avenue	Staten Island	NY	10305	Outpatient Physician Clinic
WIC Program
57 Bay Street	Staten Island	NY	10301	Outpatient Physician Clinic
Urology at South Avenue
900 South Avenue - The Glass Park	Staten Island	NY	10301	Outpatient Physician Clinic
Breast Image Center
256 Mason Ave - Building B - Breast	Staten Island	NY	10305	Diagnostic Center
Northwell Health Physician Partners
256 Mason Ave - Building A JSH Com	Staten Island	NY	10305	Outpatient Physician Clinic
Northwell Health Physician Partners
256 Mason Ave - Building A Extenti	Staten Island	NY	10305	Outpatient Physician Clinic
Center for Women's Health
440 Seaview Avenue	Staten Island	NY	10305	Outpatient Physician Clinic
Carnarsie Multi Service Center
567 East 105th St	Brooklyn	NY	11236	Outpatient Physician Clinic
Coney Island multi Service Center
425 Coney Island Avenue	Brooklyn	NY	11218	Outpatient Physician Clinic
University Physicians Group Medicine at
1776 Richmond Road	Staten Island	NY	10306	Outpatient Physician Clinic
Northwell Health Physician Partners
2288 Hylan Boulevard	Staten Island	NY	10306	Outpatient Physician Clinic
Surgery at South Avenue
1000 South Avenue - The Plaza	Staten Island	NY	10314	Outpatient Physician Clinic
Pediatric Specialists at Hylan Boulevard
2460 Hylan Boulevard	Staten Island	NY	10306	Outpatient Physician Clinic
University Physicians Group Medicine and
65 Rose Avenue	Staten Island	NY	10306	Outpatient Physician Clinic
Primary Care Clinic
500 Seaview Avenue	Staten Island	NY	10305	Outpatient Physician Clinic
University Physicians Group Medicine SI
4106 Hylan Blvd	Staten Island	NY	10308	Outpatient Physician Clinic
Pediatric Behavior Health at Forest Aven
584 Forest Avenue	Staten Island	NY	10310	Outpatient Physician Clinic
Obstetrics & Gynecology at Borough Park
5724 New Utrecht Avenue	Brooklyn	NY	11219	Outpatient Physician Clinic
Obstetrics & Gynecology at Williamsburg
685 Myrtle Avenue	Brooklyn	NY	11205	Outpatient Physician Clinic
Northwell Health Physician Partners
1460 Victory Blvd	Staten Island	NY	10314	Outpatient Physician Clinic
Chemical Dependence Treatment Program
111 Water Street	Staten Island	NY	10304	Outpatient Physician Clinic
Surgical Specialties at Richmond Avenue
4287 Richmond Avenue	Staten Island	NY	10312	Outpatient Physician Clinic
Northwell Health Physician Partners
256 Mason Ave - Building B -Radiolo	Staten Island	NY	10305	Outpatient Physician Clinic
Obstetrics & Gynecology at Hylan Bouleva
4855 Hylan Boulevard	Staten Island	NY	10312	Outpatient Physician Clinic
Department of Ophthalmology - Optometry
242 Mason Avenue	Staten Island	NY	10305	Outpatient Physician Clinic
University Physicians Group Medicine
1110 South Avenue	Staten Island	NY	10314	Outpatient Physician Clinic
Northwell Health Physician Partners
15 C Seguine Avenue	Staten Island	NY	10309	Outpatient Physician Clinic
University Physicians Group Medicine at
8012 Third Avenue	Brooklyn	NY	11209	Outpatient Physician Clinic
Physicians of University Hospital Obstet
78-80 Cromwell Avenue	Staten Island	NY	10305	Outpatient Physician Clinic
University Physicians Group Medicine at
1042 Huguenot Avenue	Staten Island	NY	10312	Outpatient Physician Clinic
Obstetrics & Gynecology at Victory Boule
2285 Victory Boulevard	Staten Island	NY	10314	Outpatient Physician Clinic
Northwell Health Physician Partners
1276 74th Street Brooklyn	Staten Island	NY	11228	Outpatient Physician Clinic
Obstetrics & Gynecology at Targee Street
1145 Targee Street	Staten Island	NY	10304	Outpatient Physician Clinic
New Dorp High School (School-Based Clini
465 New Dorp Lane	Staten Island	NY	10306	Outpatient Physician Clinic
Port Richmond High School (School Based
85 Saint Josephs Avenue	Staten Island	NY	10302	Outpatient Physician Clinic
Northwell Health Physician Partners
392 Seguine Avenue	Staten Island	NY	10309	Outpatient Physician Clinic
MMTPHIV Primary Care Services
392 Seguine Avenue	Staten Island	NY	10309	Outpatient Physician Clinic
University Physicians Group Rheumatology
1534 Victory Boulevard	Staten Island	NY	10314	Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART VI - SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	Hospital 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 strategies	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DOWLING
President & CEO	$0	$1,472,171	$0	$2,465,509	$0	$27,872	$0	$30,800	$0	$28,378	$0	$4,024,730	$0	$0
RALPH NAPPI
EVC	$0	$754,221	$0	$164,063	$0	$32,929	$0	$30,800	$0	$22,535	$0	$1,004,548	$0	$0
KATHLEEN GALLO
EVP & Chf Learning Officer	$0	$710,055	$0	$189,000	$0	$37,112	$0	$30,800	$0	$22,535	$0	$989,502	$0	$0
HOWARD GOLD
EVP & Chf Managed Care Officer	$0	$1,098,377	$0	$618,750	$0	$34,269	$0	$30,800	$0	$22,502	$0	$1,804,698	$0	$0
JEFFREY KRAUT
EVP & Strategy & Analytics	$0	$919,505	$0	$299,375	$0	$42,070	$0	$30,800	$0	$22,860	$0	$1,314,610	$0	$0
RICHARD MILLER
EVP & Chf Business Strategy Of	$0	$929,801	$0	$240,188	$0	$33,443	$0	$30,800	$0	$22,502	$0	$1,256,734	$0	$0
LAWRENCE SMITH
EVP & Physician in Chief	$0	$1,210,817	$0	$315,000	$0	$42,043	$0	$30,800	$0	$13,064	$0	$1,611,724	$0	$0
MARK SOLAZZO
EVP & COO	$0	$1,471,505	$0	$1,393,750	$0	$32,817	$0	$30,800	$0	$21,273	$0	$2,950,145	$0	$0
MICHELE CUSACK
SVP & CFO	$0	$848,774	$0	$212,500	$0	$62,131	$0	$30,800	$0	$33,454	$0	$1,187,659	$0	$0
DONNA DRUMMOND
SVP & Chf Expense Officer	$0	$793,657	$0	$244,922	$0	$32,443	$0	$30,800	$0	$600	$0	$1,102,422	$0	$0
EUGENE TANGNEY
SVP & Chf Admin Officer	$0	$1,073,122	$0	$230,945	$0	$13,319	$0	$30,800	$0	$33,503	$0	$1,381,689	$0	$0
LAURENCE KRAEMER
SVP, Chf Gen Counsel & Asst Se	$0	$784,745	$0	$175,000	$0	$63,642	$0	$30,800	$0	$33,503	$0	$1,087,690	$0	$0
MARK GLOADE
SVP, Dep Gen Counsel & Asst Se	$0	$566,655	$0	$119,219	$0	$64,853	$0	$30,800	$0	$21,872	$0	$803,399	$0	$0
HARRY GINDI
Assistant Secretary	$0	$323,357	$0	$42,675	$0	$3,750	$0	$30,800	$0	$22,502	$0	$423,084	$0	$0
ROBERT SHAPIRO
Former SVP & CFO	$0		$0		$0	$645,504	$0		$0	$11,847	$0	$657,351	$0	$0
ANTHONY FERRERI
Former EVP, Chf Affiliation Of	$0		$0		$0	$559,375	$0		$0		$0	$559,375	$0	$0
DONNA PROSKE
Former Executive Director		$0	$145,092	$0	$746,623	$0		$0	$11,567	$0	$903,282	$0	$0	$0
BRAHIM ARDOLIC
Executive Director	$726,956	$0	$138,252	$0	$20,702	$0	$30,800	$0	$33,454	$0	$950,164	$0	$0	$0
MOHAMMED IMAM
Chair, Cardiothoracic Surgery	$1,657,156	$0		$0	$52,160	$0	$30,800	$0	$33,454	$0	$1,773,570	$0	$0	$0
RUBEN KANDOV
Physician	$1,212,171	$0		$0	$81,590	$0	$30,800	$0	$33,454	$0	$1,358,015	$0	$0	$0
JONATHAN DEITCH
Dir, Vas/Endo Surgery	$1,195,079	$0		$0	$3,203	$0	$30,800	$0	$11,568	$0	$1,240,650	$0	$0	$0
THEODORE STRANGE
VP, Operations-South Site	$871,363	$0	$191,672	$0	$38,811	$0	$30,800	$0	$33,454	$0	$1,166,100	$0	$0	$0
ROMAN ROYZMAN
Physician	$939,532	$0		$0	$80,918	$0	$30,800	$0	$33,454	$0	$1,084,704	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 1, LINE 4A - SEVERANCE PAY	INCLUDED IN THIS YEAR'S COMPENSATION IS SEVERANCE PAY FOR THE FOLLOWING LISTED EMPLOYEES: ROBERT SHAPIRO ($650,000), ANTHONY FERRERI ($559,375), AND DONNA PROSKE ($750,375)
PART I, LINE 5A	Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell Health, Inc. based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
PART I, LINE 7	ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART II, B (II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A	146000293	000000000	2009-08-19	$4,744,692	2009 MASTER LEASE/SUBLEASE	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B	146000293	64990GTD4	2019-09-26	$34,805,823	2019 A&B BONDS - CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,392,938	$0	$4,744,692	$0	$0	$0	$83,250	$0	$0	$4,661,442	$0	$0	2010	false	false	Yes (true)	Yes (true)
B	$0	$0	$39,172,066	$0	$0	$0	$337,572	$0	$0	$20,564,113	$7,735,198	$37,346,849		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2C-REBATE CALCULATION PERFORMED 2/19/2011 FOR TELP, SINCE	FormAndLineReferenceDesc
Explanation	BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JAMES R WELLER
FAM RELATION: DONNA PROSKE	$118,199	EMPLOYEE	false
AGIM ARDOLIC
FAM RELATION: BRAHIM ARDOLIC	$40,796	EMPLOYEE	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2	All transactions with Northwell Health entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Roger Blumencranz has a business relationship with Richard D. Goldstein, Alan Greene, Saul Katz, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with William Mack, Robert Rosenthal and Barry Rubenstein. Michael Fisch has a business relationship with Saul Katz. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman and Barry Rubenstein. Alan Greene has a business relationship with Roger Blumencranz. Saul Katz has a business relationship with Roger Blumencranz, Michael Fisch, Seth Lipsay, F.J. McCarthy and Barry Rubenstein. Jeffrey Lane has a business relationship with William Mack. Seth Lipsay has a business relationship with Saul Katz and Robert Rosenthal. William Mack has business relationships with Mark Claster, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz, Lewis Ranieri and Robert Rosenthal. Ralph Nappi has a business relationship with Roger Blumencranz. Lewis Ranieri has a business relationship with F.J. McCarthy. Robert Rosenthal has a business relationship with Mark Claster, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Mark Claster, Richard Goldstein, Saul Katz and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack.
PART VI, SECTION B - POLICIES, LINE 11	The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
PART VI, SECTION B - POLICIES, LINE 12C	Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
PART VI, SECTION B - POLICIES, LINE 15	The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
PART VI, SECTION C - DISCLOSURES, LINE 19	CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1A, COLUMN (B)	This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
PART VI, SECTION A - GOVERNING BODY, LINE 7	Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, RECONCILIATION OF NET ASSETS, LINE 9	NON OPERATING GAIN/LOSS (8,200,075) NET ASSETS RELEASED FROM RESTRICTION CAPITAL ASSET 9,656,667 HEALTH FIRST BOOK/ TAX ADJ 1,122,776 TOTAL CHANGE IN NET ASSETS 2,579,367
PART VII, SECTION A - LINE 1A	Frank J. Besignano Lloyd M. Goldman Ralph A. Nappi Roger A. Blumencranz Richard D. Goldstein Richard B. Nye Michael Caridi Alan I. Greene Sharon Patterson Mark L. Claster Paul B. Guenther Lewis S. Ranieri Margaret M. Crotty Saul B. Katz Robert D. Rosenthal Michael J. Dowling Cary Kravet Barry Rubenstein Michael A. Epstein Jeffrey B. Lane Michael I. Schwartz Michael E. Feldman Seth Lipsay Leo Sternlicht Michael G. Fisch William L. Mack Kenneth Taber Catherine C. Foster F.J. McCarthy Donald Zucker L. Keith Friedlander Patrick F. McDermott Roy J. Zuckerberg

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (87 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Brightwaters Gynecology PC
972 Brush Hollow Rd	Westbury	NY	11590	821883445	Medical Servi	NY	501(C)(3)	10	NSUH	false
Brooklyn Ambulatory Care PC
972 Brush Hollow Rd	Westbury	NY	11590	474447289	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Carnegie Cardiovascular PC
972 Brush Hollow Rd	Westbury	NY	11590	474377825	Medical Servi	NY	501(C)(3)	12, Type I	Lenox Hill	false
Central Suffolk Hospital
1300 Roanoke Ave	Riverhead	NY	11901	111661359	Health Care	NY	501(C)(3)	3	Healthcare	false
CLNY Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	463146870	Laboratory	NY	501(C)(3)	3	NW Labs	false
Community Drive Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	821672429	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
The Feinstein Institute for Medical Rese
972 Brush Hollow Rd	Westbury	NY	11590	112673595	Research	NY	501(C)(3)	4	Northwell He	false
Glen Cove Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111633487	Health Care	NY	501(C)(3)	3	Northwell He	false
Hillside Hospital Houses Inc
972 Brush Hollow Rd	Westbury	NY	11590	112113949	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
Hospice Care in Westchester and Putnam
540 White Plains Rd	Tarrytown	NY	10591	133882602	Hospice Care	NY	501(C)(3)	10	VNA Hudson	false
Hospice Care Network
99 Sunnyside Blvd	Woodbury	NY	11797	112925757	Hospice	NY	501(C)(3)	9	Northwell He	false
Huntington Hospital Association
270 Park Avenue	Huntington	NY	11743	111630914	Health Care	NY	501(C)(3)	3	Healthcare	false
Huntington Hospital Dolan Family Health
284 Pulaski Rd	Greenlawn	NY	11740	113368503	Health Care	NY	501(C)(3)	3	Huntington	false
Lakeville Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	474377760	Medical Servi	NY	501(C)(3)	10	Lenox Hill	false
Lenox Hill Hospital
972 Brush Hollow Rd	Westbury	NY	11590	131624070	Health Care	NY	501(C)(3)	3	Northwell He	false
Lenox Hill Hospital Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	452661543	Medical Servi	NY	501(C)(3)	10	Lenox Hill	false
Lenox Hill Pathology PC
972 Brush Hollow Rd	Westbury	NY	11590	133644370	Medical Servi	NY	501(C)(3)	12, Type I	Lenox Hill	false
Lenox Otolaryngology Head & Neck Surgery
972 Brush Hollow Rd	Westbury	NY	11590	208784395	Medical Servi	NY	501(C)(3)	12, Type I	Lenox Hill	false
LHH Corporation
972 Brush Hollow Rd	Westbury	NY	11590	133272016	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
LIJ Foundation
972 Brush Hollow Rd	Westbury	NY	11590	112661239	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Long Island Jewish Medical Center
972 Brush Hollow Rd	Westbury	NY	11590	112241326	Health Care	NY	501(C)(3)	3	Northwell He	false
Long Island Jewish Medical Center at Hom
972 Brush Hollow Rd	Westbury	NY	11590	113251128	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Marcus Avenue Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	810861452	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Medical Care of Queens PC
972 Brush Hollow Rd	Westbury	NY	11590	474377679	Medical Servi	NY	501(C)(3)	12, Type I	Lenox Hill	false
NORCORP Inc
400 East Main Street	Mount Kisco	NY	10549	133366748	Support Org	NY	501(C)(3)	12, Type I	NWHA	false
North Shore Community Services Inc
972 Brush Hollow Rd	Westbury	NY	11590	237273200	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
North Shore University Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111562701	Health Care	NY	501(C)(3)	3	Northwell He	false
North Shore University Hospital at Glen
972 Brush Hollow Rd	Westbury	NY	11590	237010468	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
North Shore University Hospital Housing
972 Brush Hollow Rd	Westbury	NY	11590	112171903	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
Northwell Health Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	263727582	Health Care	NY	501(C)(3)	3	NA	false
North Shore-LIJ Anesthesiology PC
972 Brush Hollow Rd	Westbury	NY	11590	461617561	Medical Servi	NY	501(C)(3)	12, Type I	SSIDE	false
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow Rd	Westbury	NY	11590	275078531	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow Rd	Westbury	NY	11590	275078717	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Health Plan Inc
972 Brush Hollow Rd	Westbury	NY	11590	461617516	Insurance	NY	501(C)(3)	9	Health Plan	false
Northwell Health Plans Holding Company
972 Brush Hollow Rd	Westbury	NY	11590	462478147	Holding Compa	NY	501(C)(3)	12, Type II	Healthcare	false
North Shore-LIJ Heart Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	275078838	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow Rd	Westbury	NY	11590	463475908	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Internal Medicine at New
972 Brush Hollow Rd	Westbury	NY	11590	462822879	Medical Servi	NY	501(C)(3)	10	NSUH	false
North Shore-LIJ Internal Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	275078631	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Medical Care Centers
972 Brush Hollow Rd	Westbury	NY	11590	113473923	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
North Shore-LIJ Medical Group at Hunting
972 Brush Hollow Rd	Westbury	NY	11590	274384049	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Medical Group at North N
972 Brush Hollow Rd	Westbury	NY	11590	274384146	Medical Servi	NY	501(C)(3)	10	NSUH	false
North Shore-LIJ Medical Group at Syosset
972 Brush Hollow Rd	Westbury	NY	11590	273957752	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Medical Group PC
972 Brush Hollow Rd	Westbury	NY	11590	274384249	Medical Servi	NY	501(C)(3)	10	NSUH	false
North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow Rd	Westbury	NY	11590	275078246	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	453023019	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow Rd	Westbury	NY	11590	462886776	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow Rd	Westbury	NY	11590	473722278	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ OB-GYN PC
972 Brush Hollow Rd	Westbury	NY	11590	461382916	Medical Servi	NY	501(C)(3)	10	LIJMC	false
North Shore-LIJ Occupational Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	451004103	Medical Servi	NY	501(C)(3)	10	NSUH	false
North Shore-LIJ Pediatrics of Suffolk Co
972 Brush Hollow Rd	Westbury	NY	11590	465746956	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Radiology Services PC
972 Brush Hollow Rd	Westbury	NY	11590	223970667	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Northern Westchester Hospital Associatio
400 East Main Street	Mount Kisco	NY	10549	131740118	Health Care	NY	501(C)(3)	3	Northwell He	false
Northern Westchester Hospital Center Fou
400 East Main Street	Mount Kisco	NY	10549	134067064	Foundation	NY	501(C)(3)	9	NWHA	false
Northern Westchester Realty Holding Comp
400 East Main Street	Mount Kisco	NY	10549	912134215	Holding Compa	NY	501(C)(2)	N/A	NWHA	false
Northwell Health Foundation
972 Brush Hollow Rd	Westbury	NY	11590	112965575	Fundraising	NY	501(C)(3)	7	Northwell He	false
Northwell Health Laboratories
972 Brush Hollow Rd	Westbury	NY	11590	113412370	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Northwell Health Stern Family Center for
972 Brush Hollow Rd	Westbury	NY	11590	237007485	Nursing Home	NY	501(C)(3)	9	Northwell He	false
Northwell Health Inc
972 Brush Hollow Rd	Westbury	NY	11590	113418133	Supporting Or	NY	501(C)(3)	12, Type I	NA	false
Northwell Healthcare Inc
972 Brush Hollow Rd	Westbury	NY	11590	112965586	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Northwell Proton Therapy PC
972 Brush Hollow Rd	Westbury	NY	11590	812766298	Medical Servi	NY	501(C)(3)	10	NSUH	false
Peconic Cardiology PC
972 Brush Hollow Rd	Westbury	NY	11590	813149464	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Phelps Medical Services PC
701 North Broadway	Sleepy Hollow	NY	10591	274416017	Medical Servi	NY	501(C)(3)	12, Type I	Phelps Memor	false
Phelps Memorial Hospital Association
701 North Broadway	Sleepy Hollow	NY	10591	131725076	Health Care	NY	501(C)(3)	3	Northwell He	false
Physicians of Univeristy Hospital PC
1 Edgewater Plaza 6th Fl	Staten Island	NY	10305	200096809	Health Care	NY	501(C)(3)	12, Type I	SIUH	Yes (true)
Plainview Hospital
972 Brush Hollow Rd	Westbury	NY	11590	113241243	Health Care	NY	501(C)(3)	3	Northwell He	false
SIUH Systems Inc
475 Seaview Avenue	Staten Island	NY	10305	061074604	Fundraising	NY	501(C)(3)	7	Northwell He	false
Southside Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111667761	Health Care	NY	501(C)(3)	3	Northwell He	false
Sports Physical Therapy Occupational Th
972 Brush Hollow Rd	Westbury	NY	11590	061655704	Health Care	NY	501(C)(3)	9	LIJ	false
Staten Island Performing Provider System
972 Brush Hollow Rd	Westbury	NY	11590	472544659	DSRIP	NY	501(C)(3)	10	NA	false
Staten Island University Hospital Founda
360 Seaview Avenue	Staten Island	NY	10305	870765787	Fundraising	NY	501(C)(3)	7	SIUH	Yes (true)
The Elmezzi Graduate School of Molecular
972 Brush Hollow Rd	Westbury	NY	11590	113284934	Graduate Scho	NY	501(C)(3)	2	Research	false
The Heart Institute
475 Seaview Avenue	Staten Island	NY	10305	311757254	Inactive	NY	501(C)(3)	12, Type I	NA	false
The Long Island Home
400 Sunrise Hghwy	Amityville	NY	11701	112837244	Health Care	NY	501(C)(3)	3	LHH Corporat	false
Virtual Health Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	274384326	Medical Servi	NY	501(C)(3)	10	NSUH	false
Visiting Nurse Association of Hudson Val
540 White Plains Rd	Tarrytown	NY	10591	131739952	Home Health C	NY	501(C)(3)	10	NW Healthcar	false
VNA Home Health Services Inc
540 White Plains Rd	Tarrytown	NY	10591	133690105	Home Health C	NY	501(C)(3)	10	VNA Hudson	false
Westchester Health Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	474539584	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Suite 130 Plastic Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	821772747	Medical Servi	NY	501(C)(3)	12, Type I	LIJ	false
The Calverton Foundation Inc
972 Brush Hollow Rd	Westbury	NY	11590	831118138	Medical Servi	NY	501(C)(3)	Applied For	HCI	false
True North Flexstaff Inc
972 Brush Hollow Rd	Westbury	NY	11590	821446568	Medical Servi	NY	501(C)(3)	Applied For	HCI	false
John T Mather Memorial Hospital
75 North Country Rd	Port Jefferson	NY	11777	111639818	Health Care	NY	501(C)(3)	3	Healthcare	false
Northwell Quality and Medical Affairs I
972 Brush Hollow Rd	Westbury	NY	11590	824113233	Supporting Or	NY	501(C)(3)	12, Type I	Healthcare	false
True North Patient Safety Organization
972 Brush Hollow Rd	Westbury	NY	11590	831429773	Medical Servi	NY	501(C)(3)	Applied For	Northwell He	false
Harborview Medical Services PC
75 North Country Rd	Port Jefferson	NY	11777	264517010	Supporting Or	NY	501(C)(3)	12, Type I	Mather	false
True North Health Management Inc
972 Brush Hollow Rd	Westbury	NY	11590	813428274	Supporting Or	NY	501(C)(3)	12, Type I	Healthcare	false
Wellbridge Psychiatry PC
972 Brush Hollow Rd	Westbury	NY	11590	465495054	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Brooklyn Ambulatory Services LLC
972 Brush Hollow Rd	Westbury	NY	11590	812910850	Medical Svcs	NY	Healthcare
Endo Group LLC
972 Brush Hollow Rd	Westbury	NY	11590	200248148	Medical Svcs	NY	Ventures GCSC
Endoscopy Center of Long Island
972 Brush Hollow Rd	Westbury	NY	11590	260000980	Medical Svcs	NY	NS-LIJ Ventures
Formativ Health Intermediate LLC
972 Brush Hollow Rd	Westbury	NY	11590	814614788	Holding Co	DE	Formativ Health
Formativ Health LLC
972 Brush Hollow Rd	Westbury	NY	11590	813121231	Holding Co	DE	TN Health Svcs
Hospital City LLC
972 Brush Hollow Rd	Westbury	NY	11590	474091780	Inactive	DE	Northwell Healt
Krasnoff Consultative Services LLC
972 Brush Hollow Rd	Westbury	NY	11590	262838027	Consulting	NY	Care Mgmt Grp
Melville SC LLC
1895 Walt Whitman Rd	Melville	NY	11747	203487522	Medical Svcs	NY	Melville ASC
North Shore-LIJ and Yale New Haven Medic
972 Brush Hollow Rd	Westbury	NY	11590	464858222	Air Transport	NY	NSUH
North Shore-LIJ Contract Research Organi
972 Brush Hollow Rd	Westbury	NY	11590	464469806	Research	NY	Health Care
Northwell Genomics Alliance LLC
972 Brush Hollow Rd	Westbury	NY	11590	810826710	Inactive	DE	NWH Labs
Northwell Health Sleep Lab LLC
972 Brush Hollow Rd	Westbury	NY	11590	821516748	Medical Svcs	NY	Sleep Holdings
Phelps Professional Building Corp LP
777 North Broadway	Sleepy Hollow	NY	10591	133645137	Real Estate	NY	PMHA
South Shore Surgery Center LLC
972 Brush Hollow Rd	Westbury	NY	11590	341997077	Medical Svcs	NY	Multispecialty
Suffolk Surgery Center
972 Brush Hollow Rd	Westbury	NY	11590	200080609	Medical Svcs	NY	Multispecialty
Technopath Northwell Health North Americ
972 Brush Hollow Rd	Westbury	NY	11590	822869458	Lab Services	NY	Technopath USA
True North II DC LLC
972 Brush Hollow Rd	Westbury	NY	11590	352568005	Medical Svcs	NY	DC Holding
True North IV DC LLC
972 Brush Hollow Rd	Westbury	NY	11590	611816900	Medical Svcs	NY	DC Holding
True North Urgent Care LLC
972 Brush Hollow Rd	Westbury	NY	11590	464113494	Medical Svcs	NY	NSLIJ Urgent Ca
True North V DC LLC
972 Brush Hollow Rd	Westbury	NY	11590	320518811	Medical Svcs	NY	DC Holding
DHCH LLC
972 Brush Hollow Rd	Westbury	NY	11590	811030907	Medical Svcs	NY	Endoscopy Ventu
True North Rad-Onc MSO LLC
972 Brush Hollow Rd	Westbury	NY	11590	834660846	Medical Svcs	NY	Northwell Rad-O

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Autoimmune Research Therapeutics
972 Brush Hollow Rd	Westbury	NY	11590	270701489	Inactive	NY	Research	C	false
Care Management Group of Greater NY
972 Brush Hollow Rd	Westbury	NY	11590	113336381	Business Serv	NY	NSH Enterprises	C	false
Northwell Direct Administrative Services
972 Brush Hollow Rd	Westbury	NY	11590	475182974	Admin	NY	Northwell Direc	C	false
CareConnect Group Holding Company Inc
972 Brush Hollow Rd	Westbury	NY	11590	472478692	Holding Co	NY	Hplan Holding	C	false
CareConnect Insurance Co
972 Brush Hollow Rd	Westbury	NY	11590	462270382	Insurance	NY	Group Holding	C	false
Feinstein Center for Bioelectronic Medic
972 Brush Hollow Rd	Westbury	NY	11590	812885700	Inactive	NY	Feinstein	C	false
Formativ Health HoldCo Inc
972 Brush Hollow Rd	Westbury	NY	11590	813928672	Holding Co	DE	Formativ Health	C	false
Formativ Health Management Inc
972 Brush Hollow Rd	Westbury	NY	11590	813454243	Holding Co	DE	Formativ Health	C	false
Formativ Health NewCo Inc
972 Brush Hollow Rd	Westbury	NY	11590	813928889	Holding Co	DE	Formativ Health	C	false
Montauk Risk Retention Group Inc
972 Brush Hollow Rd	Westbury	NY	11590	822587942	Insurance	NY	NA	C	false
Narrows IPA Inc
972 Brush Hollow Rd	Westbury	NY	11590	133978565	Business Serv	NY	NSUH	C	false
North Shore Health Enterprises
972 Brush Hollow Rd	Westbury	NY	11590	061605319	Holding Comp	NY	NSHS Enterprise	C	false
North Shore Health System Enterprises
972 Brush Hollow Rd	Westbury	NY	11590	113316922	Holding Comp	NY	Northwell Healt	C	false
North Shore IPA 5 Inc
972 Brush Hollow Rd	Westbury	NY	11590	113383468	Business Serv	NY	Northwell Healt	C	false
North Shore Medical Accelerator PC
972 Brush Hollow Rd	Westbury	NY	11590	112945979	Medical Servi	NY	NSUH	S	false
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow Rd	Westbury	NY	11590	471994548	Insurance Age	NY	Group Holding	C	false
North Shore-LIJ Health System IPA #1
972 Brush Hollow Rd	Westbury	NY	11590	113533659	Health Care	NY	LIJ	C	false
North Shore-LIJ Health System IPA #2
972 Brush Hollow Rd	Westbury	NY	11590	113533670	Health Care	NY	LIJ	C	false
North Shore-LIJ Network Inc
972 Brush Hollow Rd	Westbury	NY	11590	320257193	Support Servi	NY	Northwell Healt	C	false
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow Rd	Westbury	NY	11590	300930851	Inactive	NY	NSUH	C	false
North Shore-LIJ Urgent Care PC
972 Brush Hollow Rd	Westbury	NY	11590	471758444	Medical Servi	NY	NSUH	C	false
Northeastern Anesthesia of New Jersey P
972 Brush Hollow Rd	Westbury	NY	11590	208709500	Medical Servi	NJ	NSUH	C	false
Northern Westchester Surgical Services
400 East Main St	Mount Kisco	NY	10549	274550915	Medical Svcs	NY	NWHA	C	false
Northwell FlexStaff Inc
972 Brush Hollow Rd	Westbury	NY	11590	810836815	Inactive	NY	NSH Enterprise	C	false
Northwell Health Medical Surgical PC
972 Brush Hollow Rd	Westbury	NY	11590	832198276	Medical Servi	NJ	SIUH	C	Yes (true)	$0	$0	1.00000
Northwell Health Regional Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	263651575	Support Servi	NY	NA	C	false
NWHC Health Management Services Inc
400 East Main St	Mount Kisco	NY	10549	133697510	Health Mgmt	NY	NORCORP	C	false
PMHC Realty Corporation
701 North Broadway	Sleepy Hollow	NY	10591	133645135	Real Estate	NY	Phelps Memorial	C	false
Regioncare Inc
972 Brush Hollow Rd	Westbury	NY	11590	113052191	Homecare	NY	NSHS Enterprise	C	false
Staten Island University Hospital Perina
475 Seaview Ave	Staten Island	NY	10305	134107082	Medical Servi	NY	SIUH	C	Yes (true)	$0	$0	1.00000
True North Health Pharmacy Inc
972 Brush Hollow Rd	Westbury	NY	11590	471020508	Pharmacy	NY	NSHS Enterprise	C	false
True North Health Inc
972 Brush Hollow Rd	Westbury	NY	11590	830616581	Medical Servi	DE	Northwell Healt	C	false
United Medical Surgical PC
256 Mason Ave Bldg B 2nd Fl	Staten Island	NY	10305	134038780	Surgical Serv	NY	SIUH	C	Yes (true)	$1,517,974	$1,336,060	1.00000
VivoHealth Plan Inc
972 Brush Hollow Rd	Westbury	NY	11590	461164689	Inactive	NY	Healthcare	C	false
Vivohealth Inc
972 Brush Hollow Rd	Westbury	NY	11590	264118016	Inactive	NY	NSH Enterprise	C	false
Regional Insurance Company LTD
				000000000	Insurance		HCI	C	false				c/o Cedar House 41 Cedar Ave	Hamilton	BD	HM 12	BD
Northwell Direct Inc
972 Brush Hollow Rd	Westbury	NY	11590	842739816	Business Services	NY	Healthcare	C	false
Northwell Holdings Inc
972 Brush Hollow Rd	Westbury	NY	11590	834045975	Business Services	NY	NSHS Enterprise	C	false
True North 3D Inc
972 Brush Hollow Rd	Westbury	NY	11590	845176444	Business Services	NY	True North Heal	C	false
True North Workforce Safety Consulting
972 Brush Hollow Rd	Westbury	NY	11590	842395117	Business Services	NY	True North Heal	C	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd