2024-11-13T22:00:56-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2023-01-01 111352310 SOUTH NASSAU COMMUNITIES HOSPITAL INC SOUT 5166323000 ONE HEALTHY WAY OCEANSIDE NY 115721551 JOHN POHLMAN CFO 5166324062 2024-11-13 1 0 ANGELA MOORE P00244342 3174648600 2023 2024-10-15 13:58:12Z MOUNT SINAI SOUTH NASSAU JOHN POHLMAN ONE HEALTHY WAY OCEANSIDE NY 115721551 916778791 0 5611 X WWW.SOUTHNASSAU.ORG X 1927 NY COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 32 31 4956 163 15793 0 42683605 45648980 589811869 615959952 6145382 26937370 53212474 72038226 691853330 760584528 0 0 0 0 354847622 398692689 0 0 731529 258372888 291552495 613220510 690245184 78632820 70339344 1121237210 1180991314 494955351 514951683 626281859 666039631 X SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 0 0 347201584 454756418 MEDICAL AND SURGICAL INPATIENT SERVICES:THE HOSPITAL IS CERTIFIED FOR 329 MEDICAL SURGICAL BEDS. THESE BEDS INCLUDE A 36-BED ORTHOPEDIC SPECIALTY UNIT, A 38-BED ONCOLOGY (CANCER) UNIT, A 23-BED STEP-DOWN PROGRESSIVE CARE UNIT INCLUDING AN 8-BED BARIATRIC SURGERY UNIT AND 89 BEDS FOR TELEMETRY OR OTHERS WITH LESS THAN ACUTE CORONARY PROBLEMS. THE HOSPITAL ALSO HAS A 20 BED TRANSITIONAL CARE UNIT. THE HOSPITAL'S OPERATING ROOMS CONSISTS OF 15 SUITES WHICH ARE AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. A FULL RANGE OF SURGICAL SPECIALTIES ARE PERFORMED WHICH INCLUDE ORTHOPEDICS, SPINE SURGERY, PLASTIC SURGERY, NEUROSURGERY, GYNECOLOGIC SURGERY, GASTROINTESTINAL SURGERY, LAPAROSCOPIC BARIATRIC SURGERY (MINIMALLY INVASIVE SURGERY FOR WEIGHT LOSS), UROLOGY, OPHTHALMOLOGY, VASCULAR SURGERY, THORACIC SURGERY, PERMANENT PACEMAKERS, IMPLANTABLE DEFIBRILLATORS, PODIATRIC SURGERY, PEDIATRIC SURGERY, EAR, NOSE AND THROAT SURGERY, AND GENERAL SURGERY. THE HOSPITAL ADMITTED 14,768 MEDICAL SURGICAL PATIENTS IN 2023.PEDIATRICS SERVICES:THE HOSPITAL PROVIDES COMPREHENSIVE GENERAL AND SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND TEENAGERS IN NEED OF SURGICAL OR PREVENTIVE SERVICES OR CARE FOR INFECTIOUS DISEASES, SERIOUS ILLNESSES OR COMPLEX MEDICAL CONDITIONS. THIS UNIT FEATURES SPECIALISTS IN PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, HEMATOLOGY-ONCOLOGY, NEUROLOGY, PULMONARY MEDICINE AS WELL AS A PEDIATRIC SURGEON, NEONATOLOGIST AND ANESTHESIOLOGIST. A SPECIAL CARE PEDIATRIC UNIT EQUIPPED WITH THE LATEST PEDIATRIC MEDICAL TECHNOLOGY AND MONITORING SYSTEM, CAN EFFECTIVELY MANAGE AND TREAT ALMOST ANY EMERGENCY OR SERIOUS ILLNESS. THE UNIT FEATURES A MULTI-PURPOSE TREATMENT ROOM TO PERFORM MINOR PROCEDURES, WHETHER SURGICAL OR NON-SURGICAL. A TEAM OF SPECIALLY TRAINED NURSING STAFF AND PEDIATRICIANS, INCLUDING NURSING STAFF TRAINED IN PEDIATRIC ADVANCE LIFE SUPPORT (PALS), WITH SPECIALISTS ON-CALL AROUND THE CLOCK. THE HOSPITAL ADMITTED 102 PEDIATRIC PATIENTS IN 2023.MATERNITY AND NURSERY SERVICES:THE HOSPITAL HAS STATE-OF-THE-ART LABOR/DELIVERY ROOMS WHICH CREATE A COMFORTING ENVIRONMENT WHILE PROVIDING ALL THE NECESSARY EQUIPMENT AND CLINICAL SUPPORT FOR MOTHER AND BABY. ALL 26 POSTPARTUM BEDS OFFER PRIVATE ACCOMMODATIONS. THE HOSPITAL PROVIDES SPECIALIZED SERVICES FOR WOMEN WITH HIGH-RISK PREGNANCIES. THE UNIT IS STAFFED BY SOME OF THE AREA'S LEADING SPECIALISTS IN HIGH-RISK PREGNANCIES. SOUTH NASSAU PROVIDES A COMPREHENSIVE PACKAGE OF SERVICES, INCLUDING PERINATOLOGY, FETAL MONITORING, GENETICS COUNSELING, AND DIAGNOSTIC CARE FOR ALL STAGES OF HIGH-RISK PREGNANCIES INCLUDING AMNIOCENTESIS AND ULTRASOUND. THE HOSPITAL ADMITTED 4,337 MATERNITY PATIENTS (INCLUDING NEWBORNS) IN 2023.NEONATAL SERVICES:THE HOSPITAL ALSO HAS A LEVEL II NEONATAL INTENSIVE CARE UNIT FOR PREMATURE BABIES. PREMATURE DELIVERIES AND NEWBORNS WITH DEVELOPMENTAL COMPLICATIONS OR CONDITIONS RECEIVE THE SPECIALIZED CARE THEY NEED IN THE NEONATAL INTENSIVE CARE UNIT. STAFFED BY HIGHLY TRAINED, BOARD-CERTIFIED NEONATOLOGISTS AND NURSES, THE NURSERY PROVIDES INTENSIVE ONE-TO-ONE CARE AND IS EQUIPPED WITH DEDICATED MEDICAL TECHNOLOGY FOR PREMATURE DELIVERIES AND NEWBORNS WITH SPECIAL NEEDS. THE NURSERY ALSO FEATURES A STATE-OF-THE-ART MONITORING SYSTEM. THE HOSPITAL ADMITTED 134 NEONATES IN 2023.IN-PATIENT PSYCHIATRIC SERVICES:IN OUR 36-BED SHORT-TERM INPATIENT BEHAVIORAL HEALTH UNIT, WE PROVIDE RAPID STABILIZATION FOR A WIDE RANGE OF ACUTE PSYCHIATRIC CONDITIONS. PATIENTS RECEIVE PSYCHIATRIC AND PSYCHOLOGICAL CONSULTATION DURING THEIR HOSPITAL STAY TO ALLEVIATE DISTRESS AND PAIN. THE HOSPITAL ADMITTED 752 PSYCHIATRIC PATIENTS IN 2023.TRANSITIONAL CARE UNIT: THIS 20 BED UNIT PROVIDES "TRANSITIONAL" CARE FOR PATIENTS WHO HAVE COMPLETED THEIR ACUTE STAY IN THE HOSPITAL YET STILL REQUIRE SKILLED NURSING AND OTHER SUPPORTIVE CARE BEFORE RETURNING TO HOME OR OTHER LIVING ARRANGEMENTS. THE HOSPITAL ADMITTED 361 PATIENTS IN 2023.SUMMARY:THE HOSPITAL ADMITTED A TOTAL OF 20,424 PATIENTS IN 2023 FOR INPATIENT SERVICES. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS OR EMERGENCY BASIS. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $2.0 MILLION (CHARGES) FOR INPATIENTS SERVED IN 2023. 94810650 95872970 AMBULATORY SURGERY: SOUTH NASSAU AMBULATORY SURGERY SERVICE LINE CONSISTS OF OUTPATIENT SURGICAL, ENDOSCOPY, PAIN MANAGEMENT AND CARDIAC SERVICES. SEE DETAILS OF THE SERVICES THAT COMPRISE AMBULATORY SURGERY BELOW:OUTPATIENT SURGERIES:SOUTH NASSAU'S AMBULATORY SURGERY UNIT (ASU) FEATURES 10 SEMI-PRIVATE PRE-OPERATIVE PATIENT SUITES WHERE THE PATIENT IS ADMITTED PRIOR TO SURGERY AND 16 SEMI-PRIVATE POSTOPERATIVE ROOMS WHERE PATIENTS COMPLETE PHASE TWO OF THEIR RECOVERY, RECEIVE PAIN MEDICATION AND POST-OPERATIVE TEACHING PRIOR TO BEING DISCHARGED FROM THE HOSPITAL. THE ASU POST-OPERATIVE UNIT IS OPEN 24 HOURS A DAY. THE HOSPITAL PERFORMED 7,327 OUTPATIENT SURGICAL PROCEDURES IN 2023.ENDOSCOPY:SOUTH NASSAU COMMUNITIES HOSPITAL'S ENDOSCOPY UNIT PROVIDES STATE-OF-THE-ART PATIENT CARE FOR BOTH INPATIENTS AND OUTPATIENTS REQUIRING UPPER OR LOWER GASTROINTESTINAL STUDIES. THE SERVICE OFFERS E.R.C.P. (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) STUDIES OF THE GALL BLADDER, PANCREAS AND BILE DUCTS. ALSO OFFERED ARE ENDOSCOPIC ULTRASOUND, WHICH EXAMINES THE WALLS AND THE SURROUNDING STRUCTURES OF THE GI SYSTEM; GASTROSCOPY AND COLONOSCOPY, A MINIMALLY INVASIVE PROCEDURE TO VIEW THE GASTROINTESTINAL SYSTEM INCLUDING THE ESOPHAGUS, STOMACH AND COLON; AND LIVER BIOPSIES. THE ENDOSCOPY UNIT ALSO PERFORMS PH AND MOTILITY STUDIES USING THE "BRAVO" CAPSULE. THE HOSPITAL PERFORMED 3,577 OUTPATIENT ENDOSCOPY PROCEDURES IN 2023.PAIN MANAGEMENT:SOUTH NASSAU'S PAIN MANAGEMENT UNIT PROVIDES CARE TO BOTH INPATIENTS AND OUTPATIENTS REQUIRING INTERVENTIONAL PAIN MANAGEMENT PROCEDURES. THE PAIN MANAGEMENT ANESTHESIOLOGISTS, WHO ARE ASSISTED BY HIGHLY SKILLED REGISTERED NURSES, ARE TRAINED IN CUTTING-EDGE INTERVENTIONAL PAIN MANAGEMENT MODALITIES. THE HOSPITAL PERFORMED 460 OUTPATIENT PAIN MANAGEMENT PROCEDURES IN 2023.CARDIAC SERVICES:CARDIAC CATHETERIZATION LABORATORY: THE HOSPITAL'S CARDIAC CATHETERIZATION LABORATORIES IN THE CENTER FOR CARDIOVASCULAR HEALTH USE STATE-OF-THE-ART DIGITAL IMAGING CAMERAS FOR THE HIGHEST POSSIBLE RESOLUTION AND IMAGE QUALITY. THIS PROVIDES PRECISE RESULTS FOR CARDIAC PROCEDURES WHILE SIGNIFICANTLY REDUCING THE PATIENT'S EXPOSURE TO RADIATION. SOUTH NASSAU WAS APPROVED BY THE DEPARTMENT OF HEALTH TO PERFORM ELECTIVE ANGIOPLASTY. THIS ALLOWS SOUTH NASSAU TO PERFORM DIAGNOSTIC CARDIAC CATHETERIZATIONS AS WELL AS BOTH ELECTIVE AND EMERGENT CORONARY ANGIOPLASTY PROCEDURES. THE CARDIAC CATHETERIZATION LAB AND THE CARDIAC SERVICES ADMITTING/RECOVERY UNIT ARE STAFFED BY SPECIALLY TRAINED REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN'S ASSISTANTS AND EXPERIENCED INTERVENTIONAL CARDIOLOGISTS WHO RANK AMONG THE BEST IN THE STATE. THE HOSPITAL PERFORMED 1,542 OUTPATIENT CATHETERIZATION PROCEDURES IN 2023.ELECTROPHYSIOLOGY LABORATORY:THE HOSPITAL'S ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF LIFE-THREATENING HEART RHYTHM DISORDERS. THE ELECTROPHYSIOLOGY LAB USES STATE-OF-THE-ART 3-D CARDIAC ANATOMIC MAPPING WHICH ALLOWS FOR THE PRECISE LOCATION OF IRREGULAR HEARTBEATS. THE ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB TEAM IS COMPOSED OF BOARD-CERTIFIED ELECTROPHYSIOLOGISTS TOGETHER WITH SPECIALLY TRAINED PHYSICIAN ASSISTANTS AND REGISTERED NURSES. THE LAB IMPLANTS PERMANENT PACEMAKERS, CARDIAC DEFIBRILLATORS, BIVENTRICULAR DEVICES AND LOOP RECORDERS AND PROVIDES ELECTROPHYSIOLOGY PROCEDURES SUCH AS TABLE TESTING, CARDIAC ABLATIONS, CARDIOVERSIONS, TRANSESOPHAGEAL ECHOCARDIOGRAMS AND DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES. PATIENTS RECEIVING PERMANENT PACEMAKERS OR DEFIBRILLATORS HAVE THE DEVICE INTERROGATIONS PERFORMED IN THE ELECTROPHYSIOLOGY LAB FOLLOWING THE IMPLANTATION AND AT ROUTINE INTERVALS. THE HOSPITAL PERFORMED 294 OUTPATIENT EP STUDIES IN 2023.SUMMARY:AMBULATORY SURGERY SERVICES WERE PROVIDED TO 14,018 MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $0.9 MILLION (CHARGES) FOR AMBULATORY PATIENTS SERVED IN 2023. 62759983 73100737 EMERGENCY SERVICES:OCEANSIDE:THE EMERGENCY ROOM IS OPERATED ON A FULL TIME BASIS (24 HOURS 365 DAYS A WEEK). OUR EMERGENCY ROOM IS ONE OF THE BUSIEST ON THE SOUTH SHORE OF NASSAU COUNTY. THE EMERGENCY ROOM IS THIS AREA'S LEADING CENTER OF SPECIALIZED EMERGENCY CARE, WITH A SOLID REPUTATION FOR DEVELOPING AND IMPLEMENTING INNOVATIONS IN EMERGENCY HEALTH CARE SERVICES. THE EMERGENCY ROOM IS STAFFED BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING BOARD-CERTIFIED, RESIDENCY-TRAINED EMERGENCY MEDICINE PHYSICIANS (ONE OF FEW HOSPITALS IN NEW YORK WITH SUCH STAFFING), AS WELL AS NURSES, NURSE PRACTITIONERS AND PHYSICIANS' ASSISTANTS WHO HAVE BEEN SPECIALLY-TRAINED IN EMERGENCY MEDICAL CARE. THE EMERGENCY ROOM IS ALSO A LEVEL II TRAUMA CENTER, EQUIPPED WITH THE ADVANCED MEDICAL TECHNOLOGY AND SKILLED SPECIALISTS REQUIRED TO PERFORM EMERGENCY TRAUMA PROCEDURES. IT HAS ALSO BEEN DESIGNATED AS A STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH BECAUSE WE OFFER THE RAPID ASSESSMENT AND ADVANCED THERAPIES AND PROCEDURES THAT CAN MAKE A DIFFERENCE FORSTROKE PATIENT. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS RECEIVING EMERGENCY ROOM SERVICES CONSISTENT WITH OUR POLICY. THE HOSPITAL EXPERIENCED 56,211 EMERGENCY ROOM VISITS IN 2023 OF WHICH 13,478 PATIENTS WERE ADMITTED IN 2023, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $0.9 MILLION (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES.LONG BEACH:THE FREE STANDING EMERGENCY DEPARTMENT, WHICH OPERATES ON A FULL TIME BASIS (24 HOURS A DAY, 365 DAYS A YEAR), IS STAFFED WITH CERTIFIED EMERGENCY NURSES AND PHYSICIANS BOARD CERTIFIED IN EMERGENCY MEDICINE, AND HAS THE SAME FEATURES AND DIAGNOSTIC EQUIPMENT AS A TRADITIONAL EMERGENCY DEPARTMENT WITH THE EXCEPTION BEING THAT IT IS NOT LOCATED ON THE HOSPITAL'S MAIN CAMPUS. ANY PATIENTS REQUIRING CONTINUED HOSPITAL CARE OR ADMISSION ARE TRANSFERRED TO THE MAIN CAMPUS VIA A SOUTH NASSAU AMBULANCE. THESE TRANSFERS ARE PAID FOR BY THE HOSPITAL. IN 2023, THE LONG BEACH EMERGENCY DEPARTMENT EXPERIENCED 10,799 VISITS, OF WHICH 1,080 PATIENTS WERE TRANSFERRED TO THE HOSPITAL'S MAIN CAMPUS RESULTING IN 748 ADMISSIONS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $77,000 (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES. 119129313 62537906 OTHER PROGRAM SERVICES:ADDITIONAL OUTPATIENT SERVICES OFFERED BY SOUTH NASSAU COMMUNITIES HOSPITAL ARE: WOUND CARE: FAMILY MEDICINE: SPORTS MEDICINE AND REHABILITATION THERAPY; BEHAVIORAL HEALTH SERVICES; OUTPATIENT DIALYSIS; PARENT-CHILD EDUCATION; PRIMARY MEDICAL CARE; CARDIAC REHABILITATION' WEIGHT & LIFE MANAGEMENT; HOME HEALTH CARE; CANCER SERVICES; GAMMA KNIFE SERVICES; BREAST/GYN HEALTH; OTHER CARDIVASCULAR SERVICES; RADIOLOGY SERVICES; WOMEN'S IMAGING; SLEEP MEDICINE; AND FAMILY MEDICINE AT LONG BEACH. THE HOSPITAL PROVIDED 204,000 SERVICES RELATED TO THE OTHER OUTPATIENT SERVICES IN 2023. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO A PAY FOR THESE SERVICES.IN 2023, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $4.3 MILLION (CHARGES) FOR OTHER OUTPATIENT SERVICES.SIBS PLACE, INC. IS A FREE THERAPEUTIC PROGRAM THAT SERVES CHILDREN AGES 5-17 WHO ARE LIVING WITH A SIBLING WITH CANCER, OR ANOTHER DEVASTATING ILLNESS, OR A PARENT WITH CANCER, OR CHILDREN COPING WITH THE DEATH OF A SIBLING OR PARENT. SIBS PLACE, INC. PROVIDES SUPPORT AND ATTENTION TO THE UNIQUE EXPERIENCE AND NEEDS OF THE WELL CHILDREN AS THEY FACE THE ISSUES AND CONFICTS RELATED TO THE ILLNESS/DEATH OF THEIR LOVED ONE. DURING 2023 SIBS PLACE, INC. EXPERIENCED 218 CHILD AND PARENT VISITS BENEFITTING 85 FAMILIES. 119129313 62537906 623901530 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 475 0 1 4956 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 32 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN POHLMAN 5166324062 ONE HEALTHY WAY OCEANSIDE NY 11572 KENNETH L DAVIS MD CEO, EXECUTIVE VICE CHAIRMAN 1.00 59.00 X X 0 7199726 96314 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 BRAD S KARP SECRETARY (START 10/23) 1.00 15.00 X X 0 0 0 DONALD J GOGEL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 2.00 X X 0 0 0 JAMES NEARY CO-CHAIRMAN (START 10/23) 1.00 15.00 X X 0 0 0 JAMES S TISCH VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JEFF T BLAU VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOHN B HESS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 MICHAEL MINIKES VICE CHAIRMAN , TREASURER (START 10/23) 1.00 21.00 X X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMAN (START 10/23) 1.00 15.00 X X 0 0 0 STEVEN HOCHBERG VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 18.00 X X 0 0 0 SUSAN R CULLMAN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 ANDREW M ALPER TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 DAVID WINDREICH TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 ERIC FRIEDMAN TRUSTEE (START 10/23) 1.00 6.00 X 0 0 0 FRANK BISINGANO TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 JAMES KEMPNER TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 KIMBERLY HARRIS TRUSTEE (START 10/23) 1.00 6.00 X 0 0 0 LEWIS PELL TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE (START 10/23) 1.00 3.00 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 ANTHONY CANCELLIERI CO-CHAIRMAN 1.00 1.00 X 0 0 0 JOSEPH FENNESSY DIRECTOR 1.00 1.00 X 0 0 0 ANTHONY PONTE DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 BUTCH YAMALI DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 DAVID BONAGURA CO-CHAIRMAN (TERM 10/23) 1.00 1.00 X 0 0 0 EDWARD SCOTT SECRETARY (TERM 10/23) 1.00 1.00 X 0 0 0 GEORGE SCHIEREN DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 JEFFREY FRISCH DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 JOEL SCHNEIDER DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 LAURA CURRAN DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 LOWELL FREY ASSISTANT SECRETARY (TERM 10/23) 1.00 1.00 X 0 0 0 MICHAEL SAPRAICONE DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 MICHAEL SCHAMROTH PAST CHAIRMAN (TERM 10/23) 1.00 1.00 X 0 0 0 NANCY KOOPERSMITH DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 PETER BREITSTONE TREASURER (TERM 10/23) 1.00 1.00 X 0 0 0 SALLY VALENTI DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 STEVEN GOLD DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 WAYNE LIPTON DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 DENNIS S CHARNEY MD PRESIDENT ACADEMIC AFFAIRS 1.00 59.00 X 0 5471287 54392 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 1.00 59.00 X 0 2423803 69483 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 1.00 59.00 X 0 2026048 81824 BETH ESSIG ESQ EVP, GENERAL COUNSEL, ASST. SECR. 1.00 59.00 X 0 1878181 55465 JEFFREY SILBERSTEIN EVP, SYS CAO, ASST. SECR. 1.00 59.00 X 0 1518747 34656 KELLY CASSANO DO EVP, SYSTEM AMBULATORY OPERATIONS 1.00 59.00 X 0 1267329 45205 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 36.50 23.50 X 0 1226563 53263 WILLIAM ALLISON CHIEF OPERATING OFFICER (TERM 7/23) 1.00 36.50 X 0 704383 58235 JOHN POHLMAN COO/CFO 36.50 23.50 X 0 638959 93057 BONNIE M DAVIS MD VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 CARL C ICAHN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 GLENN DUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 HAMILTON E JAMES VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 ROBERT E RUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 2.00 X 0 0 0 RAJIV DATTA PHYSICIAN 19.60 17.90 X 1463610 0 86833 ALAN GARELY CHAIR OF OBSTETRICS & GYNECOLOGY 15.50 22.00 X 0 1107968 87342 LEESTER WU ASST DIR RADIATION ONC 1.00 36.50 X 0 931809 56980 SYDNEY YOON RAD PHYSICIAN 37.50 0.00 X 784716 0 87130 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 18.75 18.75 X 765867 0 75645 3014193 26394803 1035824 1289 0 1 0 WHITING-TURNER CONTRACTING COMPANY 300 E JOPPA ROAD BALTIMORE MD 212863048 CONSTRUCTION SERVICES 44157105 EW HOWELL CO LLC 245 NEWTOWN ROAD PLAINVIEW NY 11803 CONSTRUCTION SERVICES 16544846 AXIS CONSTRUCTION CORP 125 LASER COURT HAUPPAUGE NY 11788 CONSTRUCTION SERVICES 14268143 HUNTER ROBERTS CONSTRUCTION GROUP 55 WATER ST 51ST FL NEW YORK NY 10041 CONSTRUCTION SERVICES 6966905 SODEXO INC AFFLIATES PO BOX 360170 PITTSBURGH PA 152516170 CATERING SERVICES 6151630 115 1416890 41931239 2300851 45648980 PATIENT REVENUE 622110 608814926 608814926 REFERENCE LAB 621500 4795973 4780180 15793 RENTAL INCOME 531120 2349053 2349053 615959952 12676874 12676874 169776443 155515947 14260496 14260496 14260496 347089 1416890 678316 -331227 -331227 SERVICE TO AFFILIATES 621400 56971455 56971455 REBATES & DISCOUNTS 900099 2641715 2641715 CAFE & CAFETERIA 722514 2061374 2061374 10694909 10694909 72369453 760584528 686252238 15793 28667517 6560262 5784110 776152 325601247 289339701 36000090 261456 16039186 14263360 1775826 22745467 19974940 2770527 27746527 24674488 3072039 762479 678059 84420 523863 523863 241804 241804 280233 280233 65707259 57579822 8127437 1608015 1429979 178036 10208833 8654231 1084529 470073 8130624 7230418 900206 10375645 9226958 1148687 153118 135425 17693 608458 540898 67560 4665149 4148633 516516 35751119 31794587 3956532 16986198 15105521 1880677 MEDICAL SUPPLIES 113681531 113681531 EQUIP RENTAL & MAINT. 8172844 7235487 937357 PERIODIC NON-SVC BEN. 7002360 6474192 528168 CATERING SERVICES 5662290 5032767 629523 1030673 916423 114250 690245184 623901530 65612125 731529 15146304 11874309 53174997 291502248 77407123 93310819 10810543 11906084 5937784 5984631 1093869733 514238615 500450377 579631118 174991119 52573486 105157266 178161697 134208619 1121237210 1180991314 142669841 155842777 6318116 6245194 179935310 175960480 75419127 71821727 11434000 13666000 79178957 91415505 494955351 514951683 X 576952820 653736617 49329039 12303014 626281859 666039631 1121237210 1180991314 X 70339344 3357596 589390 -34528558 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 241804 241804 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF MULTIPLE HEALTHCARE ASSOCIATIONS WHICH INCLUDE THE AMERICAN HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK, THE NASSAU SUFFOLK HOSPITAL COUNCIL, AND THE HOME CARE ASSOCIATION OF NEW YORK STATE. THESE ORGANIZATIONS LOBBY ON BEHALF OF THE HEALTHCARE INDUSTRY. THE HOSPITAL ALSO CONTRACTS WITH VARIOUS LOBBYING CONSULTING FIRMS ON HOSPITAL SPECIFIC ISSUES. 10729283 41376687 39802957 12303013 10797887 38531152 38599756 10729283 12080544 48924107 50206764 10797887 9819471 8737658 6476585 12080544 7264102 8705608 6150239 9819471 0.09500 0.90500 0 0 38206251 38206251 542433129 255175165 287257964 10879700 10122767 756933 295827067 246197259 49629808 206523586 2743424 203780162 579631118 DUE FROM SUBSIDIARIES 33087592 ASSETS WHOSE USE IS LIMITED 30947580 INSURANCE CLAIMS RECEIVABLE 5069000 OPERATING LEASES 60044562 OTHER ASSETS 5059885 134208619 EST PROFESSIONAL & GENERAL LIABILITY 44790000 ACCRUED PENSION PAYABLE 21257083 ACCRUED POST RETIREMENT BENEFITS 2302000 INSURANCE CLAIMS PAYABLE 5069000 OTHER CURRENT LIABILITIES 16060000 OTHER LIABILITES 1937422 91415505 PART V, LINE 4: TWO FUNDS EXIST AT THE HOSPITAL, THE ANNUAL IMPROVEMENT FUND AND THE SPECIAL PURPOSE FUND. THESE FUNDS ARE RESTRICTED AS TO THEIR PURPOSE OR TIME AS IS STIPULATED BY THE DONOR'S REQUEST. THE MONEY IS KEPT IN SEPARATE INVESTMENT VEHICLES FOR EACH FUND. UNRESTRICTED DONATIONS ARE KEPT IN THESE TEMPORARY FUNDS ALSO. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS AND ARE TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THESE ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH MAY BE RESTRICTED FOR SPECIFIC HOSPITAL ACTIVITIES OR MAY BE UNRESTRICTED AS TO USE. IF A DONATION IS MADE FOR A SPECIAL PROGRAM, IT IS PLACED INTO A TEMPORARILY RESTRICTED CATEGORY. WHEN THE EXPENDITURE IS INCURRED TO FULFILL THE REQUIREMENTS OF THIS PROGRAM/DONATION, THE FUNDS ARE TRANSFERRED FROM TEMPORARILY RESTRICTED STATUS AND ARE EXPENDED. GOLF OUTING 753335 556112 197223 173234 1317 170013 SOIREE 1010644 860778 149866 117488 1228 40817 174220 1763979 1416890 347089 290722 2545 40817 344233 678317 -331228 1 1 X 1 X 1 X 1 1 0 1 1 1 974 1938932 313240 1625692 0.00240 1 64720 119728594 65375943 54352651 0.07870 2 65694 121667526 65689183 55978343 0.08110 444 13951 1235393 1235393 0.00180 3 133 10904961 11008121 0 0.00000 3 22355 23407147 10296640 13110507 0.01900 450 36439 35547501 21304761 14345900 0.02080 452 102133 157215027 86993944 70324243 0.10190 182320 182320 0.00030 182320 182320 0.00030 0 22055454 806008 175009967 197107809 -22097842 X 1 1 1 NEW YORK MEDICAL PARTNERS ACO LLC ACCOUNTABLE CARE ORGANIZATION 0.50000 0.50000 1 1 SOUTH NASSAU COMMUNITIES HOSPITAL ONE HEALTHY WAY OCEANSIDE NY 115721551 HTTPS://WWW.SOUTHNASSAU.ORG 2950001H X X X SOUTH NASSAU COMMUNITIES HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN X X 1 22 1 HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM X HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM X X X X X X 1 X 0 X X X X 1 X 0 0 SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A SERIES OF COLLARBORATIVE CHNA PLANNING AND IMPLEMENTATION MEETINGS WITH REPRESENTATION AND INPUT FROM PUBLIC HEALTH EXPERTS, FROM LOCAL ACADEMIC PARTNERS, THE NASSAU COUNTY DEPARTMENT OF HEALTH, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH AND HOSPITALS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS LOCATED THROUGHOUT NASSAU AND SUFFOLK COUNTIES. THE LONG ISLAND HEALTH COLLABORATIVE (LIHC), CONSISTING OF OVER ONE HUNDRED ENTITIES, DEVELOPED THE HEALTH NEEDS ASSESSMENT AND THEN DISTRIBUTED IT TO THE PUBLIC VIA THE INTERNET, LOCAL COMMUNITY BASED ORGANIZATIONS, THE PARTICIPATING HOSPITALS AND COMMUNITY MAILINGS. LIHC CAPTURES THE VALUABLE PERSPECTIVES OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS) AND SOCIAL SERVICE AGENCIES ON LONG ISLAND, REPRESENTATIVES FROM A COMPREHENSIVE NETWORK OF ORGANIZATIONS WHO POSSESS UNPARALLELED EXPERIENCE WORKING WITH COMMUNITY MEMBERS THROUGHOUT LONG ISLAND PARTICIPATED DURING THESE EVENTS. SOME EXAMPLES OF PARTICIPATING CBOS ARE LI CARES, MOMMAS HOUSE, CATHOLIC HOME CARE, COORDINATING AGENCY FOR SPANISH AMERICANS, FAMILY & CHILDREN'S ASSOCIATION, LGBT NETWORK, SOCIETY OF ST. VINCENT DE PAUL, AND THE HISPANIC COUNSELING CENTER. MANY ORGANIZATIONS FROM NASSAU COUNTY PARTICIPATED IN THE SUMMIT WHICH CONTRIBUTED TO THE DIVERSITY AND BREADTH OF QUALITATIVE DATA COLLECTED AND ANALYZED. A SCRIPT FOR FACILITATORS WAS DEVELOPED AND USED AS THE PRIMARY DATA COLLECTION TOOL, ADAPTED FROM THE NASSAU COUNTY DEPARTMENT OF HEALTH'S KEY INFORMANT SCRIPT. QUESTIONS PERTAINED TO HEALTH PROBLEMS AND CONCERNS, HEALTH DISPARITIES, BARRIERS TO CARE, SERVICES AVAILABLE AND OPPORTUNITIES FOR IMPROVEMENT.FOR A COMPLETE LIST OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 6A: FOR A COMPLETE LIST OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 6B: FOR A COMPLETE LIST OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 7D: MOUNT SINAI SOUTH NASSAU POSTS THE COMMUNITY SERVICE PLAN (CSP)/COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ON ITS WEBSITE (WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN) AND OFFERS PAPER COPIES TO THE PUBLIC WHEN REQUESTED. OUR COMMUNITY NEWSLETTER, WHICH REACHES OVER 280,000 RESIDENTS, PROVIDES INFORMATION ON HOW TO OBTAIN THE CSP/CHNA, AS DOES THE EMPLOYEE NEWSLETTER. ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION BRINGS THE DOCUMENT TO VARIOUS COMMUNITY EVENTS. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 11: DETAILS ON HOW SOUTH NASSAU COMMUNITIES HOSPITAL, INC. IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA ARE IDENTIFIED IN THE HOSPITAL'S COMPREHENSIVE 2022-2024 COMMUNITY SERVICE PLAN (CSP), AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN. THIS 3-YEAR PLAN EXPLAINS IN DETAIL THE MANY WAYS WE ARE COMMITTED TO THE HEALTH OF THE COMMUNITIES WE SERVE BY OFFERING COMMUNITY PROGRAMS (I.E. 5-WEEK SMOKING CESSATION PROGRAM), LECTURES (I.E. DIABETES PREVENTION, CARDIOVASCULAR HEALTH, FALL PREVENTION) AND FREE HEALTH SCREENINGS (I.E. CHOLESTEROL, BLOOD PRESSURE, PSA).THE CRITERIA UTILIZED TO DETERMINE THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITIES WE SERVE INCLUDED ANALYSIS OF THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY, REVIEW OF THE INFORMATION GLEANED FROM THE NASSAU COUNTY CBOSUMMIT, AND REVIEW OF PUBLICLY-AVAILABLE DATA SETS INCLUDING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), NEW YORK STATE PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND NEW YORK STATE VITAL STATISTICS. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM. THE HEALTH CONCERNS WHICH SURFACED AS TOP PRIORITIES WERE: 1) PREVENT COVID AND FLU TRANSMISSION2) PREVENT CHRONIC DISEASE, AND3) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. 10 1 - SNCH - OUTPATIENT BEHAVIORAL HEALTH 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT 2 - SNCH - FAMILY PRACTICE CENTER 196 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT 3 - SNCH - RADIATION ONCOLOGY THERAPY CNTR ONE SOUTH CENTERAL AVE VALLEY STREAM NY 11580 OUTPATIENT 4 - SNCH - OUTPATIENT DIALYSIS CENTER 3618 OCEANSIDE ROAD OCEANSIDE NY 11572 OUTPATIENT 5 - SNCH - OUTPATIENT ANNEX 440 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT 6 - SNCH - SLEEP CENTER 1420 BROADWAY HEWLETT NY 11557 OUTPATIENT 7 - SNCH - FAMILY MEDICINE AT LONG BEACH 761 FRANKLIN BLVD LONG BEACH NY 11561 OUTPATIENT 8 - SNCH - OFF CAMPUS EMERGENCY DEPARTMENT 325 EAST BAY DRIVE LONG BEACH NY 11561 OUTPATIENT 9 - SNCH - MENTAL HEALTH AT HEMPSTEAD 250 FULTON AVE HEMPTEAD NY 11550 OUTPATIENT 10 - SNCH - DIABETES EDUCATION CENTER 2277 GRAND AVENUE BALDWIN NY 11510 OUTPATIENT PART I, LINE 7: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT). PART I, LINE 6A: THE HOSPITAL FILED A 2022-2024 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON DECEMBER 29, 2022. PART I, LINE 7G: INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, AND THE INPATIENT PEDIATRIC PROGRAMS. PART I, LN 7 COL (F): DISTINGUISHING BAD DEBT EXPENSE FROM CHARITY CARE REQUIRES JUDGMENT; TOGETHER, THEY REPRESENT UNCOMPENSATED CARE. THE HOSPITAL'S POLICYREGARDING CHARITY CARE IS TO PROVIDE A SIGNIFICANT AMOUNT OF CARE WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SERVICES RENDERED; THIS INCLUDES FREE CARE AND A SLIDING FEE SCALE, BASED ON THE PATIENTS' ABILITY TO PAY WHICH IS DEFINED AS UP TO 400% OF THE POVERTY LEVEL.THE HOSPITAL UTILIZES A CREDIT VERIFICATION FIRM TO ASSIST IN DETERMINING IF UNINSURED PATIENTS MEET THE HOSPITAL'S CHARITY CRITERIA. THIS PROCESS IDENTIFIES UNINSURED PATIENTS THAT WERE UNDER THE POVERTY LEVEL BUT DID NOT APPLY FOR CHARITY CARE. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT). PART III, LINE 3: THE AMOUNT REPORTED IN PART III LINE 3 WAS RELATED TO THE EMERGENCY ROOM'S BAD DEBT AT COST. THE FIGURE WAS DERIVED USING THE EMERGENCY ROOM'S BAD DEBT GROSS CHARGES AND MULTIPLYING THIS AMOUNT BY THE EMERGENCYS ROOM'S SPECIFIC RCC TO COME UP WITH THE BAD DEBT EXPENSE AT COST FOR THE EMERGENCY ROOM. WE DID NOT INCLUDE ANY AMOUNTS OF BAD DEBT IN PART I LINE 7. WE BELIEVE THE ENTIRE AMOUNT SHOULD BE CONSIDERED CHARITY CARE. EMTALA AND OTHER REGULATIONS REQUIRE THAT THE HOSPITAL PROVIDE EMERGENCY SERVICES TO INDIVIDUALS BEFORE DISCUSSING FINANCIAL INFORMATION.CHARITY CARE IS USUALLY RELATED TO PATIENTS WHO WE DEFINE AS LACKING THE ABILITY TO PAY. A HOSPITAL'S INABILITY TO COLLECT FROM A PATIENT WHO HAS THE MEANS TO PAY IS BAD DEBT EXPENSE.OUR REGISTRATION DEPARTMENT DOES NOT HAVE THE ABILITY TO DETERMINE THE EMERGENCY ROOM PATIENT FINANCIAL STATUS BEFORE CARE IS DELIVERED AND IN MANY CASES, THE INFORMATION PROVIDED BY THE PATIENTS IS INACCURATE. SINCE WE RENDERED CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY WE BELIEVE THAT THESE PATIENTS ARE SIMILAR TO CHARITY CARE AND NOT BAD DEBT. PART III, LINE 4: BAD DEBT EXPENSE IS DESCRIBED IN PAGE 21 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: SOUTH NASSAU COMMUNITIES HOSPITAL CONSIDERS THE MEDICARE SHORTFALL AS A BENEFIT PROVIDED TO THE COMMUNITY. IF IT WAS ALLOWED TO BE INCLUDED IN THE SHORTFALL, THE COMMUNITY BENEFIT PERCENTAGE WOULD BE 14.79%. THE AMOUNT REPORTED IN PART III, LINE 6 WAS RELATED TO MEDICARE'S ALLOWABLE COSTS. THE FIGURE WAS DERIVED USING THE MEDICARE CHARGES AS REPORTED ON THE ANNUAL INSTITUTIONAL COST REPORT AND MULTIPLYING THAT AMOUNT BY THE RATIO SOUTH NASSAU COMMUNITIES HOSPITAL, INC. 11-1352310 OF COST TO CHARGE (RCC). PART III, LINE 9B: UPON APPLYING FOR CHARITY CARE, THE PATIENT IS ADVISED TO DISREGARD ALL BILLS SENT BY THE HOSPITAL UNTIL A FINAL DECISION HAS BEEN MADE. A PATIENT THAT RECEIVES PARTIAL CHARITY CARE IS SUBJECT TO THE HOSPITAL COLLECTION POLICY EXCEPT THAT: 1) THE PATIENT WILL BE PROVIDED WITH A WRITTEN NOTICE 30 DAYS PRIOR TO THE ACCOUNT GOING TO COLLECTION. 2) THE HOSPITAL WILL NOT PLACE A LIEN ON THE PATIENT'S ASSETS. PART VI, LINE 2: IN AN EFFORT TO IDENTIFY THE NEEDS OF PATIENTS AND COMMUNITIES, SOUTH NASSAU UTILIZES TOOLS AND COLLABORATES WITH LOCAL AND STATE GOVERNMENTS, CIVIC ASSOCIATIONS AND OTHER COMMUNITY GROUPS TO ESTABLISH THE NEEDS OF THE COMMUNITY THE HOSPITAL SERVICES. NASSAU COUNTY DEPARTMENT OF HEALTH CONDUCTED A COMPARISON BETWEEN A SELECTED GROUP OF COMMUNITIES AND THE REST OF THE COUNTY POPULATION. THE ANALYSIS HELPED TO LOCATE MANY OF THE HEALTH DISPARITIES THAT EXIST WITHIN THE COUNTY. THE SELECTED COMMUNITIES WERE CHOSEN WITH THE ASSISTANCE OF AN INDEX COMPRISED OF MULTIPLE SOCIOECONOMIC AND HEALTH RELATED FACTORS. OF THE IDENTIFIED AT-RISK COMMUNITIES, TWO FALL WITHIN OUR PRIMARY SERVICE AREA (FREEPORT AND ROOSEVELT) AND FOUR WITHIN OUR SECONDARY SERVICE AREA (ELMONT, HEMPSTEAD, UNIONDALE, AND INWOOD). SO, WHILE NASSAU COUNTY AS A WHOLE APPEARS TO BE QUITE WELL OFF, THERE IS AN UNEQUAL DISTRIBUTION OF WEALTH AND WELL BEING AMONG COMMUNITIES.THE HOSPITAL PARTICIPATES IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES PATIENT SATISFACTION SURVEY (KNOWN AS HCAHPS) BY USING PRESS GANEY, WHICH CONDUCTS A PHONE SURVEY, CONTACTING A STATISTICALLY VALID SAMPLE OF INPATIENTS AFTER DISCHARGE. SURVEY QUESTIONS INQUIRE ABOUT PATIENTS' SATISFACTION WITH THE DOCTORS, NURSES, TRANSITIONS OF CARE PLANNING, MEDICATIONS AND HOSPITAL SERVICES. QUARTERLY SURVEY RESULTS ARE BENCHMARKED AGAINST NATIONAL, STATE AND COMPARABLE HOPSITALS. THE QUARTERLY RESULTS ARE REVIEWED BY THE ADMINISTRATIVE TEAM, MANAGERIAL STAFF AND HOSPITAL STAFF. QUARTERLY ACTION PLANS TO IMPROVE THE SCORES NOT MEETING ESTABLIHSED GOALS ARE DEVELOPED BY THE VARIOUS NURSING UNITS AND DEPARTMENTS. SOUTH NASSAU'S BOARD, WHICH IS COMPOSED OF LOCAL INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY THE HOSPITAL AND INCLUDES A CROSS-SECTION OF REPRESENTATIVES SUCH AS CLERGY, BUSINESS PEOPLE AND PHYSICIANS, MEETS REGULARLY. WHILE THE MEMBERS OF SOUTH NASSAU COMMUNITIES HOSPITAL'S BOARD OF DIRECTORS ACCEPT RESPONSIBILITY FOR GOVERNANCE OF THE HOSPITAL, THEY ARE ALSO COMMUNITY ADVOCATES. AS SUCH, THEY ARE ABLE TO SPEAK ON BEHALF OF THE COMMUNITY AND RAISE ISSUES WITH THE HOSPITAL OR CONSIDER ACTIONS THAT AFFECT HOSPITALS PLANS AND OPERATIONS. THE BOARD HAS ESTABLISHED A NUMBER OF COMMITTEES THAT ARE RESPONSIBLE FOR OVERSIGHT AND COORDINATION OF HOSPITAL ACTIVITIES IN REGARDS TO COMMUNITY ADVOCACY.SOUTH NASSAU SOLICITS THE COMMUNITY'S FEEDBACK FOLLOWING FREE PUBLIC CONFERENCES IT SPONSORS EACH YEAR. SURVEYS YIELD VALUABLE INFORMATION SUCH AS COMMUNITY PREFERENCE FOR SEMINAR CONTENT AND FORMAT AND REQUESTS FOR EXPANDED PROGRAMS AND SERVICES.DEPARTMENTS, HOSPITAL-WIDE, HAVE RELATIONSHIPS WITH INDIVIDUALS AND GROUPS WHO HAVE SPECIAL NEEDS, SUCH AS PHYSICAL HANDICAPS, LANGUAGE BARRIERS AND CULTURAL ISSUES. THESE DEPARTMENTS ENCOURAGE COMMENTS AND SUGGESTIONS FROM THESE POPULATIONS. THEIR FEEDBACK IS USED TO ASSESS THE EFFECTIVENESS OF EXISTING PROCEDURES AND PROGRAMS.SOUTH NASSAU'S ADMINISTRATION MAINTAINS AN OPEN-DOOR POLICY AND ANY MEMBER OF THE COMMUNITY IS WELCOME TO COMMENT. ANY REASONABLE ISSUE RAISED IS ADDRESSED AND CARE IS TAKEN TO RESPOND IN A TIMELY AND SATISFACTORY FASHION.SOUTH NASSAU MAINTAINS AN EXTENSIVE WEBSITE, WWW.SOUTHNASSAU.ORG, ACOMPREHENSIVE SOURCE OF INFORMATION ON THE HOSPITAL'S SERVICES, SPECIALTY CENTERS, PHYSICIANS, NEW DEVELOPMENTS AND EMPLOYMENT OPPORTUNITIES. ITINCORPORATES MICROSITES FOR CARDIOLOGY, CANCER AND CANCER TREATMENT OPTIONS, ORTHPEDICS, WEIGHT LOSS SURGERY, UROLOGY AND MORE. CONTACT INFORMATION FOR USERS TO SUBMIT QUESTIONS AND REQUESTS FOR INFORMATION IS CLEARLY PROVIDED, AS IS LOCATION AND PHONE INFORMATION FOR THE HOSPITAL'S SATELLITE PRACTICES.SOUTH NASSAU'S ADMINISTRATION IS IN CONSTANT COMMUNICATION WITH LOCAL AND GOVERNMENT LEADERS IN DETERMINING THE NEEDS OF THE COMMUNITIES. THE ADMINISTRATIVE TEAMS ALSO ARE INVOLVED WITH HOSPITAL ASSOCIATIONS AND OTHER HEALTHCARE ASSOCIATES WHICH TARGET THE NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES. NEW YORK STATE'S DEPARTMENT OF HEALTH ALSO WORKS VERY CLOSELY WITH THE HOSPITAL TO HELP ASSESS THE NEEDS OF THE COMMUNITY SERVED.SOUTH NASSAU'S FOUR ACTIVE AUXILIARIES ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITIES THEY REPRESENT.THE HOSPITAL COLLECTS DATA WITH REGARDS TO ECONOMIC, SOCIAL, CULTURAL AND GEOGRAPHIC BARRIERS THAT EXIST. PART VI, LINE 3: THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH TRANSLATION CAPABILITIES THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND SPANISH. THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL AID INCLUDING CHARITY CARE ON ITS EXTERNAL WEBSITE: SOUTHNASSAU.ORG DIRECTING THEM TO THE FINANCIAL ASSISTANCE DEPARTMENT. THE HOSPITAL EDUCATES ALL EMPLOYEES THAT INTERACT WITH PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CHARITY CARE AND WHERE TO FIND INFORMATION ON THESE PROGRAMS. FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS INCLUDED IN PATIENT GUIDES AND SERVICE LINE GUIDES THAT ARE PROVIDED TO PATIENTS. PATIENT BILLS SENT OUT INCLUDE A NOTE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ON THE BACK OF THE BILL IS A CHARITY CARE APPLICATION. BILLING AND ACCOUNT SERVICES DEPARTMENTS ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND INFORMS PATIENTS OF THIS POLICY. ANY PATIENT CAN REQUEST AN APPLICATION FOR CHARITY CARE FROM THE ABOVE REGISTRATION AREAS, BILLING OFFICE AND ACCOUNT SERVICES DURING REGULAR BUSINESS HOURS AND VIA TELEPHONE. PART VI, LINE 4: SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF HEMPSTEAD. NASSAU COUNTY HAS A POPULATION OF 1.38 MILLION (BASED ON JULY 1, 2023 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $137,709 (ACCORDING TO 2022 CENSUS DATA) AND $60,456 PER CAPITA (2022). ACCORDING TO THE 2022 CENSUS ESTIMATES, NASSAU COUNTY'S POVERTY LEVEL WAS 5.6%, WITH MORE OF THE POORER AREAS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY AND FALLING INTO THE HOSPITAL'S SERVICE AREA. HISPANICS, ALONG WITH OTHER MINORITIES, ARE CONCENTRATED IN SOUTH SHORE COMMUNITIES SUCH AS BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT, AND INWOOD, WITH MANY OF THESE COMMUNITIES' MEMBERS BEING UNINSURED OR INSURED BY MEDICAID.BASED ON 2023 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 40% MEDICAID 21% SELF PAY 1% AND CHARITY CARE 1%.OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE LONG ISLAND JEWISH VALLEY STREAM HOSPITAL-NORTHWELL HEALTH AND MERCY MEDICAL CENTER. PART VI, LINE 5: THE HOSPITAL HAS ESTABLISHED A COMMUNITY ADVOCACY COMMITTEE THAT IS COMPOSED OF MEMBERS OF A NUMBER OF COMMUNITY ORGANIZATIONS, AND REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, STAFF AND BOARD. THIS GROUP MEETS TO IDENTIFY NEEDS OF THEIR RESPECTIVE COMMUNITIES AND TO DISCUSS ISSUES OR RECOMMEND ACTIONS IN THE INTEREST OF IMPROVED SERVICE TO THOSE COMMUNITIES. THIS INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR CONSIDERATION.SOUTH NASSAU'S DEPARTMENT OF COMMUNITY EDUCATION IS A VALUED COMMUNITY RESOURCE. THIS DEPARTMENT PROVIDES HEALTH EDUCATION, COMMUNITY OUTREACH, FREE HEALTH SCREENINGS, AND REFERRAL SERVICES TO THE COMMUNITIES WE SERVE. IN KEEPING WITH POPULATION HEALTH INITIATIVES, THE DEPARTMENT'S GOALS FOCUS ON PROMOTING WELLNESS AND PREVENTING OR MANAGING CHRONIC DISEASE. IN 2023 , OUR COMMUNITY-WIDE EFFORTS TOUCHED THE LIVES OF MANY INDIVIDUALS. FEEDBACK FROM PROGRAM PARTICIPANTS AS WELL AS COMMUNITY PARTNERS CONTINUES TO BE OVERWHELMINGLY POSITIVE WHICH HAS BEEN EVIDENT IN POST-PROGRAM EVALUATIONS AND FOLLOW-UP. OUR SCREENINGS FOR THE YEAR TOTALED 11,255 AND INCLUDED BALANCE, BLOOD PRESSURE, BMI, CHOLESTEROL, COLORECTAL CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, SKIN CANCER, AND SLEEP ASSESSMENT. DURING 2023 MOUNT SINAI SOUTH NASSAU CONTINUED ITS COVID-19 TESTING PROGRAM. THROUGH THE VARIOUS SITES (FIVE TOWNS, LONG BEACH, ETC.) THE HOSPITAL PROVIDED 746 COVID-19 VACCINES IN ADDITION TO 790 FLU VACCINES TO THE COMMUNITY VIA THE VAXMOBILE. THE VAXMOBILE ALSO VISITED 67 HOME BOUND PEOPLE.THE MISSION OF THE DEPARTMENT OF COMMUNITY EDUCATION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES THROUGH EDUCATION, AWARENESS, OUTREACH, PREVENTION AND SCREENING SERVICES. THROUGH ITS COMMUNITY-BASED INITIATIVES, THE DEPARTMENT STRIVES TO SUPPORT THE HOSPITAL'S PERFORMANCE TARGETS IN THE AREAS OF QUALITY, PATIENT SAFETY, AND SERVICE EXCELLENCE. THE DEPARTMENT PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS LOCAL LIBRARIES AND SCHOOLS, COMMUNITY CENTERS, SENIOR CENTERS AND CHURCHES TO PROVIDE EDUCATIONAL PROGRAMS, PRESENTATIONS AND SCREENINGS TO WHERE PEOPLE LIVE, WORK, AND PLAY. EXAMPLES OF THESE COMMUNITY PARTNERS ARE THE HEWLETT HOUSE 1 IN 9 CANCER SUPPORT CENTER, NEW YORK POISON CONTROL CENTER, THE OCEANSIDE JEWISH COMMUNITY CENTER, THE KNIGHTS OF COLUMBUS, THE TOWN OF HEMPSTEAD, AND THE CITY OF LONG BEACH.ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION OFFERS CPR CLASSES TO THE COMMUNITY AND BLS AND ACLS TO THE STAFF. THE DEPARTMENT RECOGNIZES THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' NATIONAL HEALTH OBSERVANCES WITH INFORMATION AND PRESENTATIONS ON THE MONTH'S CHOSEN TOPICS. COMMUNITY EDUCATION IS ALSO RESPONSIBLE FOR FREE SUPPORT GROUPS RANGING FROM BARIATRIC SUPPORT TO BREAST CANCER TO BEREAVEMENT. THE ACTIVITIES OF THE DEPARTMENT OF COMMUNITY EDUCATION ARE REPORTED REGULARLY TO THE BOARD OF DIRECTORS. PART VI, LINE 6: SOUTH NASSAU COMMUNITIES HOSPITAL IS AFFILIATED WITH MOUNT SINAI HOSPITALS GROUP, INC. (MOUNT SINAI). MOUNT SINAI IS A NOT-FOR-PROFIT CORPORATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EFFECTIVE SEPTEMBER 2019, THE HOSPITAL IS DOING BUSINESS AS MOUNT SINAI SOUTH NASSAU.THE HOSPITAL PARTICIPATES IN THE LONG ISLAND HEALTH COLLABORTIVE (LIHC). A COALITION THAT INCLUDES THE NASSAU AND SUFFOLK COUNTY HEALTH DEPARTMENTS. EVERY HOSPITAL ON LONG ISLAND, HEALTH AND SOCIAL SERVICE COMMUNITY-BASED ORGANIZATIONS, INSURANCE PLANS, ACADEMIC INSTITUTIONS, LOCAL GOVERNMENTS, AND OTHER GROUPS THAT ARE WORKING TOGETHER TOWARD A HEALTHIER LONG ISLAND COMMUNITY, THE LIHC WORKS TO IMPROVE CLINICAL QUALITY AND EXPAND ACCESS TO CARE FOR THE 2.9 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. LIHC HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURER'S EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 1 1 0 0 0 0 0 1 0 KENNETH L DAVIS MD CEO, EXECUTIVE VICE CHAIRMAN 0 3796314 0 3403412 0 0 0 33000 0 63314 0 7296040 0 0 DENNIS S CHARNEY MD PRESIDENT ACADEMIC AFFAIRS 0 1154392 0 4316895 0 0 0 33000 0 21392 0 5525679 0 0 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 0 1750000 0 673803 0 0 0 33000 0 36483 0 2493286 0 0 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 0 1200000 0 826048 0 0 0 33000 0 48824 0 2107872 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL, ASST. SECR. 0 1405475 0 472706 0 0 0 33000 0 22465 0 1933646 0 0 JEFFREY SILBERSTEIN EVP, SYS CAO, ASST. SECR. 0 1066656 0 452091 0 0 0 33000 0 1656 0 1553403 0 0 RAJIV DATTA PHYSICIAN 1290510 0 173100 0 0 0 52500 0 34333 0 1550443 0 0 0 KELLY CASSANO DO EVP, SYSTEM AMBULATORY OPERATIONS 0 895205 0 372124 0 0 0 33000 0 12205 0 1312534 0 0 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 0 890483 0 336080 0 0 0 22500 0 30763 0 1279826 0 0 ALAN GARELY CHAIR OF OBSTETRICS & GYNECOLOGY 0 988168 0 119800 0 0 0 52500 0 34842 0 1195310 0 0 LEESTER WU ASST DIR RADIATION ONC 0 721752 0 210057 0 0 0 22500 0 34480 0 988789 0 0 SYDNEY YOON RAD PHYSICIAN 714916 0 69800 0 0 0 52500 0 34630 0 871846 0 0 0 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 676048 0 89819 0 0 0 52500 0 23145 0 841512 0 0 0 WILLIAM ALLISON CHIEF OPERATING OFFICER (TERM 7/23) 0 540544 0 162159 0 1680 0 52500 0 5735 0 762618 0 0 JOHN POHLMAN COO/CFO 0 485454 0 147745 0 5760 0 52455 0 40602 0 732016 0 0 PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A: WILLIAM ALLISON, FORMER COO, RECEIVED SEVERANCE IN 2023. SCHEDULE J, PART I, LINE 4B: THE DEAN, DR. DENNIS CHARNEY, WAS THE SOLE PARTICPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $3,000,000 IN 2023. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE DEAN'S EVENTUAL RETIREMENT. THE DEAN HAS WORKED AT MOUNT SINAI FOR 20 YEARS; 17 YEARS AS DEAN. 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 2023, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION IN SCHEDULE J, PART II, BOX C: - JOHN POHLMAN - SUPPLEMENTAL RETIREMENT OF $9,576 - DR ALAN WONG - SUPPLEMENTAL RETIREMENT OF $6,675 PART I, LINE 7 THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PRE-ESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. AWARDS ARE SET FORTH IN PART II, COLUMN B(II). 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. A NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP 274291221 000000000 2022-10-12 90000000 REFINANCING 2012 BONDS ISSUED 10/23/12 -ADD'L CONSTRUCTION & EQUIP PURCHASE 0 0 0 A 4609341 91438977 784402 14180160 52890247 23583768 1 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 3 THE DIFFERENCE BETWEEN PART II LINE 3 AND PART I COLUMN (E) IS DUE TO INVESTMENT EARNINGS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 44157105 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 16544846 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 14268143 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6966905 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6151630 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4040434 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3322395 BILLING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2891044 VALET SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1717677 STAFFING AGENCY 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1447363 ADVERTISING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1293555 CLEANING SERVICE 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1077533 NEUROLOGICAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 897094 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 466182 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 432405 AMBULANCE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 429485 CONSTRUCTION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 321672 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 209021 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 188365 SECURITY SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 157664 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 156247 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 149636 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 130790 MEDICAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 120000 CONSULTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 113004 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 108718 MAINTENANCE & REPAIR SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 105288 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 85195 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2882 AMBULANCE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2372 LEGAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - FAMILY RELATIONSHIP; TRUSTEES MARC LIPSCHULTZ AND JOHN HESS - BUSINESS RELATIONSHIP; OFFICER KENNETH DAVIS, MD AND OFFICER BONNIE DAVIS - FAMILY RELATIONSHIP; TRUSTEES STEVEN HOCHBERG AND JOEL PICKET- BUSINESS RELATIONSHIP; TRUSTEES KIMBERLY HARRIS AND RICHARD FRIEDMAN - BUSINESS RELATIONSHIP; TRUSTEES KIMBERLY HARRIS AND JOHN HESS - BUSINESS RELATIONSHIP; TRUSTEES JOHN HESS AND RICHARD FRIEDMAN - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS. FORM 990, PART VI, SECTION A, LINE 7A MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO SUCH AUTHORITY RESERVED TO THE TAXPAYER'S SOLE MEMBER, MOUNT SINAI HOSPITALS GROUP, INC. ("MOUNT SINAI") PURSUANT TO THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW, SUCH AS THE AUTHORITY TO (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS, CONSOLIDATIONS, THE DISSOLUTION OF THE TAXPAYER AND THE SALE, LEASE, MORTGAGE, PLEDGE OR OTHER TRANSFER OF SIGNIFICANT ASSETS OF THE TAXPAYER, THE APPROVAL OF THE FOLLOWING MATTERS HAVE BEEN SPECIFICALLY RESERVED TO MOUNT SINAI, IN ITS CAPACITY AS THE TAXPAYER'S SOLE MEMBER, PURSUANT TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS: (A) THE INITIATION BY SNCH OF A VENTURE INVOLVING THE JOINT OWNERSHIP OR OPERATION OF A BUSINESS ACTIVITY WITH ONE OR MORE THIRD PARTIES OR THE AMENDMENT OF AN EXISTING VENTURE IF, IN ANY SUCH CASE, SUCH VENTURE IS MATERIAL TO SNCH OR INVOLVES ONE OR MORE THIRD PARTIES THAT IS A COMPETITOR OF MSHG OR AN AFFILIATE OF MSHG; (B) ESTABLISHMENT OF ANY MATERIAL NEW LINE OF BUSINESS; (C) ANY MERGER, CONSOLIDATION OR DISSOLUTION OF SNCH OR ANY SNCH AFFILIATE; D) ANY CORPORATE REORGANIZATION OF SNCH AND ANY ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY ORGANIZATION; (E) ANY ACQUISITION OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER ALIENATION OF ASSETS OR PROPERTY OF SNCH OR ANY MATERIAL SUBSIDIARY THAT IN ANY CASE HAS A VALUE AT THE TIME OF THE TRANSACTION EQUAL TO OR GREATER THAN $10,000,000; (F) ANY TRANSACTION THAT RESULTS IN SNCH BECOMING THE SOLE MEMBER OR, TO THE EXTENT PERMITTED BY LAW, THE SOLE SHAREHOLDER OF ANY CORPORATION OWNING OR OPERATING A LICENSED HOSPITAL; (G) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING A MEMBER OF SNCH OR A MEMBER OR EQUITY OWNER OF A SNCH AFFILIATE; (H) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING ENTITLED TO APPOINT DESIGNEES TO THE BOARD OF DIRECTORS OF SNCH OR TO THE GOVERNING BOARD OF A SNCH AFFILIATE; (I) INITIATION OF BANKRUPTCY OR INSOLVENCY ACTIONS WITH RESPECT TO SNCH OR AN SNCH AFFILIATE; (J) ANY ACTION THAT RESULTS IN THE COMPLETE CLOSURE OR CONVERSION OF USE FROM A GENERAL ACUTE CARE MEMBER OF SNCH; (K) ANY AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF SNCH OR ANY AMENDMENT TO THE BYLAWS (PROVIDED THAT, DURING THE INITIAL PERIOD, SUCH RIGHT OF APPROVAL SHALL ONLY APPLY TO AMENDMENTS (I) THAT AFFECT THE RIGHTS OF THE MSHG, OR (II) THAT OTHERWISE AMENDS THE BYLAWS AND MSHG OBJECTS IN WRITING WITHIN THIRTY (30) DAYS OF ITS RECEIPT OF NOTICE); (L) ISSUANCE OF LONG TERM DEBT IN EXCESS OF $10,000,000, SUCH APPROVAL NOT TO BE UNREASONABLY WITHHELD; (M) THE SUBMISSION OF AN APPLICATION FOR A CERTIFICATE OF NEED ("CON") TO ANY REGULATORY AUTHORITY IF SUCH APPLICATION WILL BE SUBJECT TO FULL REVIEW BY SUCH REGULATORY AUTHORITY (PROVIDED NOTICE IS PROVIDED TO THE MEMBER OF ANY CON THAT IS NOT SUBJECT TO FULL REVIEW; (N) THE ESTABLISHMENT OF AN ACADEMIC AFFILIATION, OR THE AMENDMENT OF AN EXISTING ACADEMIC AFFILIATION AGREEMENT, WITH ANY EDUCATIONAL INSTITUTION OTHER THAN THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (EXISTING AFFILIATION AGREEMENTS ARE PERMITTED); OR (O) THE EXERCISE BY A MATERIAL SUBSIDIARY OF ANY AUTHORITY THAT PURSUANT TO THE GOVERNING DOCUMENTS OF SUCH MATERIAL SUBSIDIARY REQUIRES THE CONSENT OR APPROVAL OF SNCH OR ANY OTHER MATERIAL SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11B THE POLICY OF SOUTH NASSAU COMMUNITIES HOSPITAL FOR REVIEWING AND APPROVING THE IRS FORM 990 IS THE FOLLOWING: THE AUDIT COMMITTEE, A SUB COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW AND APPROVE THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION, BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SOUTH NASSAU COMMUNITIES HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS UPDATED ON AN ANNUAL BASIS WITH MEMBERS OF THE CORPORATE COMPLIANCE COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) AND WITH LEGAL COUNSEL. THE POLICY IS UPDATED FOR ANY NEW/UPDATED LEGAL AND GOVERNANCE ISSUES AND DISTRIBUTED TO BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT ON AN ANNUAL BASIS. ALONG WITH THE POLICY, A QUESTIONNAIRE IS PROVIDED TO ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT REQUESTING ACKNOWLEDGEMENT THAT THEY RECEIVED THE FORM, ASKING THEM TO DISCLOSE ALL KNOWN RELATIONSHIPS AND RETURN THE SIGNED FORM TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT FOLLOWS UP WITH ANY BOARD MEMBER, OFFICERS, KEY EMPLOYEES OR MANAGEMENT STAFF WHEN A POTENTIAL CONFLICT EXISTS. THIS INFORMATION IS THEN REPORTED BACK TO THE CORPORATE COMPLIANCE COMMITTEE WHICH THEN REPORTS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 15(A) SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE-HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15(B) COMPENSATION FOR THE OTHER OFFICERS (NOT INCLUDED ABOVE) AND KEY EMPLOYEES IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC CAN OBTAIN A COPY OF THE 990, 990T, AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE HOSPITAL CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: 1-516-377-5370. THE HOSPITAL'S PREVIOUS YEARS' 990 CAN BE FOUND ON THE WEBSITE, WWW.GUIDESTAR.COM. FORM 990, PART XI, LINE 9: TRANSFER TO/FROM RELATED PARTIES -31,783,315. EQUITY TRANSFER TO/FROM RELATED PAR 2,528,529. PENSION AND POTRETIREMENT LIABILITY ADJUSTMENTS -6,550,544. OTHER CONTRIBUTIONS RELEASED FROM RESTRICTIONS 678,034. OTHER CONTRIUBTIONS BAL OF NA RELEASED FROM RESTRICTIONS 598,738. 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