CENTRAL SUFFOLK HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CENTRAL SUFFOLK HOSPITAL (EIN 11-1661359)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349318161
Schema version: 2018v3.1
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 D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T18:31:43-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	655 Third Avenue 1200	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111661359	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL SUFFOLK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHAEL F O'DONNELL	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	6315486074	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 ROANOKE AVENUE	AddressLine1Txt
City	RIVERHEAD	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICAHEL O'DONNELL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6315486074	PhoneNum
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aaron Shapiro	PreparerPersonNm
PTIN	P01333816	PTIN
Phone	2128674000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26511920193195000046	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AA081CA9EBCB26667D05DC7D0EA836463BDCC5C6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	319FC87BD1330F796E4035663441B3D0185919B5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PECONIC BAY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL O'DONNELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 ROANOKE AVENUE	AddressLine1Txt
City	RIVERHEAD	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$227,914,322	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PBMCHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1951	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	CSH IS A NOT-FOR-PROFIT HOSPITAL, A SKILLED NURSING FACILITY, AND A CERTIFIED HOME CARE AGENCY.	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	1648	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$62,584	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,508,419	PYContributionsGrantsAmt
CY Contributions Grants	$22,167,813	CYContributionsGrantsAmt
PY Program Service Revenue	$176,008,733	PYProgramServiceRevenueAmt
CY Program Service Revenue	$199,992,496	CYProgramServiceRevenueAmt
PY Investment Income	$401,004	PYInvestmentIncomeAmt
CY Investment Income	$356,106	CYInvestmentIncomeAmt
PY Other Revenue	$7,781,558	PYOtherRevenueAmt
CY Other Revenue	$1,724,431	CYOtherRevenueAmt
PY Total Revenue	$187,699,714	PYTotalRevenueAmt
CY Total Revenue	$224,240,846	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	$100,186,064	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,532,406	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$225,829	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,723,329	PYOtherExpensesAmt
CY Other Expenses	$84,287,709	CYOtherExpensesAmt
PY Total Expenses	$178,909,393	PYTotalExpensesAmt
CY Total Expenses	$201,820,115	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,790,321	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,420,731	CYRevenuesLessExpensesAmt
Total Assets BOY	$180,076,210	TotalAssetsBOYAmt
Total Assets EOY	$200,846,927	TotalAssetsEOYAmt
Total Liabilities BOY	$112,369,936	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,819,400	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$67,706,274	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$91,027,527	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CENTRAL SUFFOLK HOSPITAL (CSH) D/B/A PECONIC BAY MEDICAL CENTER (PBMC) IS A NOT-FOR-PROFIT HOSPITAL CONSISTING OF 122 ACUTE CARE BEDS, A 60-BED SKILLED NURSING FACILITY AND A CERTIFIED HOME CARE AGENCY. CSH PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE LOCAL COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$155,298,753	ExpenseAmt
Revenue	$199,992,496	RevenueAmt
Desc	COMPREHENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY, SURGICAL, MEDICAL, ICU AND OBSTETRICS/GYNECOLOGICAL. TOTAL PATIENT DAYS FOR ALL INPATIENT SERVICES WERE 56,516. TOTAL OUTPATIENT VISITS WERE 95,032.	Desc
Total Program Service Expenses	$155,298,753	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	82	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1648	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
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	22	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL F O'DONNELL	PersonNm
Phone	6315486074	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 ROANOKE AVENUE	AddressLine1Txt
City	RIVERHEAD	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11901	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANDREW J MITCHELL
CEO	22.5	15.0	Yes (X)	Yes (X)	$981,501	$0	$45,121
SHARON PATTERSON
BOARD CHAIR	15.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW S MENDELSON
VICE CHAIR	15.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
J GORDON HUSZAGH
VICE CHAIR & TREASURER	15.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
REV GEORGE SUMMERS
SECRETARY	15.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AMY LOEB
BOARD MEMBER/CNO	37.5	0.0	Yes (X)	Yes (X)	$291,073	$0	$42,743
MARC ALESSI ESQ
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
lYN TYLER
PRESIDENT OF AUXILIARY	1.0	0.0	Yes (X)		$0	$0	$0
AGOSTINO CERVONE
BOARD MEMBER	1.0	34.0	Yes (X)		$0	$381,773	$43,827
MICHAEL DEMPSEY
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
FATHER LARRY DUNCKLEE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
Emilie Roy Corey MSW
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
Robert F Rose
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
RICHARD ISRAEL
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JOAN LEVAN
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
KAREEM MASSOUD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
RICHARD V MUSTO MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
RALPH NAPPI
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
STEVEN OUZOUNIAN MD
BOARD MEMBER	1.0	34.0	Yes (X)		$0	$383,230	$38,570
ANNE K NOLAN
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
RICHARD L WINSLOW PHD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STANLEY ZINBERG MD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL F O'DONNELL
CFO	37.5	0.0		Yes (X)	$454,720	$0	$55,633
RONALD MCMANUS
COO	27.5	10.0		Yes (X)	$346,434	$0	$34,185
KENNETH MAYER MD
PHYSICIAN	37.5	0.0		Yes (X)	$250,633	$0	$42,732
SAMANTHA VIGLIOTTA
VP FOUNDATION & EXTERNAL AFFAI	18.75	18.75			$199,233	$0	$42,557	Yes (X)
ARTHUR CROWE
CHIEF OPERATING OFFICER	37.5	0.0			$298,923	$0	$39,493	Yes (X)
SUSAN SOMERVILLE
VP CLINICAL TRANSFORMATION	37.5	0.0			$286,689	$0	$43,869	Yes (X)
MONICA RAULS
VP HUMAN RESOURCES	37.5	0.0			$231,119	$0	$8,344	Yes (X)
Cheryl Makoske
VP Finance	37.5	0.0			$283,309	$0	$37,355	Yes (X)
STEPHEN JOHN
PHYSICIAN	37.5	0.0			$346,454	$0	$13,740		Yes (X)
DAVID PRENTISS
PHYSICIAN	37.5	0.0			$325,475	$0	$27,802		Yes (X)
MARIE DORVAL-DORCELY
PHYSICIAN	37.5	0.0			$314,169	$0	$25,213		Yes (X)
MAHMOOD AFGHANI
PHYSICIAN	37.5	0.0			$277,353	$0	$29,010		Yes (X)
ALEXANDRE ANDRIANOV
PHYSICIAN	37.5	0.0			$266,296	$0	$29,054		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,153,381	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$765,003	TotReportableCompRltdOrgAmt
Total Other Compensation	$599,248	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	209	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
AXIS CONSTRUCTION CO
125 laser court	hauppauge	NY	11788	Construction IN PROG	$19,718,767
CERNER CORP
2800 ROCK CREEK PARKWAY	KANAS CITY	MO	64117	INFORMATION TECHNOLO	$1,474,787
SODEXO INC AFFILIATES
135 SANTILLI HIGHWAY	EVERETT	MA	02149	CAFETERIA SERVICES	$1,411,269
AYA HEALTHCARE INC
5930 Cornerstone Ct W Ste 300	SAN DIEGO	CA	92121	NURSING SERVICES	$1,236,163
PARTNERS IN CRITICAL CARE LLP
32 CEDAR AVENUE EXT	ISLIP	NY	11751	pHYSICIANS	$1,048,320

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Fundraising	$332,900	FundraisingAmt
Related Organizations	$19,992,925	RelatedOrganizationsAmt
Government Grants	$529,943	GovernmentGrantsAmt
All Other Contributions	$1,312,045	AllOtherContributionsAmt
Total Contributions	$22,167,813	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	patient care	Desc
Business	621400	BusinessCd
Total Revenue Column	$199,992,496	TotalRevenueColumnAmt
Related Or Exempt Func Income	$199,992,496	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$199,992,496	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$212,690	TotalRevenueColumnAmt
Exclusion	$212,690	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,614,820	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,471,404	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$143,416	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,416	TotalRevenueColumnAmt
Exclusion	$143,416	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$95,875	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$332,900	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$202,072	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$106,197	TotalRevenueColumnAmt
Exclusion	-$106,197	ExclusionAmt

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
cafeteria	624210	$512,240	$512,240
miscellaneous	900099	$1,110,478	$1,110,478
clinic	621110	$207,910	$207,910

Field	Value	IRS element (for citing)
Other Revenue Total	$1,830,628	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,240,846	TotalRevenueColumnAmt
Related Or Exempt Func Income	$199,992,496	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,080,537	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,988,993	TotalAmt
Management And General	$3,988,993	ManagementAndGeneralAmt

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	$83,287,617	TotalAmt
Program Services	$66,302,188	ProgramServicesAmt
Management And General	$16,985,429	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,689,180	TotalAmt
Program Services	$5,352,781	ProgramServicesAmt
Management And General	$1,336,399	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,186,081	TotalAmt
Program Services	$12,773,837	ProgramServicesAmt
Management And General	$3,412,244	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,380,535	TotalAmt
Program Services	$5,754,574	ProgramServicesAmt
Management And General	$1,625,961	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$376,370	TotalAmt
Management And General	$376,370	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$381,701	TotalAmt
Management And General	$381,701	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	$69,392	TotalAmt
Management And General	$69,392	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,402,221	TotalAmt
Program Services	$14,261,797	ProgramServicesAmt
Management And General	$4,140,424	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,008,819	TotalAmt
Program Services	$782,990	ProgramServicesAmt
Fundraising	$225,829	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,929,851	TotalAmt
Program Services	$34,820,819	ProgramServicesAmt
Management And General	$10,109,032	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$498,535	TotalAmt
Program Services	$386,367	ProgramServicesAmt
Management And General	$112,168	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,521,021	TotalAmt
Program Services	$3,503,810	ProgramServicesAmt
Management And General	$1,017,211	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$246,100	TotalAmt
Program Services	$190,729	ProgramServicesAmt
Management And General	$55,371	ManagementAndGeneralAmt

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	$260,079	TotalAmt
Program Services	$201,562	ProgramServicesAmt
Management And General	$58,517	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,944,283	TotalAmt
Program Services	$1,497,098	ProgramServicesAmt
Management And General	$447,185	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,461,870	TotalAmt
Program Services	$4,975,244	ProgramServicesAmt
Management And General	$1,486,626	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,109,588	TotalAmt
Program Services	$2,109,588	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Total	$3,077,879	TotalAmt
Program Services	$2,385,369	ProgramServicesAmt
Management And General	$692,510	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$201,820,115	TotalAmt
Program Services	$155,298,753	ProgramServicesAmt
Management And General	$46,295,533	ManagementAndGeneralAmt
Fundraising	$225,829	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$36,444,012	BOYAmt
EOY	$10,143,000	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$676,768	BOYAmt
EOY	$3,059,201	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,320,790	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,889,671	BOYAmt
EOY	$21,605,943	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	$3,702,555	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,179,660	BOYAmt
EOY	$4,441,195	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$879,630	BOYAmt
EOY	$1,702,609	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$131,939,539	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,974,549	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$91,134,128	BOYAmt
EOY	$114,964,990	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,795,025	BOYAmt
EOY	$23,320,064	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,378,170	BOYAmt
EOY	$549,311	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,230,000	BOYAmt
EOY	$5,230,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,445,801	BOYAmt
EOY	$15,830,614	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,076,210	BOYAmt
EOY	$200,846,927	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,244,494	BOYAmt
EOY	$35,595,179	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,795,000	BOYAmt
EOY	$25,565,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$8,980,882	BOYAmt
EOY	$11,295,092	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,349,560	BOYAmt
EOY	$37,364,129	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$112,369,936	BOYAmt
EOY	$109,819,400	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,673,986	BOYAmt
EOY	$83,274,520	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,245,380	BOYAmt
EOY	$6,966,099	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$786,908	BOYAmt
EOY	$786,908	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$67,706,274	BOYAmt
EOY	$91,027,527	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,076,210	BOYAmt
EOY	$200,846,927	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,420,731	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$143,808	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,044,330	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	false	FederalGrantAuditRequiredInd

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$786,908	BeginningYearBalanceAmt
Contributions	$20,485	ContributionsAmt
Investment Earnings Or Losses	$22,979	InvestmentEarningsOrLossesAmt
Other Expenditures	$52,956	OtherExpendituresAmt
End Year Balance	$777,416	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$786,908	BeginningYearBalanceAmt
End Year Balance	$786,908	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$786,908	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,306	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,306	OtherExpendituresAmt
End Year Balance	$786,908	EndYearBalanceAmt

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,701,576	OtherCostOrOtherBasisAmt
Depreciation	$8,776,105	DepreciationAmt
Book Value	$47,925,471	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,011,494	OtherCostOrOtherBasisAmt
Depreciation	$8,198,444	DepreciationAmt
Book Value	$19,813,050	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,021,469	OtherCostOrOtherBasisAmt
Book Value	$31,021,469	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$114,964,990	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
EQUITY INTEREST IN THE CSH FDN	$13,623,655
estimated due from third party	$1,260,483
DUE FROM RELATED PARTIES	$118,700
OTHER	$827,776

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,830,614	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Estimated malpractice costs	$13,874,542
estimated Due to third-party payors	$7,317,255
Swap liabilty	$4,229,327
accrued pension costs	$4,106,211
due to northwell health	$7,836,794

Field	Value	IRS element (for citing)
Total Liability	$37,364,129	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 4	THE DONATED ARTWORK PROVIDES A SOOTHING AND CALMING ENVIRONMENT TO THE PATIENTS AND THEIR FAMILIES WHEN THEY ATTEND CSH FOR MEDICAL SERVICES. CSH HOPES THAT WITH A GOOD EXPERIENCE, THEIR PATIENTS CONTINUE T UTILIZE CSH TO PROVIDE MEDICAL SERVICES.
part v, line 4	endowment funds have been resrtricted by donors to be maintained by csh in perpituity.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SPRING GALA	Event1Nm
Gross Receipts Event1	$428,775	GrossReceiptsEvent1Amt
Charitable Contri Event1	$332,900	CharitableContriEvent1Amt
Gross Revenue Event1	$95,875	GrossRevenueEvent1Amt
Cash Prizes Event1	$14,456	CashPrizesEvent1Amt
Rent Facility Costs Event1	$88,379	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$40,070	FoodAndBeverageEvent1Amt
Entertainment Event1	$24,094	EntertainmentEvent1Amt
Other Direct Expenses Event1	$35,073	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$428,775	GrossReceiptsTotalAmt
Charitable Contributions Tot	$332,900	CharitableContributionsTotAmt
Gross Revenue Total Events	$95,875	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$14,456	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$88,379	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$40,070	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$24,094	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$35,073	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$202,072	DirectExpenseSummaryEventsAmt
Net Income Summary	-$106,197	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,412,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,283,536	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,128,936	NetCommunityBenefitExpnsAmt
Total Expense	0.01380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,763,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,411,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,352,040	NetCommunityBenefitExpnsAmt
Total Expense	0.06750	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,175,757	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,694,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,480,976	NetCommunityBenefitExpnsAmt
Total Expense	0.08130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,054,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,314,584	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,740,411	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,889,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,206,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,682,664	NetCommunityBenefitExpnsAmt
Total Expense	0.02060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,571	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,514	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,514	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,066,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,521,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,544,953	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,241,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,216,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,025,929	NetCommunityBenefitExpnsAmt
Total Expense	0.11890	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,104	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,104	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,144	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,345,827	BadDebtExpenseAmt
Bad Debt Expense Attributable	$140,170	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$50,712,201	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,045,674	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,333,473	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Peconic Bay Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 Roanoke Avenue	AddressLine1Txt
City	riverhead	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11901	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	Trauma unit	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Peconic Bay Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	16	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	See Supplemental information	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Supplemental information	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	See Supplemental Information	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Supplemental Information	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Supplemental Information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	The CHNA was facilitated by committees established within each county served by Northwell and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); the Northwell; local businesses; and faith-based organizations; and a voice of the community (i.e. the communitys perception of need). 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 surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. FOR FURTHER DETAIL GO TO WEB LINK: HTTPS://WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFICE-COMMUNITY-AND-PUBL
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?browse_categories=tru e
PART V, SECTION B, LINE 6B	FOR A DETAILED LISTING OF OTHER THAN HOSPITAL FACILITIES GO TO WEB LINK: https://www.northwell.edu/doctors-and-care/locations?browse_categories=tru e
PART V, SECTION B, LINE 7	FOR THE HOSPITAL'S CHNA, GO TO WEB LINK: https://www.northwell.edu/education-and-resources/community-engagement/com munity-health-investment/community-service-plans
PART V, SECTION B, LINE 10	FOR THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY, GO TO WEB LINK: https://www.northwell.edu/education-and-resources/community-engagement/com munity-health-investment/community-service-plans
PART V, SECTION B, LINE 11	THE HOSPITAL IDENTIFIED AND ADDRESSED PRIMARY NEEDS BASED ON AN ASSESSMENT OF THE HIGHEST RANKED HEALTH PRIORITIES OF THE COMMUNITY, REGULATORY INPUT (I.E. THE NYC DEPARTMENT OF HEALTH PREVENTION PRIORITY AGENDA), AND RESOURCES AVAILABLE. FOR FURTHER INFORMATION GO TO WEB LINK: HTTPS://WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFICE-COMMUNITY-AND-PUBL CHURES.
PART V, SECTION B, LINE 13H	THE HOSPITAL ALSO USES HOUSEHOLD SIZE.
PART V, SECTION B, LINE 16A-C	THE FAP, FAP APPLICATION AND PLAIN LAUNGUAGE SUMMARY CAN BE FOUND AT: https://pbmchealth.org/admissions/billing/financial-aid
PART V, SECTION B, LINE 16J	THE POLICY IS INCLUDED IN THE HOSPITAL'S COMMUNITY SERVICE PLAN AND PROVIDED AT HEALTH FAIRS AND PRESENTATIONS OPEN TO THE COMMUNITY AT NO COST, IN ADDITION TO MAILING FINANCIAL POLICY SUMMARY BROCHURES.
PART V, SECTION B, 20E	BEFORE INITIATING ANY OF THE ACTIONS, THE HOSPITAL FACILITY SENDS LETTERS, MAKES TELEPHONE CALLS AND UTILIZES PRESUMPTIVE ELIGIBILITY.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERHEAD MANAGEMENT CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 ROANOKE AVENUE	AddressLine1Txt
City	RIVERHEAD	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11901	ZIPCd

Field	Value	IRS element (for citing)
Facility	MANAGEMENT SERVICE ORGANIZATION	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 assets. Asset tests cannot be used to deny financial assistance, but only to upgrade a patients level of obligation, up to the legal maximum permitted under the financial assistance law.
PART I, LINE 6A	The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website: https://www.northwell.edu/education-and-resources/community-engagement/com munity-health-investment/community-service-plans
PART I, LINE 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 hospitals 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 12.32 as a percentage of expenses.
PART II, COMMUNITY BUILDING ACTIVITIES	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. Northwells 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	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 4	BAD DEBT EXPENSES ON ACCOUNTS RECEIVABLE AND CONTRIBUTIONS RECEIVABLE ARE CHARGED IF THE RECEIVABLE IS DETERMINED TO BE UNCOLLECTIBLE BASED ON PERIODIC REVIEW BY MANAGEMENT. FACTORS USED TO DETERMINE WHETHER AN ALLOWANCE SHOULD BE RECORDED INCLUDE THE AGE OF THE RECEIVABLE AND A REVIEW OF PAYMENTS SUBSEQUENT TO YEAR END.
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 organizations collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospitals 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.
PART VI, LINE 2	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 Northwells 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, women and childrens health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, Northwell participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CBOs, enables region wide leveraging of resources, consensus on health priorities and collaboration on health promotion strategies. In compliance with IRS Code 501(r)(3), a CHNA is filed with the IRS every three years.
PART VI, LINE 3	Northwell Health is compliant with IRS Code 501(r) and has developed of financial assistance policy for the uninsured and underinsured in its service area. Northwells financial assistance policy provides reduced fees for patients with household incomes up to 500% of the FPL. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individuals financial and personal circumstances. All medically necessary services are covered under the financial assistance policy and the public is notified of the availability of the policy through: multilingual signage and educational brochures; centralized program administration accessible via phone; staff outreach, and all bills include a notice about the financial assistance policy. The Healthcare Access Center (HAC), staffed by bilingual employees, assists community residents with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the HAC staff refers patients to the Medicaid Prenatal Care Program and to the Senior Navigator Program within Northwell for assistance with Medicaid for pregnant women and Medicare enrollment for seniors.
PART VI, LINE 4	The Northwells service area covers Long Island and the Metropolitan area boroughs of Brooklyn, Manhattan, Queens, and Staten Island, and parts of Westchester County. The demographics of the community show a broad range of cultural and ethnic diversity and increase in the underinsured and uninsured. Our service area population 65 and older has grown by 14.5%, while residents under 65 will decline less than 1% (Thomson Reuters, Market Planner Plus). The service area has also shown high rates of obesity, diabetes, asthma and heart/cerebrovascular disease mortality.
PART VI, LINE 5	Northwell works to promote community health through education, community advocacy, partnerships, and programs that result in improved access to care and health outcomes. The activities and strategies for achieving this goal include: establishing collaborative partnerships with local CBOs, health-related organizations, business, and government to identify and address community health needs; advocating for policies that benefit the broader community at state and local levels; providing community health programs and services based on identified community health needs/priorities; delivering preventive care services and education; conducting community outreach and engagement activities and expanding community member representation and involvement on committees/boards for programming and educational events. Northwell hospitals participate in the Delivery System Reform Incentive Pay (DSRIP) program whose primary goal is to allocate Medicaid payouts based upon achieving predefined results in the transformation, clinical management, and population health. Northwell provides community residents with a broad array of community health programs, such as: access to healthcare services and caring for the medically underserved; screenings and immunizations; health forums and health fairs; community education and outreach programs; support groups and counseling and emergency medical services. A comprehensive list of programs can be found in the Community Service Plans located on the Northwell public website. Northwell recognizes that, to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners who can address different components of program design, including: providing trust and reach into a community; access to capital and funding; policy guidance and best practices for program development. Some of our partners include: government, national/professional associations, area businesses, other area health care providers, philanthropies, civic organizations and CBOs.
PART VI, LINE 6	The hospital is an affiliate of Northwell Health Inc., an integrated health care delivery system which includes 22 hospitals, 3 skilled nursing facilities, a world renowned childrens hospital, urgent care centers, post-acute services, ambulatory network, rehabilitation network and a freestanding research institute, which is chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. All Northwell entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in Northwell and as such is referred to as being commonly managed. In addition, in a joint venture, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell provide an allopathic medical school for the benefit of the community. In keeping with its mission to improve the health and caring for the communities it serves, regardless of the ability to pay, Northwell established the Office of Community Health and Health Services to promote health and wellness by identifying the overall health needs of the community and make recommendations for the population Northwell serves. In addition, Northwell has established comprehensive and coordinated clinical programs that not only provide a full continuum of services and seamless delivery of care, but offer community health activities, outreach and education as well; they include: Behavioral Health, Cancer, Cardiovascular Services, Dental Medicine, Emergency Medicine, Family Medicine, Hospice Care, Imaging/Radiology, Laboratory Medicine and Pathology, Medicine, Neurology, Neurosurgery, Obstetrics/Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology, Pediatrics, Physical Medicine & Rehabilitation, Population Health, Senior Services, Surgery, Urology, and Womens Health. In 2015, Northwell expanded into Westchester County through affiliation agreements with Phelps Memorial Hospital Association and Northern Westchester Hospital Association. In 2016, Northwell expanded its presence in Suffolk County through an affiliation agreement with Peconic Bay Medical Center and in 2018 acquired John T. Mather Memorial Hospital. In addition, Northwells hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 130 accredited graduate medical education (GME) programs and trains more than 1,700 medical residents and fellows annually. Our hospitals and facilities collectively serve as teaching sites for more than 1,200 rotations for medical students from five medical schools.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (17 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
ANDREW J MITCHELL
CEO	$814,541	$0	$163,396	$0	$3,564	$0	$24,094	$0	$21,027	$0	$1,026,622	$0
AMY LOEB
BOARD MEMBER/CNO	$255,761	$0	$34,946	$0	$366	$0	$18,500	$0	$24,243	$0	$333,816	$0
AGOSTINO CERVONE
BOARD MEMBER	$0	$381,773	$0	$0	$0	$0	$0	$18,500	$0	$25,327	$0	$425,600
STEVEN OUZOUNIAN MD
BOARD MEMBER	$0	$383,230	$0	$0	$0	$0	$0	$8,446	$0	$30,124	$0	$421,800
MICHAEL F O'DONNELL
CFO	$381,558	$0	$70,840	$0	$2,322	$0	$24,500	$0	$31,133	$0	$510,353	$0
RONALD MCMANUS
COO	$301,458	$0	$41,807	$0	$3,169	$0	$24,500	$0	$9,685	$0	$380,619	$0
KENNETH MAYER MD
PHYSICIAN	$250,282	$0	$0	$0	$351	$0	$18,500	$0	$24,232	$0	$293,365	$0
SAMANTHA VIGLIOTTA
VP FOUNDATION & EXTERNAL AFFAI	$174,471	$0	$24,544	$0	$218	$0	$18,500	$0	$24,057	$0	$241,790	$0
ARTHUR CROWE
CHIEF OPERATING OFFICER	$259,960	$0	$37,177	$0	$1,786	$0	$15,250	$0	$24,243	$0	$338,416	$0
SUSAN SOMERVILLE
VP CLINICAL TRANSFORMATION	$251,578	$0	$32,484	$0	$2,627	$0	$24,500	$0	$19,369	$0	$330,558	$0
MONICA RAULS
VP HUMAN RESOURCES	$201,022	$0	$28,120	$0	$1,977	$0	$7,690	$0	$654	$0	$239,463	$0
STEPHEN JOHN
PHYSICIAN	$345,749	$0	$0	$0	$705	$0	$0	$0	$13,740	$0	$360,194	$0
DAVID PRENTISS
PHYSICIAN	$323,602	$0	$0	$0	$1,873	$0	$9,429	$0	$18,373	$0	$353,277	$0
MARIE DORVAL-DORCELY
PHYSICIAN	$313,374	$0	$0	$0	$795	$0	$24,480	$0	$733	$0	$339,382	$0
MAHMOOD AFGHANI
PHYSICIAN	$277,067	$0	$0	$0	$286	$0	$0	$0	$29,010	$0	$306,363	$0
ALEXANDRE ANDRIANOV
PHYSICIAN	$265,860	$0	$0	$0	$436	$0	$0	$0	$29,054	$0	$295,350	$0
Cheryl Makoske
VP Finance	$237,855		$44,684		$770		$18,982		$18,373		$320,664

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN 2018
Part I, Line 4B	ANDREW MITCHELL (NON QUALIFIED RETIREMENT PLAN): 18,500
PART I, LINE 5	CSH HAS A CONTRACTUAL ARRANGEMENT FOR A PHYSICIAN ENTITLING THE PHYSICIAN TO ADDITIONAL COMPENSATION BASED UPON CASH COLLECTIONS.
Part I, Line 7	Bonuses are based on performance and are approved by the board.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	TOWN OF RIVERHEAD INDUSTRIAL DEVELOPMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	112560077	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-05-06	BondIssuedDt
Issue Price	$34,070,000	IssuePriceAmt
Purpose	refund bonds (6/23/06 & 6/27/07)	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,505,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$34,070,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$34,070,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	HSBC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	17.2	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
STEVEN OUZOUNIAN MD
BOARD MEMBER	$75,000	DIRECTORSHIP AGREEMNET	false
RICHARD ISRAEL
BOARD MEMBER	$475,116	RENTAL OF PROPERTY	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	NORTHWELL HEALTH IS THE SOLE MEMBER OF CSH
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF CSH, NORTHWELL HEALTH HAS THE RIGHT TO ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	NORTHWELL HEALTH MAKES GOVERNANCE DECISIONS FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE CEO, COO AND CFO REVIEW THE 990. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. IN THE EVENT OF ANY ISSUES WITH THE 990, THE MATTERS ARE BROUGHT TO THE ATTENTION OF THE CFO.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICTS OF INTEREST POLICY APPLIES TO MEMBERS OF THE BOARD OF DIRECTORS, OFFICES, VICE PRESIDENTS, ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, CLINICAL DIRECTORS OF DEPARTMENTS AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISIONS BETWEEN CSH AND VENDORS. THE DIRECTOR OF CORPORATE COMPLIANCE CONTINUOUSLY MONITORS ALL TRANSACTIONS TO DETERMINE IF ANY POTENTIAL CONFLICT EXISTS. IF IT IS DETERMINED THAT A POTENTIAL CONFLICT EXISTS, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DECISION OF THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15A	CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN 2018.
FORM 990, PART VI, SECTION C, LINE 19	CSH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR.

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
Peconic Bay Medical Center Foundation
1300 Roanoke Ave	Riverhead	NY	11901	200714587	Fundraising/P	NY	501(C)(3)	7	Peconic Bay	false
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 Association
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	Northwell He	false
Community Drive Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	821672429	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
Glen Cove Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111633487	Health Care	NY	501(C)(3)	3	Healthcare	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)	10	Northwell He	false
Huntington Hospital
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
John T Mather Memorial Hospital
75 North Country Rd	Port Jefferson	NY	11777	111639818	Health Care	NY	501(C)(3)	3	Healthcare	false
Lakeville Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	474377760	Medical Servi	NY	501(C)(3)	10	Lenox Hill	false
Lenox Hill Hospital
972 Brush Hollow Rd	Westbury	NY	11590	131624070	Health Care	NY	501(C)(3)	3	Healthcare	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	Healthcare	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	Healthcare	false
North Shore University Hospital at Glen
972 Brush Hollow Rd	Westbury	NY	11590	237010468	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
North Shore University Hospital Housing
972 Brush Hollow Rd	Westbury	NY	11590	112171903	Housing Comp	NY	501(C)(2)	N/A	Northwell He	false
North Shore-LIJ Anesthesiology PC
972 Brush Hollow Rd	Westbury	NY	11590	461617561	Medical Servi	NY	501(C)(3)	12, Type I	SSIDE	false
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow Rd	Westbury	NY	11590	275078531	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow Rd	Westbury	NY	11590	275078717	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	false
North Shore-LIJ Health Plan Inc
972 Brush Hollow Rd	Westbury	NY	11590	461617516	Insurance	NY	501(C)(3)	10	Health Plan	false
North Shore-LIJ Health Plans Holding Com
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	Healthcare	false
Northern Westchester Hospital Center Fou
400 East Main Street	Mount Kisco	NY	10549	134067064	Foundation	NY	501(C)(3)	10	NWHA	false
Northern Westchester Realty Holding Comp
400 East Main Street	Mount Kisco	NY	10549	912134215	Holding Compa	NY	501(C)(2)	N/A	NWHA	false
Northwell Health Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	263727582	Health Care	NY	501(C)(3)	3	NA	false
Northwell Health Foundation
972 Brush Hollow Rd	Westbury	NY	11590	112965575	Fundraising	NY	501(C)(3)	7	Northwell He	false
Northwell Health Laboratories
972 Brush Hollow Rd	Westbury	NY	11590	113412370	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Northwell Health Stern Family Center for
972 Brush Hollow Rd	Westbury	NY	11590	237007485	Nursing Home	NY	501(C)(3)	10	Healthcare	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 Quality and Medical Affairs I
972 Brush Hollow Rd	Westbury	NY	11590	824113233	Supporting Or	NY	501(C)(3)	12, Type I	Healthcare	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	Healthcare	false
Physicians of Univeristy Hospital PC
1 Edgewater Plaza 6th Fl	Staten Island	NY	10305	200096809	Health Care	NY	501(C)(3)	12, Type I	SIUH	false
Plainview Hospital
972 Brush Hollow Rd	Westbury	NY	11590	113241243	Health Care	NY	501(C)(3)	3	Healthcare	false
SIUH Systems Inc
475 Seaview Avenue	Staten Island	NY	10305	061074604	Fundraising	NY	501(C)(3)	7	Healthcare	false
Southside Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111667761	Health Care	NY	501(C)(3)	3	Healthcare	false
Sports Physical Therapy Occupational Th
972 Brush Hollow Rd	Westbury	NY	11590	061655704	Health Care	NY	501(C)(3)	10	LIJMC	false
Staten Island Performing Provider System
972 Brush Hollow Rd	Westbury	NY	11590	472544659	DSRIP	NY	501(C)(3)	10	NA	false
Staten Island University Hospital
475 Seaview Avenue	Staten Island	NY	10305	112868878	Health Care	NY	501(C)(3)	3	Healthcare	false
Staten Island University Hospital Founda
360 Seaview Avenue	Staten Island	NY	10305	870765787	Fundraising	NY	501(C)(3)	7	SIUH	false
Suite 130 Plastic Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	821772747	Medical Servi	NY	501(C)(3)	12, Type I	LIJMC	false
The Calverton Foundation Inc
972 Brush Hollow Rd	Westbury	NY	11590	831118138	Medical Servi	NY	501(C)(3)	Pending	Healthcare	false
The Elmezzi Graduate School of Molecular
972 Brush Hollow Rd	Westbury	NY	11590	113284934	Graduate Scho	NY	501(C)(3)	2	Research	false
The Feinstein Institute for Medical Rese
972 Brush Hollow Rd	Westbury	NY	11590	112673595	Research	NY	501(C)(3)	4	Northwell He	false
The Heart Institute
475 Seaview Avenue	Staten Island	NY	10305	311757254	Inactive	NY	501(C)(3)	12, Type I	NA	false
The Long Island Home
400 Sunrise Hghwy	Amityville	NY	11701	112837244	Health Care	NY	501(C)(3)	3	LHH Corporat	false
True North Flexstaff Inc
972 Brush Hollow Rd	Westbury	NY	11590	821446568	Medical Servi	NY	501(C)(3)	Pending	Healthcare	false
True North Patient Safety Organization
972 Brush Hollow Rd	Westbury	NY	11590	831429773	Medical Servi	NY	501(C)(3)	Pending	Northwell He	false
Virtual Health Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	274384326	Medical Servi	NY	501(C)(3)	10	NSUH	false
Visiting Nurse Association of Hudson Val
540 White Plains Rd	Tarrytown	NY	10591	131739952	Home Health C	NY	501(C)(3)	10	Healthcare	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
Harborview Medical Services PC
75 North Country Rd	Port Jefferson	NY	11777	264517010	Supporting Or	NY	501(C)(3)	12, Type I	Healthcare	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Anesthesia Management Services LLC
972 Brush Hollow Rd	Westbury	NY	11590	823199065	Medical Svcs	NY	NEA PC
Brooklyn Ambulatory Services LLC
972 Brush Hollow Rd	Westbury	NY	11590	812910850	Medical Svcs	NY	Northwell Healt
DHCH LLC
972 Brush Hollow Rd	Westbury	NY	11590	811030907	Medical Svcs	NY	Endoscopy Ventu
Endo Group LLC
972 Brush Hollow Rd	Westbury	NY	11590	200248148	Medical Svcs	NY	Ventures GCSC
Endoscopy Center of Long Island
972 Brush Hollow Rd	Westbury	NY	11590	260000980	Medical Svcs	NY	NS-LIJ Ventures
Formativ Health Intermediate LLC
972 Brush Hollow Rd	Westbury	NY	11590	814614788	Holding Co	DE	Formativ Health
Formativ Health LLC
972 Brush Hollow Rd	Westbury	NY	11590	813121231	Holding Co	DE	Magnitude Hold
Health Connect Technologies LLC
972 Brush Hollow Rd	Westbury	NY	11590	810967200	Inactive	NY	Newport Health
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
Nassau Queens Performing Provider System
972 Brush Hollow Rd	Westbury	NY	11590	472544821	DSRIP	NY	NA
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	Healthcare
Northwell Genomic 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
Optum 360 LLC
11000 Optum Circle	Eden Prairie	MN	55344	463328307	Billing	MN	Optum
Phelps Professional Building Corp LP
777 North Broadway	Sleepy Hollow	NY	10591	133645137	Real Estate	NY	PMHA
Richmond ASC LLC
1360 Hylan Blvd	Staten Island	NY	10305	472882195	Medical Svcs	NY	Chapman
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
Surgical Specialty Center of Westchester
972 Brush Hollow Rd	Westbury	NY	11590	814359712	Medical Svcs	NY	NA
Synergy Health True North LLC
972 Brush Hollow Rd	Westbury	NY	11590	464106483	Medical Svcs	NY	Central Sterile
Technopath Northwell Health North Americ
972 Brush Hollow Rd	Westbury	NY	11590	822869458	Lab Services	NY	Technopath USA
True North DC Holding LLC
972 Brush Hollow Rd	Westbury	NY	11590	813347874	Medical Svcs	NY	Renal Ventures
True North DC LLC
972 Brush Hollow Rd	Westbury	NY	11590	464601950	Medical Svcs	NY	Renal Ventures
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 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
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 Service	NY	NSH Enterprise	C	false
CareConnect Administrative Services Inc
972 Brush Hollow Rd	Westbury	NY	11590	475182974	Admin	NY	Group Holding	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 Services	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 Services	NY	Healthcare	C	false
North Shore Medical Accelerator PC
972 Brush Hollow Rd	Westbury	NY	11590	112945979	Medical Services	NY	NSUH	S	false
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow Rd	Westbury	NY	11590	471994548	Insurance Agency	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 Services	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 Services	NY	NSUH	C	false
Northeastern Anesthesia of New Jersey P
972 Brush Hollow Rd	Westbury	NY	11590	208709500	Medical Services	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 Services	NJ	SIUH	C	false
Northwell Health Regional Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	263651575	Support Services	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
Regional Insurance Company LTD
Cedar House 41 Cedar Ave	Hamilton	NJ	08210	000000000	Insurance	NJ	Healthcare	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 Services	NY	SIUH	C	false
True North Health Management Inc
972 Brush Hollow Rd	Westbury	NY	11590	813428274	Inactive	NY	Healthcare	C	false
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 Services	DE	Northwell Healt	C	false
United Medical Surgical PC
256 Mason Ave Bldg B 2nd Fl	Staten Island	NY	10305	134038780	Surgical Services	NY	SIUH	C	false
VivoHealth Plans 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
Wellbridge Psychiatry PC
972 Brush Hollow Rd	Westbury	NY	11590	465495054	Medical Services	NY	NSUH	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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd