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STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201613209349303706
Schema version
2015v2.1
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)
Return2016-11-15T09:26:42-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112868878EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIVERSITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlSTATBusinessNameControlTxt
Phone5163216025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROAD Suite 5TH FLRAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS RECAPersonNm
Person TitleEVP & CFOPersonTitleTxt
Phone5168766061PhoneNum
Signature2016-11-02SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
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$1,138,791,050GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1869FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionStaten Island strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to payActivityOrMissionDesc
Voting Members Governing Body123VotingMembersGoverningBodyCnt
Voting Members Independent113VotingMembersIndependentCnt
Total Employee6673TotalEmployeeCnt
Total Volunteers692TotalVolunteersCnt
Total Gross UBI$6,089,010TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,472,923PYContributionsGrantsAmt
CY Contributions Grants$4,863,116CYContributionsGrantsAmt
PY Program Service Revenue$820,103,550PYProgramServiceRevenueAmt
CY Program Service Revenue$859,058,686CYProgramServiceRevenueAmt
PY Investment Income$13,885,600PYInvestmentIncomeAmt
CY Investment Income$8,249,762CYInvestmentIncomeAmt
PY Other Revenue$16,422,704PYOtherRevenueAmt
CY Other Revenue$15,545,590CYOtherRevenueAmt
PY Total Revenue$854,884,777PYTotalRevenueAmt
CY Total Revenue$887,717,154CYTotalRevenueAmt
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$474,997,435PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$492,604,357CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$421,630CYTotalFundraisingExpenseAmt
PY Other Expenses$322,940,372PYOtherExpensesAmt
CY Other Expenses$332,389,692CYOtherExpensesAmt
PY Total Expenses$797,937,807PYTotalExpensesAmt
CY Total Expenses$824,994,049CYTotalExpensesAmt
PY Revenues Less Expenses$56,946,970PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$62,723,105CYRevenuesLessExpensesAmt
Total Assets BOY$867,495,490TotalAssetsBOYAmt
Total Assets EOY$884,840,326TotalAssetsEOYAmt
Total Liabilities BOY$513,772,422TotalLiabilitiesBOYAmt
Total Liabilities EOY$489,138,613TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$353,723,068NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$395,701,713NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSTATEN ISLAND UNIVERSITY HOSPITAL IS AN AFFILIATE WITHIN NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$560,716,709ExpenseAmt
Revenue$718,095,115RevenueAmt
DescSTATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2015 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 39,368 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,628 DELIVERIES; 123,734 EMERGENCY DEPARTMENT VISITS (includes 29,680 admits); AND 17,712 AMBULATORY SURGERY CASES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$70,837,369ExpenseAmt
Revenue$77,016,210RevenueAmt
DescEXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$50,921,142ExpenseAmt
Revenue$21,216,214RevenueAmt
DescEXPENSES INCURRED IN PROVIDING CLINICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$26,103,215TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$50,623,021TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$708,578,435TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 ActivitiesYes (true)ForeignActivitiesInd
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 EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document295IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6673EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryUKForeignCountryCd
Foreign CountryCJForeignCountryCd
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members123GoverningBodyVotingMembersCnt
Independent Voting Member113IndependentVotingMemberCnt
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 RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO - NORTHWELL0.050.0Yes (X)$0$3,221,785$52,572
RALPH NAPPI
TRUSTEE & EVC0.050.0Yes (X)$0$705,982$46,697
MARK CLASTER
CHAIRMAN OF THE BOARD0.03.0Yes (X)$0$0$0Yes (X)
FRANK BESIGNANO
CHAIRMAN OF EXEC COMMITTEE0.02.0Yes (X)$0$0$0Yes (X)
JOHN ALEXANDER
VICE CHAIRMAN EXEC COMMITTEE0.02.0Yes (X)$0$0$0Yes (X)
NON-COMPENSATED TRUSTEES
SEE SCHEDULE 00.02.0Yes (X)$0$0$0
ANTHONY FERRERI
CEO, REG EXEC DIR0.050.0$0$1,163,134$396,846Yes (X)
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER0.050.0$0$1,002,534$210,021Yes (X)
ANDREW SCHULZ
SVP & GENERAL COUNSEL0.050.0$0$877,620$55,176Yes (X)
HARRY GINDI
ASST SEC, VP LEGAL AFFAIRS0.050.0$0$319,536$46,368Yes (X)
ROBERT S SHAPIRO
evp & cfo - NORTHWELL0.050.0$0$1,269,909$399,624Yes (X)
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NORTHWEL0.050.0$0$487,777$55,176Yes (X)
THOMAS RECA
EXEC VP/FINANCE & CFO50.00.0$658,901$0$47,097Yes (X)
DONNA PROSKE
EXECUTIVE DIRECTOR50.00.0$854,601$0$38,660Yes (X)
JOSEPH MCGINN
CHAIR, SURGERY50.00.0$1,489,651$0$58,646Yes (X)
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY50.00.0$1,198,509$0$38,660Yes (X)
MICHAEL COOPER
DIR, BURN UNIT50.00.0$986,075$0$58,769Yes (X)
RUBEN KANDOV
PHYSICIAN50.00.0$995,953$0$55,677Yes (X)
EDWIN CHANG
DIR, NEUROSURGERY50.00.0$1,128,075$0$58,769Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,311,765TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,048,277TotReportableCompRltdOrgAmt
Total Other Compensation$1,618,758TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1089IndivRcvdGreaterThan100KCnt
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
MORRISON MGMT SPECIALISTS
PO BOX 102289ATLANTAGA30368GENERAL CONTRACTOR$3,154,211
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVENUEMOUNT VERNONNY10550LINEN SERVICES$2,350,054
GE HEALTHCARE
80 E SEAVIEW BLVDPORT WASHINGTONNY11050GENERAL CONTRACTOR$2,218,301
STATEN ISLAND PULMONARY
501 SEAVIEW AVE 102COLTS NECKNJ07722PHYSICIAN FEES$2,028,000
STATEN ISLAND REHAB MEDICINE PC
501 SEAVIEW AVE 102COLTS NECKNJ07722PHYSICIAN FEES$1,873,430
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Related Organizations$5,500RelatedOrganizationsAmt
Government Grants$3,871,763GovernmentGrantsAmt
All Other Contributions$985,853AllOtherContributionsAmt
Total Contributions$4,863,116TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621300$620,491,922$614,402,912$6,089,010
MEDICARE/MEDICAID PAYMENTS621300$238,566,764$238,566,764
FieldValueIRS element (for citing)
Total Program Service Revenue$859,058,686TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,853,460TotalRevenueColumnAmt
Exclusion$5,853,460ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,564,706RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,564,706RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,564,706TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$253,470,198SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$251,073,896SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,396,302SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,396,302TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITATION INCOME900099$4,100,742$4,100,742
CAFETERIA900099$3,028,648$3,028,648
ELECTRONIC HEALTH RECORD INC900099$1,656,096$1,656,096

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,195,398TotalRevenueColumnAmt
Related Or Exempt Func Income$5,195,398RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,980,884OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$887,717,154TotalRevenueColumnAmt
Related Or Exempt Func Income$866,950,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,089,010UnrelatedBusinessRevenueAmt
Exclusion$5,853,460ExclusionAmt

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$1,513,502TotalAmt
Program Services$1,513,502ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$366,444,786TotalAmt
Program Services$326,556,897ProgramServicesAmt
Management And General$39,669,374ManagementAndGeneralAmt
Fundraising$218,515FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,867,936TotalAmt
Program Services$24,834,483ProgramServicesAmt
Management And General$3,016,835ManagementAndGeneralAmt
Fundraising$16,618FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,930,340TotalAmt
Program Services$64,991,798ProgramServicesAmt
Management And General$7,895,053ManagementAndGeneralAmt
Fundraising$43,489FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,847,793TotalAmt
Program Services$21,251,936ProgramServicesAmt
Management And General$2,581,636ManagementAndGeneralAmt
Fundraising$14,221FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,341,874TotalAmt
Program Services$1,195,810ProgramServicesAmt
Management And General$146,064ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$83,198TotalAmt
Management And General$83,198ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$198,240TotalAmt
Management And General$198,240ManagementAndGeneralAmt

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$74,224,570TotalAmt
Program Services$66,145,150ProgramServicesAmt
Management And General$8,035,159ManagementAndGeneralAmt
Fundraising$44,261FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$905,238TotalAmt
Program Services$806,702ProgramServicesAmt
Management And General$97,996ManagementAndGeneralAmt
Fundraising$540FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,673,268TotalAmt
Program Services$124,469,690ProgramServicesAmt
Management And General$15,120,289ManagementAndGeneralAmt
Fundraising$83,289FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,856,866TotalAmt
Program Services$12,348,532ProgramServicesAmt
Management And General$1,508,334ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$364,552TotalAmt
Program Services$364,552ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,048,821TotalAmt
Program Services$1,048,821ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,393,938TotalAmt
Management And General$5,393,938ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,102,743TotalAmt
Program Services$25,934,880ProgramServicesAmt
Management And General$3,167,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,924,704TotalAmt
Program Services$8,924,704ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CENTRALIZED ADMIN. SVCS.$28,844,018$28,844,018
BAD DEBT EXPENSE$10,196,365$10,196,365
PURCHASED SERVICES$16,056,936$16,056,936
DUES & SUBSCRIPTIONS$1,004,743$109,367$895,376

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,169,618TotalAmt
Program Services$1,042,301ProgramServicesAmt
Management And General$126,620ManagementAndGeneralAmt
Fundraising$697FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$824,994,049TotalAmt
Program Services$708,578,435ProgramServicesAmt
Management And General$115,993,984ManagementAndGeneralAmt
Fundraising$421,630FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$61,100BOYAmt
EOY$61,332EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,311,386BOYAmt
EOY$34,717,509EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,234,129BOYAmt
EOY$1,827,638EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$89,392,093BOYAmt
EOY$107,071,668EOYAmt

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$9,139,310BOYAmt
EOY$10,413,144EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,261,414BOYAmt
EOY$1,284,127EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$382,546,297LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$171,644,816LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$224,882,233BOYAmt
EOY$210,901,481EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$401,991,737BOYAmt
EOY$425,751,909EOYAmt

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$10,852,642BOYAmt
EOY$3,696,970EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$94,369,446BOYAmt
EOY$89,114,548EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$867,495,490BOYAmt
EOY$884,840,326EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$108,308,683BOYAmt
EOY$97,974,942EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,520,391EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,109,692BOYAmt
EOY$66,684,463EOYAmt

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$43,186,849BOYAmt
EOY$26,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$6,100,000BOYAmt
EOY$4,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$294,067,198BOYAmt
EOY$291,958,817EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$513,772,422BOYAmt
EOY$489,138,613EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$340,124,555BOYAmt
EOY$382,080,979EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,114,334BOYAmt
EOY$12,136,555EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,484,179BOYAmt
EOY$1,484,179EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$353,723,068BOYAmt
EOY$395,701,713EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$867,495,490BOYAmt
EOY$884,840,326EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$62,723,105ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$15,974,608NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,769,852OtherChangesInNetAssetsAmt
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$19,453RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$19,453TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART 11-B, line 1 hFormAndLineReferenceDesc
ExplanationStaten Island University Hospital IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
Other Expenditures$10OtherExpendituresAmt
End Year Balance$1,484,179EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
End Year Balance$1,484,189EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
End Year Balance$1,484,189EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
End Year Balance$1,484,189EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$235,033,654OtherCostOrOtherBasisAmt
Depreciation$110,955,221DepreciationAmt
Book Value$124,078,433BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$305,768OtherCostOrOtherBasisAmt
Depreciation$66,118DepreciationAmt
Book Value$239,650BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$127,051,280OtherCostOrOtherBasisAmt
Depreciation$60,196,578DepreciationAmt
Book Value$66,854,702BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,046,272OtherCostOrOtherBasisAmt
Depreciation$426,899DepreciationAmt
Book Value$15,619,373BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$210,901,481TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$1,574,554
DEPOSITS$132,098
INSURANCE RECEIVABLE$76,697,085
INVESTMENT IN HEALTHFIRST$10,700,668
INVESTMENT IN VERIZON$10,143
FieldValueIRS element (for citing)
Total Book Value Other Assets$89,114,548TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PAYABLE TO THIRD PARTY PAYERS$55,793,219
MALPRACTICE LIABILITIES$98,530,907
INSURANCE CLAIMS LIABILITY$76,697,085
DUE TO RELATED PARTIES$21,123,149
OTHER LIABILITIES$37,904,174
ASSET RETIREMENT BENEFITS$2,390,230
BOND PREMIUM DISCOUNT$1,083,547
BOND FINANCING-$1,563,494
FieldValueIRS element (for citing)
Total Liability$291,958,817TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$856,340,225TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$15,974,608NetUnrealizedGainsInvstAmt
Revenue Not Reported-$15,974,608RevenueNotReportedAmt
Revenue Subtotal$872,314,833RevenueSubtotalAmt
Other Revenues Not Included$15,402,321OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$15,402,321RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$887,717,154TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$814,057,048TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$814,057,048ExpensesSubtotalAmt
Other Expenses Not Included$10,937,001OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$10,937,001ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$824,994,049TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V - Line 4ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
Part X, LINE 2Certain 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. 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, 2015 and 2014, 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 receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $219,000,000, which expire in varying amounts through 2035, and are available to offset future taxable income.
PART XI-LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS (670,304) NONOPERATING GAIN/LOSS 5,545,455 PROVISION FOR BAD DEBTS 10,196,365 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGMT (790,399) TEMPORARY RESTRICTED CONTRIBUTIONS 991,852 TEMPORARY RESTRICTED INVESTMENT INCOME 129,852 TOTAL 15,402,321 PART XII - LINE 4B Additional Minimum Pension Adjustment 740,636 PROVISION FOR BAD DEBTS 10,196,365 Total 10,937,001

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)Investments$7,132,509
Central America and the CaribbeanInvestments$41,343,107
FieldValueIRS element (for citing)
Subtotal Spent$48,475,616SubtotalSpentAmt
Total Spent$48,475,616TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

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$17,488,738TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,521,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,967,263NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$196,897,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$147,045,036DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,852,215NetCommunityBenefitExpnsAmt
Total Expense0.06160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$214,385,989TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$159,566,511DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,819,478NetCommunityBenefitExpnsAmt
Total Expense0.06770TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,973,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,068,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,904,605NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,528,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,860,164DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,668,389NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,563,568TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,447,446DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,349,577NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,442,379TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,442,379NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$363,755TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$363,755NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,871,398TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,376,148DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,728,705NetCommunityBenefitExpnsAmt
Total Expense0.07000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$296,257,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,942,659DirectOffsettingRevenueAmt
Net Community Benefit Expns$111,548,183NetCommunityBenefitExpnsAmt
Total Expense0.13770TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,076TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,076NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,398TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,398NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,451TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,451NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,925TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,925NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$8,498,283BadDebtExpenseAmt
Reimbursed By Medicare$189,324,031ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$177,615,689CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$11,708,342MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
STATEN ISLAND UNIV HOSPITAL - NORTH
1475 SEAVIEW AVENUESTATEN ISLANDNY10305WWW.NORTHWELL.EDUYes (X)Yes (X)Yes (X)Yes (X)A
STATEN ISLAND UNIV HOSPITAL - SOUTH
2375 SEAVIEW AVENUESTATEN ISLANDNY10305WWW.NORTHWELL.EDUYes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIV HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
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 Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFIStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
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
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
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 16i: 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 18d: N/A Part V, Section B, line 19d: 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 22d: The hospital used a blended Medicare rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). Part V, Section B, line 23: N/A Part V, Section B, line 24: N/AExplanationTxt
FieldValueIRS element (for citing)
Facility36FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORTHWELL HEALTH PHSYICIAN PARTNERS
57 BAY STREETSTATEN ISLANDNY10301OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
501 SEAVIEW AVENUE STE 200STATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
777 SEAVIEW AVENUESTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
450 SEAVIEW AVENUESTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
1130 SOUTH AVENUE 3RD FLRSTATEN ISLANDNY10314OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
78 MEISNER AVENUE 2ND FLRSTATEN ISLANDNY10306OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
256 MASON AVENUE STE BSTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
567 east 105th streetbrooklynNY11236OUTPATIENT PHYSICIAN CLINIC
CONEY ISLAND MULTI SERVICE CENTER (SUBST
425 CONEY ISLAND AVENUEBROOKLYNNY11218OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
2288 HYLAN BOULEVARDSTATEN ISLANDNY10306DIAGNOSTIC CENTER
NORTHWELL HEALTH PHSYICIAN PARTNERS
1000 SOUTH AVENUE ste 100-2STATEN ISLANDNY10314OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
900 south avenue ste 103STATEN ISLANDNY10314OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
1110 south avenue ste 305STATEN ISLANDNY10314outpatient physician clinic
BURN CARE CENTER
500 SEAVIEW AVENUE STE 103STATEN ISLANDNY10305outpatient physician clinic
pediatric subspecialty center
548 forest avenueSTATEN ISLANDNY10310OUTPATIENT PHYSICIAN CLINIC
WIC PROGRAM
57 BAY STREETSTATEN ISLANDNY10301GRANT PROGRAM SHOWN SEPARATELY
MMTPHIV PRIMARY CARE SERVICES
111 WATER STREETSTATEN ISLANDNY10304OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
4106 HYLAND BLVD-MTM 2ND FLRSTATEN ISLANDNY10308OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
4287 RICHMOND AVENUESTATEN ISLANDNY10312OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
4855 HYLAN BOULEVARD 2ND FLRSTATEN ISLANDNY10312OUTPATIENT PHYSICIAN CLINIC
BREAST IMAGING CENTER
256 MASON AVENUE 1ST FLR BSTATEN ISLANDNY10305DIAGNOSTIC CENTER
NORTHWELL HEALTH PHSYICIAN PARTNERS
242 MASON AVENUESTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
78 CROMWELL AVENUE STE CSTATEN ISLANDNY10304OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
15C SEGUINE AVENUESTATEN ISLANDNY10309OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
78-80 CROMWELL AVENUE LABSTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
CENTER FOR THYROID AND PARATHYROID DISOR
1460 VICTORY BOULEVARD STE 704STATEN ISLANDNY10301OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
33 OVERLOOK ROAD STE 208STATEN ISLANDNY07901OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
1616 B VOORHIES AVENUEBROOKLYNNY11235OUTPATIENT PHYSICIAN CLINIC
METRO OBGYN PC
2285 VICTORY BOULEVARDSTATEN ISLANDNY10314OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
8417 FORT HAMILTON PARKWAYBROOKLYNNY11209OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
1276 74TH STBROOKLYNNY11228OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
1145 TARGEE STREETSTATEN ISLANDNY10304OUTPATIENT PHYSICIAN CLINIC
MMTPHIV PRIMARY CARE SERVICES
392 SEGUINE AVENUESTATEN ISLANDNY10309GRANT PROGRAM SHOWN SEPARATELY
NORTHWELL HEALTH PHSYICIAN PARTNERS
392 SEGUINE AVENUESTATEN ISLANDNY10309OUTPATIENT PHYSICIAN CLINIC
NORTHWELL HEALTH PHSYICIAN PARTNERS
2955 VETERANS ROAD WEST STE 2DSTATEN ISLANDNY10305OUTPATIENT PHYSICIAN CLINIC
NEW DROP HIGH SCHOOL (SCHOOL-BASED CLINI
465 NEW DROP LANE RM S117STATEN ISLANDNY10306OUTPATIENT 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.edu/about/our-organization/office-community-and-publi c-health/reports 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. An 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 hospital facility 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 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 (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital that appears on Form 990, Part IX Line 25 column (A), less bad debt expense (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 12.65 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 CBOs, enables region wide leveraging of resources, coExplanationTxt

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 (15 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
ANTHONY FERRERI
CEO, REG EXEC DIR$0$854,187$0$237,000$0$71,947$0$379,299$0$17,547$0$1,559,980$0$0
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER$0$819,005$0$140,000$0$43,529$0$183,995$0$26,026$0$1,212,555$0$0
ANDREW SCHULZ
SVP & GENERAL COUNSEL$0$737,078$0$108,000$0$32,542$0$29,150$0$26,026$0$932,796$0$0
HARRY GINDI
ASST SEC, VP LEGAL AFFAIRS$0$288,163$0$27,171$0$4,202$0$29,150$0$17,218$0$365,904$0$0
MICHAEL J DOWLING
PRESIDENT & CEO - NORTHWELL$0$1,468,126$0$1,728,000$0$25,659$0$29,150$0$23,422$0$3,274,357$0$0
RALPH NAPPI
TRUSTEE & EVC$0$672,187$0$0$0$33,795$0$29,150$0$17,547$0$752,679$0$0
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NORTHWEL$0$391,697$0$76,500$0$19,580$0$29,150$0$26,026$0$542,953$0$0
THOMAS RECA
EXEC VP/FINANCE & CFO$494,023$0$137,603$0$27,275$0$29,150$0$17,947$0$705,998$0$0$0
DONNA PROSKE
EXECUTIVE DIRECTOR$684,294$0$122,000$0$48,307$0$29,150$0$9,510$0$893,261$0$0$0
JOSEPH MCGINN
CHAIR, SURGERY$1,487,466$0$0$0$2,185$0$29,150$0$29,496$0$1,548,297$0$0$0
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY$1,088,961$0$109,091$0$457$0$29,150$0$9,510$0$1,237,169$0$0$0
MICHAEL COOPER
DIR, BURN UNIT$967,618$0$0$0$18,457$0$29,150$0$29,619$0$1,044,844$0$0$0
RUBEN KANDOV
PHYSICIAN$415,694$0$493,350$0$86,909$0$29,150$0$26,527$0$1,051,630$0$0$0
ROBERT S SHAPIRO
evp & cfo - NORTHWELL$0$1,066,127$0$171,000$0$32,782$0$382,085$0$17,539$0$1,669,533$0$0
EDWIN CHANG
DIR, NEUROSURGERY$980,818$0$0$0$147,257$0$29,150$0$29,619$0$1,186,844$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BCertain 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 robert s shapiro ($352,935), ANTHONY FERRERI (350,149), AND LAURA PEABODY (154,845).
PART 1, LINE 5APursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell Health, Inc. based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
PART I, LINE 7ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II).
Part II, Column (F)The 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 (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY - STATE OF NEW YORK
A146000293649906jt22011-10-06$61,375,0002011 BONDS - CAPITAL IMPROVEMENTfalsefalsefalse
DORMITORY AUTHORITY - STATE OF NEW YORK
B1460002930000000002009-08-19$4,744,6922009 MASTER LEASE/SUBLEASEfalsefalsefalse
DORMITORY AUTHORITY - STATE OF NEW YORK
C1460002930000000002012-02-10$8,751,4042012 MASTER LEASE/SUBLEASEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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$5,671,163$0$62,435,934$3,338,480$517,772$0$1,104,871$0$0$19,733,136$37,741,674$02013Yes (true)Yes (true)falseYes (true)
B$2,045,804$0$4,744,692$0$0$0$83,250$0$0$4,661,442$0$02010falsefalseYes (true)Yes (true)
C$2,381,422$0$8,752,323$0$0$0$72,002$0$0$8,680,322$0$02012falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)
Cfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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
AfalseYes (true)Yes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE KSCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS & TRANSFERRED PROCEEDS.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 2/19/2011 FOR TELP, SINCEBOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
TARA MAZZUCCO
Family Member: R Mazzucco$46,090EMPLOYEEfalse
DONNA FERRERI
FAMILY MEMBER: A Ferreri$12,697EMPLOYEEfalse
JAMES R WELLER
FAMILY MEMBER: D Proske$97,740EMPLOYEEfalse
TR CONSULTING LLC
BUSINESS RELATION:T RECCA$103,870COMPANYfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2All transactions with Northwell Health entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria, Frank Patafio and John Shall. Philip Altheim has a business relationship with Eric Blumencranz and Saul Katz. Michael Ashner has a business relationship with William Mack. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum, Leonard Feinstein and Lewis Ranieri. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Patrick Edwards, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Lisa Kaufman, Stuart Levine, David Mack, William Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Dennis Riese, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Patrick Edwards has a business relationship with Eric Blumencranz. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric Blumencranz and Roger Blumencranz. Stanley Grey has a business relationship with Eric Blumencranz and Roger Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Richard Horowitz has a business relationship with Eric Blumencranz and Roger Blumencranz. M. Allan Hyman has a business relationship with Eric Blumencranz, Roger Blumencranz, David Blumenfeld, Edward Blumenfeld, David Katz, Michael Katz, Saul Katz, Stanely Kreitman and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with M. Allan Hyman, Michael Katz, Saul Katz, Seth Lipsay and Robert Rosenthal. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Saul Katz, Seth Lipsay, Robert Rosenthal and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Seth Lipsay, F.J. McCarthy, Robert Rosenthal and Michael Slade. Lisa Kaufman has a business relationship with Eric Blumencranz. Cary Kravet has a business relationship with Steve Braun. Stanley Kreitman has a business relationship with Allan Hyman. Jeffrey Lane has a business relationship with William Mack. Laura Lauria has a business relationship with John Alexander and Frank Besignano. Stuart Levine has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz, Michael Katz, Saul Katz and Robert Rosenthal. David Mack has a family relationship with William Mack. He has a business relationship with William Mack and Eric Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Eric Blumencranz, Edward and David Blumenfeld, Leonard Feinstein, Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Jeff Maurer has a business relationship with William Hiltz. F.J. McCarthy has a business relationship with Saul Katz, Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Ralph Nappi has a business relationship with Eric Blumencranz and Roger Blumencranz. Frank Patafio has a business relationship with John Alexander. John J. Raggio has a family relationship with John V. Raggio. John V. Raggio has a family relationship with John J. Raggio. Lewis Ranieri has a business relationship with Elise Bloom. Dennis Riese has a business relationship with Eric Blumencranz and Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, David Katz, Michael Katz, Saul Katz, Seth Lipsay, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. John Shall has a business relationship with Patrick McDermott, John Alexander, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz and Roger Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Eric Blumencranz and Roger Blumencranz. Nancy Waldbaum has a business relationship with Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz, Roger Blumencranz and M. Allan Hyman. 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 ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
PART VI, SECTION A - GOVERNING BODY, LINE 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, RECONCILIATION OF NET ASSETS, LINE 9NON OPERATING GAIN/LOSS (5,545,455) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 790,399 NET ASSETS RELEASED FROM RESTRICTION (14,795) TOTAL CHANGE IN NET ASSETS (4,769,851)
PART VII, SECTION A - LINE 1ARichard S. Abramson Albert L. Granger, DDS Kenneth J. Miller William Achenbaum Alan I. Greene Richard D. Monti John W. Alexander Stanley Grey Richard Murcott Philip S. Altheim Paul B. Guenther Ralph A. Nappi Patricia Armstrong Amy M. Hagedorn Raffiq A. Nathoo Michael L. Ashner Aubrey Hawes Richard B. Nye Frank J. Besignano Ira Hazan Daun Paris Elise M. Bloom Linda W. Heaney Frank P. Patafio Eric S. Blumencranz Lisa Heffernan Arnold S. Penner Roger A. Blumencranz William O. Hiltz John J. Raggio David Blumenfeld Richard A. Horowitz John V. Raggio Edward Blumenfeld Seth R. Horowitz Lewis S. Ranieri E. Steve Braun M. Allan Hyman Dennis Riese Dayton T. Brown, Jr Mark Jacobson Terry Rifkin, MD Michael Caridi Jeffrey Jurick Robert A. Rosen Robert W. Chasanoff Nancy Karch Marcie Rosenberg Alan Chopp David M. Katz Robert Rosenthal Mark L. Claster Michael Katz Bernard Rosof, MD Gary A. Cohen Saul B. Katz Jack J. Ross Diana F. Colgate Lisa A. Kaufman Barry Rubenstein Margaret M. Crotty Cary Kravet Herbert Rubin Daniel M. Crown Stanley Kreitman Michael H. Sahn Philippe P. Dauman Seth Kupferberg Lois C. Schlissel Thomas E. Dooley Jeffrey B. Lane John M. Shall Michael J. Dowling Curt N. Launer Marc V. Shaw Robert N. Downey Laura Lauria Richard Sims Patrick R. Edwards David W. Lehr Richard J. Sinni Michael A. Epstein Jonathan W. Leigh Michael C. Slade Leonard Feinstein Arthur S. Levine Phyllis H. Slater Michael E. Feldman Stuart R. Levine Hon. Robert Spolzino Arlene Lane Fisher Seth Lipsay Howard D. Stave Catherine C. Foster David S. Mack Kenneth Taber William H. Frazier William L. Mack Peter Tilles Eugene B. Friedman MD Linda Manfredi Paula D Tropello, Ed William J. Fritz, PHD Bradley Marsh, DPM Sandra Tytel Sy Garfinkel Jeffrey S. Maurer Louis Wachtel Peter Gaslow Ronald J. Mazzucco Nancy Waldbaum Lloyd M. Goldman F.J. McCarthy Emmett F. Walker, Jr Richard D. Goldstein Patrick F. McDermott Barbara Hrbek Zucker J. Joaquin Gonzalez Charles Merinoff Donald Zucker Michael Gould David Miller, MD Roy J. Zuckerberg

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CASTLETON AVENUE ASSOCIATES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10305ZIPCd
FieldValueIRS element (for citing)
EIN133943199EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SIUHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

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Feinstein Institute for Medical Research
972 Brush Hollow RoadWestburyNY11590112673595ResearchNY501(C)(3)4NW HEALTHfalse
Forest Hills Hospital
972 Brush Hollow RoadWestburyNY11590112163522HealthCareNY501(C)(3)3NW HEALTHCARfalse
Franklin Hospital
972 Brush Hollow RoadWestburyNY11590112296824HealthCareNY501(C)(3)3NW HEALTHCARfalse
Glen Cove Hospital
972 Brush Hollow RoadWestburyNY11590111633487HealthCareNY501(C)(3)3NW HEALTHCARfalse
Hillside Hospital Houses Inc
972 Brush Hollow RoadWestburyNY11590112113949Housing CompNY501(C)(2)N/ANW HEALTHfalse
Hospice Care Network
99 Sunnyside BoulevardWoodburyNY11797112925757HospiceNY501(C)(3)9NW HEALTHfalse
Huntington Hospital
270 Park AvenueHuntingtonNY11743111630914HealthCareNY501(C)(3)3NW HEALTHCARfalse
Huntington Hosp Dolan Family Health Ctr
284 Pulaski RoadGreenlawnNY11740113368503HealthCareNY501(C)(3)3Huntingtonfalse
LIJ Foundation
972 Brush Hollow RoadWestburyNY11590112661239support orgNY501(C)(3)11, TYPE INW HEALTHfalse
Long Island Jewish Medical Center
972 Brush Hollow RoadWestburyNY11590112241326HealthCareNY501(C)(3)3NW HEALTHCARfalse
LIJ Medical Center at Home Pharmacy
972 Brush Hollow RoadWestburyNY11590113251128support orgNY501(C)(3)11, TYPE INW HEALTHfalse
North Shore Community Services Inc
972 Brush Hollow RoadWestburyNY11590237273200Housing CompNY501(C)(2)N/ANW HEALTHfalse
North Shore University Hospital
972 Brush Hollow RoadWestburyNY11590111562701HealthCareNY501(C)(3)3NW HEALTHCARfalse
NS Univ Hospital at Glen Cove Housing
972 Brush Hollow RoadWestburyNY11590237010468Housing CompNY501(C)(2)N/ANW HEALTHfalse
North Shore University Hospital Housing
972 Brush Hollow RoadWestburyNY11590112171903Housing CompNY501(C)(2)N/ANW HEALTHfalse
NW HEALTH STERN FAMILY CENTER FOR REHAB
972 Brush Hollow RoadWestburyNY11590237007485Nursing HomeNY501(C)(3)9NW HEALTHCARfalse
NORTHWELL HEALTHCARE INC
972 Brush Hollow RoadWestburyNY11590112965586support orgNY501(C)(3)11, TYPE INW HEALTHfalse
NORTHWELL HEALTH INC
972 Brush Hollow RoadWestburyNY11590113418133support orgNY501(C)(3)11, TYPE INAfalse
NORTHWELL HEALTH FOUNDATION
972 Brush Hollow RoadWestburyNY11590112965575FundraisingNY501(C)(3)7NW HEALTHfalse
NORTHWELL HEALTH Laboratories
972 Brush Hollow RoadWestburyNY11590113412370Support OrgNY501(C)(3)11, TYPE INW HEALTHfalse
North Shore-LIJ Medical Care Centers
972 Brush Hollow RoadWestburyNY11590113473923support orgNY501(C)(3)11, TYPE INW HEALTHfalse
Plainview Hospital
972 Brush Hollow RoadWestburyNY11590113241243HealthCareNY501(C)(3)3NW HEALTHCARfalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7NW HEALTHCARfalse
Southside Hospital
972 Brush Hollow RoadWestburyNY11590111667761HealthCareNY501(C)(3)3NW HEALTHCARfalse
SSH Inc
972 Brush Hollow RoadWestburyNY11590112774102support orgNY501(C)(3)11, TYPE ISOUTHSIDEfalse
Staten Island Univ Hospital Foundation
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHYes (true)
THE HEART INSTITUTE
475 SEAVIEW AVENUESTATEN ISLANDNY10305311757254inactiveNY501(C)(3)11, TYPE INAfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6th floorSTATEN ISLANDNY10305200096809HEALTHCARENY501(C)(3)11, TYPE ISIUHYes (true)
LENOX HILL HOSPITAL
972 BRUSH HOLLOW ROADWESTBURYNY11590131624070HEALTHCARENY501(C)(3)3NW HEALTHCARfalse
LHH CORPORATION
972 BRUSH HOLLOW ROADWESTBURYNY11590133272016SUPPORT ORGNY501(C)(3)11, TYPE INW HEALTHfalse
THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW RoadWESTBURYNY11590113284934GRADUATE SCHNY501(C)(3)2RESEARCHfalse
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW RoadWESTBURYNY11590061655704HEALTHCARENY501(C)(3)9LIJfalse
NORTH SHORE - LIJ ALLIANCE
972 BRUSH HOLLOW RoadWESTBURYNY11590263727582HEALTHCARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTHCARENY501(c)(3)3LHH CORPfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW ROADWESTBURYNY11590463146870LABORATORYNY501(C)(3)3NW LABSfalse
NORTH SHORE-LIJ CARDIO MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078717MEDICAL SVCS.NY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ CARDIO AT DEER PARK PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078531MEDICAL SVCS.NY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078838MEDICAL SVCS.NY501(c)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078631MEDICAL SVCS.NY501(c)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ MED GROUP URG MED CARE
972 BRUSH HOLLOW ROADWESTBURYNY11590275078426MEDICAL SVCS.NY501(c)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590453023019MEDICAL SVCS.NY501(c)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW ROADWESTBURYNY11590461617516INSURANCENY501(C)(3)9hp holdingfalse
Advocate Community Providers
972 Brush Hollow RdWestburyNY11590472528627DSRIPNYAPPLIED FORNAfalse
North Shore-LIJ Health Plan Holding Comp
972 Brush Hollow RdWestburyNY11590462478147HOLDING CONY501(C)(3)11, TYPE IINW HEALTHCARfalse
Phelps Memorial Hospital Association
701 North BroadwaySLEEPY HOLLOWNY10591131725076HOSPITALNY501(C)(3)3NW HEALTHCARfalse
Phelps Medical Services PC
701 North BroadwaySleepy HollowNY10591274416017MEDICAL SVCSNY501(C)(3)11, TYPE IPHELPS MEMORfalse
Northern Westchester Hospital Associatio
401 East Main StreetMount KiscoNY10549131740118HOSPITALNY501(C)(3)3NW HEALTHCARfalse
Northern Westchester Hospital Foundation
401 East Main StreetMOUNT KISCONY10549134067064FOUNDATIONNY501(C)(3)9NWHAfalse
NORCORP Inc
401 East Main StreetMOUNT KISCONY10549133366748SUPPORT ORGNY501(C)(3)11, TYPE INWHAfalse
Northern Westchester Realty Holding Comp
401 East Main StreetMount KiscoNY10549912134215HOLDING COMPANY501(C)(2)N/ANWHAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
KRASNOFF CONS SVCS
972 Brush Hollow ROADWESTBURYNY11590262838027CONSULTINGNYCARE MGT GROUP
ENDOSCOPY CTR OF LI
972 BRUSH HOLLoW ROADWESTBURYNY11590260000980MEDICAL SVCS.NYNS-LIJ VENTURES
TRUE NORTH URG CARE
972 BRUSH HOLLOW ROADWESTBURYNY11590464113494MEDICAL SVCS.NYNS-LIJ URG CARE
TRUE NORTH DC
972 BRUSH HOLLOW ROADWESTBURYNY11590464601950MEDICAL SVCS.NYRENAL VENTURES
SYN HLTH TRUE NORTH
972 BRUSH HOLLOW ROADWESTBURYNY11590464106483MEDICAL SVCS.NYCENTRAL STERILE
NS-LIJ MED AIR TRAN
972 BRUSH HOLLOW ROADWESTBURYNY11590464858222AIR TRANSPORTNYNSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROADWESTBURYNY11590464469806RESEARCHNYHEALTH CARE
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590463869336MEDICAL SVCSNYNSUH
STATEN ISLAND PERFOMRING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544659DSRIPNYSIUHRELATED$30,478$7,942,687falsefalse0.50000
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544821DSRIPNYNSUH
Endo Group LLC
972 Brush Hollow RdWESTBURYNY11590200248148Medical SvcsNYVENTURES GCSC
Hospital City LLC
972 Brush Hollow RdWESTBURYNY11590474091780INACTIVENYNORTHWELL HEALT
Northwell Genomic Alliance LLC
972 Brush Hollow RdWESTBURYNY11590810826710INACTIVENYNW LABS
Health Connect Technologies LLC
972 Brush Hollow RdWESTBURYNY11590810967200INACTIVENYNEWPORT HEALTH
Phelps Professional Building Corp LP
777 North BroadwaySLEEPY HOLLOWNY10591133645137REAL ESTATENYPMHA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Aletta Corporation
972 Brush Hollow RoadWestburyNY11590112622371Physician SVCNYSOUTHSIDEC CORPORATIONfalse
Autoimmune Research Therapeutics
972 Brush Hollow RoadWestburyNY11590270701489INACTIVENYRESEARCHC CORPORATIONfalse
Care Management Group of Greater NY
972 Brush Hollow RoadWestburyNY11590113336381Business ServNYNSH ENTERPRISESC CORPORATIONfalse
Lenox Hill Pathology PC
972 BRUSH HOLLOW ROADWESTBURYNY11590133644370Medical ServiNYLENOX HILLC CORPORATIONfalse
Lenox Hill Phy Hospital Org Inc
972 BRUSH HOLLOW ROADWESTBURYNY11590133775996Managed CareNYLENOX HILLC CORPORATIONfalse
Lenox otolaryngology head & neck surgery
972 BRUSH HOLLOW ROADWESTBURYNY11590208784395Medical ServiNYLENOX HILLC CORPORATIONfalse
North Shore Health Enterprises
972 Brush Hollow RoadWestburyNY11590061605319Holding CompNYNSHS ENTERPRISEC CORPORATIONfalse
NS Health System Enterprises
972 Brush Hollow RoadWestburyNY11590113316922Holding CompNYNW HEALTHC CORPORATIONfalse
North Shore IPA 5 Inc
972 Brush Hollow RoadWestburyNY11590113383468Business ServNYNW HEALTHCAREC CORPORATIONfalse
NS-LIJ Health System IPA #1
972 Brush Hollow RoadWestburyNY11590113533659HealthCareNYLIJC CORPORATIONfalse
NS-LIJ Health System IPA #2
972 Brush Hollow RoadWestburyNY11590113533670HealthCareNYLIJC CORPORATIONfalse
NS-LIJ Medical Gr at Huntington PC
972 Brush Hollow RoadWestburyNY11590274384049Medical ServiNYNSUHC CORPORATIONfalse
NS-LIJ Medical Gr at North Nassau PC
972 Brush Hollow RoadWestburyNY11590274384146Medical ServiNYNSUHC CORPORATIONfalse
NS-LIJ Medical Group at Syosset PC
972 Brush Hollow RoadWestburyNY11590273957752Medical ServiNYNSUHC CORPORATIONfalse
NS-LIJ Medical Group PC
972 Brush Hollow RoadWestburyNY11590274384249Medical ServiNYNSUHC CORPORATIONfalse
NS-LIJ Network Inc
972 Brush Hollow RoadWestburyNY11590320257193Support ServiNYNW HEALTHC CORPORATIONfalse
NS-LIJ Phys Insurance Co Risk Ret Group
100 Bank StreetBurlingtonVT05401261487515INSURANCEVTNW HEALTHCAREC CORPORATIONfalse
North Shore-LIJ Physicians Group PC
972 Brush Hollow RoadWestburyNY11590274384326Medical ServiNYNSUHC CORPORATIONfalse
North Shore-LIJ Radiology Services PC
972 Brush Hollow RoadWestburyNY11590223970667Medical ServiNYNSUHC CORPORATIONfalse
North Shore-LIJ Service Alliance Inc
972 Brush Hollow RoadWestburyNY11590263651575Support ServiNYNAC CORPORATIONfalse
Ocean Breeze Home Care Agency
1 Edgewater Plaza 6th FloorStaten IslandNY10305133773601InactiveNYOVMC CORPORATIONfalse
Ocean View Management inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305133138888Management SvNYSIUHC CORPORATIONYes (true)$0$01.00000
Park Lenox Emergency Medicine PC
972 BRUSH HOLLOW ROADWESTBURYNY11590262661082Medical ServiNYLENOX HILLC CORPORATIONfalse
Regency Alliance Services Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305133277698inactiveNYOVMC CORPORATIONfalse
Regional Insurance Company LTD
insuranceNW HEALTHCAREC CORPORATIONfalse41 Cedar AveHamiltonBERMUDABDHM 12BD
Regioncare Inc
972 Brush Hollow RoadWestburyNY11590113052191HomecareNYNSHS ENTERPRISEC CORPORATIONfalse
SIUH Perinatology PC
475 Seaview AvenueStaten IslandNY10305134107082Medical ServiNYSIUHC CORPORATIONYes (true)$0$01.00000
United Medical Surgical PC
256 Mason Avenue BLDG B 2nd FLStaten IslandNY10305134038780Surgical ServNYSIUHS CORPORATIONYes (true)$16,096,288$560,0591.00000
Vivohealth Inc
972 Brush Hollow RoadWestburyNY11590264118016InactiveNYNSH ENTERPRISEC CORPORATIONfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RoadWESTBURYNY11590452661543Medical ServiNYlenoxC CORPORATIONfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RoadWESTBURYNY11590451004103Medical ServiNYNSUHC CORPORATIONfalse
NS-LIJ OB-GYN PC
972 Brush Hollow RoadWestburyNY11590461382916Medical ServiNYlijc corporationfalse
NS-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RoadWESTBURYNY11590461617561Medical ServiNYSOUTHSIDEC CORPORATIONfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW ROADWESTBURYNY11590463475908MEDICAL SERVINYNSUHC CORPORATIONfalse
NS-LIJ INTERNAL MEDICINE NEW HYDE PARK
972 BRUSH HOLLOW ROADWESTBURYNY11590462822879MEDICAL SERVINYNSUHC CORPORATIONfalse
NS-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590462886776MEDICAL SERVINYNSUHC CORPORATIONfalse
NS-LIJ CARECONNECT INSURANCE COMPANY
972 BRUSH HOLLOW ROADWESTBURYNY11590462270382INSURANCENYgroup holdingC CORPORATIONfalse
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590112945979MEDICAL SERVINYNSUHS CORPORATIONfalse
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590471020508PHARMACYNYNSUHC CORPORATIONfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROADWESTBURYNY11590471994548INSURANCE AGENYGROUP HOLDINGC CORPORATIONfalse
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590472478692HOLDING CONYHPLAN HOLDINGC CORPORATIONfalse
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROADWESTBURYNY11590465746956MEDICAL SERVINYNSUHC CORPORATIONfalse
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590471758444MEDICAL SERVINYNSUHC CORPORATIONfalse
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROADWESTBURYNY11590465495054MEDICAL SERVINYNSUHC COPPORATIONfalse
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RdWESTBURYNY11590300930851INACTIVENYNSUHC CORPORATIONfalse
Phelps Realty Corp
701 North BroadwaySleepy HollowNY10591133645135REAL ESTATENYPHELPS MEMORIALC CORPORATIONfalse
Health Delivery Analysis Inc
701 North BroadwaySLEEPY HOLLOWNY10591133352327INACTIVENYPHELPS MEMORIALC CORPORATIONfalse
Phelps Management Services Inc
701 North BroadwaySLEEPY HOLLOWNY10591131726635INACTIVENYPHELPS MEMORIALC CORPORATIONfalse
Phelps Services Inc
701 North BroadwaySleepy HollowNY10591131742995INACTIVENYPHELPS MEMORIALC CORPORATIONfalse
Northern Westchester Oncology Management
400 East Main StMount KiscoNY10549133697507Medical SvcsNYNORCORPC CORPORATIONfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPC CORPORATIONfalse
Northern Westchester Surgical Services
400 East Main StMount KiscoNY10549274550915Medical SvcsNYNWHAC CORPORATIONfalse
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow RdWESTBURYNY11590473722278Medical SvcsNYNSUHC CORPORATIONfalse
Lakeville Surgery PC
972 Brush Hollow RdWestburyNY11590474377760Medical SvcsNYLENOX HILLC CORPORATIONfalse
Marcus Emergency Medicine PC
972 Brush Hollow RdWestburyNY11590474377679Medical SvcsNYLenox HillC CORPORATIONfalse
Carnegie Cardiovascular PC
972 Brush Hollow RdWestburyNY11590474377825Medical SvcsNYLENOX HILLC CORPORATIONfalse
Madison Imaging PC
972 Brush Hollow RdWestburyNY11590000000000Medical SvcsNYNSUHC CORPORATIONfalse
Community Drive Medicine PC
972 Brush Hollow RdwestburyNY11590474447289medical svcsNYnsuhC CORPORATIONfalse
Westchester Health Medical PC
972 Brush Hollow RdwestburyNY11590474539584medical svcsNYnsuhC CORPORATIONfalse
Marcus Avenue Medical PC
972 Brush Hollow RdwestburyNY11590300930577Medical SvcsNYnsuhc corporationfalse
CareConnect Administrative Services Inc
972 Brush Hollow RdwestburyNY11590475182974adminNYgroup holdingc corporationfalse
Northwell FlexStaff Inc
972 Brush Hollow RdWestburyNY11590810836815inactiveNYhcic corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS AN AFFILIATE OF Northwell Health, Inc. ("northwell"). ORGANIZATIONS WITHIN northwell ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt