SOUTH NASSAU COMMUNITIES HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SOUTH NASSAU COMMUNITIES HOSPITAL (EIN 11-1352310)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201923179349308677
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 C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T17:25:31-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO JERICHO PLAZA	AddressLine1Txt
City	JERICHO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11753	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	111352310	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU COMMUNITIES HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	5166323000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM ALLISON	PersonNm
Person Title	COO	PersonTitleTxt
Phone	5166323000	PhoneNum
Signature	2019-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CHRISTINE KAWECKI	PreparerPersonNm
PTIN	P00743140	PTIN
Phone	5169187000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.219.172.209	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-13	IPDt
IP Tm	16:25:23	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	76FF2A6BB2396675DA7FC3BECCB7F23E28595D91	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FB03248700C55E7316312EA5AE12D7916242AABD	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM ALLISON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$525,815,873	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHNASSAU.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	4138	TotalEmployeeCnt
Total Volunteers	375	TotalVolunteersCnt
Total Gross UBI	$3,872,160	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,297,766	PYContributionsGrantsAmt
CY Contributions Grants	$17,092,169	CYContributionsGrantsAmt
PY Program Service Revenue	$463,881,695	PYProgramServiceRevenueAmt
CY Program Service Revenue	$475,722,990	CYProgramServiceRevenueAmt
PY Investment Income	$8,367,707	PYInvestmentIncomeAmt
CY Investment Income	$6,034,389	CYInvestmentIncomeAmt
PY Other Revenue	$7,254,618	PYOtherRevenueAmt
CY Other Revenue	$16,949,179	CYOtherRevenueAmt
PY Total Revenue	$486,801,786	PYTotalRevenueAmt
CY Total Revenue	$515,798,727	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	$276,036,814	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$292,569,036	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$194,065	CYTotalFundraisingExpenseAmt
PY Other Expenses	$169,629,247	PYOtherExpensesAmt
CY Other Expenses	$206,142,162	CYOtherExpensesAmt
PY Total Expenses	$445,666,061	PYTotalExpensesAmt
CY Total Expenses	$498,711,198	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,135,725	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,087,529	CYRevenuesLessExpensesAmt
Total Assets BOY	$676,833,830	TotalAssetsBOYAmt
Total Assets EOY	$697,964,550	TotalAssetsEOYAmt
Total Liabilities BOY	$420,592,020	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$432,717,723	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$256,241,810	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$265,246,827	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$246,258,151	ExpenseAmt
Revenue	$280,963,779	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$44,657,326	ExpenseAmt
Revenue	$44,923,828	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$48,127,768	ExpenseAmt
Revenue	$49,624,881	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$93,788,057	ExpenseAmt
Revenue	$111,391,084	RevenueAmt
Desc	ADDITIONAL OUTPATIENT SERVICES OFFERED BY SOUTH NASSAU COMMUNITIES HOSPITAL ARE: WOUND CARE; FAMILY MEDICINE; SPORTS MEDICINE AND REHABILITATION THERAPY; BEHAVIORAL HEALTH SERVICES; OUTPATIENT DIALYSIS; PARENT-CHILD EDUCATION; PRIMARY MEDICAL CARE; CARDIAC REHABILITATION; WEIGHT & LIFE MANAGEMENT; HOME HEALTH CARE; CANCER SERVICES; GAMMA KNIFE SERVICES; BREAST/GYN HEALTH; OTHER CARDIOVASCULAR SERVICES; RADIOLOGY SERVICES; WOMEN'S IMAGING; SLEEP MEDICINE; AND FAMILY MEDICINE AT LONG BEACH. THE HOSPITAL PROVIDED 260,000 SERVICES RELATED TO THE OTHER OUTPATIENT SERVICES IN 2018. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO A PAY FOR THESE SERVICES.IN 2018, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $3.0 MILLION (CHARGES) FOR OTHER OUTPATIENT SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$93,788,057	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$111,391,084	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$432,831,302	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	444	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4138	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5166323939	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11572	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD MURPHY
PRESIDENT & CEO	35.50	2.00	Yes (X)	Yes (X)	$1,043,140	$0	$192,477
ANTHONY CANCELLIERI
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
ANTHONY PONTE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
BUTCH YAMALI
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DAVID BONAGURA
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
EDWARD SCOTT
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
GEORGE A SCHIEREN
VICE CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
HAROLD MAHONY ESQ
IMMEDIATE PAST CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
HARRY KASSEL
VICE CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
HELENA WILLIAMS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JEFFREY FRISCH
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JOEL SCHNEIDER
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JOHN A VITALE
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JOSPEPH J FENNESSY
CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
LOWELL FREY
ASSISTANT SECRETARY	1.00	1.00	Yes (X)		$0	$0	$0
MARILYN COHEN
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL SCHAMROTH
VICE CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
MIHAI DIMANCESCU MD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
PETER C BREITSTONE
SECRETARY	1.00	1.00	Yes (X)		$0	$0	$0
SALLY VALENTI
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
STEVEN GOLD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
WAYNE LIPTON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
ADHI SHARMA
CHIEF MEDICAL OFFICER	36.50	1.00		Yes (X)	$550,835	$0	$46,533
MARK BOGEN
CHIEF FINANCIAL OFFICER	36.50	1.00		Yes (X)	$520,731	$0	$55,161
WILLIAM ALLISON
CHIEF OPERATING OFFICER	36.50	1.00		Yes (X)	$596,424	$0	$30,879
SUSAN PENQUE
CHIEF NURSING OFFICER	36.50	1.00			$357,031	$0	$26,167	Yes (X)
ALAN GARELY
CLINICAL CHAIR OB/GYN	22.00	15.50			$1,085,227	$0	$30,849		Yes (X)
ASIF REHMAN
ASSOC DIR INTER CARDIO	37.50	0.00			$903,354	$0	$40,200		Yes (X)
HARMANDEEP SINGH
VASCULAR PHYSICIAN	37.50	0.00			$737,501	$0	$39,968		Yes (X)
JASON FREEMAN
DIR OF INTER CARDIO	37.50	0.00			$902,651	$0	$40,056		Yes (X)
LAWRENCE KANNER
DIR ELECTROPHYSIOLOGY	36.50	1.00			$844,445	$0	$43,671		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,541,339	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$545,961	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	644	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURG	PA	152516170	CATERING SERVICES	$5,043,813
HUNTER ROBERTS CONSTRUCTION GROUP LLC
55 WATER ST 51TH FLOOR	NEW YORK	NY	10041	CONSTRUCTION SERVICES	$2,996,194
CADUCEUS
30 MONTGOMERY ST SUITE 720	JERSEY CITY	NJ	073023841	HEALTHCARE MANAGEMENT SERVICES	$2,530,621
WAX CUSTOM COMMUNICATIONS
261 NE 1ST STREET SUITE 600	MIAMI	FL	33132	MARKETING SERVICES	$2,112,195
CBRE
400 S HOPE STREET 25TH FLOOR	LOS ANGELES	CA	90071	REAL ESTATE SERVICES	$1,610,538

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	98	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,018,346	FundraisingAmt
Government Grants	$12,722,189	GovernmentGrantsAmt
All Other Contributions	$3,351,634	AllOtherContributionsAmt
Noncash Contributions	$68,000	NoncashContributionsAmt
Total Contributions	$17,092,169	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	622110	$470,255,910	$470,255,910
REFERENCE LAB	621500	$3,872,160		$3,872,160
RENTAL INCOME -RELATED	523200	$1,594,920	$1,594,920

Field	Value	IRS element (for citing)
Total Program Service Revenue	$475,722,990	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,332,349	TotalRevenueColumnAmt
Exclusion	$3,332,349	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,197,342	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,495,302	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,702,040	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,702,040	TotalRevenueColumnAmt
Exclusion	$2,702,040	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$278,294	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,018,346	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$521,844	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$243,550	TotalRevenueColumnAmt
Exclusion	-$243,550	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
INSURANCE REFUND	900099	$11,928,986	$11,928,986
COFFEE & CAFETERIA	900099	$2,139,987		$2,139,987
REBATES & DISCOUNT	900099	$1,101,694	$1,101,694

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,022,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,022,062	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,192,729	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$515,798,727	TotalRevenueColumnAmt
Related Or Exempt Func Income	$486,903,572	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,872,160	UnrelatedBusinessRevenueAmt
Exclusion	$7,930,826	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,419,380	TotalAmt
Program Services	$854,845	ProgramServicesAmt
Management And General	$2,564,535	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$236,546,043	TotalAmt
Program Services	$209,122,500	ProgramServicesAmt
Management And General	$27,229,478	ManagementAndGeneralAmt
Fundraising	$194,065	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,860,337	TotalAmt
Program Services	$12,136,111	ProgramServicesAmt
Management And General	$1,724,226	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,588,142	TotalAmt
Program Services	$18,254,933	ProgramServicesAmt
Management And General	$3,333,209	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,155,134	TotalAmt
Program Services	$15,021,035	ProgramServicesAmt
Management And General	$2,134,099	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,217,607	TotalAmt
Program Services	$1,941,737	ProgramServicesAmt
Management And General	$275,870	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$450,430	TotalAmt
Management And General	$450,430	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$402,812	TotalAmt
Management And General	$402,812	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$180,819	TotalAmt
Management And General	$180,819	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,425,448	TotalAmt
Program Services	$51,192,347	ProgramServicesAmt
Management And General	$7,233,101	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,495,203	TotalAmt
Management And General	$2,495,203	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,469,907	TotalAmt
Program Services	$9,167,451	ProgramServicesAmt
Management And General	$1,302,456	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,318,540	TotalAmt
Program Services	$3,781,314	ProgramServicesAmt
Management And General	$537,226	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,890,197	TotalAmt
Program Services	$3,405,256	ProgramServicesAmt
Management And General	$484,941	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$300,339	TotalAmt
Program Services	$262,977	ProgramServicesAmt
Management And General	$37,362	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$543,334	TotalAmt
Program Services	$475,743	ProgramServicesAmt
Management And General	$67,591	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,350,286	TotalAmt
Program Services	$3,809,110	ProgramServicesAmt
Management And General	$541,176	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,325,543	TotalAmt
Program Services	$27,428,645	ProgramServicesAmt
Management And General	$3,896,898	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,070,599	TotalAmt
Program Services	$7,942,216	ProgramServicesAmt
Management And General	$1,128,383	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$67,826,134	$59,388,563	$8,437,571
MALPRACTICE CLAIMS	$4,674,135	$4,092,673	$581,462
EQUIPTMENT RENTAL & MAI	$2,575,577	$2,255,175	$320,402
RECRUITMENT FEES	$615,522	$538,951	$76,571

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,009,730	TotalAmt
Program Services	$1,759,720	ProgramServicesAmt
Management And General	$250,010	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$498,711,198	TotalAmt
Program Services	$432,831,302	ProgramServicesAmt
Management And General	$65,685,831	ManagementAndGeneralAmt
Fundraising	$194,065	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,362,497	BOYAmt
EOY	$8,603,783	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,062,283	BOYAmt
EOY	$8,677,462	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,984,981	BOYAmt
EOY	$66,213,576	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,054,706	BOYAmt
EOY	$8,860,814	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,135,564	BOYAmt
EOY	$4,286,269	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$666,711,084	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$340,714,277	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$317,404,250	BOYAmt
EOY	$325,996,807	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$149,645,855	BOYAmt
EOY	$133,205,774	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,020,217	BOYAmt
EOY	$7,786,166	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$98,163,477	BOYAmt
EOY	$134,333,899	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$676,833,830	BOYAmt
EOY	$697,964,550	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$93,097,275	BOYAmt
EOY	$90,805,447	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$68,163,051	BOYAmt
EOY	$55,891,977	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,143,476	BOYAmt
EOY	$162,456,726	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,826,982	BOYAmt
EOY	$10,867,930	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$47,000,000	BOYAmt
EOY	$6,070,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$123,361,236	BOYAmt
EOY	$106,625,643	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$420,592,020	BOYAmt
EOY	$432,717,723	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$250,123,309	BOYAmt
EOY	$257,982,725	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,090,425	BOYAmt
EOY	$6,236,026	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,028,076	BOYAmt
EOY	$1,028,076	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$256,241,810	BOYAmt
EOY	$265,246,827	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$676,833,830	BOYAmt
EOY	$697,964,550	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,087,529	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$18,372,385	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,289,873	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$402,812	OtherActivitiesAmt
Total Lobbying Expenditures	$402,812	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	THE HOSPITAL IS A MEMBER OF MULTIPLE HEALTHCARE ASSOCIATIONS WHICH INCLUDE THE AMERICAN HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK, THE NASSAU SUFFOLK HOSPITAL COUNCIL, AND THE HOME CARE ASSOCIATION OF NEW YORK STATE. THESE ORGANIZATIONS LOBBY ON BEHALF OF THE HEALTHCARE INDUSTRY. THE HOSPITAL ALSO CONTRACTS WITH VARIOUS LOBBYING CONSULTING FIRMS ON HOSPITAL SPECIFIC ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,118,501	BeginningYearBalanceAmt
Contributions	$16,346,591	ContributionsAmt
Other Expenditures	$15,200,990	OtherExpendituresAmt
End Year Balance	$7,264,102	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,815,354	BeginningYearBalanceAmt
Contributions	$6,282,696	ContributionsAmt
Other Expenditures	$3,979,549	OtherExpendituresAmt
End Year Balance	$6,118,501	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,774,697	BeginningYearBalanceAmt
Contributions	$2,161,697	ContributionsAmt
Other Expenditures	$121,040	OtherExpendituresAmt
End Year Balance	$3,815,354	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,010,535	BeginningYearBalanceAmt
Contributions	$8,398,283	ContributionsAmt
Other Expenditures	$8,634,121	OtherExpendituresAmt
End Year Balance	$1,774,697	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,627,563	BeginningYearBalanceAmt
Contributions	$1,719,985	ContributionsAmt
Other Expenditures	$1,337,013	OtherExpendituresAmt
End Year Balance	$2,010,535	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.14000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.86000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$24,239,480	InvestmentCostOrOtherBasisAmt
Book Value	$24,239,480	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$352,152,198	InvestmentCostOrOtherBasisAmt
Depreciation	$180,851,535	DepreciationAmt
Book Value	$171,300,663	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$10,043,989	InvestmentCostOrOtherBasisAmt
Depreciation	$8,935,753	DepreciationAmt
Book Value	$1,108,236	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$220,686,686	InvestmentCostOrOtherBasisAmt
Depreciation	$150,926,989	DepreciationAmt
Book Value	$69,759,697	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$59,588,731	InvestmentCostOrOtherBasisAmt
Book Value	$59,588,731	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$325,996,807	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$700,724
DUE FROM SUBSIDIARIES	$25,326,827
ASSETS WHOSE USE IS LIMITED	$102,504,661
INSURANCE CLAIMS RECEIVABLE	$2,366,002
MLMIC - INSURANCE REIMBURSEMENT	$2,814,957
EXPRESS SCRIPT	$620,728

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$134,333,899	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED PROFESSIONAL AND GENERAL LIABILITIES	$30,630,000
ACCRUED PENSION PAYABLE	$59,643,227
ACCRUED POST RETIREMENT BENEFITS	$2,907,000
INSURANCE CLAIMS PAYABLE	$2,366,002
OTHER CURRENT LIABILITIES	$8,690,000
OTHER LIABILITIES	$2,389,414

Field	Value	IRS element (for citing)
Total Liability	$106,625,643	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	TWO FUNDS EXIST AT THE HOSPITAL, THE ANNUAL IMPROVEMENT FUND AND THE SPECIAL PURPOSE FUND. THESE FUNDS ARE RESTRICTED AS TO THEIR PURPOSE OR TIME AS IS STIPULATED BY THE DONOR'S REQUEST. THE MONEY IS KEPT IN SEPARATE INVESTMENT VEHICLES FOR EACH FUND. UNRESTRICTED DONATIONS ARE KEPT IN THESE TEMPORARY FUNDS ALSO. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS AND ARE TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THESE ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH MAY BE RESTRICTED FOR SPECIFIC HOSPITAL ACTIVITIES OR MAY BE UNRESTRICTED AS TO USE. IF A DONATION IS MADE FOR A SPECIAL PROGRAM, IT IS PLACED INTO A TEMPORARILY RESTRICTED CATEGORY. WHEN THE EXPENDITURE IS INCURRED TO FULFILL THE REQUIREMENTS OF THIS PROGRAM/DONATION, THE FUNDS ARE TRANSFERRED FROM TEMPORARILY RESTRICTED STATUS AND ARE EXPENDED.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$9,568,694	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$9,568,694	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,568,694	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Gross Receipts Event1	$822,615	GrossReceiptsEvent1Amt
Charitable Contri Event1	$691,139	CharitableContriEvent1Amt
Gross Revenue Event1	$131,476	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$62,500	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$211,071	OtherDirectExpensesEvent1Amt
Gross Receipts Event2	$474,025	GrossReceiptsEvent2Amt
Charitable Contri Event2	$327,207	CharitableContriEvent2Amt
Gross Revenue Event2	$146,818	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$120,584	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$127,689	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$1,296,640	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,018,346	CharitableContributionsTotAmt
Gross Revenue Total Events	$278,294	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$183,084	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$338,760	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$521,844	DirectExpenseSummaryEventsAmt
Net Income Summary	-$243,550	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1337	PersonsServedCnt
Total Community Benefit Expns	$1,585,729	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,546,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,461	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	66854	PersonsServedCnt
Total Community Benefit Expns	$82,675,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,965,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,709,757	NetCommunityBenefitExpnsAmt
Total Expense	0.06160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	68191	PersonsServedCnt
Total Community Benefit Expns	$84,261,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,512,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,749,218	NetCommunityBenefitExpnsAmt
Total Expense	0.06170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	152	ActivitiesOrProgramsCnt
Persons Served	9272	PersonsServedCnt
Total Community Benefit Expns	$318,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,854	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	94	PersonsServedCnt
Total Community Benefit Expns	$5,890,002	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,195,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	72253	PersonsServedCnt
Total Community Benefit Expns	$45,911,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,507,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,404,212	NetCommunityBenefitExpnsAmt
Total Expense	0.03690	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	159	ActivitiesOrProgramsCnt
Persons Served	81619	PersonsServedCnt
Total Community Benefit Expns	$52,120,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,702,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,723,066	NetCommunityBenefitExpnsAmt
Total Expense	0.03750	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	161	ActivitiesOrProgramsCnt
Persons Served	149810	PersonsServedCnt
Total Community Benefit Expns	$136,381,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,214,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,472,284	NetCommunityBenefitExpnsAmt
Total Expense	0.09920	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	13018	PersonsServedCnt
Total Community Benefit Expns	$39,857	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,857	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	85	ActivitiesOrProgramsCnt
Persons Served	2908	PersonsServedCnt
Total Community Benefit Expns	$466,223	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$466,223	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	104	ActivitiesOrProgramsCnt
Persons Served	15926	PersonsServedCnt
Total Community Benefit Expns	$506,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$506,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$21,228,606	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,420,976	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$160,545,082	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$172,883,755	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,338,673	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NEW YORK MEDICAL PARTNERS ACO LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ACCOUNTABLE CARE ORGANIZATION	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	SOUTH NASSAU COMMUNITIES HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.SOUTHNASSAU.ORG	WebsiteAddressTxt
State License	2950001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU COMMUNITIES HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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 (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX	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
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOUTH NASSAU COMMUNITIES HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A SERIES OF COLLABORATIVE CHNA PLANNING AND IMPLEMENTATION MEETINGS WITH REPRESENTATION AND INPUT FROM PUBLIC HEALTH EXPERTS, FROM LOCAL ACADEMIC PARTNERS, THE NASSAU COUNTY DEPARTMENT OF HEALTH, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH AND HOSPITALS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS LOCATED THROUGHOUT NASSAU AND SUFFOLK COUNTIES. THE LONG ISLAND HEALTH COLLABORATIVE, CONSISTING OF OVER ONE HUNDRED ENTITIES, DEVELOPED THE HEALTH NEEDS ASSESSMENT AND THEN DISTRIBUTED IT TO THE PUBLIC VIA THE INTERNET, LOCAL COMMUNITY BASED ORGANIZATIONS, THE PARTICIPATING HOSPITALS AND COMMUNITY MAILINGS. THE LONG ISLAND POPULATION HEALTH IMPROVEMENT PROGRAM (LIPHIP) IS A NEW YORK STATE DEPARTMENT OF HEALTH GRANT-FUNDED INITIATIVE; THE LONG ISLAND HEALTH COLLABORATIVE (LIHC) IS A WORKGROUP OF THE LIPHIP. TO CAPTURE THE VALUABLE PERSPECTIVES OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS) AND SOCIAL SERVICE AGENCIES ON LONG ISLAND, THE PHIP HELD TWO SUMMIT EVENTS DURING WHICH QUALITATIVE DATA WAS COLLECTED. REPRESENTATIVES FROM A COMPREHENSIVE NETWORK OF ORGANIZATIONS WHO POSSESS UNPARALLELED EXPERIENCE WORKING WITH COMMUNITY MEMBERS THROUGHOUT LONG ISLAND PARTICIPATED DURING THESE EVENTS. SOME EXAMPLES OF PARTICIPATING CBOS ARE LI CARES, MOMMAS HOUSE, CATHOLIC HOME CARE, COORDINATING AGENCY FOR SPANISH AMERICANS, FAMILY & CHILDREN'S ASSOCIATION, LGBT NETWORK, SOCIETY OF ST. VINCENT DE PAUL, AND THE HISPANIC COUNSELING CENTER. A TOTAL OF 45 ORGANIZATIONS FROM NASSAU COUNTY PARTICIPATED IN THE SUMMIT WHICH CONTRIBUTED TO THE DIVERSITY AND BREADTH OF QUALITATIVE DATA COLLECTED AND ANALYZED. A SCRIPT FOR FACILITATORS WAS DEVELOPED AND USED AS THE PRIMARY DATA COLLECTION TOOL, ADAPTED FROM THE NASSAU COUNTY DEPARTMENT OF HEALTH'S KEY INFORMANT SCRIPT. QUESTIONS PERTAINED TO HEALTH PROBLEMS AND CONCERNS, HEALTH DISPARITIES, BARRIERS TO CARE, SERVICES AVAILABLE AND OPPORTUNITIES FOR IMPROVEMENT.FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX 1 OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX.
SOUTH NASSAU COMMUNITIES HOSPITAL	PART V, SECTION B, LINE 6A: FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX 1 OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX.
SOUTH NASSAU COMMUNITIES HOSPITAL	PART V, SECTION B, LINE 6B: FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX 1 OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX.
SOUTH NASSAU COMMUNITIES HOSPITAL	PART V, SECTION B, LINE 7D: THE HOSPITAL ADVERTISED THE NEW COMMUNITY SERVICE PLAN (CSP) WHICH WAS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT, IN OUR COMMUNITY NEWSLETTER CALLED "HEALTHY OUTLOOK" WHICH REACHES OVER 320,000 PEOPLE. THERE, COMMUNITY MEMBERS CAN FIND WHERE TO PICK UP A COPY OF THE CSP OR WHERE TO VIEW AN ELECTRONIC VERSION. INSTITUTION TO IMPACT THE IDENTIFIED ISSUES.
SOUTH NASSAU COMMUNITIES HOSPITAL	PART V, SECTION B, LINE 11: DETAILS ON HOW SOUTH NASSAU COMMUNITIES HOSPITAL, INC. IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA ARE IDENTIFIED IN THE HOSPITAL'S COMPREHENSIVE 2016-2018 COMMUNITY SERVICE PLAN (CSP), AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX. THIS 3-YEAR PLAN EXPLAINS IN DETAIL THE MANY WAYS WE ARE COMMITTED TO THE HEALTH OF THE COMMUNITIES WE SERVE BY OFFERING COMMUNITY PROGRAMS (I.E. 5-WEEK SMOKING CESSATION PROGRAM), LECTURES (I.E. DIABETES PREVENTION, CARDIOVASCULAR HEALTH, FALL PREVENTION) AND FREE HEALTH SCREENINGS (I.E. CHOLESTEROL, BLOOD PRESSURE, PSA).THE CRITERIA UTILIZED TO DETERMINE THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITIES WE SERVE INCLUDED ANALYSIS OF THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY, REVIEW OF THE INFORMATION GLEANED FROM THE NASSAU COUNTY CBO SUMMIT, AND REVIEW OF PUBLICLY-AVAILABLE DATA SETS INCLUDING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), NEW YORK STATE PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND NEW YORK STATE VITAL STATISTICS. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM. THE HEALTH CONCERNS WHICH SURFACED AS TOP PRIORITIES WERE: 1) REDUCING OBESITY IN CHILDREN AND ADULTS, AND 2) INCREASING PREVENTIVE CARE AND INCREASING MANAGEMENT OF CHRONIC DISEASES. MENTAL HEALTH WAS ALSO IDENTIFIED AS A HEALTH CARE NEED AND SOUTH NASSAU COMMUNITIES HOSPITAL INCLUDED THIS FOCUS AS AN OVERLAY TO BOTH AGENDAS. THEREFORE, YOU WILL SEE THAT THE EFFECTS OF STRESS ON BOTH MENTAL AND PHYSICAL HEALTH WERE INCORPORATED IN THE PLANNED COMMUNITY STRATEGIES AND INTERVENTIONS IN THE COMMUNITY SERVICE PLAN.SOCIAL DETERMINANTS OF HEALTH WHICH WILL NOT BE ADDRESSED DIRECTLY IN OUR CSP INCLUDE ACCESS TO HEALTHY FOOD, UNSAFE LIVING ENVIRONMENTS, LACK OF CHILDCARE FUNDING FOR LOW-INCOME WORKERS, AND HIV/STD SCREENING AND PREVENTION. THE REASONS FOR NOT ADDRESSING THESE AREAS OF NEED INCLUDE LACK OF FUNDING, LACK OF QUALIFIED PERSONNEL AND/OR LIMITED ABILITY AS AN INSTITUTION TO IMPACT THE IDENTIFIED ISSUES.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SNCH - OUTPATIENT BEHAVIORAL HEALTH
2277 GRAND AVE	BALDWIN	NY	11510	OUTPATIENT
2 - SNCH - FAMILY PRACTICE CENTER
196 MERRICK ROAD	OCEANSIDE	NY	11572	OUTPATIENT
3 - SNCH - RADIATION ONCOLOGY THERAPY CNTR
ONE SOUTH CENTERAL AVE	VALLEY STREAM	NY	11580	OUTPATIENT
4 - SNCH - OUTPATIENT DIALYSIS CENTER
3618 OCEANSIDE ROAD	OCEANSIDE	NY	11572	OUTPATIENT
5 - SNCH - OUTPATIENT ANNEX
440 MERRICK ROAD	OCEANSIDE	NY	11572	OUTPATIENT
6 - SNCH - SLEEP CENTER
1420 BROADWAY	HEWLETT	NY	11557	OUTPATIENT
7 - SNCH - HOMECARE AGENCY
2277 GRAND AVE	BALDWIN	NY	11510	OUTPATIENT
8 - SNCH - LONG TERM HOMECARE AGENCY
2277 GRAND AVE	BALDWIN	NY	11510	OUTPATIENT
9 - SNCH - FAMILY MEDICINE AT LONG BEACH
761 FRANKLIN BLVD	LONG BEACH	NY	11561	OUTPATIENT
10 - SNCH - OFF CAMPUS EMERGENCY DEPARTMENT
325 EAST BAY DRIVE	LONG BEACH	NY	11561	OUTPATIENT
11 - SNCH - MENTAL HEALTH AT HEMPSTEAD
175 FULTON AVE	HEMPTEAD	NY	11550	OUTPATIENT
12 - SNCH - DIABETES EDUCATION CENTER
519 MERRICK RD	ROCKVILLE CENTRE	NY	11570	OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE HOSPITAL FILED A 2016-2018 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON OCTOBER 27, 2016.
PART I, LINE 7:	IN LIEU OF A COST ACCOUNTING SYSTEM, THE COST TO CHARGE RATIO WAS GENERATED FROM THE 2018 INSTITUTIONAL COST REPORT STEP-DOWN. THIS METHODOLOGY APPLIES COSTS TO EACH UNIT BY SERVICE. THE COST TO CHARGERATIO WAS UTILIZED TO DERIVE THE COSTS.
PART I, LINE 7G:	INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, INPATIENT PEDIATRIC, INPATIENT PSYCHIATRIC, AND TRANSITIONAL CARE UNIT PROGRAMS.
PART I, LN 7 COL (F):	DISTINGUISHING BAD DEBT EXPENSE FROM CHARITY CARE REQUIRES JUDGMENT; TOGETHER, THEY REPRESENT UNCOMPENSATED CARE. THE HOSPITAL'S POLICY REGARDING CHARITY ARE IS TO PROVIDE A SIGNIFICANT AMOUNT OF CARE WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SERVICES RENDERED; THIS INCLUDES FREE CARE AND A SLIDING FEE SCALE, BASED ON THE PATIENTS' ABILITY TO PAY WHICH IS DEFINED AS UP TO 300% OF THE POVERTY LEVEL. THE HOSPITAL UTILIZES A CREDIT VERIFICATION FIRM TO ASSIST IN DETERMINING IF UNINSURED PATIENTS MEET THE HOSPITAL'S CHARITY CRITERIA. THIS PROCESS IDENTIFIES UNINSURED PATIENTS THAT WERE UNDER THE POVERTY LEVEL BUT DID NOT APPLY FOR CHARITY CARE.
PART III, LINE 2:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 ANDLINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT).
PART III, LINE 3:	THE AMOUNT REPORTED IN PART III LINE 3 WAS RELATED TO THE EMERGENCY ROOM'S BAD DEBT AT COST. THE FIGURE WAS DERIVED USING THE EMERGENCY ROOM'S BAD DEBT GROSS CHARGES AND MULTIPLYING THIS AMOUNT BY THE EMERGENCY'S ROOMS SPECIFIC RCC TO COME UP WITH THE BAD DEBT EXPENSE AT COST FOR THE EMERGENCY ROOM. WE DID NOT INCLUDE ANY AMOUNTS OF BAD DEBT IN PART I LINE 7. WE BELIEVE THE ENTIRE AMOUNT SHOULD BE CONSIDERED CHARITY CARE. EMTALA AND OTHER REGULATIONS REQUIRE THAT THE HOSPITAL PROVIDE EMERGENCY SERVICES TO INDIVIDUALS BEFORE DISCUSSING FINANCIAL INFORMATION.CHARITY CARE IS USUALLY RELATED TO PATIENTS WHO WE DEFINE AS LACKING THEABILITY TO PAY. A HOSPITAL'S INABILITY TO COLLECT FROM A PATIENT WHO HAS THE MEANS TO PAY IS BAD DEBT EXPENSE.OUR REGISTRATION DEPARTMENT DOES NOT HAVE THE ABILITY TO DETERMINE THEEMERGENCY ROOM PATIENT FINANCIAL STATUS BEFORE CARE IS DELIVERED AND IN MANY CASES, THE INFORMATION PROVIDED BY THE PATIENTS IS INACCURATE. SINCE WE RENDERED CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY WE BELIEVE THAT THESE PATIENTS ARE SIMILAR TO CHARITY CARE AND NOT BAD DEBT.
PART III, LINE 4:	BAD DEBT EXPENSE IS DESCRIBED IN PAGE 20 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	SOUTH NASSAU COMMUNITIES HOSPITAL CONSIDERS THE MEDICARE SHORTFALL AS ABENEFIT PROVIDED TO THE COMMUNITY. IF IT WAS ALLOWED TO BE INCLUDED IN THE SHORTFALL, THE COMMUNITY BENEFIT PERCENTAGE WOULD BE 12.38%. THE AMOUNT REPORTED IN PART III, LINE 6 WAS RELATED TO MEDICARE'S ALLOWABLE COSTS. THE FIGURE WAS DERIVED USING THE MEDICARE CHARGES AS REPORTED ON THE ANNUAL INSTITUTIONAL COST REPORT AND MULTIPLYING THAT AMOUNT BY THE RATIO OF COST TO CHARGE (RCC).
PART III, LINE 9B:	UPON APPLYING FOR CHARITY CARE, THE PATIENT IS ADVISED TO DISREGARD ALL BILLS SENT BY THE HOSPITAL UNTIL A FINAL DECISION HAS BEEN MADE. A PATIENT THAT RECEIVES PARTIAL CHARITY CARE IS SUBJECT TO THE HOSPITAL COLLECTION POLICY EXCEPT THAT:1) THE PATIENT WILL BE PROVIDED WITH A WRITTEN NOTICE 30 DAYS PRIOR TO THE ACCOUNT GOING TO COLLECTION.2) THE HOSPITAL WILL NOT PLACE A LIEN ON THE PATIENT'S ASSETS.
PART VI, LINE 2:	IN AN EFFORT TO IDENTIFY THE NEEDS OF PATIENTS AND COMMUNITIES, SOUTH NASSAU UTILIZES TOOLS AND COLLABORATES WITH LOCAL AND STATE GOVERNMENTS, CIVIC ASSOCIATIONS AND OTHER COMMUNITY GROUPS TO ESTABLISH THE NEEDS OF THE COMMUNITY THE HOSPITAL SERVICES. NASSAU COUNTY DEPARTMENT OF HEALTH CONDUCTED A COMPARISON BETWEEN A SELECTED GROUP OF COMMUNITIES AND THE REST OF THE COUNTY POPULATION. THE ANALYSIS HELPED TO LOCATE MANY OF THE HEALTH DISPARITIES THAT EXIST WITHIN THE COUNTY. THE SELECTED COMMUNITIES WERE CHOSEN WITH THE ASSISTANCE OF AN INDEX COMPRISED OF MULTIPLE SOCIOECONOMIC AND HEALTH RELATED FACTORS. OF THE NINE IDENTIFIED AT-RISK COMMUNITIES, THREE FALL WITHIN OUR PRIMARY SERVICE AREA (FREEPORT, LONG BEACH, AND ROOSEVELT) AND FOUR WITHIN OUR SECONDARY SERVICE AREA (ELMONT, HEMPSTEAD, UNIONDALE, AND INWOOD. SO, WHILE NASSAU COUNTY AS A WHOLE APPEARS TO BE QUITE WELL OFF, THERE IS AN UNEQUAL DISTRIBUTION OF WEALTH AND WELLBEING AMONG COMMUNITIES.-THE HOSPITAL PARTICIPATES IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES PATIENT SATISFACTION SURVEY (KNOWN AS HCAHPS) BY USING PRESS GANEY, WHICH CONDUCTS A PHONE SURVEY, CONTACTING A STATISTICALLY VALID SAMPLE OF INPATIENTS AFTER DISCHARGE. SURVEY QUESTIONS INQUIRE ABOUT PATIENTS' SATISFACTION WITH THE DOCTORS, NURSES, TRANSITIONS OF CARE PLANNING, MEDICATIONS AND HOSPITAL SERVICES. QUARTERLY SURVEY RESULTS ARE BENCHMARKED AGAINST NATIONAL, STATE AND COMPARABLE HOPSITALS. THE QUARTERLY RESULTS ARE REVIEWED BY THE ADMINISTRATIVE TEAM, MANAGERIAL STAFF AND HOSPITAL STAFF. QUARTERLY ACTION PLANS TO IMPROVE THE SCORES NOT MEETING ESTABLIHSED GOALS ARE DEVELOPED BY THE VARIOUS NURSING UNITS AND DEPARTMENTS. -SOUTH NASSAU'S BOARD, WHICH IS COMPOSED OF LOCAL INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY THE HOSPITAL AND INCLUDES A CROSS-SECTION OF REPRESENTATIVES SUCH AS CLERGY, BUSINESS PEOPLE AND PHYSICIANS, MEETS REGULARLY. WHILE THE MEMBERS OF SOUTH NASSAU COMMUNITIES HOSPITAL'S BOARD OF DIRECTORS ACCEPT RESPONSIBILITY FOR GOVERNANCE OF THE HOSPITAL, THEY ARE ALSO COMMUNITY ADVOCATES. AS SUCH, THEY ARE ABLE TO SPEAK ON BEHALF OF THE COMMUNITY AND RAISE ISSUES WITH THE HOSPITAL OR CONSIDER ACTIONS THAT AFFECT HOSPITALS PLANS AND OPERATIONS. THE BOARD HAS ESTABLISHED A NUMBER OF COMMITTEES THAT ARE RESPONSIBLE FOR OVERSIGHT AND COORDINATION OF HOSPITAL ACTIVITIES IN REGARDS TO COMMUNITY ADVOCACY.-SOUTH NASSAU SOLICITS THE COMMUNITY'S FEEDBACK FOLLOWING FREE PUBLIC CONFERENCES IT SPONSORS EACH YEAR. SURVEYS YIELD VALUABLE INFORMATION SUCH AS COMMUNITY PREFERENCE FOR SEMINAR CONTENT AND FORMAT AND REQUESTS FOR EXPANDED PROGRAMS AND SERVICES.-DEPARTMENTS HOSPITAL-WIDE HAVE RELATIONSHIPS WITH INDIVIDUALS AND GROUPS WHO HAVE SPECIAL NEEDS, SUCH AS PHYSICAL HANDICAPS, LANGUAGE BARRIERS AND CULTURAL ISSUES. THESE DEPARTMENTS ENCOURAGE COMMENTS AND SUGGESTIONS FROM THESE POPULATIONS. THEIR FEEDBACK IS USED TO ASSESS THE EFFECTIVENESS OF EXISTING PROCEDURES AND PROGRAMS.-SOUTH NASSAU'S ADMINISTRATION MAINTAINS AN OPEN-DOOR POLICY AND ANY MEMBER OF THE COMMUNITY IS WELCOME TO COMMENT. ANY REASONABLE ISSUE RAISED IS ADDRESSED AND CARE IS TAKEN TO RESPOND IN A TIMELY AND SATISFACTORY FASHION.-SOUTH NASSAU MAINTAINS THREE WEBSITES: WWW.SOUTHNASSAU.ORG; WWW.LIGAMMA.ORG; AND WWW.SOUTHNASSAUBARIATRICS.ORG. THE WEBSITES OFFER AN AVENUE FOR PEOPLE TO E-MAIL QUESTIONS AND REQUESTS FOR INFORMATION TO THE HOSPITAL. THEY ALSO SERVE AS A COMPREHENSIVE SOURCE OF INFORMATION ON THE HOSPITAL'S SERVICES, SPECIALTY CENTERS, PHYSICIANS, NEW DEVELOPMENTS AND EMPLOYMENT OPPORTUNITIES.-SOUTH NASSAU'S ADMINISTRATION IS IN CONSTANT COMMUNICATION WITH LOCAL AND GOVERNMENT LEADERS IN DETERMINING THE NEEDS OF THE COMMUNITIES. THE ADMINISTRATIVE TEAMS ALSO ARE INVOLVED WITH HOSPITAL ASSOCIATIONS AND OTHER HEALTHCARE ASSOCIATES WHICH TARGET THE NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES. NEW YORK STATE'S DEPARTMENT OF HEALTH ALSO WORKS VERY CLOSELY WITH THE HOSPITAL TO HELP ASSESS THE NEEDS OF THE COMMUNITY SERVED.-SOUTH NASSAU'S FOUR ACTIVE AUXILIARIES ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITIES THEY REPRESENT.-THE HOSPITAL COLLECTS DATA WITH REGARDS TO ECONOMIC, SOCIAL, CULTURAL AND GEOGRAPHIC BARRIERS THAT EXIST.
PART VI, LINE 3:	THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH TRANSLATION CAPABILITIES THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND SPANISH.THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL AID INCLUDING CHARITY CARE ON ITS EXTERNAL WEBSITE: SOUTHNASSAU.ORG DIRECTING THEM TO THE FINANCIAL ASSISTANCE DEPARTMENT.THE HOSPITAL EDUCATES ALL EMPLOYEES THAT INTERACT WITH PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CHARITY CARE AND WHERE TO FIND INFORMATION ON THESE PROGRAMS.FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS INCLUDED IN PATIENT GUIDES AND SERVICE LINE GUIDES THAT ARE PROVIDED TO PATIENTS.PATIENT BILLS SENT OUT INCLUDE A NOTE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ON THE BACK OF THE BILL IS A CHARITY CARE APPLICATION. BILLING AND ACCOUNT SERVICES DEPARTMENTS ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND INFORMS PATIENTS OF THIS POLICY. ANY PATIENT CAN REQUEST AN APPLICATION FOR CHARITY CARE FROM THE ABOVE REGISTRATION AREAS, BILLING OFFICE AND ACCOUNT SERVICES DURING REGULAR BUSINESS HOURS AND VIA TELEPHONE.
PART VI, LINE 4:	SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF OCEANSIDE. NASSAU COUNTY HAS A POPULATION OF 1.36 MILLION (BASED ON JULY 1, 2018 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $105,744 (ACCORDING TO 2013-2017 CENSUS DATA) AND $46,839 PER CAPITA (2013-2017(BASED ON PAST 12 MONTHS IN 2013- 2017 CENSUS). ACCORDING TO THE 2013-2017 CENSUS ESTIMATES, NASSAU COUNTY'S POVERTY LEVEL WAS 6.2%, WITH MORE OF THE POORER AREAS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY AND FALLING INTO THE HOSPITAL'S SERVICE AREA. HISPANICS, ALONG WITH OTHER MINORITIES, ARE CONCENTRATED IN SOUTH SHORE COMMUNITIES SUCH AS BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT, AND INWOOD, WITH MANY OF THESE COMMUNITIES' MEMBERS BEING UNINSURED OR INSURED BY MEDICAID.BASED ON 2018 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 37% MEDICAID 23% SELF PAY 2% AND CHARITY CARE 1%.OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE FRANKLIN HOSPITAL-NORTHWELL HEALTH AND MERCY MEDICAL CENTER.
PART VI, LINE 5:	THE HOSPITAL HAS ESTABLISHED A COMMUNITY ADVOCACY COMMITTEE THAT IS COMPOSED OF MEMBERS OF A NUMBER OF COMMUNITY ORGANIZATIONS, AND REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, STAFF AND BOARD. THIS GROUP MEETS FOUR TIMES A YEAR TO IDENTIFY NEEDS OF THEIR RESPECTIVE COMMUNITIESAND TO DISCUSS ISSUES OR RECOMMEND ACTIONS IN THE INTEREST OF IMPROVED SERVICE TO THOSE COMMUNITIES. THIS INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR CONSIDERATION.SOUTH NASSAU'S DEPARTMENT OF COMMUNITY EDUCATION IS A VALUED COMMUNITY RESOURCE. THIS DEPARTMENT PROVIDES HEALTH EDUCATION, COMMUNITY OUTREACH, FREE HEALTH SCREENINGS, AND REFERRAL SERVICES TO THE COMMUNITIES WE SERVE. IN KEEPING WITH POPULATION HEALTH INITIATIVES, THE DEPARTMENT'S GOALS FOCUS ON PROMOTING WELLNESS AND PREVENTING OR MANAGING CHRONIC DISEASE. IN 2018, OUR COMMUNITY-WIDE EFFORTS TOUCHED THE LIVES OF MORE THAN 19,00 INDIVIDUALS. FEEDBACK FROM PROGRAM PARTICIPANTS AS WELL AS COMMUNITY PARTNERS CONTINUES TO BE OVERWHELMINGLY POSITIVE WHICH HAS BEEN EVIDENT IN POST-PROGRAM EVALUATIONS AND FOLLOW-UP. OUR SCREENINGS FOR THE YEAR TOTALED 1,695 AND INCLUDED BALANCE, BLOOD PRESSURE, BMI, CHOLESTEROL, COLORECTAL CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, SKIN CANCER, AND SLEEP ASSESSMENT. THE MISSION OF THE DEPARTMENT OF COMMUNITY EDUCATION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES THROUGH EDUCATION, AWARENESS, OUTREACH, PREVENTION AND SCREENING SERVICES. THROUGH ITS COMMUNITY-BASED INITIATIVES, THE DEPARTMENT STRIVES TO SUPPORT THE HOSPITAL'S PERFORMANCE TARGETS IN THE AREAS OF QUALITY, PATIENT SAFETY, AND SERVICE EXCELLENCE. THE DEPARTMENT PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS LOCAL LIBRARIES AND SCHOOLS, COMMUNITY CENTERS, SENIOR CENTERS AND CHURCHES TO PROVIDE EDUCATIONAL PROGRAMS, PRESENTATIONS AND SCREENINGS TO WHERE PEOPLE LIVE, WORK, AND PLAY. EXAMPLES OF THESE COMMUNITY PARTNERS ARE THE HEWLETT HOUSE 1 IN 9 CANCER SUPPORT CENTER, NEW YORK POISON CONTROL CENTER, THE OCEANSIDE JEWISH COMMUNITY CENTER, THE KNIGHTS OF COLUMBUS, THE TOWN OF HEMPSTEAD, AND THE CITY OF LONG BEACH.ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION OFFERS CPR CLASSES TO THE COMMUNITY AND BLS AND ACLS TO THE STAFF. THE DEPARTMENT RECOGNIZES THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' NATIONAL HEALTH OBSERVANCES WITH INFORMATION AND PRESENTATIONS ON THE MONTH'S CHOSEN TOPICS. COMMUNITY EDUCATION IS ALSO RESPONSIBLE FOR FOURTEEN FREE SUPPORT GROUPS RANGING FROM BARIATRIC SUPPORT TO BREAST CANCER TO BEREAVEMENT. THE ACTIVITIES OF THE DEPARTMENT OF COMMUNITY EDUCATION ARE REPORTED REGULARLY TO THE BOARD OF DIRECTORS.
PART VI, LINE 6:	THE HOSPITAL IS PART OF SOUTH NASSAU HEALTH SYSTEM WHICH WAS A MEMBER OF THE LONG ISLAND HEALTH NETWORK ("LIHN") THROUGH NOVEMBER 29, 2017. THE LONG ISLAND HEALTH NETWORK CONSISTS OF 10 HOSPITALS JOINED TOGETHER IN 1998 TO IMPROVE THEIR CLINICAL QUALITY, ENHANCE THEIR OPERATIONAL EFFICIENCY, AND EXPAND ACCESS TO CARE FOR THE 2.8 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. THE GOAL OF THE LONG ISLAND HEALTH NETWORK IS TO PROVIDE A HIGH LEVEL OF MEDICAL CARE, NO MATTER WHICH HOSPITAL YOU CHOOSE IN THE NETWORK. THIS HAS BEEN ACCOMPLISHED THROUGH A SINGLE INTEGRATED APPROACH TO MEASURING AND IMPROVING THE QUALITY OF HEALTHCARE THROUGHOUT OUR 10 MEMBER HOSPITALS. IN AN ERA WHEN HEALTHCARE IS INCREASINGLY DOMINATED BY LARGE, CENTRALLY GOVERNED HOSPITAL SYSTEMS, LIHN HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURERS' EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD MURPHY
PRESIDENT & CEO	$832,693	$0	$208,040	$0	$2,407	$0	$149,891	$0	$42,586	$0	$1,235,617	$0	$0	$0
ADHI SHARMA
CHIEF MEDICAL OFFICER	$452,653	$0	$93,382	$0	$4,800	$0	$17,366	$0	$29,167	$0	$597,368	$0	$0	$0
MARK BOGEN
CHIEF FINANCIAL OFFICER	$449,336	$0	$66,595	$0	$4,800	$0	$24,133	$0	$31,028	$0	$575,892	$0	$0	$0
WILLIAM ALLISON
CHIEF OPERATING OFFICER	$493,956	$0	$99,588	$0	$2,880	$0	$20,200	$0	$10,679	$0	$627,303	$0	$0	$0
SUSAN PENQUE
CHIEF NURSING OFFICER	$309,468	$0	$45,643	$0	$1,920	$0	$16,363	$0	$9,804	$0	$383,198	$0	$0	$0
ALAN GARELY
CLINICAL CHAIR OB/GYN	$954,599	$0	$130,628	$0	$0	$0	$7,346	$0	$23,503	$0	$1,116,076	$0	$0	$0
ASIF REHMAN
ASSOC DIR INTER CARDIO	$903,354	$0	$0	$0	$0	$0	$16,689	$0	$23,511	$0	$943,554	$0	$0	$0
HARMANDEEP SINGH
VASCULAR PHYSICIAN	$497,501	$0	$240,000	$0	$0	$0	$8,740	$0	$31,228	$0	$777,469	$0	$0	$0
JASON FREEMAN
DIR OF INTER CARDIO	$802,651	$0	$100,000	$0	$0	$0	$16,689	$0	$23,367	$0	$942,707	$0	$0	$0
LAWRENCE KANNER
DIR ELECTROPHYSIOLOGY	$743,195	$0	$101,250	$0	$0	$0	$17,654	$0	$26,017	$0	$888,116	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B:

SOUTH NASSAU COMMUNITIES HOSPITAL MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") FOR THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. THE SERP IS DESIGNED TO PROVIDE RICHARD MURPHY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH ANNUAL HOSPITAL FUNDED CONTRIBUTIONS OF $111,200 THAT ARE SUBJECT TO VESTING LIMITATIONS DESIGNED TO RETAIN MR. MURPHY. SENIOR EXECUTIVE POSITIONS, WHO ARE IMPACTED BY LIMITS UNDER THE HOSPITAL'S TAX-QUALIFIED RETIREMENT PLAN THAT DO NOT LIMIT OTHER EMPLOYEES, ALSO HAVE A SUPPLEMENTAL PLAN. THE SUPPLEMENTAL PLAN IS INTENDED ONLY TO MAKE UP FOR SUCH LIMITS AND CONTAINS VESTING SCHEDULES DESIGNED TO RETAIN THE EXECUTIVE UNTIL RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2018, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION: - MARK BOGEN - SUPPLEMENTAL RETIREMENT OF $10,670 - ADHI SHARMA, MD - SUPPLEMENTAL RETIREMENT OF $9,171 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2018, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN OTHER REPORTABLE COMPENSATION DUE TO THE PARTICIPANT'S ATTAINMENT OF NORMAL RETIREMENT AGE: RICHARD MURPHY - SUPPLEMENTAL RETIREMENT OF $27,858 WILLIAM ALLISON - SUPPLEMENTAL RETIREMENT OF $11,147 SUE PENQUE - SUPPLEMENTAL RETIREMENT OF $2,122

PART I, LINE 7:

THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PRE-ESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. AWARDS ARE SET FORTH IN PART II, COLUMN B(II). SCHEDULE J, ADDITIONAL DISCLOSURE THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR CERTAIN OFFICERS AND KEY PERSONNEL REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO SOUTH NASSAU COMMUNITIES HOSPITAL ("SNCH") AND ITS AFFILIATED ORGANIZATIONS. THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS.

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	NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	274291221	BondIssuerEIN
CUSIP	63166LBT7	CUSIPNum
Bond Issued	2012-10-23	BondIssuedDt
Issue Price	$100,932,698	IssuePriceAmt
Purpose	REFUND PRIOR BONDS ISSUED 8/22/01 & 8/7/03-CONSTRUCTION & EQUIP. PURCHASE	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$21,290,000	RetiredAmt
Total Proceeds	$100,932,698	TotalProceedsAmt
In Reserve Fund	$1,703,775	InReserveFundAmt
Capitalized Interest	$1,667,774	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,454,576	IssuanceCostsFromProceedsAmt
Capital Expenditures	$27,110,685	CapitalExpendituresAmt
Other Spent Proceeds	$70,699,662	OtherSpentProceedsAmt
Substantial Completion	2015	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP DATE THE REBATE COMPUTATION WAS PERFORMED: 01/13/2017
PART II, LINE 4:	THE AMOUNT SHOWN HERE CONSISTS OF DEPOSITS TO A BONA FIDE DEBT SERVICE FUND.
PART III, LINE 2:	CERTAIN PROPERTY FINANCED BY THE BONDS IS LEASED TO AFFILIATED 501(C)(3) ORGANIZATIONS; SUCH LEASES DO NOT GIVE RISE TO PRIVATE BUSINESS USE.
PART IV, LINE 6:	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (22 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$5,043,813	CATERING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$2,996,194	CONSTRUCTION SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$2,530,621	HEALTHCARE MANAGEMENT SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$2,112,195	MARKETING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,610,539	REAL ESTATE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,318,727	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$991,260	CONSTRUCTION SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$945,584	COMMERCIAL CLEANING	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$796,527	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$553,646	MEDICAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$520,460	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$424,682	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$407,000	MEDICAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$319,500	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$256,810	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$245,522	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$204,171	MEDICAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$187,654	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$124,171	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$112,200	REAL ESTATE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$15,000	SECURITY SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$8,360	MEDICAL SERVICES	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$68,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THERE WAS 1 CONTRIBUTOR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION.
FORM 990, PART III, LINE 1	SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION.
FORM 990, PART III, LINE 4A	MEDICAL AND SURGICAL INPATIENT SERVICES: THE HOSPITAL IS CERTIFIED FOR 329 MEDICAL SURGICAL BEDS. THESE BEDS INCLUDE A 36-BED ORTHOPEDIC SPECIALTY UNIT, A 38-BED ONCOLOGY (CANCER) UNIT, A 23-BED STEP-DOWN PROGRESSIVE CARE UNIT INCLUDING AN 8-BED BARIATRIC SURGERY UNIT AND 89 BEDS FOR TELEMETRY OR OTHERS WITH LESS THAN ACUTE CORONARY PROBLEMS. THE HOSPITAL ALSO HAS A 20 BED TRANSITIONAL CARE UNIT. THE HOSPITAL'S OPERATING ROOMS CONSISTS OF 15 SUITES WHICH ARE AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. A FULL RANGE OF SURGICAL SPECIALTIES ARE PERFORMED WHICH INCLUDE ORTHOPEDICS, SPINE SURGERY, PLASTIC SURGERY, NEUROSURGERY, GYNECOLOGIC SURGERY, GASTROINTESTINAL SURGERY, LAPAROSCOPIC BARIATRIC SURGERY (MINIMALLY INVASIVE SURGERY FOR WEIGHT LOSS), UROLOGY, OPHTHALMOLOGY, VASCULAR SURGERY, THORACIC SURGERY, PERMANENT PACEMAKERS, IMPLANTABLE DEFIBRILLATORS, PODIATRIC SURGERY, PEDIATRIC SURGERY, EAR, NOSE AND THROAT SURGERY, AND GENERAL SURGERY. THE HOSPITAL ADMITTED 16,412 MEDICAL SURGICAL PATIENTS IN 2018. PEDIATRICS SERVICES: THE HOSPITAL PROVIDES COMPREHENSIVE GENERAL AND SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND TEENAGERS IN NEED OF SURGICAL OR PREVENTIVE SERVICES OR CARE FOR INFECTIOUS DISEASES, SERIOUS ILLNESSES OR COMPLEX MEDICAL CONDITIONS. THIS UNIT FEATURES SPECIALISTS IN PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, HEMATOLOGY-ONCOLOGY, NEUROLOGY, PULMONARY MEDICINE AS WELL AS A PEDIATRIC SURGEON, NEONATOLOGIST AND ANESTHESIOLOGIST. A SPECIAL CARE PEDIATRIC UNIT EQUIPPED WITH THE LATEST PEDIATRIC MEDICAL TECHNOLOGY AND MONITORING SYSTEM, CAN EFFECTIVELY MANAGE AND TREAT ALMOST ANY EMERGENCY OR SERIOUS ILLNESS. THE UNIT FEATURES A MULTI-PURPOSE TREATMENT ROOM TO PERFORM MINOR PROCEDURES, WHETHER SURGICAL OR NON-SURGICAL. A TEAM OF SPECIALLY TRAINED NURSING STAFF AND PEDIATRICIANS, INCLUDING NURSING STAFF TRAINED IN PEDIATRIC ADVANCE LIFE SUPPORT (PALS), WITH SPECIALISTS ON-CALL AROUND THE CLOCK. THE HOSPITAL ADMITTED 137 PEDIATRIC PATIENTS IN 2018. MATERNITY AND NURSERY SERVICES: THE HOSPITAL HAS STATE-OF-THE-ART LABOR/DELIVERY ROOMS WHICH CREATE A COMFORTING ENVIRONMENT WHILE PROVIDING ALL THE NECESSARY EQUIPMENT AND CLINICAL SUPPORT FOR MOTHER AND BABY. ALL 26 POSTPARTUM BEDS OFFER PRIVATE ACCOMMODATIONS. THE HOSPITAL PROVIDES SPECIALIZED SERVICES FOR WOMEN WITH HIGH-RISK PREGNANCIES. THE UNIT IS STAFFED BY SOME OF THE AREA'S LEADING SPECIALISTS IN HIGH-RISK PREGNANCIES. SOUTH NASSAU PROVIDES A COMPREHENSIVE PACKAGE OF SERVICES, INCLUDING PERINATOLOGY, FETAL MONITORING, GENETICS COUNSELING, AND DIAGNOSTIC CARE FOR ALL STAGES OF HIGH-RISK PREGNANCIES INCLUDING AMNIOCENTESIS AND ULTRASOUND. THE HOSPITAL ADMITTED 3,824 MATERNITY PATIENTS (INCLUDING NEWBORNS) IN 2018. NEONATAL SERVICES: THE HOSPITAL ALSO HAS A LEVEL II NEONATAL INTENSIVE CARE UNIT FOR PREMATURE BABIES. PREMATURE DELIVERIES AND NEWBORNS WITH DEVELOPMENTAL COMPLICATIONS OR CONDITIONS RECEIVE THE SPECIALIZED CARE THEY NEED IN THE NEONATAL INTENSIVE CARE UNIT. STAFFED BY HIGHLY TRAINED, BOARD-CERTIFIED NEONATOLOGISTS AND NURSES, THE NURSERY PROVIDES INTENSIVE ONE-TO-ONE CARE AND IS EQUIPPED WITH DEDICATED MEDICAL TECHNOLOGY FOR PREMATURE DELIVERIES AND NEWBORNS WITH SPECIAL NEEDS. THE NURSERY ALSO FEATURES A STATE-OF-THE-ART MONITORING SYSTEM. THE HOSPITAL ADMITTED 97 NEONATES IN 2018. IN-PATIENT PSYCHIATRIC SERVICES: IN OUR 36-BED SHORT-TERM INPATIENT BEHAVIORAL HEALTH UNIT, WE PROVIDE RAPID STABILIZATION FOR A WIDE RANGE OF ACUTE PSYCHIATRIC CONDITIONS. PATIENTS RECEIVE PSYCHIATRIC AND PSYCHOLOGICAL CONSULTATION DURING THEIR HOSPITAL STAY TO ALLEVIATE DISTRESS AND PAIN. THE HOSPITAL ADMITTED 890 PSYCHIATRIC PATIENTS IN 2018. TRANSITIONAL CARE UNIT: THIS 20 BED UNIT PROVIDES "TRANSITIONAL" CARE FOR PATIENTS WHO HAVE COMPLETED THEIR ACUTE STAY IN THE HOSPITAL YET STILL REQUIRE SKILLED NURSING AND OTHER SUPPORTIVE CARE BEFORE RETURNING TO HOME OR OTHER LIVING ARRANGEMENTS. THE HOSPITAL ADMITTED 530 PATIENTS IN 2018. SUMMARY: THE HOSPITAL ADMITTED A TOTAL OF 21,808 PATIENTS IN 2018 FOR INPATIENT SERVICES. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS OR EMERGENCY BASIS. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $2.9 MILLION (CHARGES) FOR INPATIENTS SERVED IN 2018.
FORM 990, PART III, LINE 4B	AMBULATORY SURGERY: SOUTH NASSAU AMBULATORY SURGERY SERVICE LINE CONSISTS OF OUTPATIENT SURGICAL, ENDOSCOPY, PAIN MANAGEMENT AND CARDIAC SERVICES. SEE DETAILS OF THE SERVICES THAT COMPRISE AMBULATORY SURGERY BELOW: OUTPATIENT SURGERIES: SOUTH NASSAU'S AMBULATORY SURGERY UNIT (ASU) FEATURES 10 SEMI-PRIVATE PRE-OPERATIVE PATIENT SUITES WHERE THE PATIENT IS ADMITTED PRIOR TO SURGERY AND 16 SEMI-PRIVATE POSTOPERATIVE ROOMS WHERE PATIENTS COMPLETE PHASE TWO OF THEIR RECOVERY, RECEIVE PAIN MEDICATION AND POST-OPERATIVE TEACHING PRIOR TO BEING DISCHARGED FROM THE HOSPITAL. THE ASU POST-OPERATIVE UNIT IS OPEN 24 HOURS A DAY. THE HOSPITAL PERFORMED 5,372 OUTPATIENT SURGICAL PROCEDURES IN 2018. ENDOSCOPY: SOUTH NASSAU COMMUNITIES HOSPITAL'S ENDOSCOPY UNIT PROVIDES STATE-OF-THE-ART PATIENT CARE FOR BOTH INPATIENTS AND OUTPATIENTS REQUIRING UPPER OR LOWER GASTROINTESTINAL STUDIES. THE SERVICE OFFERS E.R.C.P. (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) STUDIES OF THE GALL BLADDER, PANCREAS AND BILE DUCTS. ALSO OFFERED ARE ENDOSCOPIC ULTRASOUND, WHICH EXAMINES THE WALLS AND THE SURROUNDING STRUCTURES OF THE GI SYSTEM; GASTROSCOPY AND COLONOSCOPY, A MINIMALLY INVASIVE PROCEDURE TO VIEW THE GASTROINTESTINAL SYSTEM INCLUDING THE ESOPHAGUS, STOMACH AND COLON; AND LIVER BIOPSIES. THE ENDOSCOPY UNIT ALSO PERFORMS PH AND MOTILITY STUDIES USING THE "BRAVO" CAPSULE. THE HOSPITAL PERFORMED 2,762 OUTPATIENT ENDOSCOPY PROCEDURES IN 2018. PAIN MANAGEMENT: SOUTH NASSAU'S PAIN MANAGEMENT UNIT PROVIDES CARE TO BOTH INPATIENTS AND OUTPATIENTS REQUIRING INTERVENTIONAL PAIN MANAGEMENT PROCEDURES. THE PAIN MANAGEMENT ANESTHESIOLOGISTS, WHO ARE ASSISTED BY HIGHLY SKILLED REGISTERED NURSES, ARE TRAINED IN CUTTING-EDGE INTERVENTIONAL PAIN MANAGEMENT MODALITIES. THE HOSPITAL PERFORMED 2,062 OUTPATIENT PAIN MANAGEMENT PROCEDURES IN 2018. CARDIAC SERVICES: CARDIAC CATHETERIZATION LABORATORY: THE HOSPITAL'S CARDIAC CATHETERIZATION LABORATORIES IN THE CENTER FOR CARDIOVASCULAR HEALTH USE STATE-OF-THE-ART DIGITAL IMAGING CAMERAS FOR THE HIGHEST POSSIBLE RESOLUTION AND IMAGE QUALITY. THIS PROVIDES PRECISE RESULTS FOR CARDIAC PROCEDURES WHILE SIGNIFICANTLY REDUCING THE PATIENT'S EXPOSURE TO RADIATION. SOUTH NASSAU WAS APPROVED BY THE DEPARTMENT OF HEALTH TO PERFORM ELECTIVE ANGIOPLASTY. THIS ALLOWS SOUTH NASSAU TO PERFORM DIAGNOSTIC CARDIAC CATHETERIZATIONS AS WELL AS BOTH ELECTIVE AND EMERGENT CORONARY ANGIOPLASTY PROCEDURES. THE CARDIAC CATHETERIZATION LAB AND THE CARDIAC SERVICES ADMITTING/RECOVERY UNIT ARE STAFFED BY SPECIALLY TRAINED REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN'S ASSISTANTS AND EXPERIENCED INTERVENTIONAL CARDIOLOGISTS WHO RANK AMONG THE BEST IN THE STATE. THE HOSPITAL PERFORMED 906 OUTPATIENT CATHETERIZATION PROCEDURES IN 2018. ELECTROPHYSIOLOGY LABORATORY: THE HOSPITAL'S ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF LIFE-THREATENING HEART RHYTHM DISORDERS. THE RECENTLY RENOVATED ELECTROPHYSIOLOGY LAB USES STATE-OF-THE-ART 3-D CARDIAC ANATOMIC MAPPING WHICH ALLOWS FOR THE PRECISE LOCATION OF IRREGULAR HEARTBEATS. THE ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB TEAM IS COMPOSED OF BOARD-CERTIFIED ELECTROPHYSIOLOGISTS TOGETHER WITH SPECIALLY TRAINED PHYSICIAN ASSISTANTS AND REGISTERED NURSES. THE LAB IMPLANTS PERMANENT PACEMAKERS, CARDIAC DEFIBRILLATORS, BIVENTRICULAR DEVICES AND LOOP RECORDERS AND PROVIDES ELECTROPHYSIOLOGY PROCEDURES SUCH AS TABLE TESTING, CARDIAC ABLATIONS, CARDIOVERSIONS, TRANSESOPHAGEAL ECHOCARDIOGRAMS AND DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES. PATIENTS RECEIVING PERMANENT PACEMAKERS OR DEFIBRILLATORS HAVE THE DEVICE INTERROGATIONS PERFORMED IN THE ELECTROPHYSIOLOGY LAB FOLLOWING THE IMPLANTATION AND AT ROUTINE INTERVALS. THE HOSPITAL PERFORMED 558 OUTPATIENT EP STUDIES IN 2018. SUMMARY: AMBULATORY SURGERY SERVICES WERE PROVIDED TO 12,487 MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $593 THOUSAND (CHARGES) FOR AMBULATORY PATIENTS SERVED IN 2018.
FORM 990, PART III, LINE 4C	EMERGENCY SERVICES: OCEANSIDE: THE EMERGENCY ROOM IS OPERATED ON A FULL TIME BASIS (24 HOURS 365 DAYS A WEEK). OUR EMERGENCY ROOM IS ONE OF THE BUSIEST ON THE SOUTH SHORE OF NASSAU COUNTY. THE EMERGENCY ROOM IS THIS AREA'S LEADING CENTER OF SPECIALIZED EMERGENCY CARE, WITH A SOLID REPUTATION FOR DEVELOPING AND IMPLEMENTING INNOVATIONS IN EMERGENCY HEALTH CARE SERVICES. THE EMERGENCY ROOM IS STAFFED BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING BOARD-CERTIFIED, RESIDENCY-TRAINED EMERGENCY MEDICINE PHYSICIANS (ONE OF FEW HOSPITALS IN NEW YORK WITH SUCH STAFFING), AS WELL AS NURSES, NURSE PRACTITIONERS AND PHYSICIANS' ASSISTANTS WHO HAVE BEEN SPECIALLY-TRAINED IN EMERGENCY MEDICAL CARE. THE EMERGENCY ROOM IS ALSO A LEVEL II TRAUMA CENTER, EQUIPPED WITH THE ADVANCED MEDICAL TECHNOLOGY AND SKILLED SPECIALISTS REQUIRED TO PERFORM EMERGENCY TRAUMA PROCEDURES. IT HAS ALSO BEEN DESIGNATED AS A STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH BECAUSE WE OFFER THE RAPID ASSESSMENT AND ADVANCED THERAPIES AND PROCEDURES THAT CAN MAKE A DIFFERENCE FORSTROKE PATIENT. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS RECEIVING EMERGENCY ROOM SERVICES CONSISTENT WITH OUR POLICY. THE HOSPITAL EXPERIENCED 60,693 EMERGENCY ROOM VISITS IN 2018 OF WHICH 16,871 PATIENTS WERE ADMITTED IN 2018, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $1.4 MILLION (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES. LONG BEACH: THE FREE STANDING EMERGENCY DEPARTMENT, WHICH OPERATES ON A FULL TIME BASIS (24 HOURS A DAY, 365 DAYS A YEAR), IS STAFFED WITH CERTIFIED EMERGENCY NURSES AND PHYSICIANS BOARD CERTIFIED IN EMERGENCY MEDICINE, AND HAS THE SAME FEATURES AND DIAGNOSTIC EQUIPMENT AS A TRADITIONAL EMERGENCY DEPARTMENT WITH THE EXCEPTION BEING THAT IT IS NOT LOCATED ON THE HOSPITAL'S MAIN CAMPUS. ANY PATIENTS REQUIRING CONTINUED HOSPITAL CARE OR ADMISSION ARE TRANSFERRED TO THE MAIN CAMPUS VIA A SOUTH NASSAU AMBULANCE. THESE TRANSFERS ARE PAID FOR BY THE HOSPITAL. IN 2018, THE LONG BEACH EMERGENCY DEPARTMENT EXPERIENCED 10,510 VISITS, OF WHICH 1,237 PATIENTS WERE TRANSFERRED TO THE HOSPITAL'S MAIN CAMPUS RESULTING IN 893 ADMISSIONS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $100,000 (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES.
FORM 990, PART VI, SECTION A, LINE 2	TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE SNCH GROUP OF AFFILIATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4	THE SNCH BY-LAWS WERE UPDATED TO REFLECT MOUNT SINAI HOSPITALS GROUP ("MOUNT SINAI") AS THE SOLE CORPORATE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL, REVISED THE RESERVED POWERS OF MOUNT SINAI, MODIFIED THE APPOINTMENT PROCEDURES FOR NEW BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 6	AS OF OCTOBER 23, 2018, MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS.
FORM 990, PART VI, SECTION A, LINE 7A	AS OF OCTOBER 23, 2018, MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	IN ADDITION TO SUCH AUTHORITY RESERVED TO THE TAXPAYER'S SOLE MEMBER, MOUNT SINAI HOSPITALS GROUP, INC. ("MOUNT SINAI") PURSUANT TO THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW, SUCH AS THE AUTHORITY TO (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS, CONSOLIDATIONS, THE DISSOLUTION OF THE TAXPAYER AND THE SALE, LEASE, MORTGAGE, PLEDGE OR OTHER TRANSFER OF SIGNIFICANT ASSETS OF THE TAXPAYER, THE APPROVAL OF THE FOLLOWING MATTERS HAVE BEEN SPECIFICALLY RESERVED TO MOUNT SINAI, IN ITS CAPACITY AS THE TAXPAYER'S SOLE MEMBER, PURSUANT TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS: (A) THE INITIATION BY SNCH OF A VENTURE INVOLVING THE JOINT OWNERSHIP OR OPERATION OF A BUSINESS ACTIVITY WITH ONE OR MORE THIRD PARTIES OR THE AMENDMENT OF AN EXISTING VENTURE IF, IN ANY SUCH CASE, SUCH VENTURE IS MATERIAL TO SNCH OR INVOLVES ONE OR MORE THIRD PARTIES THAT IS A COMPETITOR OF MSHG OR AN AFFILIATE OF MSHG; (B) ESTABLISHMENT OF ANY MATERIAL NEW LINE OF BUSINESS; (C) ANY MERGER, CONSOLIDATION OR DISSOLUTION OF SNCH OR ANY SNCH AFFILIATE; (D) ANY CORPORATE REORGANIZATION OF SNCH AND ANY ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY ORGANIZATION; (E) ANY ACQUISITION OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, LED E OR OTHER ALIENATION OF ASSETS OR PROPERTY OF SNCH OR ANY MATERIAL SUBSIDIARY THAT IN ANY CASE HAS A VALUE AT THE TIME OF THE TRANSACTION EQUAL TO OR GREATER THAN $10,000,000; (F) ANY TRANSACTION THAT RESULTS IN SNCH BECOMING THE SOLE MEMBER OR, TO THE EXTENT PERMITTED BY LAW, THE SOLE SHAREHOLDER OF ANY CORPORATION OWNING OR OPERATING A LICENSED HOSPITAL; (G) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING A MEMBER OF SNCH OR A MEMBER OR EQUITY OWNER OF A SNCH AFFILIATE; (H) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING ENTITLED TO APPOINT DESIGNEES TO THE BOARD OF DIRECTORS OF SNCH OR TO THE GOVERNING BOARD OF A SNCH AFFILIATE; (I) INITIATION OF BANKRUPTCY OR INSOLVENCY ACTIONS WITH RESPECT TO SNCH OR AN SNCH AFFILIATE; (J) ANY ACTION THAT RESULTS IN THE COMPLETE CLOSURE OR CONVERSION OF USE FROM A GENERAL ACUTE CARE MEMBER OF SNCH; (K) ANY AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF SNCH OR ANY AMENDMENT TO THE BYLAWS (PROVIDED THAT, DURING THE INITIAL PERIOD, SUCH RIGHT OF APPROVAL SHALL ONLY APPLY TO AMENDMENTS (I) THAT AFFECT THE RIGHTS OF THE MSHG, OR (II) THAT OTHERWISE AMENDS THE BYLAWS AND MSHG OBJECTS IN WRITING WITHIN THIRTY (30) DAYS OF ITS RECEIPT OF NOTICE); (L) ISSUANCE OF LONG TERM DEBT IN EXCESS OF $10,000,000, SUCH APPROVAL NOT TO BE UNREASONABLY WITHHELD; (M) THE SUBMISSION OF AN APPLICATION FOR A CERTIFICATE OF NEED ("CON") TO ANY REGULATORY AUTHORITY IF SUCH APPLICATION WILL BE SUBJECT TO FULL REVIEW BY SUCH REGULATORY AUTHORITY (PROVIDED NOTICE IS PROVIDED TO THE MEMBER OF ANY CON THAT IS NOT SUBJECT TO FULL REVIEW; (N) THE ESTABLISHMENT OF AN ACADEMIC AFFILIATION, OR THE AMENDMENT OF AN EXISTING ACADEMIC AFFILIATION AGREEMENT, WITH ANY EDUCATIONAL INSTITUTION OTHER THAN THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (EXISTING AFFILIATION AGREEMENTS ARE PERMITTED); OR (O) THE EXERCISE BY A MATERIAL SUBSIDIARY OF ANY AUTHORITY THAT PURSUANT TO THE GOVERNING DOCUMENTS OF SUCH MATERIAL SUBSIDIARY REQUIRES THE CONSENT OR APPROVAL OF SNCH OR ANY OTHER MATERIAL SUBSIDIARY.
FORM 990, PART VI, SECTION B, LINE 11B	THE POLICY OF SOUTH NASSAU COMMUNITIES HOSPITAL FOR REVIEWING AND APPROVING THE IRS FORM 990 IS THE FOLLOWING: THE AUDIT COMMITTEE, A SUB COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW AND APPROVE THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION, BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	SOUTH NASSAU COMMUNITIES HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS UPDATED ON AN ANNUAL BASIS WITH MEMBERS OF THE CORPORATE COMPLIANCE COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) AND WITH LEGAL COUNSEL. THE POLICY IS UPDATED FOR ANY NEW/UPDATED LEGAL AND GOVERNANCE ISSUES AND DISTRIBUTED TO BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT ON AN ANNUAL BASIS. ALONG WITH THE POLICY, A QUESTIONNAIRE IS PROVIDED TO ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT REQUESTING ACKNOWLEDGEMENT THAT THEY RECEIVED THE FORM, ASKING THEM TO DISCLOSE ALL KNOWN RELATIONSHIPS AND RETURN THE SIGNED FORM TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT FOLLOWS UP WITH ANY BOARD MEMBER, OFFICERS, KEY EMPLOYEES OR MANAGEMENT STAFF WHEN A POTENTIAL CONFLICT EXISTS. THIS INFORMATION IS THEN REPORTED BACK TO THE CORPORATE COMPLIANCE COMMITTEE WHICH THEN REPORTS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	15 (A) -SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE- HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15 (B) -COMPENSATION FOR THE OTHER OFFICERS (NOT MENTIONED ABOVE) AND KEY EMPLOYEES IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES.
FORM 990, PART VI, SECTION C, LINE 19	THE PUBLIC CAN OBTAIN A COPY OF THE 990, 990T, AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE HOSPITAL CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: 1-516-377-5370. THE HOSPITAL'S PREVIOUS YEARS' 990 CAN BE FOUND ON THE WEBSITE, WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES AND OUTSIDE SERVICE: PROGRAM SERVICE EXPENSES 46,044,245. MANAGEMENT AND GENERAL EXPENSES 6,541,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,585,935. OTHER PROF/OUTSIDE: PROGRAM SERVICE EXPENSES 2,081,594. MANAGEMENT AND GENERAL EXPENSES 255,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,337,334. AGENCY FEES - NON NURSING: PROGRAM SERVICE EXPENSES 1,735,891. MANAGEMENT AND GENERAL EXPENSES 246,625. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,982,516. OUTSIDE TEST: PROGRAM SERVICE EXPENSES 787,903. MANAGEMENT AND GENERAL EXPENSES 111,941. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 899,844. COLLECTION FEES: PROGRAM SERVICE EXPENSES 542,714. MANAGEMENT AND GENERAL EXPENSES 77,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 619,819.
FORM 990, PART XI, LINE 9:	TRANSFER TO/FROM RELATED PARTIES -3,109,819. PENSION AND POTRETIREMENT LIABILITY ADJUSTMENTS 13,399,692. NET ASSETS RELEASED FROM RESTRICTION 0.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU 195 NORTH VILLAGE RVC LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
EIN	831998916	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	-$4,684	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU COMMUNITIES HOSPITAL INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOUTH NASSAU UNIVERSITY HEALTH SYSTEM
ONE HUNTINGTON QUADRANGLE	MELVILLE	NY	11747	066427908	DELIVER CARE	NY	501(C)(3)	11	N/A	0
SIBS PLACE INC
1420 BROADWAY	HEWLETT	NY	11557	813485876	SUPPORT PROGRAM	NY	501(C)(3)	7	N/A	0
MOUNT SINAI HOSPITALS GROUP INC
ONE GUSTAVE L LEVY PLACE BOX 1099	NEW YORK	NY	10029	464242915	HOLDING COMPANY	NY	501(C)(3)	12 TYPE II		0	MSHS
THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136271888	SUPPORT	NY	501(C)(3)	12 TYPE II		0	MSHS
MITRAL FOUNDATION
1190 FIFTH AVENUE	NEW YORK	NY	10029	800468600	RESEARCH	NY	501(C)(3)	12 TYPE I		0	ISMMS
THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	223059294	SUPPORT	NY	501(C)(3)	12 TYPE I		0	ISMMS
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	133852596	REAL ESTATE	NY	501(C)(3)	12 TYPE I		0	SEE PART VII
MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUE	NEW YORK	NY	10029	200244426	REAL ESTATE	NY	501(C)(3)	12 TYPE I		0	SEE PART VII
MOUNT SINAI DIAG & TREATMENT CENTER
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	450537391	DIAG CLINIC	NY	501(C)(3)	3		0	MSH
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	201289396	MGMT	NY	501(C)(3)	12 TYPE I		0	SEE PART VII
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	800952088	SUPPORT PROGRAM	NY	501(C)(3)	12 TYPE I		0	ISMMS & MSH
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464248304	HOLDING COMPANY	NY	501(C)(3)	12 TYPE II	N/A	0
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136171197	SCHOOL	NY	501(C)(3)	2		0	MSHS
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133939476	HOLDING COMPANY	NY	501(C)(3)	12 TYPE I	N/A	0
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	133444730	HOLDING COMPANY	NY	501(C)(3)	12 TYPE I		0	BIMC
MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133838460	SURGICENTER	NY	501(C)(3)	3		0	BIMC HOLDCO
BI NURSING HOME COMPANY
327 EAST 17TH STREET	NEW YORK	NY	10003	133627753	NURSING HOME	NY	501(C)(3)	3		0	BIMC HOLDCO
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133547502	REAL ESTATE	NY	501(C)(3)	9		0	BIMC HOLDCO
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	111018985	HOSPITAL	NY	501(C)(3)	3		0	CHP
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132997301	HOSPITAL	NY	501(C)(3)	3		0	MSHG
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOOR	NEW YORK	NY	10019	133392851	REAL ESTATE	NY	501(C)(3)	12 TYPE I		0	SLR
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132914343	RESEARCH	NY	501(C)(3)	4		0	SLR
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET	NEW YORK	NY	10003	135562304	HOSPITAL	NY	501(C)(3)	3		0	MSHG
NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREET	NEW YORK	NY	10003	134012469	PRIVATE FDN	NY	501(C)(3)	PF		0	NYEE
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET	NEW YORK	NY	10003	311696826	REAL ESTATE	NY	501(C)(2)	N/A		0	NYEE
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOO	NEW YORK	NY	10019	300571387	FUNDRAISING	NY	501(C)(3)	7		0	BIMC
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET 5TH FLOO	NEW YORK	NY	10019	300571390	FUNDRAISING	NY	501(C)(3)	7		0	SLR
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	135564934	HOSPITAL	NY	501(C)(3)	3		0	MSHG
FOJP SERVICE CORPORATION
28 EAST 28TH STREET	NEW YORK	NY	10016	132914141	INSURANCE	NY	501(C)(3)	12 TYPE III	N/A	0
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR	NEW YORK	NY	10017	812057452	HEALTHCARE	NY	501(C)(3)	10		0	MSH
THE MOUNT SINAI HOSPITAL
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	131624096	HOSPITAL	NY	501(C)(3)	3		0	MSHG

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SN HEALTHCARE SERVICES
ONE HEALTHY WAY	OCEANSIDE	NY	11572	113571538	INACTIVE	NY	SOUTH NASSAU COMMUNITIES HOSPITAL INC	C	$5,000	1.00000	Yes (1)
SN HEALTHCARE REGISTRY
ONE HEALTHY WAY	OCEANSIDE	NY	11572	260228658	INACTIVE	NY	SOUTH NASSAU COMMUNITIES HOSPITAL INC	C		1.00000	Yes (1)
GREATER METROPOLITAN IPA II
150 EAST 42D STREET 5TH FL	NEW YORK	NY	10019	133977019	INACTIVE	NY	BIMCSLR	C			0
GREATER METROPOLITAN IPA V
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	134141695	INACTIVE	NY	BIMCSLR	C			0
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FL NEW YORK NY 10	NEW YORK	NY	10019	133618543	MGMT SERVICES	NY	SLR	C			0
SLR MANAGEMENT SERVICES
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133853145	MGMT SERVICES	NY	SLR	C			0
WEST CARE MEDICAL PC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133811203	INACTIVE	NY	SLR	C			0
MOUNT SINAI HC VENTURES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	460953126	HEALTH CARE M	NY	BIMC HOLDCO	C			0
HIBER-CELL INC
850 NEW BURTON ROAD SUITE 201	DOVER	DE	19904	820608182	CLINIAL LAB	DE	ISMMS	C			0
AMATHUS THERAPEUTICS INC
1506 BOSTON PROVIDENCE HIGHWAY STE	NORWOOD	MA	02062	814373501	BIOTECH/PHARM	MA	ISMMS	C			0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (41 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTH NASSAU FAMILY MEDICINE PC
R	$995,000	CASH BASIS
SOUTH NASSAU FAMILY MEDICINE PC
N	$502,044	CASH BASIS
SOUTH NASSAU FAMILY MEDICINE PC
B	$367,915	CASH BASIS
SN NEO NATAL PC
S	$302,000	CASH BASIS
SN NEO NATAL PC
B	$290,096	CASH BASIS
SN OBGYN PC
S	$1,444,500	CASH BASIS
SN OBGYN PC
N	$172,422	CASH BASIS
SN OBGYN PC
B	$313,042	CASH BASIS
SN ONOLOGY PC
R	$407,000	CASH BASIS
SN ONOLOGY PC
N	$73,368	CASH BASIS
SN ONOLOGY PC
B	$570,509	CASH BASIS
SN PHYSICIANS PRACTICE PC
R	$1,529,000	CASH BASIS
SN PHYSICIANS PRACTICE PC
N	$418,776	CASH BASIS
SN PHYSICIANS PRACTICE PC
B	$1,435,571	CASH BASIS
SN RADIOLOGY PC
S	$3,310,000	CASH BASIS
SN RADIOLOGY PC
N	$89,136	CASH BASIS
SN RADIOLOGY PC
B	$2,460,693	CASH BASIS
RADIOLOGICAL ASSOCIATES OF LONG ISLAND
R	$935,000	CASH BASIS
RADIOLOGICAL ASSOCIATES OF LONG ISLAND
N	$238,236	CASH BASIS
RADIOLOGICAL ASSOCIATES OF LONG ISLAND
B	$561,595	CASH BASIS
SOUTH NASSAU PRIMARY MEDICAL PC
S	$817,000	CASH BASIS
SOUTH NASSAU PRIMARY MEDICAL PC
N	$69,030	CASH BASIS
SOUTH NASSAU PRIMARY MEDICAL PC
B	$1,216,968	CASH BASIS
SN MEDICAL GROUP PC
S	$982,500	CASH BASIS
SN MEDICAL GROUP PC
B	$8,118,268	CASH BASIS
SN ONCOLOGY PRACTICE PC
S	$5,695,000	CASH BASIS
SN ONCOLOGY PRACTICE PC
B	$1,817,940	CASH BASIS
203 MERRICK ROAD HOLDING CORP
C	$41,525	CASH BASIS
SN SRVICES CORPORATION
B	$1,832,985	CASH BASIS
OCEANSIDE COUNSELING CENTER INC
Q	$173,669	CASH BASIS
SN PHYSICAN PC - DR DATTA
S	$838,000	CASH BASIS
SN PHYSICAN PC - DR DATTA
B	$308,920	CASH BASIS
SN PHYSICAN PC - DR DATTA
N	$59,820	CASH BASIS
SN UROLOGY PC
B	$1,374,728	CASH BASIS
SN UROLOGY PC
R	$476,000	CASH BASIS
ELITE PERINATOLOGY
B	$1,615,291	CASH BASIS
ELITE PERINATOLOGY
S	$1,032,000	CASH BASIS
NY MEDICINE PARTNERS ACO
B	$1,003,807	CASH BASIS
PHYSICIANS HOSPITAL ORG
B	$10,367	CASH BASIS
SN PHYSICIAN GROUP
C	$755,158	CASH BASIS
195 N VILLAGE LLC
B	$4,684	CASH BASIS

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE R, PART V, LINE 2	VALUE OF THE SERVICES ARE DONE ON A CASH BASIS.
PART II, LINE 5, COLUMN F	MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY.
PART II, LINE 7, COLUMN F	MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.
PART II, LINE 4 COLUMN F	MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY.