STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOUTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE UNIVERSITY HOSPITAL (EIN 11-1667761)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733189349303353
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T10:15:10-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111667761EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt
Business Name Line2c/o NORTHWELL HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlSOUTBusinessNameControlTxt
Phone5163216025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT S SHAPIROPersonNm
Person TitleEXEC VP & CFOPersonTitleTxt
Phone5163216025PhoneNum
Signature2017-11-03SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.27.229.129IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id11751920173185000000FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id64888C196846E503F90B13161ED1827B039267C6AtSubmissionCreationDeviceId
At Submission Filing Device Id08A1259C5F1059ABDC7B7C0B44F2F73D70A20910AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J DOWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 MARCUS AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$535,870,234GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSouthside strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community.ActivityOrMissionDesc
Voting Members Governing Body32VotingMembersGoverningBodyCnt
Voting Members Independent27VotingMembersIndependentCnt
Total Employee3603TotalEmployeeCnt
Total Volunteers287TotalVolunteersCnt
Total Gross UBI$246,825TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$88,933NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$86,482PYContributionsGrantsAmt
CY Contributions Grants$70,747CYContributionsGrantsAmt
PY Program Service Revenue$474,529,769PYProgramServiceRevenueAmt
CY Program Service Revenue$526,186,792CYProgramServiceRevenueAmt
PY Investment Income$153,634PYInvestmentIncomeAmt
CY Investment Income$68,652CYInvestmentIncomeAmt
PY Other Revenue$4,112,746PYOtherRevenueAmt
CY Other Revenue$4,811,327CYOtherRevenueAmt
PY Total Revenue$478,882,631PYTotalRevenueAmt
CY Total Revenue$531,137,518CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$314,254,680PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$341,145,019CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$291,994CYTotalFundraisingExpenseAmt
PY Other Expenses$182,135,636PYOtherExpensesAmt
CY Other Expenses$197,098,143CYOtherExpensesAmt
PY Total Expenses$496,390,316PYTotalExpensesAmt
CY Total Expenses$538,243,162CYTotalExpensesAmt
PY Revenues Less Expenses-$17,507,685PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,105,644CYRevenuesLessExpensesAmt
Total Assets BOY$297,324,490TotalAssetsBOYAmt
Total Assets EOY$322,191,360TotalAssetsEOYAmt
Total Liabilities BOY$387,033,143TotalLiabilitiesBOYAmt
Total Liabilities EOY$417,239,230TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$89,708,653NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$95,047,870NetAssetsOrFundBalancesEOYAmt
MissionSOUTHSIDE HOSPITAL IS PART OF NORTHWELL HEALTH ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$361,384,841ExpenseAmt
Revenue$438,008,097RevenueAmt
DescSouthside Hospital is a 339-bed tertiary hospital with the following inpatient services: medical/surgical, intensive and cardiac care unit, OB/GYN with a Level II Perinatal service, pediatrics, medical rehabilitation, brain injury and psychiatry. The Emergency Department is a designated Area Trauma Center and provides the Paramedic First Responder Program to the Town of Islip Residents. In 2016, Southside Hospital had 20,206 inpatient discharges, delivered 2,430 babies, provided 65,971 emergency department visits and performed 13,124 ambulatory surgeries, including endoscopies and cardiac catheterizations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$116,354,709ExpenseAmt
Revenue$85,302,182RevenueAmt
DescSouthside Hospital is an affiliated member of Northwell Health ("Northwell") and part of Northwell's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,567,040ExpenseAmt
Revenue$2,876,513RevenueAmt
DescSouthside Hospital is a participant in New York State's Delivery System Reform Incentive Payment (DSRIP) program. The program's goals include reducing avoidable hospitalizations and ensuring that patients with Medicaid switch to a community-based care system that emphasizes preventative care over reliance on the emergency room. Among dozens of participants in DSRIP, Southside embodies the core values of this life-changing opportunity for hundreds of thousands of patients, many of whom live in lower-income and underserved communities where health and wellness can be improved.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$480,306,590TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document154IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3603EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members32GoverningBodyVotingMembersCnt
Independent Voting Member27IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTHWELL HEALTH INCPersonNm
Phone5168766061PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO0.050.0Yes (X)Yes (X)$0$4,026,026$51,426
RALPH NAPPI
TRUSTEE & EVC BOARD0.050.0Yes (X)Yes (X)$0$947,428$45,453
MARK CLASTER
CHAIRMAN0.03.0Yes (X)Yes (X)$0$0$0
RICHARD D GOLDSTEIN
IMMEDIATE PAST CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
WILLIAM L MACK
VICE CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
BARRY RUBENSTEIN
VICE CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
ALAN I GREENE
TREASURER0.02.0Yes (X)Yes (X)$0$0$0
DONALD ZUCKER
SECRETARY0.02.0Yes (X)Yes (X)$0$0$0
NON-COMPENATED TRUSTEES
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0.050.0Yes (X)$0$2,398,244$600,022
ROBERT S SHAPIRO
EXEC VP & CFO0.050.0Yes (X)$0$3,571,801$373,568
HOWARD GOLD
EVP CHF MANAGED CARE & BUS DEV0.050.0Yes (X)$0$1,812,973$37,583
LAWRENCE G SMITH MD
EVP/PHYSICIAN IN CHIEF0.050.0Yes (X)$0$1,287,293$46,028
JEFFREY KRAUT
EVP, STRATEGY & ANALYTICS0.050.0Yes (X)$0$1,272,461$413,713
KATHLEEN GALLO RN PHD
SR VP, CHIEF LEARNING OFFICER0.050.0Yes (X)$0$903,337$45,453
DONNA DRUMMOND
SVP, CONSOLIDATED SERVICES0.050.0Yes (X)$0$911,460$236,725
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER0.050.0Yes (X)$0$1,140,697$210,317
ANDREW SCHULZ
SVP & GENERAL COUNSEL0.050.0Yes (X)$0$1,093,281$53,304
EUGENE S TANGNEY
SVP, CHIEF ADMIN OFFICER0.050.0Yes (X)$0$1,224,832$247,944
HARRY GINDI
ASST SECRETARY0.050.0Yes (X)$0$376,124$45,417
ANTHONY FERRERI
EVP/CHF AFFILIATION OFF0.050.0Yes (X)$0$3,231,532$369,606
KEVIN BEINER
REGIONAL EXECUTIVE DIRECTOR0.050.0$0$629,990$37,602Yes (X)
DONNA MORAVICK
EXECUTIVE DIRECTOR50.00.0$915,660$0$45,453Yes (X)
HAROLD FERNANDEZ
Director50.00.0$1,995,041$0$53,250Yes (X)
BENJAMIN SCHWARTZ
Chf, OB/GYN50.00.0$1,620,264$0$44,352Yes (X)
MICHAEL NETT
Coord (MD)50.00.0$1,327,240$0$53,250Yes (X)
EDWARD HALLAL
PHYSICIAN50.00.0$1,081,545$0$37,583Yes (X)
JED POLLACK
Chairperson50.00.0$899,475$0$53,304Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,839,225TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$24,827,479TotReportableCompRltdOrgAmt
Total Other Compensation$3,101,353TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K659IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NEW YORK PAIN CONSULTANTS LLC
500 WEST MAIN STEET SUITE 116BABYLONNY11702PHYSICIAN SERVICES$3,112,134
GE HEALTHCARE
80 E SEAVIEW BLVDPORT WASHINGTONNY11050CONSULTING SERVICES$1,686,604
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA303844674NURSING SERVICES$1,345,215
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVEMOUNT VERNONNY10550LINEN SERVICES$1,308,599
PERSANTE SLEEP CARE INC
130 GAITHER DRIVE SUITE 124MT LAURELNJ08054SLEEP CARE SERVICES$904,587
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K93CntrctRcvdGreaterThan100KCnt
Related Organizations$67,822RelatedOrganizationsAmt
All Other Contributions$2,925AllOtherContributionsAmt
Total Contributions$70,747TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE621300$307,998,477$307,998,477
PHYSICIAN BILLING621300$87,309,935$87,309,935
MEDICARE/MEDICAID PAYMENTS621300$128,001,867$128,001,867
DSRIP PAYMENTS621300$2,876,513$2,876,513
FieldValueIRS element (for citing)
Total Program Service Revenue$526,186,792TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$539TotalRevenueColumnAmt
Exclusion$539ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,127TotalRevenueColumnAmt
Exclusion$186,127ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,614,702SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,698,761SecuritiesAmt
Other$33,955OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$84,059SecuritiesAmt
Other-$33,955OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$118,014TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA900099$1,348,794$1,348,794
ELECTRONIC HEALTH RECORD INCOME900099$700,000$700,000
RENTAL INCOME561000$645,110$645,110

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,117,423TotalRevenueColumnAmt
Related Or Exempt Func Income$1,870,598RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$246,825UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,811,327OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$531,137,518TotalRevenueColumnAmt
Related Or Exempt Func Income$529,402,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$246,825UnrelatedBusinessRevenueAmt
Exclusion$1,535,460ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$915,660TotalAmt
Program Services$915,660ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$267,834,742TotalAmt
Program Services$250,023,732ProgramServicesAmt
Management And General$17,632,900ManagementAndGeneralAmt
Fundraising$178,110FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,680,582TotalAmt
Program Services$18,371,823ProgramServicesAmt
Management And General$1,295,671ManagementAndGeneralAmt
Fundraising$13,088FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,142,023TotalAmt
Program Services$33,738,579ProgramServicesAmt
Management And General$2,379,410ManagementAndGeneralAmt
Fundraising$24,034FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,572,012TotalAmt
Program Services$15,469,974ProgramServicesAmt
Management And General$1,091,018ManagementAndGeneralAmt
Fundraising$11,020FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$725,862TotalAmt
Program Services$677,592ProgramServicesAmt
Management And General$47,787ManagementAndGeneralAmt
Fundraising$483FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$65,857TotalAmt
Management And General$65,857ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,448,649TotalAmt
Program Services$8,820,314ProgramServicesAmt
Management And General$622,052ManagementAndGeneralAmt
Fundraising$6,283FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$189,133TotalAmt
Program Services$176,555ProgramServicesAmt
Management And General$12,452ManagementAndGeneralAmt
Fundraising$126FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$86,489,432TotalAmt
Program Services$81,075,116ProgramServicesAmt
Management And General$5,360,173ManagementAndGeneralAmt
Fundraising$54,143FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,558,941TotalAmt
Program Services$6,122,771ProgramServicesAmt
Management And General$431,808ManagementAndGeneralAmt
Fundraising$4,362FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$478,639TotalAmt
Program Services$478,639ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,098,583TotalAmt
Program Services$1,098,583ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,789,388TotalAmt
Management And General$1,789,388ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,770,276TotalAmt
Program Services$13,788,053ProgramServicesAmt
Management And General$982,223ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,342,902TotalAmt
Program Services$12,342,902ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$7,895,853$7,895,853
OTHER PURCHASED SERVICES$24,067,522$24,067,522
BILLING & COLLECTION$4,656,877$4,347,195$309,682
CENTRALIZED ADMIN EXPENSE$25,560,693$25,560,693

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$959,536TotalAmt
Program Services$895,727ProgramServicesAmt
Management And General$63,464ManagementAndGeneralAmt
Fundraising$345FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$538,243,162TotalAmt
Program Services$480,306,590ProgramServicesAmt
Management And General$57,644,578ManagementAndGeneralAmt
Fundraising$291,994FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,290BOYAmt
EOY$38,107EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,447,689BOYAmt
EOY$57,949,572EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,945,606BOYAmt
EOY$6,518,156EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$397,771BOYAmt
EOY$600,236EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,938,532LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$84,170,818LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$148,634,775BOYAmt
EOY$186,767,714EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,823,587BOYAmt
EOY$18,507,393EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$58,073,772BOYAmt
EOY$51,810,182EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$297,324,490BOYAmt
EOY$322,191,360EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,819,167BOYAmt
EOY$58,978,359EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,394,048BOYAmt
EOY$5,631,178EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,720,000BOYAmt
EOY$70,640,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,099,928BOYAmt
EOY$281,989,693EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$387,033,143BOYAmt
EOY$417,239,230EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$112,542,078BOYAmt
EOY-$118,188,576EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,833,425BOYAmt
EOY$23,140,706EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$89,708,653BOYAmt
EOY-$95,047,870EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$297,324,490BOYAmt
EOY$322,191,360EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,105,644ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$346,822NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,419,605OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$23,303RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$23,303TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,729,646OtherCostOrOtherBasisAmt
Book Value$4,729,646BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$98,171,369OtherCostOrOtherBasisAmt
Depreciation$40,709,444DepreciationAmt
Book Value$57,461,925BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$385,479OtherCostOrOtherBasisAmt
Depreciation$59,571DepreciationAmt
Book Value$325,908BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,340,249OtherCostOrOtherBasisAmt
Depreciation$41,694,897DepreciationAmt
Book Value$48,645,353BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,311,790OtherCostOrOtherBasisAmt
Depreciation$1,706,908DepreciationAmt
Book Value$75,604,882BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$186,767,714TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$1,388,616
INTEREST IN FOUNDATION$22,626,050
SECURITY DEPOSITS$40,163
INSURANCE CLAIMS RECEIVABLE$27,755,353
FieldValueIRS element (for citing)
Total Book Value Other Assets$51,810,182TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
DUE TO AFFILIATES$83,388,716
DUE TO THIRD PARTY PAYORS$46,365,996
ACCRUED RETIREMENT BENEFITS$71,581,851
ESTIMATED MALPRACTICE LIABILIT$51,726,608
OTHER LONG-TERM LIABILITIES$549,834
BOND PREM/DISCOUNT$1,704,534
INSURANCE CLAIMS LIABILITY$27,755,353
DEFERRED FINANCING-$1,083,199
FieldValueIRS element (for citing)
Total Liability$281,989,693TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$523,594,913TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$346,822NetUnrealizedGainsInvstAmt
Other Revenue-$7,818,680OtherRevenueAmt
Revenue Not Reported-$7,471,858RevenueNotReportedAmt
Revenue Subtotal$531,066,771RevenueSubtotalAmt
Other Revenues Not Included$70,747OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$70,747RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$531,137,518TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$532,020,482TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$532,020,482ExpensesSubtotalAmt
Other Expenses Not Included$6,222,680OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,222,680ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$538,243,162TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2 - FIN 48Certain entities included in Northwells 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, 2016 and 2015, Northwell has a deferred income tax asset which has 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 $408,000,000, which expire in varying amounts through 2036, and are available to offset future taxable income.
PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUEINCLUDED ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (7,895,853) NET ASSETS RELEASED FROM RESTRICTIONS 77,173 TOTAL NOT INCLUDED ON 990 (7,818,680) INCLUDED ON RETURN NOT ON BOOKS TEMP RESTRICTED CONTRIBUTIONS 70,747 TOTAL 70,747
PART XII, LINE 4B - RECONCILIATION OF EXPENSESPROVISION FOR BAD DEBTS 7,895,853 ADDITIONAL MINIMUM PENSION ADJUSTMENT (1,673,717) TOTAL 6,222,680

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,800,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,296,420DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,504,139NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,222,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,341,547DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,880,517NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,022,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,637,967DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,384,656NetCommunityBenefitExpnsAmt
Total Expense0.07210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,133,543TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,046,043NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,802,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,459,022DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,343,454NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,491TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,491NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$355,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$355,207NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,295,717TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,546,522DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,749,195NetCommunityBenefitExpnsAmt
Total Expense0.02390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$138,318,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,184,489DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,133,851NetCommunityBenefitExpnsAmt
Total Expense0.09600TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,460TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,460NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$518TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$518NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,942TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,942NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,927TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,927NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,388TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$71,388NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$275,235TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$275,235NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,532,437BadDebtExpenseAmt
Reimbursed By Medicare$124,635,145ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$137,898,727CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,263,582MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 EAST MAIN STREETAddressLine1Txt
CityBAY SHORECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11706ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
State License5154000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NORTHWELL.EDUOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFIStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.NORTHWELL.EDUFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NORTHWELL.EDUFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.NORTHWELL.EDUFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Section C, Supplemental InformationFormAndLineReferenceDesc
ExplanationPart V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each county served by Northwell and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); Northwell; local businesses; and faith-based organizations; and a "voice of the community" (i.e. the community's perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6b: For a detailed listing of other than hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 7d: N/A Part V, Section B, line 11: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (i.e. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16j: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/AExplanationTxt
FieldValueIRS element (for citing)
Facility26FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Suffolk County Brentwood Family Health C
1869 Brentwood RoadBrentwoodNY11717Family Health Center
Women's Healthcare Of Suffolk
3001 Expressway Drive NorthIslandiaNY11749Outpatient Physician Clinic
Long Island Lung
370 Main StreetBayshoreNY11706Outpatient Physician Clinic
Pediatric Consultation Center at Babylon
500 West Main StreetBabylonNY11702Outpatient Physician Clinic
Neurosurgery at Southside
270 East Main StreetBayshoreNY11706Outpatient Physician Clinic
North Shore - LIJ Orthopaedic Institute
217 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Northwell Health Physician Partners
250 E Main StreetBayshoreNY11706Outpatient Physician Clinic
Southside Cardiology
280 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Orthopaedic Institute At Babylon
200 West Main StreetBabylonNY11702Outpatient Physician Clinic
Diabetes and Endocrinology Center of Suf
1723 North Ocean AvenueMedfordNY11763Outpatient Physician Clinic
Dermatology Group PC
332 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Northwell Health Physician Partners
180 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Nassau Suffolk Family Practice
120 Route 109West BabylonNY11704Outpatient Physician Clinic
Oakdale ObGyn
971 Montauk HighwayOakdaleNY11769Outpatient Physician Clinic
South Shore Family Practice
369 East Main StreetEast IslipNY11730Outpatient Physician Clinic
Suffolk Internal Medicine Associates
500 Montauk HighwayWest IslipNY11795Outpatient Physician Clinic
Urogynecology at Suffolk
200 Motor ParkwayHauppaugeNY11788Outpatient Physician Clinic
Northwell Health Physician Partners
31 Main RoadRiverheadNY11901Outpatient Physician Clinic
Western Suffolk Gastroenterology
375 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Islip Terrace Family Practice
2915 Sunrise HighwayIslip TerraceNY11752Outpatient Physician Clinic
Brightwaters Internal Medicine
200 Howells RoadBayshoreNY11706Outpatient Physician Clinic
Islip Medicine
260 Main StreetIslipNY11751Outpatient Physician Clinic
Lawrence D Campbell MD
32 East Main StreetBayshoreNY11706Outpatient Physician Clinic
Berlin GYN MD
2330 Union BoulevardIslipNY11751Outpatient Physician Clinic
Myron Kleiner MD
285 Sills RoadEast PatchogueNY11772Outpatient Physician Clinic
Dr Kami Quinn MD
76 Southhaven AvenueMedfordNY11763Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI - SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationQuestion 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health Inc. ("Northwell"). Northwell uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website: http://www.northwell.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospitals financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 11.29 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwells bioterrorism & disaster preparedness includes Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organizations collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospitals collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwells community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and childrens health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, Northwell participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CBExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL J DOWLING
PRESIDENT & CEO$0$1,474,510$0$2,528,000$0$23,516$0$29,150$0$22,276$0$4,077,452$0$0
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER$0$1,368,841$0$1,000,000$0$29,403$0$589,158$0$10,864$0$2,998,266$0$0
ROBERT S SHAPIRO
EXEC VP & CFO$0$1,167,747$0$371,250$0$2,032,804$0$357,265$0$16,303$0$3,945,369$0$1,195,740
HOWARD GOLD
EVP CHF MANAGED CARE & BUS DEV$0$1,079,110$0$701,250$0$32,613$0$29,150$0$8,433$0$1,850,556$0$0
LAWRENCE G SMITH MD
EVP/PHYSICIAN IN CHIEF$0$933,759$0$324,675$0$28,859$0$29,150$0$16,878$0$1,333,321$0$0
JEFFREY KRAUT
EVP, STRATEGY & ANALYTICS$0$918,272$0$320,625$0$33,564$0$389,559$0$24,154$0$1,686,174$0$0
KATHLEEN GALLO RN PHD
SR VP, CHIEF LEARNING OFFICER$0$671,809$0$196,875$0$34,653$0$29,150$0$16,303$0$948,790$0$0
DONNA DRUMMOND
SVP, CONSOLIDATED SERVICES$0$653,272$0$196,875$0$61,313$0$212,571$0$24,154$0$1,148,185$0$0
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER$0$888,245$0$239,063$0$13,389$0$191,309$0$19,008$0$1,351,014$0$0
ANDREW SCHULZ
SVP & GENERAL COUNSEL$0$743,505$0$317,969$0$31,807$0$29,150$0$24,154$0$1,146,585$0$0
EUGENE S TANGNEY
SVP, CHIEF ADMIN OFFICER$0$960,697$0$253,125$0$11,010$0$223,790$0$24,154$0$1,472,776$0$0
HARRY GINDI
ASST SECRETARY$0$296,913$0$74,884$0$4,327$0$29,150$0$16,267$0$421,541$0$0
RALPH NAPPI
TRUSTEE & EVC BOARD$0$719,676$0$196,875$0$30,877$0$29,150$0$16,303$0$992,881$0$0
ANTHONY FERRERI
EVP/CHF AFFILIATION OFF$0$856,309$0$303,750$0$2,071,473$0$353,303$0$16,303$0$3,601,138$0$1,468,574
KEVIN BEINER
REGIONAL EXECUTIVE DIRECTOR$0$483,179$0$118,125$0$28,686$0$29,150$0$8,452$0$667,592$0$0
DONNA MORAVICK
EXECUTIVE DIRECTOR$713,036$0$190,059$0$12,565$0$29,150$0$16,303$0$961,113$0$0$0
HAROLD FERNANDEZ
Director$1,975,106$0$0$0$19,935$0$29,150$0$24,100$0$2,048,291$0$0$0
BENJAMIN SCHWARTZ
Chf, OB/GYN$1,501,717$0$100,000$0$18,547$0$29,150$0$15,202$0$1,664,616$0$0$0
MICHAEL NETT
Coord (MD)$1,308,721$0$0$0$18,519$0$29,150$0$24,100$0$1,380,490$0$0$0
EDWARD HALLAL
PHYSICIAN$1,025,744$0$0$0$55,801$0$29,150$0$8,433$0$1,119,128$0$0$0
JED POLLACK
Chairperson$888,822$0$6,462$0$4,191$0$29,150$0$24,154$0$952,779$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCertain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive 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 Mark J Solazzo ($560,008), Robert S Shapiro ($328,115), Jeffrey Kraut ($360,409), Donna Drummond ($183,421),Laura Peabody ($162,159), Eugene Tangney ($194,640) and Anthony Ferreri ($324,153).
PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUESPursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATIONOn Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).
PART II, COLUMN (F) - SERP PAYOUTThe amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A146000293649906JT22011-10-06$42,795,0002011 BONDS - CONSTRUCT FACILITY &falsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B14600029364990BNL32015-06-23$33,120,0002015 A BONDS - CONSTRUCT FACILITYfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,727,964$0$43,539,818$2,332,885$361,028$0$770,395$0$0$13,759,341$26,316,170$02013Yes (true)Yes (true)falseYes (true)
B$424,160$0$36,252,086$0$208,766$22,721,226$331,355$0$0$3,313,510$8,286,231$5,711,101Yes (true)Yes (true)falseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEFormAndLineReferenceDesc
Explanationprice in Part I, Column (E) due to Invest earning & transferred proceeds.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PRISCILLA PIROLO-MORAVICK
FAMILY MEMB: D. MORAVICK$90,055EMPLOYEEfalse
JUSTIN MORAVICK
FAMILY MEMB: D. MORAVICK$45,834EMPLOYEEfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY, LINE 2All transactions with Northwell Health entities are as follows: (1) negotiated at arms length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an as needed basis. Roger Blumencranz has a business relationship with Richard D. Goldstein, Alan Greene, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Robert Rosenthal. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman, William Mack and Barry Rubenstein. Saul Katz has a business relationship with Seth Lipsay, F.J. McCarthy and Robert Rosenthal. Jeffrey Lane has a business relationship with William Mack. Seth Lipsay has a business relationship with Saul Katz and Robert Rosenthal. William Mack has business relationships with Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz and Robert Rosenthal. Ralph Nappi has a business relationship with Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, Saul Katz, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack.
PART VI, SECTION B - POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
PART VI, SECTION B - POLICIES, LINE 12CNorthwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. 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 15The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1AFrank J. Besignano Alan I. Greene Charles Merinoff Roger A. Blumencranz Paul B. Guenther Ralph A. Nappi Robert W. Chasanoff William O. Hiltz Richard B. Nye Mark L. Claster Nancy Karch Sharon Patterson Michael J. Dowling Saul B. Katz Lewis S. Ranieri Michael A. Epstein Cary Kravet Robert D. Rosenthal Michael E. Feldman Jeffrey B. Lane Barry Rubenstein Catherine C. Foster Seth Lipsay Richard J. Sinni William H. Frazier William L. Mack Donald Zucker Lloyd M. Goldman F.J. McCarthy Roy J. Zuckerberg Richard D. Goldstein Patrick F. McDermott
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
PART VI, SECTION A - GOVERNING BODY, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, LINE 9 - RECONCILIATION OF NET ASSETSChange in Equity Under FAS 136 562,234 Transfer from Affiliate 857,371 Total 1,419,605

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHWELL HEALTH COLLABORATIVE LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810684856INACTIVENY$0$0SOUTHSIDE
NORTHWELL HEALTH PARTNERS LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810764616INACTIVENY$0$0SOUTHSIDE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTHWELL HEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE INAfalse
NORTHWELL HEALTHCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
NORTHWELL HEALTH LABORATORIES
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)3NORTHWELL HEfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NORTHWELL HEfalse
NORTHWELL HEALTH FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NORTHWELL HEfalse
NORTHWELL HEALTH STERN FAMILY CENTER FOR
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NORTHWELL HCfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE ISOUTHSIDEYes (true)
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSING COMPNY501(C)(2)N/ANORTHWELL HEfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSING COMPNY501(C)(2)N/ANORTHWELL HEfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSING COMPNY501(C)(2)N/ANORTHWELL HEfalse
HILLSIDE HOSPITAL HOUSES INC
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSING COMPNY501(C)(2)N/ANORTHWELL HEfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NORTHWELL HCfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE INAfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NORTHWELL HEfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA STE 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE ISIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORT ORGNY501(C)(3)11, TYPE INORTHWELL HEfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2RESEARCHfalse
SPORTS PHYSICAL THERAPY OCCUPATIONAL TH
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)9LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW RDWESTBURYNY11590463146870LABORATORYNY501(C)(3)3NWH LABfalse
NS-LIJ CARDIOVASCULAR MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NS-LIJ CARDIOLOGY AT DEER PARK PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078631MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NSLIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ MEDICAL CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SVCSNY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516INSURANCENY501(C)(3)9HPLAN HOLDINfalse
ADVOCATE COMMUNITY PROVIDERS
972 BRUSH HOLLOW ROADWESTBURYNY11590472528627DSRIPNY501(C)(3)7NAfalse
NORTH SHORE-LIJ HEALTH PLAN HOLDING COMP
972 BRUSH HOLLOW ROADWESTBURYNY11590462478147HOLDING COMPANY501(C)(3)11, TYPE IINORTHWELL HCfalse
PHELPS MEMORIAL HOSPITAL ASSOCATION
701 NORTH BROADWAYSLEEPY HOLLOWNY10591131725076HOSPITALNY501(C)(3)3NORTHWELL HCfalse
PHELPS MEDICAL SERVICES PC
701 NORTH BROADWAYSLEEPY HOLLOWNY10591274416017MEDICAL SERVINY501(C)(3)11, TYPE IPHELPS MEMORfalse
NORTHERN WESTCHESTER HOSPITAL ASSOCIATIO
400 EAST MAIN STREETMOUNT KISCONY10549131740118HOSPITALNY501(C)(3)3NORTHWELL HCfalse
NORTHERN WESTCHESTER HOSPITAL FOUNDATION
400 EAST MAIN STREETMOUNT KISCONY10549134067064FOUNDATIONNY501(C)(3)9NWHAfalse
NORCORP INC
400 EAST MAIN STREETMOUNT KISCONY10549133366748SUPPORT ORG501(C)(3)11, TYPE INWHAfalse
NORTHERN WESTCHESTER REALTY HOLDING COMP
400 EAST MAIN STREETMOUNT KISCONY10549912134215HOLDING COMPANY501(C)(2)N/ANWHAfalse
CENTRAL SUFFOLK HOSPITAL ASSOCIATION
1300 ROANOKE AVERIVERHEADNY11901111661359HEALTH CARENY501(C)(3)3HCIfalse
STATEN ISLAND PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590472544659DSRIPNYAPPLIED FORNAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYCARE MGMT GRP
ENDOSCOPY CENTER OF LONG ISLAND
972 BRUSH HOLLOW RDWESTBURYNY11590260000980MEDICAL SVCSNYNS-LIJ VENTURES
TRUE NORTH URGENT CARE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464113494URGENT CARENYNSLIJ URGENT
TRUE NORTH DC LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464601950MEDICAL SVCSNYRENAL VENTURES
SYNERGY HEALTH TRUE NORTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464106483MEDICAL SVCSNYCENTRAL STERILE
NORTH SHORE-LIJ AND YALE NEW HAVEN MEDIC
972 BRUSH HOLLOW RDWESTBURYNY11590464858222AIR TRANSPORTNYNSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROADWESTBURYNY11590464469806RESEARCHNYNORTHWELL HC
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590463869336MEDICAL SVCSNYNSUH
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544821DSRIPNYNA
ENDO GROUP LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590200248148MEDICAL SVCSNYVENTURES GCSC
HOSPITAL CITY LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590474091780INACTIVEDENORTHWELL HEALT
NORTHWELL GENOMIC ALLIANCE LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810826710INACTIVENYNWH LABS
HEALTH CONNECT TECHNOLOGIES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810967200INACTIVENYNEWPORT HEALTH
PHELPS PROFESSIONAL BUILDING CORP LP
777 NORTH BROADWAYSLEEPY HOLLOWNY10591133645137REAL ESTATENYPMHA
OPTUM 360 LLC
11000 OPTUM CIRLCEEDEN PRAIRIEMN55344463328307BILLINGMNOPTUM
BROOKLYN MANAGEMENT SERVICES ORG
972 BRUSH HOLLOW RDWESTBURYNY11590812910850MEDICAL SVCSNYNORTHWELL
SOUTH SHORE SURGERY CENTER LLC
972 BRUSH HOLLOW RDWESTBURYNY11590341997077MEDICAL SVCSNYMULTISPECIALTY
FORMATIV HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590813121231HOLDING CODEMAGNITUDE HOLDI
FORMATIV HEALTH INTERMEDIATE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590814614788HODLING CODEFORMATIV HEALTH
SUFFOLK SURGERY CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590200080609MEDICAL SVCSNYMULTISPECIALTY

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (61 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPANYNORTHWELL HEALTCfalse
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTERPRISECfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPANYNSHS ENTERPRISECfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESCfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENORTHWELL HCCfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDECfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVINYNACfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCfalse
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNORTHWELL HCCfalse
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVINYNORTHWELL HECfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNSUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVINYSIUHCfalse
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVINYNSUHCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVINYLENOXCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVINYLENOXCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW ROADWESTBURYNY11590264118016INACTIVENYNSH ENTERPRISECfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW ROADWESTBURYNY11590270701489INACTIVENYRESEARCHCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW RDWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK
972 BRUSH HOLLOW RDWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
NS-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW RDWESTBURYNY11590462886776MEDICAL SERVINYNSUHCfalse
CARECONNECT INSURANCE COMPANY
972 BRUSH HOLLOW RDWESTBURYNY11590462270382MEDICAL SERVINYGROUP HOLDINGCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVINYLENOXCfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SERVINYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MEDICAL SERVINYSOUTHSIDECfalse
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590112945979MEDICAL SERVINYNSUHSfalse
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590471020508INACTIVENYNSUHCfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROADWESTBURYNY11590471994548INSURANCE AGENYGROUP HOLDINGCfalse
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590472478692HOLDING CONYHPLAN HOLDINGCfalse
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROADWESTBURYNY11590465746956MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590471758444MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROADWESTBURYNY11590465495054MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OPHTHALMOLOGY INSTITUTE
972 BRUSH HOLLOW ROADWESTBURYNY11590300930851INACTIVENYNSUHCfalse
PHELPS REALTY CORP
701 NORTH BROADWAYSLEEPY HOLLOWNY10591133645135REAL ESTATENYPHELPS MEMORIALCfalse
NORTHERN WESTCHESTER ONCOLOGY MANAGMENT
400 EAST MAIN STREETMOUNT KISCONY10549133697507MEDICAL SVCSNYNORCORPCfalse
NWHC HEALTH MANAGEMENT SERVICES INC
400 EAST MAIN STREETMOUNT KISCONY10549133697510HEALTH MGMTNYNORCORPCfalse
NORTHERN WESTCHESTER SURGICAL SERVICES
400 EAST MAIN STREETMOUNT KISCONY10549274550915MEDICAL SVCSNYNWHACfalse
NORTH SHORE-LIJ OB-GYN AT NEW HYDE PARK
972 BRUSH HOLLOW ROADWESTBURYNY11590473722278MEDICAL SVCSNYNSUHCfalse
LAKEVILLE SURGERY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377760MEDICAL SVCSNYLENOX HILLCfalse
MARCUS EMERGENCY MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377679MEDICAL SVCSNYLENOX HILLCfalse
CARNEGIE CARDIOVASCULAR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377825MEDICAL SVCSNYLENOX HILLCfalse
MADISON IMAGING PC
972 BRUSH HOLLOW ROADWESTBURYNY11590821672429MEDICAL SVCSNYNSUHCfalse
COMMUNITY DRIVE MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474447289MEDICAL SVCSNYNSUHCfalse
WESTCHESTER HEALTH MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474539584MEDICAL SVCSNYNSUHCfalse
MARCUS AVENUE MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590300930577MEDICAL SVCSNYNSUHCfalse
CARECONNECT ADMINSTRATIVE SERVICES PC
972 BRUSH HOLLOW ROADWESTBURYNY11590475182974ADMINNYGROUP HOLDINGCfalse
NORTHWELL FLEXSTAFF INC
972 BRUSH HOLLOW ROADWESTBURYNY11590810836815INACTIVENYHCICfalse
FEINSTEIN CENTER FOR BIOELECTRONIC MED
972 BRUSH HOLLOW RDWESTBURYNY11590812885700INACTIVENYFEINSTEINCfalse
TRUE NORTH HEALTH MANAGEMENT INC
972 BRUSH HOLLOW RDWESTBURYNY11590813428274INACTIVENYHCICfalse
PECONIC CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590813149464MEDICAL SVCSNYNSUHCfalse
NARROWS IPA INC
972 BRUSH HOLLOW RDWESTBURYNY11590133978565BUSINESS SVCNYNSUHCfalse
VIVOHEALTH PLANS INC
972 BRUSH HOLLOW RDWESTBURYNY11590461164689INACTIVENYHCICfalse
FORMATIV HEALTH MANAGEMENT INC
972 BRUSH HOLLOW RDWESTBURYNY11590813454243HOLDING CODEFORMATIV INTERMCfalse
FORMATIV HEALTH NEWCO INC
972 BRUSH HOLLOW RDWESTBURYNY11590813928889HOLDING CODEFORMATIV HOLDCOCfalse
FORMATIV HEALTH HOLDCO INC
972 BRUSH HOLLOW RDWESTBURYNY11590813928672HOLDING CODEFORMATIV HEALTHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd