2023-11-14T14:08:46-06:00 2022-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2022-01-01 272843521 SOUTH NASSAU COMMUNITIES HOSPITAL SOUT 5162551500 ONE HEALTHY WAY OCEANSIDE NY 115721551 JOHN POHLMAN CHIEF FINANCIAL OFFICER 5162551500 2023-11-14 1 JOHN POHLMAN 999009999 0 KENDALL SCHNURPEL P01478462 3176566957 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN POHLMAN ONE HEALTHY WAY OCEANSIDE NY 115721551 94278770 1 1 5611 X WWW.SOUTHNASSAU.ORG X 1927 NY THE MISSION OF SOUTH NASSAU COMMUNITIES HOSPITAL'S AFFILIATES ("THE AFFILIATES") IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTH CARE TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION IN SUPPORT OF THE HOSPITAL'S MISSION. X 21 18 252 0 365013 0 481383 430363 88303564 92481873 461597 33680 1211641 1332854 90458185 94278770 0 0 0 0 53995714 56751112 0 0 0 34626746 37599096 88622460 94350208 1835725 -71438 45244502 39820947 42463494 40322728 2781008 -501781 X THE MISSION OF SOUTH NASSAU COMMUNITIES HOSPITAL'S AFFILIATES ("THE AFFILIATES") IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTH CARE TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION IN SUPPORT OF THE HOSPITAL'S MISSION 0 0 13896261 13918732 ONCOLOGY SERVICES ARE PROVIDED BY TWO SNCH PCS: SOUTH NASSAU ONCOLOGY PRACTICE, PC AND SOUTH NASSAU ONCOLOGY, PC, WHICH SPECIALIZE IN THE TREATMENT OF THE COMBINATION OF HEMATOLOGY AND ONCOLOGY DISORDERS. THE ONCOLOGY PRACTICE PCS EXPERIENCED 18,581 VISITS IN 2022. 18689965 18327246 SOUTH NASSAU MEDICAL GROUP IS COMPRISED OF SEVERAL PHYSICIAN OFFICES PROVIDING THE FOLLOWING SERVICES: PRIMARY CARE, OB/GYN, RADIOLOGY, CARDIOVASCULAR. DURING 2022 THE OFFICES EXPERIENCED 75,098 VISITS. 14998318 10346425 SOUTH NASSAU PHYSICIAN GROUP IS REPRESENTED BY THE EMERGENCY ROOM PHYSICANS IN OCEANSIDE. IN 2022 THERE WERE 54,345 VISITS. 46492125 50169505 PRIMARY MEDICAL CARE SERVICES ARE PROVIDED BY SEVERAL PCS WITHIN THE SOUTH NASSAU COMMUNITIES HOSPITAL GROUP. THESE PCS OFFER A COMPREHENSIVE RANGE OF SERVICES TAILORED TO THE INDIVIDUAL NEEDS OF THE PATIENTS, FROM OBSTETRICAL AND GYNECOLOGICAL CARE, TO GERIATRIC AND SOCIAL SERVICES, TO PREVENTIVE MEDICINE AND URGENT HEALTH CARE IN MULTIPLE LOCATIONS IN OCEANSIDE AND LONG BEACH. THE PCS ARE STAFFED BY A GROUP OF SKILLED, EXPERIENCED PHYSICIANS AND NURSES WHO ARE DEVOTED TO THE MISSION OF SNCH. THE PRACTICES STAFF INCLUDE FULL-TIME, BOARD-CERTIFIED FAMILY PHYSICIANS; YOU CAN SEE THE SAME DOCTOR EVERY TIME YOU VISIT. OUR PRACTICE ALSO INCLUDES RESIDENTS OF SOUTH NASSAU'S FULLY ACCREDITED FAMILY PRACTICE RESIDENCY TRAINING PROGRAM, ASSURING UP-TO-DATE STANDARDS WITHIN A CONTINUAL LEARNING ENVIRONMENT. THE CENTER ALSO HAS REGULARLY SCHEDULED VISITS FROM SOUTH NASSAU SPECIALISTS - INCLUDING A CARDIOLOGIST, DIETICIAN, DERMATOLOGIST, PODIATRIST, GASTROENTEROLOGIST, AND SURGEON AND MORE. YOU CAN BE CONFIDENT THAT ANY SPECIALIZED CARE YOU MAY NEED IS AVAILABLE TO YOU, WHEN YOU NEED IT. THESE PCS EXPERIENCED 61,167 VISITS IN 2022. OCEANSIDE COUNSELING CENTER'S ("OCC") MISSION IS TO PROVIDE COMPREHENSIVE, AFFORDABLE, AND ACCESSIBLE ADDICTION TREATMENT. FOR MORE THAN FORTY YEARS, OCC HAS PROVIDED SUPPORTIVE SKILLS-BUILDING ANDREHABILITATIVE SERVICES FOR THE TREATMENT OF ALCOHOL, DRUG AND NICOTINE DEPENDENCE. OCC ALSO PROVIDES TREATMENT SERVICES FOR THOSE SUFFERING FROM BOTH MENTAL ILLNESS AND ADDICTION. OCC PROVIDED 992 COUNSELING SERVICES IN 2022.SOUTH NASSAU OBSTETRICS AND GYNECOLOGY, PC DELIVERS PATIENT-CENTERED GYNECOLOGIC AND REPRODUCTIVE HEALTH CARE SERVICES, PROVIDING A FULL RANGE OF QUALITY MATERNITY SERVICES. THIS PC EXPERIENCED 3,388 VISITS IN 2022.SOUTH NASSAU NEONATAL SERVICES PC'S PHYSICIANS PROVIDE MEDICAL CARE FOR NEWBORN INFANTS, ESPECIALLY ILL OR PREMATURE NEWBORNS. THIS PC EXPERIENCED 104 VISITS IN 2022.SN SERVICES, INC. AND 203 MERRICK ROAD OWN VARIOUS PROPERTIES THAT ARE USED BY THE SOUTH NASSAU COMMUNITIES HOSPITAL AND AFFILIATED ORGANIZATIONS TO SUPPORT THE MISSION OF THE HOSPITAL.ALL SNCH PCS ARE CONTROLLED AND OPERATED BY SOUTH NASSAU COMMUNITIES HOSPITAL.THE HOSPITAL IS SELF-INSURED FOR LOSSES, WHICH MAY ARISE FROM CLAIMS FILED AGAINST IT. PROFESSIONAL AND GENERAL LIABILITY CLAIMS HAVE BEEN ASSERTED AGAINST THE HOSPITAL BY VARIOUS CLAIMANTS. THE CLAIMS ARE IN VARIOUS STAGES OF PROCESSING AND SOME MAY ULTIMATELY BE BROUGHT TO TRIAL. COUNSEL IS UNABLE TO CONCLUDE AS TO THE ULTIMATE OUTCOME OF THE ACTIONS. THERE ARE KNOWN INCIDENTS REPORTED THAT MAY RESULT IN THE ASSERTION OF ADDITIONAL CLAIMS, AND OTHER CLAIMS MAY BE ASSERTED ARISING FROM SERVICES PROVIDED TO PATIENTS IN THE PAST. THE SELF INSURANCE FUND HAS BEEN DISSOLVED DURING 2022. 46492125 50169505 94076669 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 252 1 1 1 0 0 0 0 0 0 0 0 0 0 X 21 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X JOHN POHLMAN 5166324062 ONE HEALTHY WAY OCEANSIDE NY 11572 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 0.00 1.00 X 0 2571508 64512 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 0.00 1.00 X 0 2113585 77093 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 1.00 36.50 X X 0 1043127 75231 ANTHONY CANCELLIERI CO-CHAIRMAN 1.00 1.00 X 0 0 0 ANTHONY PONTE DIRECTOR 1.00 1.00 X 0 0 0 BUTCH YAMALI DIRECTOR 1.00 1.00 X 0 0 0 DAVID BONAGURA CO-CHAIRMAN 1.00 1.00 X 0 0 0 EDWARD SCOTT SECRETARY 1.00 1.00 X 0 0 0 GEORGE SCHIEREN DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY FRISCH DIRECTOR 1.00 1.00 X 0 0 0 JOEL SCHNEIDER DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH J FENNESSY DIRECTOR 1.00 1.00 X 0 0 0 LAURA CURRAN STARTED 312022 DIRECTOR 1.00 1.00 X 0 0 0 LOWELL FREY ASSISTANT SECRETARY 1.00 1.00 X 0 0 0 MICHAEL SAPRAICONE DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL SCHAMROTH PAST CHAIRMAN 1.00 1.00 X 0 0 0 NANCY KOOPERSMITH DIRECTOR 1.00 1.00 X 0 0 0 PETER C BREITSTONE TREASURER 1.00 1.00 X 0 0 0 SALLY VALENTI DIRECTOR 1.00 1.00 X 0 0 0 STEVEN GOLD DIRECTOR 1.00 1.00 X 0 0 0 WAYNE LIPTON DIRECTOR 1.00 1.00 X 0 0 0 RICHARD MURPHYTERMED 122 PRESIDENT & VP 2.00 35.50 X 0 734901 48921 WILLIAM ALLISON CHIEF OPERATING OFFICER 1.00 36.50 X 0 719616 54519 JOHN POHLMAN CHIEF FINANCIAL OFFICER 1.00 36.50 X 0 599596 64712 STACY CONKLIN SVP PATIENT CARE 1.00 36.50 X 0 390294 77650 ALAN WONG STARTED 132022 CHIEF MEDICAL OFFICER 1.00 36.50 X 0 429297 30694 RAJIV DATTA PHYSICIAN 19.60 17.90 X 1443053 0 80925 LEESTER WU ASST DIR RADIATION ONC 1.00 36.50 X 0 1213719 53714 ALAN GARELY PRESIDENT 15.50 22.00 X 0 1053454 80925 SYDNEY YOON RAD PHYSICIAN 37.50 0.00 X 748462 0 78714 MATTHEW RIFKIN PRESIDENT 18.75 18.75 X 766811 0 56317 2958326 10869097 843927 125 0 1 0 0 430363 430363 SN MEDICAL GROUP 621111 18326199 18326199 SN ONCOLOGY 621111 13757119 13757119 NEONATAL 621111 13502800 13502800 SN PRIMARY 621111 10346425 10346425 MS COLORECTAL 621111 9031875 9031875 27517455 27517455 92481873 33680 33680 687806 0 687806 687806 687806 EMPLOYEE LEASING 900099 365013 365013 REBATES & RECOVERIES 900099 191253 191253 INCENTIVES 900099 88748 88748 34 34 645048 94278770 92761908 365013 721486 X 46016449 46016449 1187520 1187520 8184109 8184109 1363034 1363034 12140 12140 6705 6705 17610810 17610810 254694 254694 4074104 4074104 10706 10706 266914 266914 1132547 1132547 4369365 4369365 MEDICAL SUPPLIES 5588265 5588265 MALPRACTICE CLAIMS 3053844 3053844 OTHER 626083 626083 EQUIPMENT RENTAL 592919 592919 94350208 94076669 273539 0 9985220 8788455 9415002 8750523 364918 303708 261730 523214 40638052 20568215 21193983 20069837 3134962 888687 1385210 45244502 39820947 5080681 5521011 37382813 34801717 42463494 40322728 X 2781008 -501781 2781008 -501781 45244502 39820947 X -71438 -147001 -3064350 X X 0 1 X 0 0 X X 1 SOUTH NASSAU COMMUNITIES HOSPITAL INC 111352310 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7909831 7909831 29995916 17962126 12033790 1011378 917542 93836 1720927 1688547 32380 20069837 DUE TO/FROM MOUNT SINAI 1282165 OTHER CURRENT LIABILITIES 193623 DUE TO AFFILIATES 31756869 OTHER LIABILITIES 1569060 34801717 0 1 0 0 0 0 0 1 0 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 0 1750001 0 821507 0 0 0 30500 0 34012 0 2636020 0 0 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 0 1200000 0 913585 0 0 0 30500 0 46593 0 2190678 0 0 RAJIV DATTA PHYSICIAN 1291989 0 151064 0 0 0 47500 0 33425 0 1523978 0 0 0 LEESTER WU ASST DIR RADIATION ONC 0 714552 0 499167 0 0 0 20500 0 33214 0 1267433 0 0 ALAN GARELY PRESIDENT 0 935854 0 117600 0 0 0 47500 0 33425 0 1134379 0 0 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 0 823847 0 219280 0 0 0 47500 0 27731 0 1118358 0 0 SYDNEY YOON RAD PHYSICIAN 680162 0 68300 0 0 0 45500 0 33214 0 827176 0 0 0 MATTHEW RIFKIN PRESIDENT 681339 0 85472 0 0 0 47500 0 8817 0 823128 0 0 0 RICHARD MURPHYTERMED 122 PRESIDENT & VP 0 62099 0 672802 0 0 0 47500 0 1421 0 783822 0 0 WILLIAM ALLISON CHIEF OPERATING OFFICER 0 546855 0 169881 0 2880 0 47500 0 7019 0 774135 0 0 JOHN POHLMAN CHIEF FINANCIAL OFFICER 0 462711 0 131125 0 5760 0 29950 0 34762 0 664308 0 0 STACY CONKLIN SVP PATIENT CARE 0 317052 0 73242 0 0 0 47500 0 30150 0 467944 0 0 ALAN WONG STARTED 132022 CHIEF MEDICAL OFFICER 0 414047 0 15250 0 0 0 19338 0 11356 0 459991 0 0 PART I, LINE 3 THE HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE CEO COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, WRITTEN EMPLOYMENT CONTRACT (FROM PRIOR EMPLOYER), COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE COMPENSATION COMMITTEE UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICER'S OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED EVERY TWO YEARS BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT RENDERS AN OPINION AS TO WHETHER THE TOTAL PROPOSED COMPENSATION FOR THE OFFICER IS "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICER'S SALARY TO REACH THEIR RECOMMENDATION. PART I, LINE 4B SENIOR EXECUTIVE POSITIONS, WHO ARE IMPACTED BY LIMITS UNDER THE HOSPITAL'S TAX-QUALIFIED RETIREMENT PLAN THAT DO NOT LIMIT OTHER EMPLOYEES, ALSO HAVE A SUPPLEMENTAL PLAN. THE SUPPLEMENTAL PLAN IS INTENDED ONLY TO MAKE UP FOR SUCH LIMITS AND CONTAINS VESTING SCHEDULES DESIGNED TO RETAIN THE EXECUTIVE UNTIL RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2022, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION IN SCHEDULE J, PART II, BOX C: JOHN POHLMAN - $9,084 DR ALAN WONG- $7,250 PART I, LINE 7 THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PREESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. AWARDS ARE SET FORTH IN PART II, COLUMN B(II). ADDITIONAL DISCLOSURE THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR CERTAIN OFFICERS AND KEY PERSONNEL REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO SOUTH NASSAU COMMUNITIES HOSPITAL ("SNCH") AND ITS AFFILIATED ORGANIZATIONS. THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS. SELF-INSURANCE FUN - PAYMENTS TO SNCH FOR CLAIMS, ETC. 2022-12-31 3053844 BOOK VALUE 111352310 SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 115721551 501(C)(3) 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 SOUTH NASSAU COMMUNITIES HOSPITAL INC. IS THE SOLE MEMBER OF 19 ENTITIES: RADIOLOGICAL ASSOCIATES OF LONG ISLAND, P.C., SN SERVICES CORPORATION, SOUTH NASSAU NEONATAL SERVICES, P.C., SOUTH NASSAU FAMILY MEDICINE, P.C., SOUTH NASSAU PRIMARY MEDICAL CARE, P.C., OCEANSIDE COUNSELING CENTER SOUTH NASSAU PHYSICIAN PRACTICE, P.C., SOUTH NASSAU ONCOLOGY, P.C., SN RADIOLOGICAL PRACTICE, P.C., 203 MERRICK ROAD HOLDING CORP, SOUTH NASSAU CARDIOVASCULAR PRACTICE, P.C., SOUTH NASSAU MEDICAL GROUP, P.C., SOUTH NASSAU OBSTRETRICS AND GYNECOLOGY, P.C., SOUTH NASSAU ONCOLOGY PRACTICE, P.C., SNCH COMMUNITY DEVELOPMENT CORPORATION SOUTH NASSAU PHYSICIANS, P.C., SOUTH NASSAU PHYSICIAN GROUP, PC, SOUTH NASSAU UROLOGY, P.C. SOUTH NASSAU COMMUNITIES HOSPITAL SELF-INSURANCE TRUST FUND DTD 10/26 THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS. FORM 990, PART VI, SECTION A, LINE 7A SOUTH NASSAU COMMUNITIES HOSPITAL, INC. IS THE SOLE MEMBER OF THE SUBORDINATE ORGANZIATIONS REPORTED IN THIS GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD HAS THE AUTHORITY (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS. OTHER AUTHORITY INCLUDES: (A) APPROVAL OF THE TAXPAYER'S MISSION AND PHILOSOPHY; (B) ESTABLISHING THE SIZE OF THE TAXPAYER'S GOVERNING BOARD; (C) SELECTION AND REMOVAL OF THE CHAIRPERSON OF THE TAXPAYER'S GOVERNING BOARD; (D) ESTABLISHING CRITERIA FOR EVALUATING PERFORMANCE OF THE TAXPAYER'S CHIEF EXECUTIVE OFFICER; (E) APPROVAL OF THE TAXPAYER'S OPERATING AND CAPITAL BUDGETS AND BUSINESS PLAN; (F) APPROVAL OF THE ESTABLISHMENT OF ANY MATERIAL NEW LINES OF BUSINESS BY THE TAXPAYER THAT IS NOT OTHERWISE CONTEMPLATED WITHIN A PREVIOUSLY APPROVED BUSINESS PLAN OF THE TAXPAYER; (G) INITIATION BY THE TAXPAYER OF A BANKRUPTCY OR INSOLVENCY ACTION; (H) APPROVAL OF THE ISSUANCE OF LONG-TERM DEBT (I) APPROVAL OF LITIGATION SETTLEMENTS INVOLVING THE TAXPAYER THAT EXCEED APPLICABLE COMMERCIAL OR SELF INSURANCE COVERAGE; (J) APPROVAL OF THE SUBMISSION OF ANY CERTIFICATE OF NEED APPLICATIONS BY OR ON BEHALF OF THE TAXPAYER WITH ANY REGULATORY AUTHORITY; (K) APPROVAL OF THE INITIATION BY THE TAXPAYER OF A NEW CLINICAL SERVICE OR THE DISCONTINUANCE OR SUBSTANTIAL CHANGE IN AN EXISTING CLINICAL SERVICE. FORM 990, PART VI, SECTION B, LINE 11B THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL REVIEW AND APPROVE THE IRS FORM 990 ACCORDING TO THE POLICY OF THE PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. AS SUCH, SOUTH NASSAU COMMUNITIES HOSPITAL'S PROCESS IS OUTLINED BELOW: THE AUDIT COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS OF SOUTH NASSAU COMMUNITIES HOSPITAL WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL'S OFFICERS, DIRECTORS, AND KEY EMPLOYEES OPERATE UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. THE HOSPITAL ANNUALLY MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY PROVIDING ANNUAL QUESTIONNAIRES THAT REQUIRE THE OFFICER, DIRECTOR AND/OR KEY EMPLOYEE TO DISCLOSE POTENTIAL CONFLICTS. FOR FURTHER INFORMATION, PLEASE REFER TO THE SOUTH NASSAU COMMUNITIES HOSPITAL FORM 990 FOR THE YEAR ENDING DECEMBER 31, 2022. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION PROCESS FOR TOP OFFICIAL COMPENSATION FOR THE OFFICERS AND OTHER EMPLOYEES IS DETERMINED BY SOUTH NASSAU COMMUNITIES HOSPITAL. PLEASE SEE BELOW FOR PROCEDURES. 15(A) SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE-HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15 (B) COMPENSATION FOR THE OTHER OFFICERS (NOT DISCLOSED ABOVE) AND KEY EMPLOYERS IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC CAN OBTAIN A COPY OF THE 990 OR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE SOUTH NASSAU COMMUNITIES HOSPITAL AFFILIATES CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: (516) 377-5370. FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 86,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,221. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,802,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,802,049. OTHER OUTSIDE FEES: PROGRAM SERVICE EXPENSES 1,722,540. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,722,540. FORM 990, PART XI, LINE 9: TRANSFER FROM RELATED PARTIES -3,063,954. ROUNDING -396. PART XII, LINE 2C: SOUTH NASSAU COMMUNITIES HOSPITAL, THE PARENT OF THESE ORGANIZATIONS, RECEIVED A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2022. THE COMBINED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("GAAP"). THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTH NASSAU COMMUNITIES HOSPITAL AND ALL OF ITS AFFILIATE ORGANIZATIONS WHICH IN SOME CASES FILE SEPARATE RETURNS WITH THE IRS. FORM 990, PAGE 1, BOX H THE HOSPITAL AND GROUP AFFILIATED ORGANIZATIONS ARE SECTION 501(C)(3) ORGANIZATIONS. THE ORGANIZATIONS ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AND THEIR INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR NEW YORK STATE INCOME TAXES. SN HEALTHCARE AND SOUTH NASSAU SN, LLC ARE TAXABLE ENTITIES, WHICH ARE NOT INCLUDED IN THE GROUP RETURN. SIBS PLACE, INC. IS ALSO NOT INCLUDED IN THE GROUP RETURN AND FILE SEPARATE FEDERAL FORMS 990. AFFILIATES INCLUDED IN GROUP RETURN SUBORDINATE ORGANIZATIONS OF SOUTH NASSAU COMMUNITIES HOSPITAL (EIN: 27-2843521) GROUP EXEMPTION NUMBER 5611: RADIOLOGICAL ASSOCIATES OF LONG ISLAND, P.C., - EIN: 11-2462030 SN SERVICES CORPORATION, - EIN: 11-2727976 SOUTH NASSAU NEONATAL SERVICES, P.C., - EIN: 11-3319620 SOUTH NASSAU FAMILY MEDICINE, P.C., - EIN: 11-3565450 SOUTH NASSAU PRIMARY MEDICAL CARE, P.C., - EIN: 11-3581988 OCEANSIDE COUNSELING CENTER -EIN: 23-7062966 SOUTH NASSAU PHYSICIAN PRACTICE, P.C., - EIN: 26-2692377 SOUTH NASSAU ONCOLOGY, P.C., - EIN: 27-3857309 203 MERRICK ROAD HOLDING CORP, - EIN: 27-5368294 SOUTH NASSAU CARDIOVASCULAR PRACTICE, P.C., - EIN: 38-3843950 SOUTH NASSAU MEDICAL GROUP, P.C., - EIN: 45-4799159 SOUTH NASSAU OBSTETRICS AND GYNECOLOGY, P.C., - EIN: 45-5272144 SOUTH NASSAU ONCOLOGY PRACTICE, P.C., - EIN: 46-2905667 SNCH COMMUNITY DEVELOPMENT CORPORATION - EIN: 47-1303599 SOUTH NASSAU PHYSICIANS, P.C., - EIN: 47-1545515 SOUTH NASSAU PHYSICIAN GROUP, PC, - EIN: 47-4961193 SOUTH NASSAU UROLOGY, P.C. - EIN: 47-5071498 SOUTH NASSAU COMMUNITIES HOSPITAL SELF-INSURANCE TRUST FUND DTD 10/26 - EIN: 13-6749767 SOUTH NASSAU RADIOLOGY PC - EIN: 45-4799159 FORM 990 PART VI, LINE 13 THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL OPERATE UNDER THE WRITTEN WHISTLE BLOWER AND DOCUMENT RETENTION POLICIES OF ITS PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. 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