2025-11-12T11:05:39-05:00 2024-12-31 990 2024-01-01 111562701 NORTH SHORE UNIVERSITY HOSPITAL % NORTHWELL HEALTH INC NORT 5163216058 972 BRUSH HOLLOW RD 5TH FL WESTBURY NY 11590 MICHELE L CUSACK EVP & CFO 5163216058 2025-11-04 true 2024 2025-03-06 01:10:19Z MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 4283015280 false X WWW.NORTHWELL.EDU X 1955 NY North Shore 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 pay. 35 28 16455 311 0 0 50257030 41159263 3214916413 3477746816 23337313 39604341 405068793 298328782 3693579549 3856839202 0 0 0 0 2244068369 2219049131 0 0 4414165 1366324641 1531623265 3610393010 3750672396 83186539 106166806 3510736729 3885821620 2100279961 2400684760 1410456768 1485136860 X NORTH SHORE UNIVERSITY HOSPITAL IS PART OF NORTHWELL HEALTH ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 1619684042 2330408103 NORTH SHORE UNIVERSITY HOSPITAL ("NSUH")IS A QUATERNARY CARE TEACHING HOSPITAL THAT SERVES AS THE CLINICAL CAMPUS FOR The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. NSUH offers care in all Medical and Surgical Specialties including cardiovascular services, cancer care, orthopedics, maternal fetal medicine, women's health services and a major transplant program for heart, liver and kidney. The campus is home to the Feinstein Institutes for Medical Research. In 2024, NSUH had 44,433 inpatient discharges, delivered 5,605 babies, provided 75,963 emergency department visits and performed 22,914 ambulatory surgeries, including endoscopies and outpatient catheterizations. 1146985292 624432890 NSUH Faculty Practice is an affiliated member of the Northwell Health ("Northwell") and part of Northwell's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay. 146631133 159136579 Syosset Hospital, a division of NSUH, is a community hospital that maintains a 911 response Emergency Department and inpatient services, including an intensive care unit, and telemetry unit, which serves as a surgical step-down unit. In 2024, the hospital had 4,232 inpatient discharges, provided 15,888 Emergency Department visits and performed 6,550 ambulatory surgeries. 431846372 363769244 OTHER 431846372 363769244 3345146839 true true false true false false false false false true true false false true true true false true false false false false false false false true true true false false true true false false false false false false false false true true false false false false true true true false false false true 1175 2 true 16455 true true true false false false false true true false false false false false false false true false X 35 28 true false false false false true true true true false false true true true true true true true true true true NY X X NORTHWELL HEALTH INC 5163216058 972 BRUSH HOLLOW RD 5TH FL WESTBURY NY 11590 MICHAEL DOWLING President & CEO 0.0 50.0 X X 0 5867706 75656 JESSICA JACOB MD Obstetrician 50.0 0.0 X 4061790 0 69731 MARK SOLAZZO Pres, Strategic Initiatives & 0.0 50.0 X 0 3747876 68435 EUGENE KRAUSS MD Orthopedic Surgeon 50.0 0.0 X 3566349 0 48959 ALAN HARTMAN MD Cardiothoracic Surgeon 50.0 0.0 X 2762184 0 69777 DANIEL SCIUBBA MD Neurosurgeon 50.0 0.0 X 2712797 0 85322 JEFFREY SPIVAK MD Cardiologist 50.0 0.0 X 2659474 0 85322 MICHELE CUSACK EVP & CFO 0.0 50.0 X 0 1904871 85322 DAVID BATTINELLI EVP & Physician in Chief 0.0 50.0 X 0 1809811 85392 JOSEPH MOSCOLA EVP, Enterprise Services 0.0 50.0 X 0 1718437 57376 LAURENCE KRAEMER EVP, Gen Coun, CLO & Asst Sec 0.0 50.0 X 0 1607684 69777 JEFFREY KRAUT EVP Strategy 0.0 50.0 X 0 1596503 70806 DONNA DRUMMOND SVP & Chf Expense Officer 0.0 50.0 X 0 1234114 68023 JON SENDACH Central Regional Director 50.0 0.0 X 1200589 0 53287 KONSTANTINE COSTALAS SVP, Managed Care 0.0 50.0 X 0 1155218 85322 MARK GLOADE SVP, Dep Gen Coun, Dep CLO & A 0.0 50.0 X 0 1084683 85322 RALPH NAPPI EVC 0.0 50.0 X X 0 997705 69731 HARRY GINDI Assistant Secretary 0.0 50.0 X 0 424042 69731 MARK CLASTER Vice Chairman 0.0 2.0 X X 0 324255 0 MARGARET CROTTY Chairman 0.0 2.0 X X 0 0 0 MICHAEL EPSTEIN Immediate Past Chairman 0.0 3.0 X X 0 0 0 RICHARD GOLDSTEIN Vice Chairman 0.0 2.0 X X 0 0 0 WILLIAM MACK Vice Chairman 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN Vice Chairman 0.0 2.0 X X 0 0 0 ROBERT ROSENTHAL Treasurer 0.0 2.0 X X 0 0 0 DONALD ZUCKER Secretary 0.0 2.0 X X 0 0 0 NON COMPENSATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 16963183 23472905 1303291 5385 false true false SIEMENS MEDICAL SOLUTIONS USA INC PO BOX 7777 W3580 PHILADELPHIA PA 19175 Equipment Service 15465330 GE PRECISION HEALTHCARE LLC 219 SUGARTOWN RD APT N104 WAYNE PA 19087 Equipment Service 8587094 HILL ROM CO INC 1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 Equipment Service 6089097 CARDINAL SYRACUSE 6012 MOLLOY RD SYRACUSE NY 13211 Anesthesiology Svcs 4909938 GE MEDICAL SYS INFORMATION TECH 8200 WEST TOWER AVE MILWAUKEE WI 53223 Software Maintenance 4259706 254 6130423 29214326 5814514 41159263 NET PATIENT SERV. 621300 2355013654 2355013654 FACULTY PRACTICE 621300 510608476 510608476 MEDICARE/MEDICAID PAYMENTS 621300 610531686 610531686 DSRIP PAYMENTS 621300 1593000 1593000 3477746816 -6483786 -6483786 748793 748793 0 43005492 43005492 0 43005492 43005492 471475612 6000 426142278 45333334 6000 45339334 45339334 0 0 0 48680 33800 14880 14880 0 0 0 PHARMACY 900099 82555960 82555960 EMPLOYEE RETENTION CREDIT 900099 23675000 23675000 CHARGEBACK REVENUE 900099 8260986 8260986 140816464 134340300 0 6476164 255308410 3856839202 3620348102 0 195331837 0 0 0 0 1200589 1200589 0 1864933628 1728358487 133843638 2731503 82022051 76015310 5886606 120135 160887442 149105133 11546663 235646 110005421 101949367 7894933 161121 2307714 2307714 404725 404725 0 0 0 0 102338632 94844042 7344698 149892 3187690 2954245 228776 4669 583461201 540732444 41874182 854575 0 0 78500104 72751287 5633841 114976 7451611 7451611 0 5552243 5552243 26522409 26522409 0 85233441 78991520 6241921 171779699 171779699 PURCHASED SERVICES 240593855 240593855 DUES & SUBSCRIPTIONS 2894253 2682297 207717 4239 CENTRALIZED ADMIN EXP 149340543 149340543 BAD DEBT EXPENSE 46514354 46514354 25540791 23670356 1833026 37409 3750672396 3345146839 401111392 4414165 0 0 9479175 21404854 3495326 5168932 625454627 681783293 0 0 0 0 0 0 31136028 32648064 24197451 18900963 1511667370 423462238 993783034 1088205132 874261639 1062735316 0 0 0 0 16864179 16864179 932065270 958110887 3510736729 3885821620 353901897 352434293 0 0 0 0 544422416 637886282 0 0 0 0 227054 33115 0 0 1201728594 1410331070 2100279961 2400684760 X 1198124332 1280662465 212332436 204474395 1410456768 1485136860 3510736729 3885821620 X 106166806 39884095 -71370809 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 259798 259798 false 0 LOBBYING ACTIVITY NORTH SHORE 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. 38274668 2350 6138998 1776306 42639710 47818346 5600 -8166360 1382918 38274668 41417453 47950 7390278 1037335 47818346 36527653 4000 6012356 1126556 41417453 31884626 2000 6003432 1362405 36527653 1.00000 false false 9513896 9513896 845223849 239215126 606008723 1101896 446620 655276 600446388 174947203 425499185 55381341 8853289 46528052 1088205132 SECURITY DEPOSITS 177515 INTEREST IN FOUNDATION 95121035 OTHER CURRENT ASSETS 46758915 OTHER ASSETS 174555240 AUXILIARY ASSETS 112635 INSURANCE CLAIMS RECEIVABLE 84214041 DUE FROM AFFILIATE 326727862 RIGHT OF USE ASSET 226144601 BOND FINANCING 4299043 958110887 0 EST. PAYABLE TO THIRD PARTY 389902088 ACCRUED RETIREMENT BENEFITS 52040172 MALPRACTICE SELF-INSUR. LIAB. 522154864 INSURANCE CLAIMS LIABILITY 84214041 OTHER LIABILITY 19085031 OTHER SHORT TERM BORROWINGS 123342000 BOND PREM/DISCOUNT -6551727 OPERATING LEASE LIABILITY 226144601 1410331070 X 3861370243 37367376 -10152593 27214783 3834155460 22683742 22683742 3856839202 3714620386 3714620386 36052010 36052010 3750672396 PART X, LINE 2 - FIN 48 Certain entities included in Northwell's consolidated financial statements are taxable entities under federal or state laws. GAAP requires that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. 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. At December 31, 2024 and 2023, Northwell has net deferred tax assets of approximately $189,000,000 and $170,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. A valuation allowance is provided when it is more likely than not that some portion or all of a deferred tax asset will not be realized. Significant components of Northwell's deferred tax assets relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $643,000,000 and $573,000,000 at December 31, 2024 and 2023, respectively. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations on their usage. PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUE REVENUE ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (46,514,354) CHANGE IN INTEREST IN ACQUIRED ENTITIES 19,340,430 JOINT VENTURE BOOK/TAX ADJUSTMENT (2,085,557) NET ASSETS RELEASED FROM RESTRICTION 17,228,369 NONOPERATING NET PERIODIC BENEFIT COST 1,878,519 TOTAL (10,152,593) REVENUE ON RETURN NOT ON BOOKS NSUH AUXILLARY (1,410) RESTRICTED INVESTMENT INCOME 3,564,522 RESTRICTED CONTRIBUTIONS 19,120,630 TOTAL 22,683,742 PART XII, LINE 4B - RECONCILIATION OF EXPENSES EXPENSES ON RETURN NOT ON BOOKS ADDITIONAL MINIMUM PENSION LIABILITY (10,462,344) PROVISION FOR BAD DEBTS 46,514,354 TOTAL 36,052,010 INTENDED USE OF ENDOWMENTS There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment. 48680 1500 33800 true 1.00000 48680 1500 33800 35300 13380 true false false false NORTHWELL HEALTH 972 BRUSH HOLLOW RD WESTBURY NY 11590 false false true true X true X true X 500. true true true false true true 33601323 1028243 32573080 0.00850 403743060 264560289 139182771 0.03630 437344383 265588532 171755851 0.04480 18643313 6745748 11897565 0.00310 118454967 49574626 68880341 0.01800 344384504 187190306 157194198 0.04100 22902735 22902735 0.00600 10061642 10061642 0.00260 514447161 243510680 270936481 0.07070 951791544 509099212 442692332 0.11550 42472 42472 6947 6947 409 409 25416 25416 297905 297905 0.00010 82981 82981 456130 456130 0.00010 false 46514354 572473147 732643881 -160170734 X true true NS MED ACCELERATOR MEDICAL SERVICES 1.0 ENDO GROUP LLC MEDICAL SERVICES 0.53001 0.18087 SOUTH SHORE SURGERY MEDICAL SERVICES 0.69008 0.30992 Richmond ASC LLC MEDICAL SERVICES 0.2 0.8 LONG ISLAND CENTER F MEDICAL SERVICES 0.51 0.4757 MELVILLE SC LLC MEDICAL SERVICES 0.50141 0.49859 2 1 NORTH SHORE UNIVERSITY HOSPITAL 300 COMMUNITY DRIVE MANHASSET NY 11030 WWW.NORTHWELL.EDU X X X X A 2 SYOSSET HOSPITAL 221 JERICHO TURNPIKE SYOSSET NY 11791 WWW.NORTHWELL.EDU X X X X A A false false true X X X X X X X X X 22 true true true true X COMPLETE WEB ADDRESS IN PART V X true 22 true COMPLETE WEB ADDRESS IN PART V false true X 200. 500. X X X X X true true X X X true X See Part V X See Part V X Web address in Part V X X X X X X X true X false X X X X X true X false false PART V, SECTION C - SUPPLEMENTAL INFORMATION Part 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 of the six counties served by Northwell and its hospitals. External stakeholders included representatives from county health departments, area hospitals, academia, business, government agencies, and community-based organizations with an emphasis on those who serve communities with health disparities. Quantitative and 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 community member and community-based organization/provider surveys, facilitated focus groups, and community-based organization summits. Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to the web link: https://www.northwell.edu/doctors-and-care/locations?type=hospitals Part V, Section B, line 6b: For a detailed listing of other organizations go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf Part V, Section B, line 7a: Hospital facility's website/CHNA report go to web link: https://www.northwell.edu/education-and-resources/community-engagement/com munity-health-investment/needs-assessment-community-health-implementation- plan Part V, Section B, line 7d: N/A Part V, Section B, line 10a: https://www.northwell.edu/sites/northwell.edu/files/2022-12/northwell-heal th-2022-2024-CHNA-CHIP-CSP-NYSDOH-implementation-plan.pdf Part V, Section B, line 11: The Northwell Health Implementation Plan for 2022-2024 includes the goals, objectives, activities, and performance measures planned to address the chosen New York State Prevention Agenda Priority Areas. The hospital identified and addressed primary needs based on an assessment of the highest-ranked health priorities of the community, regulatory input, and resources available. For further information go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf 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 16 a-c: https://www.northwell.edu/billing-and-insurance/financial-assistance-progr ams-policies/financial-assistance-policy Part V, Section B, line 16j: Information on our Financial Assistance Policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions listed, the hospital facility sends letters, makes telephone calls, and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A 110 Northwell Health Physician Partners 450 Lakeville Road Garden City NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 865 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 611 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 100 Community Drive Syosset NY 11797 Outpatient Physician Clinic Northwell Health Physician Partners 1991 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 410 Lakeville Road New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Imaging at the Center f 450 Lakeville Road Lake Success NY 11042 Diagnostic Clinic Northwell Health Physician Partners 155 West 11th Street 2nd 3rd Flo New York NY NY 10011 Outpatient Physician Clinic Northwell Health Physician Partners 136-20 38th Avenue Flushing NY 11354 Outpatient Physician Clinic NHPP Maternal Fetal Medicine 1111 Marcus Avenue Suite M10c Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 1999 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 3003 New Hyde Park Road New Hyde Park NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 600 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 833 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 300 Old Country Road Mineola NY 11501 Outpatient Physician Clinic Northwell Health Physician Partners 900 Northern Blvd Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 850 Hicksville Road Seaford NY 11783 Outpatient Physician Clinic Northwell Health Physician Partners 1010 Northern Blvd Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Imaging at Garden City 711 Stewart Avenue Garden City NY 11530 Diagnostic Clinic Northwell Health Physician Partners 1130 South Avenue 3rd Floor Staten Island NY 10314 Outpatient Physician Clinic Northwell Health Physician Partners 300 Old Country Road Mineola NY 11501 Outpatient Physician Clinic Northwell Health Imaging at Huntington 284 Pulaski Road Green Lawn NY 11740 Diagnostic Clinic Northwell Health Physician Partners 400 Community Drive Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Neurosurgery 805 Northern Boulevard Suite 100 Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Imaging at Lenox Health 200 West 13th Street New York NY 10011 Diagnostic Clinic Northwell Health Medical Pavilion at Len 200 West 13th Street New York NY 10011 Outpatient Physician Clinic Northwell Health Physician Partners 1001 Franklin Avenue Garden City NY 11530 Outpatient Physician Clinic Northwell Health Imaging at Great Neck 611 Northern Boulevard Great Neck NY 11021 Diagnostic Clinic Northwell Health Imaging at Smithtown 226 Middle Country Road Smithtown NY 11787 Diagnostic Clinic Northwell Health Imaging at Great South 620 Main Street Islip NY 11751 Diagnostic Clinic Northwell Health Physician Partners 225 Community Drive Lake Success NY 11030 Outpatient Physician Clinic NHPP Obstetrics and Gynecology at North 1 Hollow Lane Suite 101 North Hills NY 11042 Outpatient Physician Clinic NHPP Pulmonary Medicine and Cardiology a 1350 Northern Boulevard Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Imaging at Syosset 100 Lafayette Drive Syosset NY 11797 Diagnostic Clinic NHPP Adult & Pediatric Cardiology at Woo 43 Crossways Park Drive 1st Floor Woodbury NY 11797 Outpatient Physician Clinic Northwell Health Physician Partners 1200 South Avenue Suites 303-304 Staten Island NY 10314 Outpatient Physician Clinic Northwell Health Physician Partners 877 Stewart Avenue Suite 7 Garden City NY 115304803 Outpatient Physician Clinic NHPP Medicine Specialties at Woodbury 415 Crossways Park Drive Woodbury NY 11797 Outpatient Physician Clinic NHPP at Glendale 80-40 Cooper Avenue Suite 4-204 Glendale NY 11385 Outpatient Physician Clinic Northwell Health Physician Partners 2001 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic NHPP Family Medicine and Endocrinology a 733 Sunrise Highway First Floor Lynbrook NY 11563 Outpatient Physician Clinic NHPP Medicine Specialties at Manhasset 1165 Northern Boulevard Suite 300 Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Physician Partners 205 South Ocean Avenue 1st FL Patchogue NY 11772 Outpatient Physician Clinic Northwell Health Physician Partners 150-51/55 14th Avenue 2nd FL Whitestone NY 11357 Outpatient Physician Clinic Northwell Health Physician Partners 110 East 59th Street 10D New York NY NY 10022 Outpatient Physician Clinic Northwell Health Physician Partners 3111 New Hyde Park Road Lower Leve North Hills NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 155 Community Drive South Mezzanin Manhasset NY 11030 Outpatient Physician Clinic NHPP Surgical Specialties at Great Neck 310 East Shore Road Suite 203 Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 270 Pulaski Road Greenlawn NY 11740 Outpatient Physician Clinic Northwell Health Physician Partners 658 White Plains Road Tarrytown NY 10591 Outpatient Physician Clinic NHPP Orthopaedic Institute at Great Neck 825 Northern Boulevard Suite 201 Great Neck NY 11021 Outpatient Physician Clinic NHPP at Syosset 8 Greenfield Road Syosset NY 11791 Outpatient Physician Clinic NHPP Neurosurgery & Spine at Lynbrook 444 Merrick Road Lynbrook NY 11563 Outpatient Physician Clinic NHPP Urology and Surgery at Riverhead 1267 East Main Street Riverhead NY 11901 Outpatient Physician Clinic Northwell Health Physician Partners 31-57 31st Street Suites 56 Astoria NY 11106 Outpatient Physician Clinic NHPP Center for Advanced IBD Care 125 Community DriveSuite 100 Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Eye Institute at Bethpa 4300 Hempstead Turnpike Bethpage NY 11714 Outpatient Physician Clinic Northwell Health Physician Partners 1983 Marcus Avenue Suite 110 Lake Success NY 11042 Outpatient Physician Clinic NHPP at White Plains 244 Westchester Avenue Suite 411 White Plains NY 10604 Outpatient Physician Clinic Northwell Health Physician Partners 1034 N Broadway Suite 201 202 Yonkers NY 10701 Outpatient Physician Clinic NHPP Gynecologic Oncology at New Hyde Pa 9 Vermont Drive 1st Floor New Hyde Park NY 11042 Outpatient Physician Clinic NHPP Cardiology & Internal Medicine at R 115-06 Beach Channel Drive Rockaway Park NY 11694 Outpatient Physician Clinic Northwell Health Physician Partners 6144 Route 25A Suites 1011 12 Wading River NY 11792 Outpatient Physician Clinic NHPP Gastroenterology at Douglaston 241-02 Northern Boulevard First Fl Douglaston NY 11362 Outpatient Physician Clinic NHPP Obstetrics and Gynecology at Richmo 1855 Richmond Avenue Staten Island NY 10314 Outpatient Physician Clinic NHPP Internal Medicine at Wantagh 2857 Jerusalem Avenue Wantagh NY 11793 Outpatient Physician Clinic NHPP Medicine Specialties at Bayside 36-29 Bell Boulevard Suite 200 Bayside NY 11361 Outpatient Physician Clinic Northwell Health Physician Partners 1890 Old Country Road Riverhead NY 11901 Outpatient Physician Clinic NHPP Neuropsychology at Manhasset 1554 Northern Boulevard Suite 204 Manhasset NY 11030 Outpatient Physician Clinic NHPP Internal Medicine at East Hills 70 Glen Cove Road Suite 301 Roslyn Heights NY 11577 Outpatient Physician Clinic NHPP Cardiology and Medicine Specialties 2119 Merrick Road Merrick NY 11566 Outpatient Physician Clinic NHPP Queens Radiation Center 106-14 70th Avenue Forest Hills NY 11375 Diagnostic Clinic Northwell Health Physician Partners 210 Mineola Boulevard Mineola NY 11501 Outpatient Physician Clinic NHPP Family Practice of Port Washington 110 Main Street Suite 202 Port Washington NY 11050 Outpatient Physician Clinic Northwell Health Physician Partners 3010 Westchester Avenue Suite 104 Purchase NY 10577 Outpatient Physician Clinic Northwell Health Center for Liver Diseas 261 East 78th Street 4th Floor New York NY 10075 Outpatient Physician Clinic NHPP Obstetrics & Gynecology at Wading R 271 Route 25 A Suite 2 Wading River NY 11792 Outpatient Physician Clinic NHPP Family Medicine at East Moriches 516 Montauk Highway Suite 1 East Moriches NY 11940 Outpatient Physician Clinic NHPP Medicine Specialties at Astoria 30-16 30th Drive Suite 1A Astoria NY 11102 Outpatient Physician Clinic NHPP Obstetrics & Gynecology at Riverhea 31 Main Road Suite 7 Riverhead NY 11901 Outpatient Physician Clinic NHPP at Bethpage 4072 Hempstead Turnpike Bethpage NY 11714 Outpatient Physician Clinic NHPP Pulmonary Medicine at Bayside 58-06 Francis Lewis Boulevard Bayside NY 11364 Outpatient Physician Clinic Northwell Health Physician Partners 1272 East Main Street Riverhead NY 11901 Outpatient Physician Clinic NHPP Medicine Specialties at Howard Beac 156-36 Cross Bay Boulevard 36C Howard Beach NY 11414 Outpatient Physician Clinic NHPP Orthopaedic Institute at Glen Cove 10 Medical Plaza Suite 202 Glen Cove NY 11542 Outpatient Physician Clinic NHPP Orthopaedic Institute at East Meado 801 Merrick Avenue East Meadow NY 11554 Outpatient Physician Clinic Northwell Health Transplant Institute 800 Community Drive Suite 307 Manhasset NY 11030 Outpatient Physician Clinic NHPP Occupational and Environmental Medi 2950 Expressway Drive Suite 108 Islandia NY 11749 Outpatient Physician Clinic Northwell Health Physician Partners 1615 Northern Boulevard Suite 102 Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Physician Partners 400 Old Country Road Suite 16 Riverhead NY 11901 Outpatient Physician Clinic Northwell Health Physician Partners 6740 Third Avenue Brooklyn NY 11220 Diagnostic Clinic Northwell Health Physician Partners 170 Great Neck Road Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 2360 Grand Avenue Baldwin NY 11510 Outpatient Physician Clinic Northwell Health Physician Partners 78-01 Myrtle Avenue Glendale NY 11385 Outpatient Physician Clinic Northwell Health Physician Partners 1151 Dutch Broadway Valley Stream NY 11580 Outpatient Physician Clinic Northwell Health Physician Partners 150-15 41st Avenue Flushing NY 11354 Outpatient Physician Clinic Northwell Health Physician Partners 160 Hicksville Road Bethpage NY 11714 Outpatient Physician Clinic Northwell Health Physician Partners 31-22 Union Street Suite 1B Flushing NY 11354 Outpatient Physician Clinic Northwell Health Physician Partners 811 Walt Whitman Road Melville NY 11747 Outpatient Physician Clinic Northwell Health Physician Partners 6010 Bay Parkway 7th Floor Brooklyn NY 11204 Outpatient Physician Clinic Northwell Health Physician Partners 575 Underhill Boulevard Suite 190 Syosset NY 11791 Outpatient Physician Clinic Northwell Health Physician Partners 670 Stoneleigh Avenue Building 665 Carmel NY 10512 Outpatient Physician Clinic Northwell Health Physician Partners 4230 Hempstead Turnpike Ste 200 Bethpage NY 11714 Outpatient Physician Clinic Northwell Health Physician Partners 1 Dakota Drive Suite 105 Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 31 River Road Suite 102 Nyack NY 10960 Outpatient Physician Clinic Northwell Health Physician Partners 38-34 Parsons Boulevard Suite 1D Flushing NY 11354 Outpatient Physician Clinic Northwell Health Physician Partners 135-28 37th Avenue Flushing NY 11354 Outpatient Physician Clinic Northwell Health Physician Partners 128 Mott Street Suite 301 New York NY 10013 Outpatient Physician Clinic Northwell Health Physician Partners 8012 Third Avenue Brooklyn NY 11209 Outpatient Physician Clinic Northwell Health Physician Partners 108-16 72nd Avenue 2nd Floor Forest Hills NY 11375 Outpatient Physician Clinic PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health, Inc. ("Northwell"). Northwell uses U.S. Federal Poverty Guidelines (FPG) to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of resources. Resource 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. Northwell reviews and provides financial assistance on a case-by-case basis to individuals who may not meet the standards for eligibility but face other financial hardship that affects their ability to pay their medical bill. Part I, Line 6a: Northwell Health, Inc., the parent of the hospital, prepares a detailed analysis of the hospital's community benefit activities in its annual report. This report is accessible to the public and can be accessed on the Northwell website. https://www.northwell.edu/about-northwell/financial-health-annual-reports Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost-to-charges (RCC) calculated using IRS Form 990, Schedule H instructions, Worksheet 2 applied to gross charges for patients qualifying for charity under the hospital's financial assistance policy. Beginning in 2023, to comply with a Best Practices Agreement established between Northwell Health, Inc. and the New York State Attorney General, Northwell hospitals will apply an RCC to deductibles and copayments written off as Financial Assistance for underinsured patients. This treatment of applying an RCC to deductibles and copayments is contrary to the Medicare Cost Report Instructions published by the Centers for Medicare & Medicaid Services. Bad debt expense is 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 calculated 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) In general, costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The costs related to health professions education were determined by utilizing the step-down method of cost finding. Bad Debt Expense reported on Form 990, Part IX, Line 25 column (A), is not included for purposes of calculating the percentage of total expense in column (f). 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 and the cost or fair market value of medical supplies donated. Salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense excluding bad debt for the hospital (to calculate the percent of total expense). Note: With the adoption of the NYS Attorney General's Best Practices Agreement, Northwell Health, Inc. and its affiliates provided Financial Assistance and total benefit to the community of approximately 15% of expense. If Northwell Health, Inc. followed Internal Revenue guidelines which includes CMS methodology, the current year total benefit to the community would be $172M higher. 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 initiatives, organizational response to worldly disasters, and bioterrorism efforts. Northwell is a leader in addressing gun violence as a public health crisis. Our Center for Gun Violence has produced a national firearm safety ad campaign to enhance public awareness for safe firearm storage practices and educate parents on effective safety procedures. Northwell established the Learning Collaborative for Health Systems and Hospitals, which empowers health professionals to discuss the impact of gun violence, sharing best practices, and taking collective actions; launching "we ask everyone" universal screening project, which screens individuals for risk of injury from firearms. Northwell's Street Medicine Program is an award-winning initiative that aims to improve community health outcomes by providing direct care to the individuals experiencing homelessness. Its ultimate objective is to facilitate individuals' transition from homelessness into long-term housing. This challenge is further exacerbated by escalating costs and the region's longstanding housing crisis. Individuals experiencing homelessness face significant health disparities, including higher incidences of chronic illnesses, a range of mental health challenges, and substance use disorders. Northwell's comprehensive bioterrorism and disaster preparedness includes the Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training to over 100 hospitals and area first responders. Northwell has made substantial investments in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell has provided a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stands 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 natural disaster, terrorist 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. 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. Information pertaining to bad debt can be found in footnote 3 on pages 22 of the audited financial statements. Part III, Line 8: Northwell hospitals treat patients eligible for Medicare, to alleviate the Federal government's burden of providing medical services, which meets the Internal Revenue Service's guideline of a charitable purpose. Medicare rates are non-negotiable and often do not cover the costs of treating Medicare patients therefore shortfalls should be reportable as a community benefit. 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, Section C, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g., insured, underinsured, and uninsured). The hospital's collection policy states it will not send an account to collections and will suspend all collection activity if the patient has submitted a financial assistance application, 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. These efforts X X X X X true false false true false false false true false MICHAEL DOWLING President & CEO 0 4647647 0 1158500 0 61559 0 37950 0 37706 0 5943362 0 0 RALPH NAPPI EVC 0 787140 0 170465 0 40100 0 37950 0 31781 0 1067436 0 0 MARK SOLAZZO Pres, Strategic Initiatives & 0 2951467 0 744750 0 51659 0 37950 0 30485 0 3816311 0 0 DAVID BATTINELLI EVP & Physician in Chief 0 1349848 0 436388 0 23575 0 37950 0 47442 0 1895203 0 0 MICHELE CUSACK EVP & CFO 0 1422922 0 397550 0 84399 0 37950 0 47372 0 1990193 0 0 LAURENCE KRAEMER EVP, Gen Coun, CLO & Asst Sec 0 1188209 0 372900 0 46575 0 37950 0 31827 0 1677461 0 0 JEFFREY KRAUT EVP Strategy 0 1192378 0 347900 0 56225 0 37950 0 32856 0 1667309 0 0 JOSEPH MOSCOLA EVP, Enterprise Services 0 1230724 0 432900 0 54813 0 37950 0 19426 0 1775813 0 0 KONSTANTINE COSTALAS SVP, Managed Care 0 867872 0 271470 0 15876 0 37950 0 47372 0 1240540 0 0 DONNA DRUMMOND SVP & Chf Expense Officer 0 966488 0 226705 0 40921 0 37950 0 30073 0 1302137 0 0 MARK GLOADE SVP, Dep Gen Coun, Dep CLO & A 0 864292 0 175845 0 44546 0 37950 0 47372 0 1170005 0 0 HARRY GINDI Assistant Secretary 0 370345 0 46797 0 6900 0 37950 0 31781 0 493773 0 0 JON SENDACH Central Regional Director 950184 0 214993 0 35412 0 37950 0 15337 0 1253876 0 0 0 JESSICA JACOB MD Obstetrician 4024482 0 0 0 37308 0 37950 0 31781 0 4131521 0 0 0 EUGENE KRAUSS MD Orthopedic Surgeon 599376 0 0 0 2966973 0 37950 0 11009 0 3615308 0 0 0 ALAN HARTMAN MD Cardiothoracic Surgeon 2680009 0 40000 0 42175 0 37950 0 31827 0 2831961 0 0 0 DANIEL SCIUBBA MD Neurosurgeon 2391137 0 266447 0 55213 0 37950 0 47372 0 2798119 0 0 0 JEFFREY SPIVAK MD Cardiologist 2341154 0 275000 0 43320 0 37950 0 47372 0 2744796 0 0 0 MARK CLASTER Vice Chairman 0 0 0 0 0 324255 0 0 0 0 0 324255 0 0 PART I, LINE 4A - SEVERANCE PAY INCLUDED IN THIS YEAR'S COMPENSATION IS SEVERANCE PAY FOR THE FOLLOWING LISTED EMPLOYEES: EUGENE KRAUSS, MD ($2,800,000). PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUES Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee. PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (II). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990GTD4 2019-09-26 50219446 2019 A&B BONDS - REFUND 2009 BONDS false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BNL3 2015-06-23 66964514 2015 A BONDS - REFUND 2003 & 2005 false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 65000BNH7 2022-05-15 434748658 2022 A BONDS - CONSTRUCT & REFUND false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 65000B6M5 2024-10-10 113826209 2024 A BONDS - CONSTRUCT & REFUND false false A 29072193 0 77199970 0 0 0 717737 0 0 61286481 15195752 0 true false true true B 13133895 0 74147356 0 422098 0 669959 0 0 9540776 63514523 0 2019 true true true true C 0 0 422150218 0 0 0 3229088 0 0 372087029 31810877 8997490 true false false true D 0 0 122213665 0 0 0 869620 0 0 45102555 9654838 59088395 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false true true true true 0.00870 0.00870 false false false true D false false true true true true 0.00120 0.00120 false false false true A true true false 0 false 0 true true B false false true true false false 0 false 0 false true C false true true false false false 0 false 0 false true D false true true false false false 0 false 0 false true A true B true C true D true PART II, LINE 3-TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 5/31/2020 FOR 2015 BONDS, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION HAS BEEN MET. PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 8/31/2024 FOR 2019 BONDS, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION HAS BEEN MET. BRIAN DOWLING FAM REL: MICHAEL DOWLING 250209 EMPLOYEES false DAN GRIFFIN FAM REL: DONALD ZUCKER 26824 EMPLOYEES false ELIZABETH DOWLING FAM REL: MICHAEL DOWLING 130094 EMPLOYEES false FOUNDATION BUILDING MATERIALS BUS REL: MICHAEL FISCH 222094 BUSINESS false JOSEPH CUOCCIO FAM REL: MARK SOLAZZO 148590 EMPLOYEES false PART VI, SECTION A - GOVERNING BODY, LINE 2 All 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. Roger Blumencranz has a business relationship with Michele Cusack, Richard D. Goldstein, Alan Greene, Douglas Hammond, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Richard Mack, William Mack, Robert Rosenthal and Barry Rubenstein. Michele Cusack has a business relationship with Roger Blumencranz and Douglas Hammond. Michael Fisch has a business relationship with Saul Katz. Lloyd Goldman has a business relationship with Richard Goldstein, Richard Mack, William Mack and Barry Rubenstein. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman and Barry Rubenstein. Alan Greene has a business relationship with Roger Blumencranz and Douglas Hammond. Doulgas Hammond has a business relationship with Roger Blumencranz, Michele Cusack, Alan Greene, Ralph Nappi, Mark Solazzo and Donald Zucker. Saul Katz has a business relationship with Michael Fisch, Seth Lipsay and Barry Rubenstein. Jeffrey Lane has a business relationship with Richard Mack and William Mack. Laurie Zucker Lederman has a family relationship with David Zucker. Seth Lipsay has a business relationship with Saul Katz, Robert Rosenthal and Barry Rubenstein. Richard Mack has a family relationship with William Mack. He has business relationships with Mark Claster, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. William Mack has a family relationship with Richard Mack. He has business relationships with Mark Claster, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Ralph Nappi has a business relationship with Roger Blumencranz and Douglas Hammond. Robert Rosenthal has a business relationship with Mark Claster and Seth Lipsay. Barry Rubenstein has a business relationship with Mark Claster, Lloyd Goldman, Richard Goldstein, Saul Katz, Seth Lipsay, Richard Mack and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz and Douglas Hammond. Donald Zucker has a family relationship with Laurie Zucker Lederman. He has a business relationship with Roger Blumencranz and Douglas Hammond. Roy Zuckerberg has a business relationship with Richard Mack and William Mack. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B - POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's 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 Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A Roger A. Blumencranz Richard D. Goldstein Lewis S. Ranieri Michael Caridi Alan I. Greene Scott Rechler Mark L. Claster Paul B. Guenther Robert D. Rosenthal Gary A. Cohen Douglas W. Hammond Barry Rubenstein Margaret M. Crotty Saul B. Katz Lois Schlissel Michael J. Dowling Cary Kravet Michael S. Smith Michael A. Epstein Jeffrey B. Lane Leo Sternlicht Michael E. Feldman Laurie Zucker Lederman Kenneth Taber Michael G. Fisch Seth Lipsay Benjamin B Tucker Catherine C. Foster Richard Mack Emmett F. Walker, Jr. Lloyd M. Goldman William L. Mack Donald Zucker Ralph A. Nappi Roy J. Zuckerberg 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 7 Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. PART XI, LINE 9 - RECONCILIATION OF NET ASSETS CHANGE IN EQUITY UNDER FAS 136 8,789,442 CHANGE IN INTEREST IN ACQUIRED ENTITIES 16,311,993 TRANSFER TO/FROM AFFILIATE (93,788,874) NET ASSETS RELEASED FROM RESTRICTION 35 JOINT VENTURE BOOK/TAX ADJUSTMENT 942,880 OTHER CHANGES IN NET ASSETS 554,308 OTHER (4,180,593) TOTAL (71,370,809) Lenox Hill Imaging Leasing LLC 972 Brush Hollow Rd Westbury NY 11590 832690455 Inactive NY 0 0 NSUH Lenox Hill Pediatric Leasing LLC 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH Lenox Hill Stars Leasing LLC 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH MFM Leasing LLC 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH North Shore-LIJ Endoscopy Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 472871574 Medical Servi NY 524272 3033180 NSUH North Shore-LIJ Multispecialty Ventures 972 Brush Hollow Rd Westbury NY 11590 472528221 ASC NY 1514365 2117648 NSUH North Shore-LIJ Renal Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 463869336 Medical Servi NY 1744719 47197693 NSUH North Shore-LIJ Staten Island Ventures 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH North Shore-LIJ Urgent Care Ventures LL 972 Brush Hollow Rd Westbury NY 11590 464822513 Urgent Care NY 1822519 51416074 NSUH North Shore-LIJ Ventures GCSC LLC 972 Brush Hollow Rd Westbury NY 11590 463279716 ASC NY 2439096 4646562 NSUH North Shore-LIJ Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 455221514 Medical Servi NY 10563548 6338404 NSUH Northern Westchester ASC LLC 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH Northwell GVASC Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 464488190 Inactive NY 0 0 NSUH Northwell Health Melville ASC Ventures 972 Brush Hollow Rd Westbury NY 11590 813860677 ASC NY 1455846 4532873 NSUH Northwell Health Sleep Holdings LLC 972 Brush Hollow Rd Westbury NY 11590 822869985 Holding compa NY 0 8359 NSUH Northwell Health Westchester Multispecia 972 Brush Hollow Rd Westbury NY 11590 814359712 ASC NY 757132 97415 NSUH Northwell LICDH Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 874257764 Medical Servi NY 2391972 2688613 NSUH Northwell Lynbrook ASC Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 832771589 Inactive NY 0 0 NSUH SIUH Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 473709633 ASC NY 224102 91957 NSUH SYOASC LLC 972 Brush Hollow Rd Westbury NY 11590 465066204 Inactive NY 0 0 NSUH True Health Development LLC 972 Brush Hollow Rd Westbury NY 11590 473126338 Inactive NY 0 0 NSUH True North ASC LLC 972 Brush Hollow Rd Westbury NY 11590 473722409 Inactive NY 0 0 NSUH Northwell Truvance Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 923042818 Medical Servi NY -2270189 -2778456 NSUH True North Sleep Services LLC 972 Brush Hollow Rd Westbury NY 11590 000000000 Inactive NY 0 0 NSUH True North Ear Nose & Throat Medical P 972 Brush Hollow Rd Westbury NY 11590 931868896 Inactive NY 0 0 NSUH Northwell Yaphank ASC Ventures LLC 972 Brush Hollow Rd Westbury NY 11590 992211973 Medical Servi NY 0 0 NSUH Northwell Queens Endo ASC LLC 972 Brush Hollow Rd Westbury NY 11590 934354868 Medical Servi NY 0 0 NSUH Black Hall Dental PC 972 Brush Hollow Rd Westbury NY 11590 873777395 Inactive NY 501(C)(3) Applied For NSUH true Brightwaters Gynecology PC 972 Brush Hollow Rd Westbury NY 11590 821883445 Medical Servi NY 501(C)(3) 10 NSUH true Brooklyn Ambulatory Care PC 972 Brush Hollow Rd Westbury NY 11590 474447289 Medical Servi NY 501(C)(3) 12, Type I NSUH true Carnegie Cardiovascular PC 972 Brush Hollow Rd Westbury NY 11590 474377825 Medical Servi NY 501(C)(3) 12, Type I Lenox Hill false Central Suffolk Hospital 1 Heroes Way Riverhead NY 11901 111661359 Health Care NY 501(C)(3) 3 Healthcare false CLNY Alliance Inc 972 Brush Hollow Rd Westbury NY 11590 463146870 Laboratory NY 501(C)(3) 3 NA false Community Drive Surgery PC 972 Brush Hollow Rd Westbury NY 11590 821672429 Medical Servi NY 501(C)(3) 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Medical Servi NY 501(C)(3) 12, Type I Lenox Hill false LHH Corporation 972 Brush Hollow Rd Westbury NY 11590 133272016 Supporting Or NY 501(C)(3) 12, Type I Northwell He false LIJ Foundation 972 Brush Hollow Rd Westbury NY 11590 112661239 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Long Island Jewish Faculty Medical Affil 972 Brush Hollow Rd Westbury NY 11590 850667316 Billing NY 501(C)(3) 12, Type I LIJMC false Long Island Jewish Medical Center 972 Brush Hollow Rd Westbury NY 11590 112241326 Health Care NY 501(C)(3) 3 Healthcare false Long Island Jewish Medical Center at Hom 972 Brush Hollow Rd Westbury NY 11590 113251128 Supporting Or NY 501(C)(3) 12, Type I Northwell He false Marcus Ave OB-GYN PC 972 Brush Hollow Rd Westbury NY 11590 880775003 Medical Servi NY 501(C)(3) Applied For NSUH true Marcus Avenue Medical PC 972 Brush Hollow Rd Westbury NY 11590 810861452 Medical Servi NY 501(C)(3) 12, Type I NSUH true Mather Faculty Medical Affiliates Unive 972 Brush Hollow Rd 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