2018-11-15T14:00:58-06:00 2017-12-31 990 2017-01-01 200096809 PHYSICIANS OF UNIVERSITY HOSPITAL PC % NORTHWELL HEALTH INC PHYS 5163216058 972 BRUSH HOLLOW ROAD Suite 5TH FLR WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 69.27.229.130 26440820183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 08A1259C5F1059ABDC7B7C0B44F2F73D70A20910 2017 2019-02-21 02:37:17Z BRAHIM ARDOLIC 475 seaview avenue staten island NY 10305 188365945 false X WWW.NORTHWELL.EDU X 2003 NY THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES IN FURTHERANCE OF THE CHARITABLE PUR- POSES OF SIUH; A RELATED IRC SECTION 501(C)(3) TAX-EXEMPT HOSPITAL. 2 0 405 0 0 0 170409654 184656654 0 0 2173611 3709291 172583265 188365945 0 0 0 0 143605712 181874991 0 0 0 30474010 38001404 174079722 219876395 -1496457 -31510450 28680610 31635104 14042369 45448855 14638241 -13813751 THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF STATEN ISLAND UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. false false 199162481 184656654 EXPENSES INCURRED ACTING IN FURTHERANCE OF THE CHARITABLE PURPOSES OF STATEN ISLAND UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) tax-exempt hospital WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. 199162481 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 47 0 true 405 true false false false false false false false false false false false X 2 0 false false false false false true true true true false false true true true true true true true true true false NY X X NORTHWELL HEALTH INC 5163216058 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 DAVID BATTINELLI PRESIDENT & SECRETARY 0.0 50.0 X X 0 1200616 177851 THOMAS MCGINN VP & TREASURER 0.0 50.0 X X 0 1101751 58123 BRAHIM ARDOLIC MD CHAIR/DIR, RESEARCH & MED 0.0 50.0 X 0 642587 30300 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X 0 4041927 54840 MICHELE CUSACK SVP & CFO 0.0 50.0 X 0 1071679 149487 LAURENCE KRAEMER ASSIST SEC, SVP, INTERIM CHF 0.0 50.0 X 0 879404 58123 DEBORAH SCHIFF COO 0.0 50.0 X 0 1094086 243363 DONNA PROSKE EXECUTIVE DIRECTOR 0.0 50.0 X 0 919050 39228 NICOLE BERWALD MD ASSOC CHAIRPERSON 50.0 0.0 X 390869 0 56970 BORIS KHODORKOVSKY MD ASSOC CHAIRPERSON 50.0 0.0 X 438574 0 56970 CHRISTOPHER GRAZIANO MD ASSOC MEDICAL DIRECTOR 50.0 0.0 X 404050 0 56970 MOSHE WEIZBERG ASSOC CHAIRPERSON 50.0 0.0 X 441045 0 30300 JOSPEH BASILE Physician 50.0 0.0 X 399984 0 56970 2074522 10951100 1069495 117 false true false MEDAPTUS INC 176 FEDERAL STREET BOSTON MA 02110 IT SERVICES 204252 KING CLEAN 2744 HYLAN BLVD BOX 105 STATEN ISLAND NY 10308 JANITORIAL services 183595 APRIMA MEDICAL SOFTWARE INC 3330 KELLER SPRINGS ROAD CARROLLTON TX 75006 IT SERVICES 127442 CUSTOM COMPUTER SPECIALIST INC 70 SUFFOLK COURT HAUPPAUGE NY 11788 IT SERVICES 116606 4 0 PATIENT SERVICE REVENUE 621300 125497223 125497223 OTHER HEALTHCARE RELATED REVENUE 621300 59159431 59159431 184656654 0 0 0 128653 128653 0 128653 0 0 0 0 0 0 0 0 0 0 CAPITATION INCOME 900099 836869 836869 QUALITY MANAGEMENT REVENUE 900099 491370 491370 OTHER INCOME 900099 2252399 2252399 3580638 188365945 188237292 0 0 0 0 0 0 157149813 141434832 15714981 0 5066067 4559460 506607 12585899 11327309 1258590 7073212 6365891 707321 1064527 1064527 17748 17748 0 0 0 0 1054748 949273 105475 18401 16561 1840 7320633 6588570 732063 0 0 4840124 4356112 484012 132775 132775 0 241620 241620 0 0 733821 660439 73382 15981608 15981608 BILLING & COLLECTION 6121723 6121723 OTHER EXPENSES 191860 172674 19186 DUES & SUBSCRIPTIONS 281816 253634 28182 219876395 199162481 20713914 0 5769756 2103041 0 0 0 0 14938795 20524242 0 0 0 0 0 0 0 0 876035 773597 3459377 1289336 1066024 2170041 0 0 0 0 0 0 0 0 6030000 6064183 28680610 31635104 12105898 23254152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1936471 22194703 14042369 45448855 X 14638241 -13813751 0 0 0 0 14638241 -13813751 28680610 31635104 X -31510450 3058458 X false true X true false X X X 1 STATEN ISLAND UNIVERSITY HOSPITAL 112868878 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false 571640 482165 89476 335372 18092 317280 2117052 789079 1327973 435312 435312 2170041 OTHER ASSETS 64183 INVESTMENT IN ACQUIRED ENTITY 1000000 GOODWILL 5000000 6064183 0 DUE TO AFFILIATES 22194703 22194703 X 176176026 176176026 12189919 12189919 188365945 207686476 -12189919 -12189919 219876395 219876395 PART X, LINE 2 Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2017 and 2016, Northwell has a deferred income tax asset OF approximately $123,000,000 and $142,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $573,000,000, which expire in varying amounts through 2037, and are available to offset future taxable income. PART XI, LINE 4B RECONCILIATION OF REVENUE PHYSICIAN SERVICES RECLASS 12,189,919 PART XII, LINE 2D RECONCILIATION OF EXPENSE PHYSICIAN SERVICES RECLASS (12,189,919) X X X X X false true false false false false false true false BRAHIM ARDOLIC MD CHAIR/DIR, RESEARCH & MED 0 549407 0 74910 0 18270 0 29700 0 600 0 672887 0 0 NICOLE BERWALD MD ASSOC CHAIRPERSON 347682 0 38007 0 5180 0 29700 0 27270 0 447839 0 0 0 BORIS KHODORKOVSKY MD ASSOC CHAIRPERSON 354590 0 57794 0 26190 0 29700 0 27270 0 495544 0 0 0 CHRISTOPHER GRAZIANO MD ASSOC MEDICAL DIRECTOR 318847 0 48753 0 36450 0 29700 0 27270 0 461020 0 0 0 MOSHE WEIZBERG ASSOC CHAIRPERSON 369583 0 56561 0 14901 0 29700 0 600 0 471345 0 0 0 MICHAEL J DOWLING PRESIDENT & CEO 0 1474558 0 2543853 0 23516 0 29700 0 25140 0 4096767 0 0 MICHELE CUSACK SVP & CFO 0 775211 0 284418 0 12050 0 121106 0 28381 0 1221166 0 0 LAURENCE KRAEMER ASSIST SEC, SVP, INTERIM CHF 0 632884 0 204756 0 41764 0 29700 0 28423 0 937527 0 0 DEBORAH SCHIFF COO 0 804983 0 256342 0 32761 0 214940 0 28423 0 1337449 0 0 DAVID BATTINELLI PRESIDENT & SECRETARY 0 894718 0 232134 0 73764 0 159630 0 18221 0 1378467 0 0 THOMAS MCGINN VP & TREASURER 0 869967 0 189262 0 42522 0 29700 0 28423 0 1159874 0 0 DONNA PROSKE EXECUTIVE DIRECTOR 0 703805 0 166786 0 48459 0 29700 0 9528 0 958278 0 0 JOSPEH BASILE Physician 253399 0 46961 0 99624 0 29700 0 27270 0 456954 0 0 0 PART I, LINE 7 ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II). PART I, LINE 4B CERTAIN INDIVIDUALS PARTICIPATE IN A SUPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH IS SUBJECT TO SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECIEVE THE UNVESTED BENEFIT AMOUNT AND THE AMOUNTS OUTLINED HEREIN WERE PROPERLY NOT REPORTED IN EACH INDIVIDUAL'S FORM W-2, BOX 5. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, COLUMN C FOR DAVID BATTINELLI ($129,930), MICHELE CUSACK ($91,406) AND DEBORAH SCHIFF ($185,240). PART VI, SECTION A - GOVERNING BODY, LINE 7 Staten Island University Hospital is the sole member of this organization which exists through a physician nominee agreement due to state of new york corporate practice of medicine rules and regulations. NORTHWELL HEALTHCARE, INC. ("Healthcare") is the sole member of Staten Island University Hospital. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the NORTHWELL HEALTH, INC., an integrated health care delivery system. PART VI, SECTION B-POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B-POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. PART VI, SECTION B-POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C-DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates. PART XI, LINE 9 TRANSFER TO AFFILIATE 3,058,458 Feinstein Institute for Medical Research 972 Brush Hollow Road Westbury NY 11590 112673595 Research NY 501(C)(3) 4 NW HEALTH false Glen Cove Hospital 972 Brush Hollow Road Westbury NY 11590 111633487 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false Hillside Hospital Houses Inc 972 Brush Hollow Road Westbury NY 11590 112113949 Housing Comp NY 501(C)(2) N/A NW HEALTH false Hospice Care Network 99 Sunnyside Boulevard Woodbury NY 11797 112925757 Hospice NY 501(C)(3) 9 NW HEALTH false Huntington Hospital 270 Park Avenue Huntington NY 11743 111630914 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false Huntington Hosp Dolan Family Health Ctr 284 Pulaski Road Greenlawn NY 11740 113368503 HealthCare NY 501(C)(3) 3 Huntington false LIJ Foundation 972 Brush Hollow Road Westbury NY 11590 112661239 support org NY 501(C)(3) 12, TYPE I NW HEALTH false Long Island Jewish Medical Center 972 Brush Hollow Road Westbury NY 11590 112241326 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false LIJ Medical Center at Home Pharmacy 972 Brush Hollow Road Westbury NY 11590 113251128 support org NY 501(C)(3) 12, TYPE I NW HEALTH false North Shore Community Services Inc 972 Brush Hollow Road Westbury NY 11590 237273200 Housing Comp NY 501(C)(2) N/A NW HEALTH false North Shore University Hospital 972 Brush Hollow Road Westbury NY 11590 111562701 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false NS Univ Hospital at Glen Cove Housing 972 Brush Hollow Road Westbury NY 11590 237010468 Housing Comp NY 501(C)(2) N/A NW HEALTH false North Shore University Hospital Housing 972 Brush Hollow Road Westbury NY 11590 112171903 Housing Comp NY 501(C)(2) N/A NW HEALTH false NORTHWELL HEALTH STERN FAMILY CENTER FOR 972 Brush Hollow Road Westbury NY 11590 237007485 Nursing Home NY 501(C)(3) 9 NW HEALTHCAR false NORTHWELL HEALTHCARE Inc 972 Brush Hollow Road Westbury NY 11590 112965586 support org NY 501(C)(3) 12, TYPE I NW HEALTH false NORTHWELL HEALTH INC 972 Brush Hollow Road Westbury NY 11590 113418133 support org NY 501(C)(3) 12, TYPE I NA false NORTHWELL Health Foundation 972 Brush Hollow Road Westbury NY 11590 112965575 Fundraising NY 501(C)(3) 7 NW HEALTH false NORTHWELL HEALTH Laboratories 972 Brush Hollow Road Westbury NY 11590 113412370 support org NY 501(C)(3) 12, TYPE I NW HEALTH false North Shore-LIJ Medical Care Centers 972 Brush Hollow Road Westbury NY 11590 113473923 support org NY 501(C)(3) 12, TYPE I NW HEALTH false Plainview Hospital 972 Brush Hollow Road Westbury NY 11590 113241243 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false SIUH Systems Inc 475 Seaview Avenue Staten Island NY 10305 061074604 Fundraising NY 501(C)(3) 7 NW HEALTHCAR false Southside Hospital 972 Brush Hollow Road Westbury NY 11590 111667761 HealthCare NY 501(C)(3) 3 NW HEALTHCAR false SSH Inc 972 Brush Hollow Road Westbury NY 11590 112774102 support org NY 501(C)(3) 12, TYPE I SOUTHSIDE false Staten Island Univ Hospital Foundation 360 Seaview Avenue Staten Island NY 10305 870765787 Fundraising NY 501(C)(3) 7 SIUH false THE HEART INSTITUTE 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 311757254 SUPPORT ORG NY 501(C)(3) 12, TYPE I NA false LENOX HILL HOSPITAL 100 EAST 77TH STREET NEW YORK NY 10021 131624070 HEALTHCARE NY 501(C)(3) 3 NW HEALTHCAR false LHH CORPORATION 100 EAST 77TH STREET NEW YORK NY 10021 133272016 SUPPORT ORG NY 501(C)(3) 12, TYPE I NW HEALTH false STATEN ISLAND UNIVERSITY HOSPITAL 475 Seaview Avenue STATEN ISLAND NY 10305 112868878 HEALTHCARE NY 501(C)(3) 3 NW HEALTH false THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED 972 BRUSH HOLLOW Road WESTBURY NY 11590 113284934 GRADUATE SCH NY 501(C)(3) 2 RESEARCH false SPORTS PHYSICAL THERAPY AND REHAB SVCS 972 BRUSH HOLLOW Road WESTBURY NY 11590 061655704 HEALTHCARE NY 501(C)(3) 9 LIJ false NORTH SHORE - LIJ ALLIANCE 972 BRUSH HOLLOW Road WESTBURY NY 11590 263727582 HEALTHCARE NY 501(C)(3) 3 NA false THE LONG ISLAND HOME 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 112837244 HEALTHCARE NY 501(c)(3) 3 LHH CORP false CLNY ALLIANCE INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 463146870 LABORATORY NY 501(c)(3) 3 NW LABS false NORTH SHORE-LIJ CARDIO MEDICINE PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078717 MEDICAL SVCS. NY 501(C)(3) 12, TYPE I NSUH false NORTH SHORE-LIJ CARDIO AT DEER PARK PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078531 MEDICAL SVCS. NY 501(C)(3) 12, TYPE I NSUH false NORTH SHORE-LIJ HEART SURGERY PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078838 MEDICAL SVCS. NY 501(c)(3) 12, TYPE I NSUH false NORTH SHORE-LIJ INTERNAL MEDICINE PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078631 MEDICAL SVCS. NY 501(c)(3) 12, TYPE I NSUH false NORTH SHORE-LIJ MED GROUP URG MED CARE 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 275078426 MEDICAL SVCS. NY 501(c)(3) 12, TYPE I NSUH false NORTH SHORE-LIJ MEDICAL PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 453023019 MEDICAL SVCS. NY 501(c)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ HEALTH PLAN INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461617516 INSURANCE NY 501(C)(3) 9 HPLAN HOLDIN false Advocate Community Providers 972 Brush Hollow Rd westbury NY 11590 472528627 DSRIP NY 501(C)(3) 7 NA false North Shore-LIJ Health Plan Holding Comp 972 Brush Hollow Rd WESTBURY NY 11590 462478147 HOLDING CO NY 501(C)(3) 12, TYPE II NW HEALTHCAR false Phelps Memorial Hospital Association 701 North Broadway SLEEPY HOLLOW NY 10591 131725076 HOSPITAL NY 501(c)(3) 3 NW HEALTHCAR false Phelps Medical Services PC 701 North Broadway Sleepy Hollow NY 10591 274416017 MEDICAL SVCS NY 501(C)(3) 12, TYPE I PHELPS MEMOR false Northern Westchester Hospital Associatio 400 East Main Street Mount Kisco NY 10549 131740118 HOSPITAL NY 501(C)(3) 3 NW HEALTHCAR false Northern Westchester Hospital Foundation 400 East Main Street Mount Kisco NY 10549 134067064 FOUNDATION NY 501(C)(3) 9 NWHA false NORCORP Inc 400 East Main Street Mount Kisco NY 10549 133366748 Support Org NY 501(C)(3) 12, TYPE I NWHA false Northern Westchester Realty Holding Comp 400 East Main Street Mount Kisco NY 10549 912134215 HOLDING CO NY 501(C)(2) N/A NWHA false CENTRAL SUFFOLK HOSPITAL ASSOCIATION 1300 ROANOKE AVE RIVERHEAD NY 11901 111661359 HEALTH CARE NY 501(C)(3) 3 NW HEALTHCAR false STATEN ISLAND PERFORMING PROVIDER SYSTEM 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 472544659 DSRIP NY 501(C)(3) 10 NA false Visiting Nurse of Hudson Valley Inc 540 White Plains Rd Tarrytown NY 10591 131739952 Home Health C NY 501(C)(3) 10 NW HEALTHCAR false Hospice Care in Westchester and Putnam 540 White Plains Rd Tarrytown NY 10591 133882602 Hospice Care NY 501(C)(3) 10 VNA Hudson false VNA Home Health Services Inc 540 White Plains Rd Tarrytown NY 10591 133690105 Home Health C NY 501(C)(3) 10 VNA Hudson false Marcus Emergency Medicine PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 474377679 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false North Shore-LIJ Radiology Services PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 223970667 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false North Shore-LIJ Anesthesiology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461617561 MEDICAL SVCS NY 501(C)(3) 12, TYPE I SSIDE false North Shore-LIJ OB-GYN PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461382916 MEDICAL SVCS NY 501(C)(3) 12, TYPE I LIJMC false Carnegie Cardiovascular PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 474377825 MEDICAL SVCS NY 501(C)(3) 12, TYPE I LENOX HILL false Westchester Health Medical PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 474539584 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false Peconic Cardiology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813149464 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false North Shore-LIJ OB-GYN at Garden City P 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462886776 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false North Shore-LIJ Medical Group at Hunting 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 274384049 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false North Shore-LIJ Pediatrics of Suffolk Co 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 465746956 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false Brooklyn Ambulatory Care PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 474447289 MEDICAL SVCS NY 501(C)(3) 12, TYPE I NSUH false Lakeville Surgery PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 474377760 MEDICAL SVCS NY 501(C)(3) 12, TYPE I LENOX HILL false KRASNOFF CONS SVCS 972 Brush Hollow ROAD WESTBURY NY 11590 262838027 CONSULTING NY CARE MGT GROUP ENDOSCOPY CTR OF LI 972 BRUSH HOLLoW ROAD WESTBURY NY 11590 260000980 MEDICAL SVCS. NY NS-LIJ VENTURES TRUE NORTH URG CARE 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464113494 MEDICAL SVCS. NY NS-LIJ URG CARE TRUE NORTH DC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464601950 MEDICAL SVCS. NY RENAL VENTURES SYN HLTH TRUE NORTH 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464106483 MEDICAL SVCS. NY CENTRAL STERILE NORTH SHORE-LIJ and yale new haven medic 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464858222 AIR TRANSPORT NY NSUH NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 464469806 RESEARCH NY HEALTH CARE NASSAU QUEENS PERFORMING PROVIDER SYSTEM 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 472544821 DSRIP NY NSUH Endo Group LLC 972 Brush Hollow Rd westbury NY 11590 200248148 Medical Svcs NY ventures gcsc Hospital City LLC 972 Brush Hollow Rd Westbury NY 11590 474091780 inactive DE northwell healt Northwell Genomic Alliance LLC 972 Brush Hollow Rd westbury NY 11590 810826710 inactive DE NW labs Health Connect Technologies LLC 972 Brush Hollow Rd westbury NY 11590 810967200 inactive NY newport health Phelps Professional Building Corp LP 777 North Broadway Sleepy Hollow NY 10591 133645137 real estate NY pmha OPTUM 360 LLC 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 463328307 BILLING MN OPTUM Brooklyn Ambulatory Services LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 812910850 MEDICAL SVCS NY NORTHWELL HEALT SOUTH SHORE SURGERY CENTER LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 341997077 MEDICAL SVCS NY MULTISPECIALTY FORMATIV HEALTH LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813121231 HOLDING CO DE MAGNITUDE HOLD FORMATIV HEALTH INTERMEDIATE LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 814614788 HOLDING CO DE FORM HLTH HOLD SUFFOLK SURGERY CENTER 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 200080609 MEDICAL SVCS NY MULTISPECIALTY Anesthesia Management Services LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 823199065 MEDICAL SVCS NY NEA PC Northwell Health Sleep Lab LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821516748 MEDICAL SVCS NY SLEEP HLGS Technopath Northwell Health North Americ 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 822869458 LAB SVCS NY TECHNOPATH USA Richmond ASC LLC 1360 HYLAN BLVD STATEN ISLAND NY 10305 472882195 MEDICAL SVCS NY CHAPMAN Surgical Specialty Center of Westchester 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 814359712 MEDICAL SVCS NY NA True North DC Holding LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813347874 MEDICAL SVCS NY RENAL VENTURES True North II DC LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 352568005 MEDICAL SVCS NY DC HOLDING Melville SC LLC 1895 Walt Whitman Road Melville NY 11747 203487522 MEDICAL SVCS NY Melville ASC True North IV DC LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 611816900 MEDICAL SVCS NY DC HOLDING True North V DC LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 320518811 MEDICAL SVCS NY DC HOLDING Autoimmune Research Therapeutics 972 Brush Hollow Road Westbury NY 11590 270701489 Inactive NY RESEARCH C false Care Management Group of Greater NY 972 Brush Hollow Road Westbury NY 11590 113336381 Business Serv NY NSH ENTERPRISES C false Lenox Hill Pathology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133644370 Medical Servi NY LENOX HILL C false Lenox otolaryngology head & neck 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 208784395 Medical Servi NY LENOX HILL C false North Shore Health Enterprises 972 Brush Hollow Road Westbury NY 11590 061605319 Holding Comp NY NSHS ENTERPRISE C false NS Health System Enterprises 972 Brush Hollow Road Westbury NY 11590 113316922 Holding Comp NY NW HEALTH C false North Shore IPA 5 Inc 972 Brush Hollow Road Westbury NY 11590 113383468 Business Serv NY NW HEALTHCARE C false NS-LIJ Health System IPA #1 972 Brush Hollow Road Westbury NY 11590 113533659 HealthCare NY LIJ C false NS-LIJ Health System IPA #2 972 Brush Hollow Road Westbury NY 11590 113533670 HealthCare NY LIJ C false NS-LIJ Medical Gr at North Nassau PC 972 Brush Hollow Road Westbury NY 11590 274384146 Medical Servi NY NSUH C false NS-LIJ Medical Gr at Syosset PC 972 Brush Hollow Road Westbury NY 11590 273957752 Medical Servi NY NSUH C false NS-LIJ Medical Group PC 972 Brush Hollow Road Westbury NY 11590 274384249 Medical Servi NY NSUH C false NS-LIJ Network Inc 972 Brush Hollow Road Westbury NY 11590 320257193 Support Servi NY NW HEALTH C false North Shore-LIJ Physicians Group PC 972 Brush Hollow Road Westbury NY 11590 274384326 Medical Servi NY NSUH C false North Shore-LIJ Service Alliance Inc 972 Brush Hollow Road Westbury NY 11590 263651575 Support Servi NY NA C false Regional Insurance Company LTD 41 Cedar Ave Hamilton BERMUDA BD HM 12 000000000 insurance BD NW HEALTHCARE C false Regioncare Inc 972 Brush Hollow Road Westbury NY 11590 113052191 Homecare NY NSHS ENTERPRISE C false SIUH Perinatology PC 475 Seaview Ave Staten Island NY 10305 134107082 Medical Servi NY SIUH C false United Medical Surgical PC 256 Mason Ave Bldg B 2nd Fl Staten Island NY 10305 134038780 Surgical Serv NY SIUH S false Vivohealth Inc 972 Brush Hollow Road Westbury NY 11590 264118016 Inactive NY NSH ENTERPRISE C false LENOX HILL HOSPITAL MEDICAL PC 972 Brush Hollow Road Westbury NY 11590 452661543 Medical Servi NY lenox C false NS-LIJ OCCUPATIONAL MEDICINE PC 972 BRUSH HOLLOW Road WESTBURY NY 11590 451004103 Medical Servi NY NSUH C false NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC 972 BRUSH HOLLOW Road WESTBURY NY 11590 463475908 MEDICAL SERVI NY NSUH C false NS-LIJ INTERNAL MEDICINE NEW HYDE PARK 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462822879 MEDICAL SERVI NY NSUH C false CARECONNECT INSURANCE COMPANY 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 462270382 INSURANCE NY group holding C false NORTH SHORE MEDICAL ACCELERATOR PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 112945979 MEDICAL SERVI NY nsuh S false TRUE NORTH HEALTH PHARMACY INC 972 BRUSH HOLLOW ROAD Westbury NY 11590 471020508 PHARMACY NY NSUH C false NORTH SHORE-LIJ CARECONNECT INSURANCE AG 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 471994548 INSURANCE AGE NY GROUP HOLDING C false CARECONNECT GROUP HOLDING COMPANY INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 472478692 HOLDING CO NY HPLAN HOLDING C false NORTH SHORE-LIJ URGENT CARE PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 471758444 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ MATERNAL FETAL MEDICINE 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 465495054 MEDICAL SERVI NY NSUH C false North Shore-LIJ Ophthalmology Institute 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 300930851 inactive NY nsuh C false Phelps Realty Corp 701 NORTH BROADWAY SLEEPY HOLLOW NY 10591 133645135 real estate NY phelps memorial C false NWHC Health Management Services Inc 400 East Main St Mount Kisco NY 10549 133697510 health mgmt NY NORCORP C false Northern Westchester Surgical Services 400 East Main St mount kisco NY 10549 274550915 medical svcs NY nwha C false North Shore-LIJ OB-GYN at New Hyde Park 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 473722278 medical svcs NY nsuh C false Madison Imaging PC 972 Brush Hollow Rd westbury NY 11590 821672429 medical svcs NY nsuh C false Marcus Avenue Medical PC 972 Brush Hollow Rd westbury NY 11590 300930577 Medical Svcs NY nsuh C false CareConnect Administrative Services Inc 972 Brush Hollow Rd Westbury NY 11590 475182974 administratio NY GROUP HOLDING C false Northwell FlexStaff Inc 972 Brush Hollow Rd westbury NY 11590 810836815 inactive NY hci C false FEINSTEIN CENTER FOR BIOELECTRONIC MEDIC 972 Brush Hollow Rd westbury NY 11590 812885700 INACTIVE NY FEINSTEIN C false TRUE NORTH HEALTH MANAGEMENT INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813428274 INACTIVE NY NW HEALTHCARE C false NARROWS IPA INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133978565 BUSINESS SERV NY NSUH C false VIVOHEALTH PLANS INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461164689 INACTIVE NY NW HEALTHCARE C false FORMATIV HEALTH MANAGEMENT INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813454243 HOLDING CO DE FORM HTH INTER C false FORMATIV HEALTH NEWCO INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813928889 HOLDING CO DE FORM HTH HOLDCO C false FORMATIV HEALTH HOLDCO INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813928672 HOLDING CO DE FORMATIV HEALTH C false Northwell Quality and Medical Affairs I 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 824113233 INACTIVE NY NW HEALTHCARE C false Montauk Risk Retention Group Inc 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 822587942 INSURANCE NY NA C false True North Flexstaff Inc 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821446568 INACTIVE NY NW HEALTHCARE C false Northwell Proton Therapy PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 812766298 INACTIVE NY NSUH C false Suite 130 Plastic Surgery PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821772747 MEDICAL SVCS NY LIJ C false Northeastern Anesthesia of New Jersey P 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 208709500 MEDICAL SVCS NJ NSUH C false Brightwaters Gynecology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821883445 MEDICAL SVCS NY NSUH C false false false false false false false false false false false false true false true false false false false schedule r, part v THIS ORGANIZATION IS AN AFFILIATE OF NORTHWELL HEALTH, INC. ("NORTHWELL"). ORGANIZATIONS WITHIN NORTHWELL ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.