FURP.ORG / PUBLIC DATA EXPLORER

JOHN T MATHER MEMORIAL HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
JOHN T MATHER MEMORIAL HOSPITAL (EIN 11-1639818)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202103169349303875
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T09:59:51-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111639818EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1John T Mather Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOSEPH WISNOSKIInCareOfNm
Business Name ControlJOHNBusinessNameControlTxt
Phone6314731320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph WisnoskiPersonNm
Person TitleCFOPersonTitleTxt
Phone6314731320PhoneNum
Signature2021-11-05SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastWisnoskiPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoseph WisnoskiPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$384,996,393GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMATHERHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionJohn T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care svcs of the highest qualityActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2869TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$605,766TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$449,834PYContributionsGrantsAmt
CY Contributions Grants$28,633,097CYContributionsGrantsAmt
PY Program Service Revenue$363,367,607PYProgramServiceRevenueAmt
CY Program Service Revenue$352,883,841CYProgramServiceRevenueAmt
PY Investment Income-$1,100PYInvestmentIncomeAmt
CY Investment Income$2,447,967CYInvestmentIncomeAmt
PY Other Revenue$4,567,037PYOtherRevenueAmt
CY Other Revenue$933,990CYOtherRevenueAmt
PY Total Revenue$368,383,378PYTotalRevenueAmt
CY Total Revenue$384,898,895CYTotalRevenueAmt
PY Grants And Similar Paid$3,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$211,937,584PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$229,631,346CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$161,173,601PYOtherExpensesAmt
CY Other Expenses$165,934,602CYOtherExpensesAmt
PY Total Expenses$373,114,185PYTotalExpensesAmt
CY Total Expenses$395,568,948CYTotalExpensesAmt
PY Revenues Less Expenses-$4,730,807PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,670,053CYRevenuesLessExpensesAmt
Total Assets BOY$300,177,377TotalAssetsBOYAmt
Total Assets EOY$379,916,271TotalAssetsEOYAmt
Total Liabilities BOY$200,246,274TotalLiabilitiesBOYAmt
Total Liabilities EOY$270,343,643TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$99,931,103NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$109,572,628NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJOHN T. MATHER MEMORIAL HOSPITAL IS AN ACCREDITED 248-BED, NON-PROFIT COMMUNITY HOSPITAL DEDICATED TO PROVIDING A WIDE SPECTRUM OF HEALTH CARE SVCS OF THE HIGHEST QUALITY, IN A COST EFFECTIVE MANNER, TO THE RESIDENTS OF SUFFOLK COUNTY.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$330,543,053ExpenseAmt
Revenue$352,883,841RevenueAmt
DescA member of Northwell Health, Inc, John T. Mather Memorial Hospital, a 248 bed community hospital, provides quality medical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services is critical to the operation of the Hospital, it is recognized not all individuals possess the ability to purchase essential medical services. In keeping with the Hospital's commitment to serve all members of the community, free and or subsidized care is provided to the indigent, care is provided to persons covered by government programs at below cost and numerous health related education and support services are offered to the community at large.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,000ExpenseAmt
Revenue$0RevenueAmt
DescTo promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$330,546,053TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2869EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOSEPH WISNOSKIPersonNm
Phone6314731320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
RALPH NAPPI
Trustee/EVC0.050.0Yes (X)$0$1,021,093$55,274
STEPHEN BELLO
Trustee/EVC0.050.0Yes (X)$0$920,347$43,595
KENNETH D ROBERTS
President & CEO50.00.0Yes (X)$873,781$0$40,659Yes (X)
MOHAMMAD BILAL
VP Medical Staff50.00.0Yes (X)$611,880$0$48,231Yes (X)
JULIET NICHOLS MD
Psychiatrist50.00.0$586,697$0$43,959Yes (X)
JOAN C FARO MD
Chief Medical Officer50.00.0$545,713$0$49,949Yes (X)
JOSEPH CARRUCCIU MD
Director of Breast Center50.00.0$538,676$0$41,109Yes (X)
MICHELLE P PRICE MD
Breast Radiologist50.00.0$530,087$0$40,059Yes (X)
MARITZA GROTH
Member-at-Large50.00.0Yes (X)$472,114$0$70,581Yes (X)
JOSEPH WISNOSKI
Sr VP & CFO50.00.0$469,725$0$72,685Yes (X)
JOSEPH NG MD
Intensivist50.00.0$493,381$0$41,109Yes (X)
KENNY LIEN MD
Director of Interventional Rad50.00.0$485,451$0$38,259Yes (X)
MARIE E MULLIGAN
Chief Nursing Officer50.00.0$334,178$0$63,056Yes (X)
WAYNE S SHATTES
Vice President-Administration50.00.0$271,369$0$79,131Yes (X)
MICHAEL BURGHARDT
Vice President Administration50.00.0$210,885$0$46,181Yes (X)
CHRISTINE RUGGIERO
President, Medical Staff50.00.0Yes (X)$17,500$0$0Yes (X)
Leo Sternlicth
Chairman0.03.0Yes (X)$0$0$0Yes (X)
Konrad Kuhn
Vice Chairman0.02.0Yes (X)$0$0$0Yes (X)
Betsy N Britton
Vice Chairman0.02.0Yes (X)$0$0$0Yes (X)
Harold Tranchon
Vice Chairman0.02.0Yes (X)$0$0$0Yes (X)
Timothy Glynn
Vice Chairman0.02.0Yes (X)$0$0$0Yes (X)
John Diviney
Secretary0.02.0Yes (X)$0$0$0Yes (X)
John Sini
Treasurer0.02.0Yes (X)$0$0$0Yes (X)
NON COMPENSATED TRUSTEES
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,441,437TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,941,440TotReportableCompRltdOrgAmt
Total Other Compensation$773,837TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K465IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS
24630 NETWORK PLACECHICAGOIL606731246INFOTECH CONSULTANTS$2,854,009
STONY BROOK MEDICINE
31 RESEARCH WAY STE 119EAST SETAUKETNY11733MEDICAL SERVICES$1,535,985
NORTH SHORE HEMATOLOGY ONCOLOGY ASS
1500-4 ROUTE 112PORT JEFFERSON STATIONNY11773MEDICAL SERVICES$1,040,677
GOOD SAMARITAN HOSPITAL MEDICAL CEN
100 MONTAUK HIGHWAYWEST ISLIPNY11795LABORATORY SERVICES$967,930
LI LAPAROSCIPIC SURGERY PLLC
625 BELLE TERRE RD SUITE 202PORT JEFFERESONNY11777LABORATORY SERVICES$894,107
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Related Organizations$140,000RelatedOrganizationsAmt
Government Grants$28,490,297GovernmentGrantsAmt
All Other Contributions$2,800AllOtherContributionsAmt
Total Contributions$28,633,097TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621300$227,892,539$227,399,032$493,507
PHYSICIAN621300$17,222,673$17,222,673
MEDICARE/MEDICAID PAYMENTS621300$106,851,069$106,851,069
DSRIP900090$917,560$917,560
FieldValueIRS element (for citing)
Total Program Service Revenue$352,883,841TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,240,954TotalRevenueColumnAmt
Related Or Exempt Func Income$2,240,954RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$213,702RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$84,271RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$129,431RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$129,431TotalRevenueColumnAmt
Related Or Exempt Func Income$129,431RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$207,013OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$207,013OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,013TotalRevenueColumnAmt
Related Or Exempt Func Income$207,013RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$43,720GamingGrossIncomeAmt
Gaming Direct Expenses$13,227GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,493TotalRevenueColumnAmt
Unrelated Business Revenue$30,493UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY621500$320,941$320,941
CAFETERIA REVENUE900099$315,326$315,326
SURVEY REVENUE - LAB541700$44,079$44,079

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,720TotalRevenueColumnAmt
Related Or Exempt Func Income$164,125RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$37,687UnrelatedBusinessRevenueAmt
Exclusion-$108,092ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$774,066OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$384,898,895TotalRevenueColumnAmt
Related Or Exempt Func Income$355,452,798RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$605,766UnrelatedBusinessRevenueAmt
Exclusion$207,234ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Program Services$3,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,335,031TotalAmt
Program Services$1,001,981ProgramServicesAmt
Management And General$2,333,050ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$167,754,561TotalAmt
Program Services$140,612,825ProgramServicesAmt
Management And General$27,141,736ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,204,021TotalAmt
Program Services$22,802,565ProgramServicesAmt
Management And General$4,401,456ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,995,778TotalAmt
Program Services$15,922,369ProgramServicesAmt
Management And General$3,073,409ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,341,955TotalAmt
Program Services$10,345,097ProgramServicesAmt
Management And General$1,996,858ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$616,724TotalAmt
Management And General$616,724ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$224,740TotalAmt
Management And General$224,740ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$116,340TotalAmt
Management And General$116,340ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,128,329TotalAmt
Program Services$31,959,382ProgramServicesAmt
Management And General$6,168,947ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$419,930TotalAmt
Program Services$351,988ProgramServicesAmt
Management And General$67,942ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$76,572,753TotalAmt
Program Services$64,183,716ProgramServicesAmt
Management And General$12,389,037ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,154,381TotalAmt
Program Services$4,320,431ProgramServicesAmt
Management And General$833,950ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$247,467TotalAmt
Program Services$247,467ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,321,526TotalAmt
Management And General$1,321,526ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,858,241TotalAmt
Program Services$10,777,851ProgramServicesAmt
Management And General$2,080,390ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,494,532TotalAmt
Program Services$4,494,532ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$8,140,619$8,140,619
PURCHASED SERVICES$13,555,782$13,555,782
DUES & SUBSCRIPTIONS$594,423$498,249$96,174
CENTRALIZED ADMIN EXPENSE$1,911,408$1,911,408

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,577,407TotalAmt
Program Services$1,328,199ProgramServicesAmt
Management And General$249,208ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$395,568,948TotalAmt
Program Services$330,546,053ProgramServicesAmt
Management And General$65,022,895ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,934,900BOYAmt
EOY$112,831,073EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,680,537BOYAmt
EOY$52,378,881EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,448,714BOYAmt
EOY$9,793,614EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,229,033BOYAmt
EOY$6,241,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$143,311,141LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,581,261LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$97,028,499BOYAmt
EOY$100,729,880EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$54,398,215BOYAmt
EOY$57,200,002EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$45,457,479BOYAmt
EOY$40,740,951EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$300,177,377BOYAmt
EOY$379,916,271EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,025,277BOYAmt
EOY$45,479,444EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,310,000BOYAmt
EOY$24,670,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,910,997BOYAmt
EOY$200,194,199EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$200,246,274BOYAmt
EOY$270,343,643EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,328,640BOYAmt
EOY$107,537,757EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,602,463BOYAmt
EOY$2,034,871EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$99,931,103BOYAmt
EOY$109,572,628EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$300,177,377BOYAmt
EOY$379,916,271EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,670,053ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,361,018NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$17,950,560OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$18,912OtherActivitiesAmt
Total Lobbying Expenditures$18,912TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B -DESCRIPTION OF LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe Hospital paid membership dues to two organizations; Healthcare Association of New York State, and the American Hospital Association. A portion of those dues have been allocated to lobbying expenditures.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,015,234BeginningYearBalanceAmt
Contributions$2,800ContributionsAmt
Investment Earnings Or Losses$14,831InvestmentEarningsOrLossesAmt
End Year Balance$1,032,865EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$949,619BeginningYearBalanceAmt
Contributions$60,045ContributionsAmt
Investment Earnings Or Losses$61InvestmentEarningsOrLossesAmt
Other Expenditures-$5,509OtherExpendituresAmt
End Year Balance$1,015,234EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$936,914BeginningYearBalanceAmt
Contributions$31,984ContributionsAmt
Investment Earnings Or Losses$57InvestmentEarningsOrLossesAmt
Other Expenditures$19,336OtherExpendituresAmt
End Year Balance$949,619EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,374,421BeginningYearBalanceAmt
Contributions$257,325ContributionsAmt
Investment Earnings Or Losses$515InvestmentEarningsOrLossesAmt
Other Expenditures$695,347OtherExpendituresAmt
End Year Balance$936,914EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,258,566BeginningYearBalanceAmt
Contributions$321,235ContributionsAmt
Investment Earnings Or Losses$32InvestmentEarningsOrLossesAmt
Other Expenditures$205,412OtherExpendituresAmt
End Year Balance$1,374,421EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.01000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.99000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,200,000OtherCostOrOtherBasisAmt
Book Value$8,200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,700,000OtherCostOrOtherBasisAmt
Depreciation$10,631,250DepreciationAmt
Book Value$46,068,750BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,279,389OtherCostOrOtherBasisAmt
Depreciation$3,289,015DepreciationAmt
Book Value$12,990,374BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,986,686OtherCostOrOtherBasisAmt
Depreciation$27,118,523DepreciationAmt
Book Value$28,868,163BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,145,066OtherCostOrOtherBasisAmt
Depreciation$1,542,473DepreciationAmt
Book Value$4,602,593BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$100,729,880TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTEREST IN FOUNDATION$1,034,067
RIGHT OF USE ASSET$7,386,032
INSURANCE CLAIMS RECEIVABLE$21,052,828
OTHER ASSETS$268,024
INTANGIBLE ASSETS$11,000,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,740,951TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
DUE TO/FROM AFFLIATES$6,126,130
INSURANCE CLAIMS LIABILITY$15,024,987
OTHER LIABILITY$2,762,973
MALPRATICE INSURANCE$28,463,324
ACCRUED RETIREMENT BENEFITS$74,748,571
OPERATING LEASE LIABILITY$7,386,032
CAPITAL LEASES$9,347,231
ESTIMATED 3RD PARTY PAYABLES$56,334,951
FieldValueIRS element (for citing)
Total Liability$200,194,199TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$399,689,830TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,361,016NetUnrealizedGainsInvstAmt
Other Revenue$12,432,719OtherRevenueAmt
Revenue Not Reported$14,793,735RevenueNotReportedAmt
Revenue Subtotal$384,896,095RevenueSubtotalAmt
Other Revenues Not Included$2,800OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,800RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$384,898,895TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$388,546,694TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$388,546,694ExpensesSubtotalAmt
Other Expenses Not Included$7,022,254OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,022,254ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$395,568,948TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XII, LINE 2D & 4BRECONCILIATION OF REVENUE, LINE 2D PROVISION FOR BAD DEBTS (8,140,619) NON-OPERATING NET PERIODIC PENSION COST 1,210,014 DISCOUNTS & REBATES 2,343,679 NON-OPERATING GAIN (282,912) AMOUNTS REPORTED SEPARATELY 17,302,557 TOTAL 12,432,719 RECONCILIATION OF REVENUE, LINE 4B RESTRICTED CONTRIBUTIONS 2,800 TOTAL 2,800
PART XIII, LINE 2D & 4BRECONCILIATION OF EXPENSE, LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 19,737,885 NON OPERATING NET PERIODIC PENSION COSTS (1,210,014) PROVISION FOR BAD DEBTS 8,140,619 DISCOUNTS & REBATES (2,343,679) AMOUNTS REPORTED SEPARATELY (17,302,557) TOTAL 7,022,254
PART V, LINE 4 INTENTED USE OF ENDOWMENT FUNDSThe endowment funds are used to improve the quality of the lives of those served by John T. Mather Memorial Hospital.

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$43,720GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$7,550CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$5,677OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingfalseVolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$43,720GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$7,550CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$5,677OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$13,227DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$30,493NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.90000GamingOwnFacilityPct
Gaming Other Facility0.10000GamingOtherFacilityPct
Individual With BooksJOHN T MATHER MEMORIAL HOSPITALIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11777ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other450.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$996,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$137,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$858,370NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,144,697TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,140,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,004,273NetCommunityBenefitExpnsAmt
Total Expense0.03860TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$787,780TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$631,913DirectOffsettingRevenueAmt
Net Community Benefit Expns$155,867NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,928,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,910,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,018,510NetCommunityBenefitExpnsAmt
Total Expense0.04120TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,889,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$381,851DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,507,460NetCommunityBenefitExpnsAmt
Total Expense0.03480TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,166,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,156,142DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,010,587NetCommunityBenefitExpnsAmt
Total Expense0.01800TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,193,352TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,406,318DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,787,034NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,864TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,864NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,918TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$280DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,638NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,299,174TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,944,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,354,583NetCommunityBenefitExpnsAmt
Total Expense0.09100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,227,868TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,854,775DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,373,093NetCommunityBenefitExpnsAmt
Total Expense0.13220TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,012TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,012NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$895TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$895NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,996TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,996NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,889TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,889NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,810TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$175,810NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$9,116,245BadDebtExpenseAmt
Reimbursed By Medicare$100,123,482ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$128,022,966CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,899,484MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PORT JEFFERSON ASCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.26OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JT MATHER MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North Country RoadAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11777ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.matherhospital.orgWebsiteAddressTxt
State License5149000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MatherBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.northwell.edu/education-and-resourceOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.northwell.edu/education-and-resources/comStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care450.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLComplete web address in Part VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLComplete web address in Part VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLComplete web address in PartFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V Facility Information, Section C Supplemental InformationFormAndLineReferenceDesc
ExplanationPart V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six-county 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 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 web link: https://www.northwell.edu/sites/northwell.edu/files/2020-01/Northwell-Heal th-NYSDOH%20-2019-2021-CHNA-and-CSP-Summary.pdf Part V, Section B, line 7d: N/A Part V, Section B, line 11: The full description of how we are addressing the needs identified in the CHNA 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 -c https://www.matherhospital.org/patients-visitors/for-patients/paying-for-y our-hospital-care/ Part V, Section B, line 16j: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18e: Income executions/bank restraining orders. Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Using credit data, the Hospital makes a Charity Care determination, referred to as "Presumptive Eligibility Decision," for patients who were non-compliant with the charity care application process. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/AExplanationTxt
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
JT Mather - Outpatient Behavioral Health
100 Highlands BoulevardPort JeffersonNY11777Outpatient Physician Clinic
JT Mather Memorial Hospital Outpatient R
125 Oakland AvenuePort JeffersonNY11777Rehabilitation
JT Mather Wound Care Clinic
1895 Walt Whitman RoadMelvilleNY11747Outpatient Physician Clinic
Northwell Health Physician Partners
170 North Country Rd Suites 34Port JeffersonNY11777Outpatient Physician Clinic
JT Mather - Primary Med Care Outpatient
5225 Rt 347Port JeffersonNY11776Outpatient Physician Clinic
JT Mather - Precision CyberKnife of New
181 Belle Meade RoadEast SetauketNY11733Outpatient Physician Clinic
Stony Brook Blood Drawing Center
2500 Nesconset Hwy Bldg 21Stony BrookNY11790Laboratory
Northwell Health Physician Partners
70 North Country Road -2nd Fl SWPort JeffersonNY11777Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VI Supplemental InformationFormAndLineReferenceDesc
ExplanationQuestion 1: Part 1, Line 3C: The Hospital uses the Federal Poverty Guidelines (FPG) to determine eligibility for providing free/discounted care. Certain assets are also considered to determine eligibility. The following assets are excluded from consideration: patient's primary residence, tax-deferred or comparable retirement savings accounts, college savings accounts, and cars used by the patient or the patient's immediate family. The Hospital also uses Transunion credit scores to determine presumptive eligibility. Part I, Line 6a: The Hospital prepared a Community Service Plan for 2019-2021. The Community Service Plan is accessible to the public and can be accessed on the Hospital website https://www.matherhospital.org/about-mather/news/community-service-plan. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) 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. On March 13, 2020, the Federal Government issued an emergency declaration under Section 501(b) of the Stafford Act, Public Health Service Act and National Emergencies Act due to the Covid-19 global pandemic. At the forefront of New York State's pandemic response, Northwell Health rose to the occasion leading on the front lines and behind the scenes. Northwell transformed areas in each of its hospitals to admit and care for Covid-19 patients, reimagining ways to deliver treatment while safeguarding those who step up to care for patients. In addition, Northwell conducted research and clinical trials in search of new treatments. At New York's Covid-19 epicenter, Northwell led the response to the pandemic partnering with the Department of Health to set-up an Army field hospital in New York City and over 100 testing sites in the five boroughs of New York City, Nassau, Suffolk, and Westchester counties. Treating more coronavirus patients than any other organization, the health system gained valuable insights for the next widespread medical crisis. As a result of Northwell's extensive Covid-19 relief efforts, the health system incurred significant costs associated with infectious disease education, training, personal protective equipment, and other essential supplies which are reflected in the costs reported. These costs are offset by the obligated federal funding Northwell reported in their year-end December 31, 2020 audited financial statements. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 22.6 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwell has taken the lead in increasing awareness of gun violence as a public health issue. The Gun Violence Prevention Forum brought together physicians, researchers, policy experts, health care executives, NYPD counterterrorism and victims' advocates to share their thoughts on how leaders in health care can address this national public health crisis. Northwell's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The 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 that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; faExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmount
KENNETH D ROBERTS
President & CEO$798,355$0$0$75,426$0$19,500$0$21,159$0$914,440$0$0$0
JOSEPH WISNOSKI
Sr VP & CFO$463,726$0$0$5,999$0$51,526$0$21,159$0$542,410$0$0$0
JOAN C FARO MD
Chief Medical Officer$538,855$0$0$6,858$0$37,783$0$12,166$0$595,662$0$0$0
MARIE E MULLIGAN
Chief Nursing Officer$330,614$0$0$3,564$0$31,925$0$31,131$0$397,234$0$0$0
WAYNE S SHATTES
Vice President-Administration$267,805$0$0$3,564$0$48,000$0$31,131$0$350,500$0$0$0
MICHAEL BURGHARDT
Vice President Administration$210,429$0$0$456$0$15,050$0$31,131$0$257,066$0$0$0
JULIET NICHOLS MD
Psychiatrist$583,133$0$0$3,564$0$22,800$0$21,159$0$630,656$0$0$0
JOSEPH CARRUCCIU MD
Director of Breast Center$535,112$0$0$3,564$0$19,950$0$21,159$0$579,785$0$0$0
MICHELLE P PRICE MD
Breast Radiologist$528,845$0$0$1,242$0$19,950$0$20,109$0$570,146$0$0$0
JOSEPH NG MD
Intensivist$492,655$0$0$726$0$19,950$0$21,159$0$534,490$0$0$0
KENNY LIEN MD
Director of Interventional Rad$484,959$0$0$492$0$17,100$0$21,159$0$523,710$0$0$0
RALPH NAPPI
Trustee/EVC$0$784,283$203,125$0$33,685$0$31,350$0$23,924$0$1,076,367$0$0
MOHAMMAD BILAL
VP Medical Staff$602,320$0$0$9,560$0$17,100$0$31,131$0$660,111$0$0$0$0
MARITZA GROTH
Member-at-Large$469,717$0$0$2,397$0$39,450$0$31,131$0$542,695$0$0$0
STEPHEN BELLO
Trustee/EVC$0$763,429$145,585$0$11,333$0$31,350$0$12,245$0$963,942$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part 1, Line 1a - Relevant Information Regarding Compensation BenefitsTravel for companions Administrative approval Board member's spouse, relative or significant other, may be reimbursed subject to the following; the nature of the conference, workshop or seminar contains a critical social element in the judgement of the President or the Chairman of the Board and warrants their attendance. The reimbursement is a non-taxable transaction and considered de minimis in the opinion of legal counsel.
PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATIONOn Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).
PART II, LINE 2(i), COLUMN (iii)Kenneth D. Roberts other reportable compensation, $75,426, includes the proceeds of a Supplemental Executive Retirement Plan ("SERP") in the amount of $61,939 which was paid out of a legacy KEYSOP plan set up to fund the SERP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TOWN OF BROOKHAVEN LDC
A2727681820000000002012-11-30$20,105,000REFINANCE 1996 DASNY BONDSfalsefalsefalse
TOWN OF BROOKHAVEN LDC
B2727681820000000002013-08-15$23,000,000CONSTRUCTION FACILITY ADDITIONfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$20,105,000$0$0$0$323,740$0$0$0$19,781,260$02015Yes (true)falseYes (true)Yes (true)
B$0$0$23,000,000$0$1,070,827$0$351,394$0$0$21,577,779$0$02015falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
People's United Bank
AfalseYes (true)falsefalseYes (true)Yes (true)10.falsefalsefalse0falseYes (true)
People's United Bank
BfalseYes (true)falsefalseYes (true)Yes (true)10.falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
North Shore Professional LLC
Business Relation: Kathryn Frey$1,693,992Businessfalse
ANNE MARIE GOLDBERG
Family Relation: KENNETH ROBERTS$68,682Employeesfalse
KIMBERLY JARETT
Family Relation: HAROLD TRANCHON$50,577Employeesfalse
LYNSEY JARETT
Family Relation: HAROLD TRANCHON$85,889Employeesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY, LINE 2All transactions with John T. Mater Memorial Hospital 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. James Danowski has a business relationship with Richard Lusak. Timothy Glynn has a business relationship with Harold Tranchon and John Sini. Richard Lusak has a business relationship with James Danowski. Harold Tranchon has a business relationship with Timothy Glynn and John Sini. John Sini has a business relationship with Timothy Glynn and Harold Tranchon.
PART VI, SECTION B - POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
PART VI, SECTION B - POLICIES, LINE 12CCONFLICT OF INTEREST DICLOSURE STATEMENT FOR DIRECTORS and OFFICERS Each year all members of the board, officers and key employees must reaffirm that the conflict of interest form on file with the Hospital is accurate and complete.The sixteen question document is intended to identify business dealings that involve improper conflicts of interest and is prefaced with detailed definitions with regard to; immediate family, vendors, competitors, doing business or a business relationship and disclosable interests. The compliance and audit committee is charged with oversight of adherence to the conflict of interest policy. At the instruction of the compliance and audit committee, legal counsel conducts a review of each disclosure statement and submits findings to the audit committee. The audit committee notifies the board of directors of any potential or perceived conflicts of interest. Individuals that have disclosed a potential conflict of interest are asked to excuse themselves from deliberation or actions that may be construed as a conflict of interest. Employees are governed by the same principles and tenets by a written Code of Conduct and Conflict of Interest Policy.
PART VI, SECTION B - POLICIES, LINE 15The following compensation policy applies to the Hospital's President & CEO and the Hospital's CFO hereafter referred to as a "Covered Individual". The Compensation Committee shall determine and/or approve the amount of Compensation to be paid to any Covered Individual. In making such determination or approval, which shall be performed at least annually, the Compensation Committee shall consider all components of the Covered Individual's Compensation. In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee may, in its discretion, consider and rely upon the following data, as well as other information or data that it deems relevant; (i) compensation paid for comparable positions by similarly situated non-profit and for-profit entities; (ii) availability of individuals possessing similar expertise or specialized training in the geographic area; (iii) independent compensation surveys compiled by independent firms; and (iv) written offers that the Covered Individual has received from other similar institutions competing for his or her services. In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee will evaluate, or review an evaluation of, the Covered Individual's job performance (if currently employed) and/or a description of the Covered Individual's qualifications (if being recruited by the Organization). Such evaluations and descriptions may include and/or consider a description of the duties and responsibilities of the Covered Individual's position and the results achieved by such individual; other executive's assessments of the importance of the Covered Individual to the Organization and the role of Compensation in retaining and incentivizing the performance of the Covered Individual; whether and to what extent the Covered Individual possesses unique talents and abilities that increase his or her value to the Organization; increases in the nature, scope, or extent of the Covered Individual's duties; and any other subjective factors or other information concerning the Covered Individual's contributions to the Organization that the Compensation Committee deems relevant in setting the Covered Individual's Compensation concerning the Covered Individual's contributions to the Organization that the Compensation that the Compensation Committee deems relevant in setting the covered individual's compensation.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1AStephen Bello, PA Konard Kuhn Mohammad Bilal, MD Donald E. Lippencott Roger Blumencranz Richard Lusack Betsy N. Britton Ralph Nappi Marvin Colson Kenneth D. Roberts James Danowski Christine Ruggiero, MD Sylvia Diaz Ph. D John Sini John Diviney Leo Sternlicht Debra Engelhardt Harold Tranchon Kathryn B. Frey Tara Scully Timothy Glynn Edward Weiss
PART VI, SECTION A - GOVERNING BODY, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, LINE 9 - RECONCILIATION OF NET ASSETSCHANGE IN FV SWAP AGREEMENT - CASH FLOW (59,041) TRANSFER TO AFFILIATE 18,000,000 NET ASSETS RELEASED FROM RESTRICTION (6,481) NON-OPERATING GAINS (282,912) OTHER CHANGE IN NET ASSETS 298,994 TOTAL 17,950,560
PART III, LINE 2Due to the declared National Emergency, Northwell Health, Inc. and its related subsidiaries undertook many program services specifically developed to combat the COVID-19 pandemic.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (97 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Brightwaters Gynecology PC
972 Brush Hollow RdWestburyNY11590821883445Medical ServiNY501(C)(3)10NSUHfalse
Brooklyn Ambulatory Care PC
972 Brush Hollow RdWestburyNY11590474447289Medical ServiNY501(C)(3)12, Type INSUHfalse
Carnegie Cardiovascular PC
972 Brush Hollow RdWestburyNY11590474377825Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
Central Suffolk Hospital
1 Heroes WayRiverheadNY11901111661359Health CareNY501(C)(3)3Healthcarefalse
CLNY Alliance Inc
972 Brush Hollow RdWestburyNY11590463146870LaboratoryNY501(C)(3)3NAfalse
Community Drive Surgery PC
972 Brush Hollow RdWestburyNY11590821672429Medical ServiNY501(C)(3)12, Type INSUHfalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487Health CareNY501(C)(3)3Healthcarefalse
Harbor View Medical Services PC
75 North Country RdPort JeffersonNY11777264517010Supporting OrNY501(C)(3)12, Type IMatherYes (true)
Hillside Hospital Houses Inc
972 Brush Hollow RdWestburyNY11590112113949Housing CompNY501(C)(2)N/ANorthwell Hefalse
Hospice Care in Westchester and Putnam
540 White Plains RdTarrytownNY10591133882602Hospice CareNY501(C)(3)10VNA Hudsonfalse
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(C)(3)9Healthcarefalse
Huntington Faculty Medical Affiliates U
972 Brush Hollow RdWestburyNY11590850642554BillingNY501(C)(3)Applied ForHuntingtonfalse
Huntington Hospital Association
270 Park AvenueHuntingtonNY11743111630914Health CareNY501(C)(3)3Healthcarefalse
Huntington Hospital Dolan Family Health
284 Pulaski RdGreenlawnNY11740113368503Health CareNY501(C)(3)3Huntingtonfalse
John T Mather Memorial Health Facilitie
75 North Country RdPort JeffersonNY11777112714670FundraisingNY501(C)(3)7Mather Healtfalse
Lakeville Surgery PC
972 Brush Hollow RdWestburyNY11590474377760Medical ServiNY501(C)(3)10Lenox Hillfalse
Lenox Hill Faculty Medical Affiliates U
972 Brush Hollow RdWestburyNY11590850656357BillingNY501(C)(3)Applied ForLenox Hillfalse
Lenox Hill Hospital
972 Brush Hollow RdWestburyNY11590131624070Health CareNY501(C)(3)3Healthcarefalse
Lenox Hill Hospital Medical PC
972 Brush Hollow RdWestburyNY11590452661543Medical ServiNY501(C)(3)10NSUHfalse
Lenox Hill Pathology PC
972 Brush Hollow RdWestburyNY11590133644370Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
Lenox Otolaryngology Head & Neck Surgery
972 Brush Hollow RdWestburyNY11590208784395Medical ServiNY501(C)(3)12, Type ILenox Hillfalse
LHH Corporation
972 Brush Hollow RdWestburyNY11590133272016Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
LIJ Foundation
972 Brush Hollow RdWestburyNY11590112661239Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Long Island Jewish Faculty Medical Affil
972 Brush Hollow RdWestburyNY11590850667316BillingNY501(C)(3)Applied ForLIJMCfalse
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326Health CareNY501(C)(3)3Healthcarefalse
Long Island Jewish Medical Center at Hom
972 Brush Hollow RdWestburyNY11590113251128Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Marcus Avenue Medical PC
972 Brush Hollow RdWestburyNY11590810861452Medical ServiNY501(C)(3)12, Type INSUHfalse
Medical Care of Queens PC
972 Brush Hollow RdWestburyNY11590474377679Medical ServiNY501(C)(3)12, Type INSUHfalse
NORCORP Inc
400 East Main StreetMount KiscoNY10549133366748Support OrgNY501(C)(3)12, Type INWHAfalse
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore Faculty Medical Affiliates
972 Brush Hollow RdWestburyNY11590852887872BillingNY501(C)(3)Applied ForNSUHfalse
North Shore Long Island Jewish Medical C
972 Brush Hollow RdWestburyNY11590113473923Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701Health CareNY501(C)(3)3Healthcarefalse
North Shore University Hospital at Glen
972 Brush Hollow RdWestburyNY11590237010468Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore University Hospital Housing
972 Brush Hollow RdWestburyNY11590112171903Housing CompNY501(C)(2)N/ANorthwell Hefalse
North Shore-LIJ Anesthesiology PC
972 Brush Hollow RdWestburyNY11590461617561Medical ServiNY501(C)(3)12, Type ISouth Shorefalse
North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow RdWestburyNY11590275078531Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow RdWestburyNY11590275078717Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Health Plan Inc
972 Brush Hollow RdWestburyNY11590461617516InsuranceNY501(C)(3)9Health Planfalse
North Shore-LIJ Heart Surgery PC
972 Brush Hollow RdWestburyNY11590275078838Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow RdWestburyNY11590463475908Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Internal Medicine at New
972 Brush Hollow RdWestburyNY11590462822879Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Internal Medicine PC
972 Brush Hollow RdWestburyNY11590275078631Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group at Hunting
972 Brush Hollow RdWestburyNY11590274384049Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group at North N
972 Brush Hollow RdWestburyNY11590274384146Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group at Syosset
972 Brush Hollow RdWestburyNY11590273957752Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical Group PC
972 Brush Hollow RdWestburyNY11590274384249Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow RdWestburyNY11590275078246Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Medical PC
972 Brush Hollow RdWestburyNY11590453023019Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow RdWestburyNY11590462886776Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow RdWestburyNY11590473722278Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ OB-GYN PC
972 Brush Hollow RdWestburyNY11590461382916Medical ServiNY501(C)(3)10LIJMCfalse
North Shore-LIJ Occupational Medicine PC
972 Brush Hollow RdWestburyNY11590451004103Medical ServiNY501(C)(3)10NSUHfalse
North Shore-LIJ Pediatrics of Suffolk Co
972 Brush Hollow RdWestburyNY11590465746956Medical ServiNY501(C)(3)12, Type INSUHfalse
North Shore-LIJ Radiology Services PC
972 Brush Hollow RdWestburyNY11590223970667Medical ServiNY501(C)(3)12, Type INSUHfalse
Northern Westchester Hospital Associatio
400 East Main StreetMount KiscoNY10549131740118Health CareNY501(C)(3)3Healthcarefalse
Northern Westchester Hospital Center Fou
400 East Main StreetMount KiscoNY10549134067064FoundationNY501(C)(3)9NWHAfalse
Northern Westchester Realty Holding Comp
400 East Main StreetMount KiscoNY10549912134215Holding CompaNY501(C)(2)N/ANWHAfalse
Northwell Health Alliance Inc
972 Brush Hollow RdWestburyNY11590263727582Health CareNY501(C)(3)3NAfalse
Northwell Health Foundation
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Northwell Health Gastroenterology Instit
972 Brush Hollow RdWestburyNY11590852355853Medical ServiNY501(C)(3)Applied ForNAfalse
Northwell Health Laboratories
972 Brush Hollow RdWestburyNY11590113412370Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Health Plans Holding Company
972 Brush Hollow RdWestburyNY11590462478147Holding CompaNY501(C)(3)12, Type IIHealthcarefalse
Northwell Health Stern Family Center for
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(C)(3)9Healthcarefalse
Northwell Health Inc
972 Brush Hollow RdWestburyNY11590113418133Supporting OrNY501(C)(3)12, Type INAfalse
Northwell Healthcare Inc
972 Brush Hollow RdWestburyNY11590112965586Supporting OrNY501(C)(3)12, Type INorthwell Hefalse
Northwell Proton Therapy PC
972 Brush Hollow RdWestburyNY11590812766298Medical ServiNY501(C)(3)10NSUHfalse
Northwell Quality and Medical Affairs I
972 Brush Hollow RdWestburyNY11590824113233Supporting OrNY501(C)(3)12, Type IHealthcarefalse
Nurse Heroes of Northwell Health Foundat
972 Brush Hollow RdWestburyNY11590853994359FundraisingNY501(C)(3)Applied ForNAfalse
Peconic Cardiology PC
972 Brush Hollow RdWestburyNY11590813149464Medical ServiNY501(C)(3)12, Type INSUHfalse
Phelps Medical Services PC
701 North BroadwaySleepy HollowNY10591274416017Medical ServiNY501(C)(3)12, Type IPhelps Memorfalse
Phelps Memorial Hospital Association
701 North BroadwaySleepy HollowNY10591131725076Health CareNY501(C)(3)3Healthcarefalse
Physicians of University Hospital PC
1 Edgewater Plaza 6th FlStaten IslandNY10305200096809Health CareNY501(C)(3)12, Type ISIUHfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243Health CareNY501(C)(3)3Healthcarefalse
Sandi and Bill Nicholson - The Women Who
972 Brush Hollow RdWestburyNY11590850554966FundraisingNY501(C)(3)Applied ForNAfalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7Healthcarefalse
South Shore University Hospital
972 Brush Hollow RdWestburyNY11590111667761Health CareNY501(C)(3)3Healthcarefalse
Southside Faculty Medical Affiliates Un
972 Brush Hollow RdWestburyNY11590853953395BillingNY501(C)(3)Applied ForSouth Shorefalse
Sports Physical Therapy Occupational Th
972 Brush Hollow RdWestburyNY11590061655704Health CareNY501(C)(3)9LIJMCfalse
Staten Island Faculty Medical Affiliates
972 Brush Hollow RdWestburyNY11590850710387BillingNY501(C)(3)Applied ForSIUHfalse
Staten Island Performing Provider System
972 Brush Hollow RdWestburyNY11590472544659DSRIPNY501(C)(3)10SIUHfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878Health CareNY501(C)(3)3Healthcarefalse
Staten Island University Hospital Founda
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHfalse
Suite 130 Plastic Surgery PC
972 Brush Hollow RdWestburyNY11590821772747Medical ServiNY501(C)(3)12, Type ILIJMCfalse
The Calverton Foundation Inc
972 Brush Hollow RdWestburyNY11590831118138Medical ServiNY501(C)(3)12, Type IHealthcarefalse
The Elmezzi Graduate School of Molecular
972 Brush Hollow RdWestburyNY11590113284934Graduate SchoNY501(C)(3)2Healthcarefalse
The Feinstein Institute for Medical Rese
972 Brush Hollow RdWestburyNY11590112673595ResearchNY501(C)(3)4Northwell Hefalse
The Heart Institute
475 Seaview AvenueStaten IslandNY10305311757254InactiveNY501(C)(3)12, Type INAfalse
The Long Island Home
400 Sunrise HighwayAmityvilleNY11701112837244Health CareNY501(C)(3)3LHH Corporatfalse
True North Flexstaff Inc
972 Brush Hollow RdWestburyNY11590821446568Medical ServiNY501(C)(3)12, Type IHealthcarefalse
True North Health Management Inc
972 Brush Hollow RdWestburyNY11590813428274Supporting OrNY501(C)(3)12, Type IHealthcarefalse
True North Patient Safety Organization
972 Brush Hollow RdWestburyNY11590831429773Medical ServiNY501(C)(3)12, Type INorthwell Hefalse
Virtual Health Medicine PC
972 Brush Hollow RdWestburyNY11590274384326Medical ServiNY501(C)(3)10NSUHfalse
Visiting Nurse Association of Hudson Val
540 White Plains RdTarrytownNY10591131739952Home Health CNY501(C)(3)10Healthcarefalse
VNA Home Health Services Inc
540 White Plains RdTarrytownNY10591133690105Home Health CNY501(C)(3)10VNA Hudsonfalse
Wellbridge Psychiatry PC
972 Brush Hollow RdWestburyNY11590465495054Medical ServiNY501(C)(3)12, Type INSUHfalse
Westchester Health Medical PC
972 Brush Hollow RdWestburyNY11590474539584Medical ServiNY501(C)(3)12, Type INSUHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Brooklyn Ambulatory Services LLC
972 Brush Hollow RdWestburyNY11590812910850Medical SvcsNYNorthwell Healt
DHCH LLC
972 Brush Hollow RdWestburyNY11590811030907Medical SvcsNYEndoscopy Ventu
Endo Group LLC
972 Brush Hollow RdWestburyNY11590200248148Medical SvcsNYVentures GCSC
Endoscopy Center of Long Island
972 Brush Hollow RdWestburyNY11590260000980Medical SvcsNYNS-LIJ Ventures
Formativ Health Intermediate LLC
972 Brush Hollow RdWestburyNY11590814614788Holding CoDEFormativ Health
Formativ Health LLC
972 Brush Hollow RdWestburyNY11590813121231Holding CoDETN Health Svcs
Hospital City LLC
972 Brush Hollow RdWestburyNY11590474091780InactiveDENorthwell Healt
Krasnoff Consultative Services LLC
972 Brush Hollow RdWestburyNY11590262838027ConsultingNYCare Mgmt Grp
Melville SC LLC
1895 Walt Whitman RdMelvilleNY11747203487522Medical SvcsNYMelville ASC
North Shore-LIJ and Yale New Haven Healt
972 Brush Hollow RdWestburyNY11590464858222Air TransportNYNSUH
North Shore-LIJ Contract Research Organi
972 Brush Hollow RdWestburyNY11590464469806ResearchNYHealthcare
Northwell Genomics Alliance LLC
972 Brush Hollow RdWestburyNY11590810826710InactiveDENWH Labs
Northwell Health Sleep Lab LLC
972 Brush Hollow RdWestburyNY11590821516748Medical SvcsNYSleep Holdings
Phelps Professional Building Corp LP
777 North BroadwaySleepy HollowNY10591133645137Real EstateNYPMHA
South Shore Surgery Center LLC
972 Brush Hollow RdWestburyNY11590341997077Medical SvcsNYMultispecialty
Suffolk Surgery Center
972 Brush Hollow RdWestburyNY11590200080609Medical SvcsNYMultispecialty
Technopath Northwell Health North Americ
972 Brush Hollow RdWestburyNY11590822869458Lab ServicesNYTechnopath USA
True North II DC LLC
972 Brush Hollow RdWestburyNY11590352568005Medical SvcsNYDC Holding
True North IV DC LLC
972 Brush Hollow RdWestburyNY11590611816900Medical SvcsNYDC Holding
True North Rad-Onc MSO LLC
972 Brush Hollow RdWestburyNY11590834660846Medical SvcsNYNorthwell Rad-O
True North Urgent Care LLC
972 Brush Hollow RdWestburyNY11590464113494Medical SvcsNYNSLIJ Urgent Ca
True North V DC LLC
972 Brush Hollow RdWestburyNY11590320518811Medical SvcsNYDC Holding
PORT JEFFERSON ASC
1500 ROUTE 112 BUILDING 3PORT JEFFERSON STATIONNY11776371794376AMBULATORY SUNYNARELATED-$41,123$2,152,872falsefalse0.26000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (48 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Autoimmune Research Therapeutics
972 Brush Hollow RdWestburyNY11590270701489InactiveNYResearchCfalse
Care Management Group of Greater NY
972 Brush Hollow RdWestburyNY11590113336381Business ServiceNYNSH EnterpriseCfalse
CareConnect Group Holding Company Inc
972 Brush Hollow RdWestburyNY11590472478692Holding CoNYHplan HoldingCfalse
CareConnect Insurance Co
972 Brush Hollow RdWestburyNY11590462270382InsuranceNYGroup HoldingCfalse
EvidencePoint Inc
972 Brush Hollow RdWestburyNY11590853582198InactiveNYNorthwell HoldiCfalse
Feinstein Center for Bioelectronic Medic
972 Brush Hollow RdWestburyNY11590812885700InactiveNYFeinsteinCfalse
Formativ Health Management Inc
972 Brush Hollow RdWestburyNY11590813454243Holding CoDEFormativ HealthCfalse
Formativ Health NewCo Inc
972 Brush Hollow RdWestburyNY11590813928889Holding CoDEFormativ HealthCfalse
Krauss Joint Replacement Program PC
972 Brush Hollow RdWestburyNY11590300920275Medical ServicesNYCentral SuffolkCfalse
Medical Services of Kips Bay PC
972 Brush Hollow RdWestburyNY11590853052457Medical ServicesNYNSUHCfalse
Medical Services of Lynbrook PC
972 Brush Hollow RdWestburyNY11590844268663Medical ServicesNYNSUHCfalse
Medical Services of Setauket PC
972 Brush Hollow RdWestburyNY11590844305970Medical ServicesNYNSUHCfalse
Medical Services of Uniondale PC
972 Brush Hollow RdWestburyNY11590844279391Medical ServicesNYNSUHCfalse
Montauk Risk Retention Group Inc
972 Brush Hollow RdWestburyNY11590822587942InsuranceNYHealthcareCfalse
Narrows IPA Inc
972 Brush Hollow RdWestburyNY11590133978565Business ServicesNYHealthcareCfalse
North Shore Health Enterprises Inc
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNSHS EnterpriseCfalse
North Shore Health System Enterprises I
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNorthwell HealtCfalse
North Shore IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServicesNYHealthcareCfalse
North Shore Medical Accelerator PC
972 Brush Hollow RdWestburyNY11590112945979Medical ServicesNYNSUHSfalse
North Shore-LIJ CareConnect Insurance Ag
972 Brush Hollow RdWestburyNY11590471994548Insurance AgencyNYGroup HoldingCfalse
North Shore-LIJ Health System IPA #1
972 Brush Hollow RdWestburyNY11590113533659Health CareNYLIJCfalse
North Shore-LIJ Health System IPA #2
972 Brush Hollow RdWestburyNY11590113533670Health CareNYLIJCfalse
North Shore-LIJ Network Inc
972 Brush Hollow RdWestburyNY11590320257193Support ServicesNYNorthwell HealtCfalse
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RdWestburyNY11590300930851InactiveNYHealthcareCfalse
North Shore-LIJ Urgent Care PC
972 Brush Hollow RdWestburyNY11590471758444Medical ServicesNYNSUHCfalse
Northeastern Anesthesia of New Jersey P
972 Brush Hollow RdWestburyNY11590208709500Medical ServicesNJSouth ShoreCfalse
Northwell Direct Inc
972 Brush Hollow RdWestburyNY11590842739816Business ServicesNYNW HoldingsCfalse
Northwell Direct Administrative Services
972 Brush Hollow RdWestburyNY11590475182974AdminNYNorthwell DirecCfalse
Northwell FlexStaff Inc
972 Brush Hollow RdWestburyNY11590810836815Medical ServicesNYNSH EnterpriseCfalse
Northwell Health Medical Surgical PC
972 Brush Hollow RdWestburyNY11590832198276Medical ServicesNJSIUHCfalse
Northwell Health Regional Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServicesNYNACfalse
Northwell Holdings Inc
972 Brush Hollow RdWestburyNY11590834045975Business ServicesNYNSHS EnterpriseCfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPCfalse
Peconic Bay Medical Services PC
972 Brush Hollow RdWestburyNY11590472151802Medical ServicesNYCentral SuffolkCfalse
Peconic Bay Primary Medical Care PC
972 Brush Hollow RdWestburyNY11590113265111Medical ServicesNYCentral SuffolkCfalse
PMHC Realty Corporation
701 North BroadwaySleepy HollowNY10591133645135Real EstateNYPhelps MemorialCfalse
Prime Care Medical of Long Island PC
972 Brush Hollow RdWestburyNY11590204398486Medical ServicesNYCentral SuffolkCfalse
Regional Insurance Company LTD
000000000InsuranceHealthcareCfalsec/o Cedar House 41 Cedar AveHamiltonBDHM 12BD
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNSHS EnterpriseCfalse
Staten Island University Hospital Perina
475 Seaview AveStaten IslandNY10305134107082Medical ServicesNYSIUHCfalse
True North 3D Inc
972 Brush Hollow RdWestburyNY11590845176444Business ServicesNYTrue North HealCfalse
True North Enterprises Inc
972 Brush Hollow RdWestburyNY11590000000000InactiveNYHealthcareCfalse
True North Health Pharmacy Inc
972 Brush Hollow RdWestburyNY11590471020508PharmacyNYNSHS EnterpriseCfalse
True North Health Inc
972 Brush Hollow RdWestburyNY11590830616581Medical ServicesDEHealthcareCfalse
True North Workforce Safety Consulting
972 Brush Hollow RdWestburyNY11590842395117Business ServicesNYTrue North HealCfalse
United Medical Surgical PC
256 Mason Ave Bldg B 2nd FlStaten IslandNY10305134038780Surgical ServicesNYSIUHCfalse
VivoHealth Plan Inc
972 Brush Hollow RdWestburyNY11590461164689InactiveNYHealthcareCfalse
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNSH EnterpriseCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JT MATHER HEALTH FACILITIES FOUNDATION
C$298,996CASH
JT MATHER HEALTH FACILITIES FOUNDATION
O$641,380CASH
JT MATHER HEALTH FACILITIES FOUNDATION
P$641,380CASH
HARBOR VIEW MEDICAL SERVICES PC
B$10,829,884CASH
HARBOR VIEW MEDICAL SERVICES PC
L$593,106CASH
HARBOR VIEW MEDICAL SERVICES PC
M$2,531,248CASH