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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T09:59:51-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111639818 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John T Mather Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOSEPH WISNOSKI | InCareOfNm |
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 6314731320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 117772119 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Wisnoski | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6314731320 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Joseph | PersonFirstNm |
| Person Last | Wisnoski | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph Wisnoski | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 117772119 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $384,996,393 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MATHERHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | John 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 | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 2869 | TotalEmployeeCnt |
| Total Volunteers | 152 | TotalVolunteersCnt |
| Total Gross UBI | $605,766 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $449,834 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,633,097 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $363,367,607 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $352,883,841 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,100 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,447,967 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,567,037 | PYOtherRevenueAmt |
| CY Other Revenue | $933,990 | CYOtherRevenueAmt |
| PY Total Revenue | $368,383,378 | PYTotalRevenueAmt |
| CY Total Revenue | $384,898,895 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $211,937,584 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $229,631,346 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $161,173,601 | PYOtherExpensesAmt |
| CY Other Expenses | $165,934,602 | CYOtherExpensesAmt |
| PY Total Expenses | $373,114,185 | PYTotalExpensesAmt |
| CY Total Expenses | $395,568,948 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,730,807 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,670,053 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $300,177,377 | TotalAssetsBOYAmt |
| Total Assets EOY | $379,916,271 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $200,246,274 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $270,343,643 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,931,103 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $109,572,628 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | JOHN 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 Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $330,543,053 | ExpenseAmt |
| Revenue | $352,883,841 | RevenueAmt |
| Desc | A 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,000 | ExpenseAmt |
| Revenue | $0 | RevenueAmt |
| Desc | To promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $330,546,053 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2869 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WISNOSKI | PersonNm |
| Phone | 6314731320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 117772119 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RALPH NAPPI | |||||||||
| Trustee/EVC | 0.0 | 50.0 | Yes (X) | $0 | $1,021,093 | $55,274 | |||
| STEPHEN BELLO | |||||||||
| Trustee/EVC | 0.0 | 50.0 | Yes (X) | $0 | $920,347 | $43,595 | |||
| KENNETH D ROBERTS | |||||||||
| President & CEO | 50.0 | 0.0 | Yes (X) | $873,781 | $0 | $40,659 | Yes (X) | ||
| MOHAMMAD BILAL | |||||||||
| VP Medical Staff | 50.0 | 0.0 | Yes (X) | $611,880 | $0 | $48,231 | Yes (X) | ||
| JULIET NICHOLS MD | |||||||||
| Psychiatrist | 50.0 | 0.0 | $586,697 | $0 | $43,959 | Yes (X) | |||
| JOAN C FARO MD | |||||||||
| Chief Medical Officer | 50.0 | 0.0 | $545,713 | $0 | $49,949 | Yes (X) | |||
| JOSEPH CARRUCCIU MD | |||||||||
| Director of Breast Center | 50.0 | 0.0 | $538,676 | $0 | $41,109 | Yes (X) | |||
| MICHELLE P PRICE MD | |||||||||
| Breast Radiologist | 50.0 | 0.0 | $530,087 | $0 | $40,059 | Yes (X) | |||
| MARITZA GROTH | |||||||||
| Member-at-Large | 50.0 | 0.0 | Yes (X) | $472,114 | $0 | $70,581 | Yes (X) | ||
| JOSEPH WISNOSKI | |||||||||
| Sr VP & CFO | 50.0 | 0.0 | $469,725 | $0 | $72,685 | Yes (X) | |||
| JOSEPH NG MD | |||||||||
| Intensivist | 50.0 | 0.0 | $493,381 | $0 | $41,109 | Yes (X) | |||
| KENNY LIEN MD | |||||||||
| Director of Interventional Rad | 50.0 | 0.0 | $485,451 | $0 | $38,259 | Yes (X) | |||
| MARIE E MULLIGAN | |||||||||
| Chief Nursing Officer | 50.0 | 0.0 | $334,178 | $0 | $63,056 | Yes (X) | |||
| WAYNE S SHATTES | |||||||||
| Vice President-Administration | 50.0 | 0.0 | $271,369 | $0 | $79,131 | Yes (X) | |||
| MICHAEL BURGHARDT | |||||||||
| Vice President Administration | 50.0 | 0.0 | $210,885 | $0 | $46,181 | Yes (X) | |||
| CHRISTINE RUGGIERO | |||||||||
| President, Medical Staff | 50.0 | 0.0 | Yes (X) | $17,500 | $0 | $0 | Yes (X) | ||
| Leo Sternlicth | |||||||||
| Chairman | 0.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Konrad Kuhn | |||||||||
| Vice Chairman | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Betsy N Britton | |||||||||
| Vice Chairman | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Harold Tranchon | |||||||||
| Vice Chairman | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Timothy Glynn | |||||||||
| Vice Chairman | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John Diviney | |||||||||
| Secretary | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John Sini | |||||||||
| Treasurer | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| NON COMPENSATED TRUSTEES | |||||||||
| SEE SCHEDULE O | 0.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,441,437 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,941,440 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $773,837 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 465 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | INFOTECH CONSULTANTS | $2,854,009 |
| STONY BROOK MEDICINE | |||||
| 31 RESEARCH WAY STE 119 | EAST SETAUKET | NY | 11733 | MEDICAL SERVICES | $1,535,985 |
| NORTH SHORE HEMATOLOGY ONCOLOGY ASS | |||||
| 1500-4 ROUTE 112 | PORT JEFFERSON STATION | NY | 11773 | MEDICAL SERVICES | $1,040,677 |
| GOOD SAMARITAN HOSPITAL MEDICAL CEN | |||||
| 100 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | LABORATORY SERVICES | $967,930 |
| LI LAPAROSCIPIC SURGERY PLLC | |||||
| 625 BELLE TERRE RD SUITE 202 | PORT JEFFERESON | NY | 11777 | LABORATORY SERVICES | $894,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $140,000 | RelatedOrganizationsAmt |
| Government Grants | $28,490,297 | GovernmentGrantsAmt |
| All Other Contributions | $2,800 | AllOtherContributionsAmt |
| Total Contributions | $28,633,097 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $227,892,539 | $227,399,032 | $493,507 |
| PHYSICIAN | 621300 | $17,222,673 | $17,222,673 | |
| MEDICARE/MEDICAID PAYMENTS | 621300 | $106,851,069 | $106,851,069 | |
| DSRIP | 900090 | $917,560 | $917,560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $352,883,841 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,240,954 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,240,954 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $213,702 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,271 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $129,431 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $129,431 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $207,013 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $207,013 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,013 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $207,013 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $43,720 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $13,227 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,493 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $30,493 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| PHARMACY | 621500 | $320,941 | $320,941 | ||
| CAFETERIA REVENUE | 900099 | $315,326 | $315,326 | ||
| SURVEY REVENUE - LAB | 541700 | $44,079 | $44,079 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164,125 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $37,687 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$108,092 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $774,066 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $384,898,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $355,452,798 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $605,766 | UnrelatedBusinessRevenueAmt |
| Exclusion | $207,234 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,335,031 | TotalAmt |
| Program Services | $1,001,981 | ProgramServicesAmt |
| Management And General | $2,333,050 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,754,561 | TotalAmt |
| Program Services | $140,612,825 | ProgramServicesAmt |
| Management And General | $27,141,736 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,204,021 | TotalAmt |
| Program Services | $22,802,565 | ProgramServicesAmt |
| Management And General | $4,401,456 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,995,778 | TotalAmt |
| Program Services | $15,922,369 | ProgramServicesAmt |
| Management And General | $3,073,409 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,341,955 | TotalAmt |
| Program Services | $10,345,097 | ProgramServicesAmt |
| Management And General | $1,996,858 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $616,724 | TotalAmt |
| Management And General | $616,724 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,740 | TotalAmt |
| Management And General | $224,740 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,340 | TotalAmt |
| Management And General | $116,340 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,128,329 | TotalAmt |
| Program Services | $31,959,382 | ProgramServicesAmt |
| Management And General | $6,168,947 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,930 | TotalAmt |
| Program Services | $351,988 | ProgramServicesAmt |
| Management And General | $67,942 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,572,753 | TotalAmt |
| Program Services | $64,183,716 | ProgramServicesAmt |
| Management And General | $12,389,037 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,154,381 | TotalAmt |
| Program Services | $4,320,431 | ProgramServicesAmt |
| Management And General | $833,950 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,467 | TotalAmt |
| Program Services | $247,467 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,321,526 | TotalAmt |
| Management And General | $1,321,526 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,858,241 | TotalAmt |
| Program Services | $10,777,851 | ProgramServicesAmt |
| Management And General | $2,080,390 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,494,532 | TotalAmt |
| Program Services | $4,494,532 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,577,407 | TotalAmt |
| Program Services | $1,328,199 | ProgramServicesAmt |
| Management And General | $249,208 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,568,948 | TotalAmt |
| Program Services | $330,546,053 | ProgramServicesAmt |
| Management And General | $65,022,895 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,934,900 | BOYAmt |
| EOY | $112,831,073 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,680,537 | BOYAmt |
| EOY | $52,378,881 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,448,714 | BOYAmt |
| EOY | $9,793,614 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,229,033 | BOYAmt |
| EOY | $6,241,870 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,311,141 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,581,261 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,028,499 | BOYAmt |
| EOY | $100,729,880 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,398,215 | BOYAmt |
| EOY | $57,200,002 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,457,479 | BOYAmt |
| EOY | $40,740,951 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,177,377 | BOYAmt |
| EOY | $379,916,271 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,025,277 | BOYAmt |
| EOY | $45,479,444 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,310,000 | BOYAmt |
| EOY | $24,670,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,910,997 | BOYAmt |
| EOY | $200,194,199 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,246,274 | BOYAmt |
| EOY | $270,343,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,328,640 | BOYAmt |
| EOY | $107,537,757 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,602,463 | BOYAmt |
| EOY | $2,034,871 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,931,103 | BOYAmt |
| EOY | $109,572,628 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,177,377 | BOYAmt |
| EOY | $379,916,271 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$10,670,053 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,361,018 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $17,950,560 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $18,912 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $18,912 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B -DESCRIPTION OF LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,015,234 | BeginningYearBalanceAmt |
| Contributions | $2,800 | ContributionsAmt |
| Investment Earnings Or Losses | $14,831 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,032,865 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $949,619 | BeginningYearBalanceAmt |
| Contributions | $60,045 | ContributionsAmt |
| Investment Earnings Or Losses | $61 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$5,509 | OtherExpendituresAmt |
| End Year Balance | $1,015,234 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $936,914 | BeginningYearBalanceAmt |
| Contributions | $31,984 | ContributionsAmt |
| Investment Earnings Or Losses | $57 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $19,336 | OtherExpendituresAmt |
| End Year Balance | $949,619 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,374,421 | BeginningYearBalanceAmt |
| Contributions | $257,325 | ContributionsAmt |
| Investment Earnings Or Losses | $515 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $695,347 | OtherExpendituresAmt |
| End Year Balance | $936,914 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,258,566 | BeginningYearBalanceAmt |
| Contributions | $321,235 | ContributionsAmt |
| Investment Earnings Or Losses | $32 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $205,412 | OtherExpendituresAmt |
| End Year Balance | $1,374,421 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.01000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.99000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,200,000 | OtherCostOrOtherBasisAmt |
| Book Value | $8,200,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,700,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,631,250 | DepreciationAmt |
| Book Value | $46,068,750 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,279,389 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,289,015 | DepreciationAmt |
| Book Value | $12,990,374 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,986,686 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,118,523 | DepreciationAmt |
| Book Value | $28,868,163 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,145,066 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,542,473 | DepreciationAmt |
| Book Value | $4,602,593 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $100,729,880 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,740,951 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $200,194,199 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $399,689,830 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,361,016 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $12,432,719 | OtherRevenueAmt |
| Revenue Not Reported | $14,793,735 | RevenueNotReportedAmt |
| Revenue Subtotal | $384,896,095 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,800 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,800 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $384,898,895 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $388,546,694 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $388,546,694 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,022,254 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,022,254 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $395,568,948 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XII, LINE 2D & 4B | RECONCILIATION 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 & 4B | RECONCILIATION 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 FUNDS | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $43,720 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $7,550 | CashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $5,677 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $43,720 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $7,550 | CashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $5,677 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $13,227 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $30,493 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.90000 | GamingOwnFacilityPct |
| Gaming Other Facility | 0.10000 | GamingOtherFacilityPct |
| Individual With Books | JOHN T MATHER MEMORIAL HOSPITAL | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11777 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $996,217 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $137,847 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $858,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,144,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,140,424 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,004,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $787,780 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $631,913 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $155,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,928,694 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,910,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,018,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,889,311 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $381,851 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,507,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03480 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,166,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,156,142 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,010,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,193,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,406,318 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,787,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03810 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,864 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,864 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,299,174 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,944,591 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,354,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,227,868 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,854,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,373,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13220 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,012 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $895 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $895 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,996 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,996 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,889 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,889 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $175,810 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $175,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,116,245 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $100,123,482 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $128,022,966 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,899,484 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT JEFFERSON ASC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.26 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JT MATHER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 North Country Road | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11777 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.matherhospital.org | WebsiteAddressTxt |
| State License | 5149000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mather | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.northwell.edu/education-and-resource | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.northwell.edu/education-and-resources/com | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 450. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Complete web address in Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Complete web address in Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Complete web address in Part | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V Facility Information, Section C Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six-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/A | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| JT Mather - Outpatient Behavioral Health | ||||
| 100 Highlands Boulevard | Port Jefferson | NY | 11777 | Outpatient Physician Clinic |
| JT Mather Memorial Hospital Outpatient R | ||||
| 125 Oakland Avenue | Port Jefferson | NY | 11777 | Rehabilitation |
| JT Mather Wound Care Clinic | ||||
| 1895 Walt Whitman Road | Melville | NY | 11747 | Outpatient Physician Clinic |
| Northwell Health Physician Partners | ||||
| 170 North Country Rd Suites 34 | Port Jefferson | NY | 11777 | Outpatient Physician Clinic |
| JT Mather - Primary Med Care Outpatient | ||||
| 5225 Rt 347 | Port Jefferson | NY | 11776 | Outpatient Physician Clinic |
| JT Mather - Precision CyberKnife of New | ||||
| 181 Belle Meade Road | East Setauket | NY | 11733 | Outpatient Physician Clinic |
| Stony Brook Blood Drawing Center | ||||
| 2500 Nesconset Hwy Bldg 21 | Stony Brook | NY | 11790 | Laboratory |
| Northwell Health Physician Partners | ||||
| 70 North Country Road -2nd Fl SW | Port Jefferson | NY | 11777 | Outpatient Physician Clinic |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Question 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; fa | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Bonus 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part 1, Line 1a - Relevant Information Regarding Compensation Benefits | Travel 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 COMPENSATION | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). |
| 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| TOWN OF BROOKHAVEN LDC | ||||||||
| A | 272768182 | 000000000 | 2012-11-30 | $20,105,000 | REFINANCE 1996 DASNY BONDS | false | false | false |
| TOWN OF BROOKHAVEN LDC | ||||||||
| B | 272768182 | 000000000 | 2013-08-15 | $23,000,000 | CONSTRUCTION FACILITY ADDITION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $20,105,000 | $0 | $0 | $0 | $323,740 | $0 | $0 | $0 | $19,781,260 | $0 | 2015 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $23,000,000 | $0 | $1,070,827 | $0 | $351,394 | $0 | $0 | $21,577,779 | $0 | $0 | 2015 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| People's United Bank | |||||||||||||
| A | false | Yes (true) | false | false | Yes (true) | Yes (true) | 10. | false | false | false | 0 | false | Yes (true) |
| People's United Bank | |||||||||||||
| B | false | Yes (true) | false | false | Yes (true) | Yes (true) | 10. | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| North Shore Professional LLC | |||
| Business Relation: Kathryn Frey | $1,693,992 | Business | false |
| ANNE MARIE GOLDBERG | |||
| Family Relation: KENNETH ROBERTS | $68,682 | Employees | false |
| KIMBERLY JARETT | |||
| Family Relation: HAROLD TRANCHON | $50,577 | Employees | false |
| LYNSEY JARETT | |||
| Family Relation: HAROLD TRANCHON | $85,889 | Employees | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, SECTION A - GOVERNING BODY, LINE 2 | All 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 11 | The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. |
| PART VI, SECTION B - POLICIES, LINE 12C | CONFLICT 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 15 | The 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 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| PART VII, SECTION A - LINE 1A | Stephen 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 7 | Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. |
| PART XI, LINE 9 - RECONCILIATION OF NET ASSETS | CHANGE IN 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 2 | Due 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Brightwaters Gynecology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821883445 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Brooklyn Ambulatory Care PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474447289 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Carnegie Cardiovascular PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377825 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| Central Suffolk Hospital | ||||||||||
| 1 Heroes Way | Riverhead | NY | 11901 | 111661359 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| CLNY Alliance Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 463146870 | Laboratory | NY | 501(C)(3) | 3 | NA | false |
| Community Drive Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821672429 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Glen Cove Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111633487 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Harbor View Medical Services PC | ||||||||||
| 75 North Country Rd | Port Jefferson | NY | 11777 | 264517010 | Supporting Or | NY | 501(C)(3) | 12, Type I | Mather | Yes (true) |
| Hillside Hospital Houses Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112113949 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| Hospice Care in Westchester and Putnam | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 133882602 | Hospice Care | NY | 501(C)(3) | 10 | VNA Hudson | false |
| Hospice Care Network | ||||||||||
| 99 Sunnyside Blvd | Woodbury | NY | 11797 | 112925757 | Hospice | NY | 501(C)(3) | 9 | Healthcare | false |
| Huntington Faculty Medical Affiliates U | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 850642554 | Billing | NY | 501(C)(3) | Applied For | Huntington | false |
| Huntington Hospital Association | ||||||||||
| 270 Park Avenue | Huntington | NY | 11743 | 111630914 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Huntington Hospital Dolan Family Health | ||||||||||
| 284 Pulaski Rd | Greenlawn | NY | 11740 | 113368503 | Health Care | NY | 501(C)(3) | 3 | Huntington | false |
| John T Mather Memorial Health Facilitie | ||||||||||
| 75 North Country Rd | Port Jefferson | NY | 11777 | 112714670 | Fundraising | NY | 501(C)(3) | 7 | Mather Healt | false |
| Lakeville Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377760 | Medical Servi | NY | 501(C)(3) | 10 | Lenox Hill | false |
| Lenox Hill Faculty Medical Affiliates U | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 850656357 | Billing | NY | 501(C)(3) | Applied For | Lenox Hill | false |
| Lenox Hill Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 131624070 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Lenox Hill Hospital Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 452661543 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Lenox Hill Pathology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 133644370 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| Lenox Otolaryngology Head & Neck Surgery | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 208784395 | Medical Servi | NY | 501(C)(3) | 12, Type I | Lenox Hill | false |
| LHH Corporation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 133272016 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| LIJ Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112661239 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Long Island Jewish Faculty Medical Affil | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 850667316 | Billing | NY | 501(C)(3) | Applied For | LIJMC | false |
| Long Island Jewish Medical Center | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112241326 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Long Island Jewish Medical Center at Hom | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113251128 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Marcus Avenue Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 810861452 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Medical Care of Queens PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474377679 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| NORCORP Inc | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 133366748 | Support Org | NY | 501(C)(3) | 12, Type I | NWHA | false |
| North Shore Community Services Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237273200 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore Faculty Medical Affiliates | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 852887872 | Billing | NY | 501(C)(3) | Applied For | NSUH | false |
| North Shore Long Island Jewish Medical C | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113473923 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| North Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111562701 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| North Shore University Hospital at Glen | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237010468 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore University Hospital Housing | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112171903 | Housing Comp | NY | 501(C)(2) | N/A | Northwell He | false |
| North Shore-LIJ Anesthesiology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461617561 | Medical Servi | NY | 501(C)(3) | 12, Type I | South Shore | false |
| North Shore-LIJ Cardiology at Deer Park | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078531 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Cardiovascular Medicine | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078717 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Health Plan Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461617516 | Insurance | NY | 501(C)(3) | 9 | Health Plan | false |
| North Shore-LIJ Heart Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078838 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Internal Medicine at Lyn | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 463475908 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Internal Medicine at New | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462822879 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Internal Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078631 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group at Hunting | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384049 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group at North N | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384146 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Medical Group at Syosset | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 273957752 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical Group PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384249 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Medical Group Urgent Med | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 275078246 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 453023019 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN at Garden City P | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462886776 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN at New Hyde Park | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 473722278 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ OB-GYN PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461382916 | Medical Servi | NY | 501(C)(3) | 10 | LIJMC | false |
| North Shore-LIJ Occupational Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 451004103 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| North Shore-LIJ Pediatrics of Suffolk Co | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 465746956 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| North Shore-LIJ Radiology Services PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 223970667 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Northern Westchester Hospital Associatio | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 131740118 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Northern Westchester Hospital Center Fou | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 134067064 | Foundation | NY | 501(C)(3) | 9 | NWHA | false |
| Northern Westchester Realty Holding Comp | ||||||||||
| 400 East Main Street | Mount Kisco | NY | 10549 | 912134215 | Holding Compa | NY | 501(C)(2) | N/A | NWHA | false |
| Northwell Health Alliance Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 263727582 | Health Care | NY | 501(C)(3) | 3 | NA | false |
| Northwell Health Foundation | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965575 | Fundraising | NY | 501(C)(3) | 7 | Northwell He | false |
| Northwell Health Gastroenterology Instit | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 852355853 | Medical Servi | NY | 501(C)(3) | Applied For | NA | false |
| Northwell Health Laboratories | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113412370 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Northwell Health Plans Holding Company | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462478147 | Holding Compa | NY | 501(C)(3) | 12, Type II | Healthcare | false |
| Northwell Health Stern Family Center for | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 237007485 | Nursing Home | NY | 501(C)(3) | 9 | Healthcare | false |
| Northwell Health Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113418133 | Supporting Or | NY | 501(C)(3) | 12, Type I | NA | false |
| Northwell Healthcare Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112965586 | Supporting Or | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Northwell Proton Therapy PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 812766298 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Northwell Quality and Medical Affairs I | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 824113233 | Supporting Or | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| Nurse Heroes of Northwell Health Foundat | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 853994359 | Fundraising | NY | 501(C)(3) | Applied For | NA | false |
| Peconic Cardiology PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813149464 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Phelps Medical Services PC | ||||||||||
| 701 North Broadway | Sleepy Hollow | NY | 10591 | 274416017 | Medical Servi | NY | 501(C)(3) | 12, Type I | Phelps Memor | false |
| Phelps Memorial Hospital Association | ||||||||||
| 701 North Broadway | Sleepy Hollow | NY | 10591 | 131725076 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Physicians of University Hospital PC | ||||||||||
| 1 Edgewater Plaza 6th Fl | Staten Island | NY | 10305 | 200096809 | Health Care | NY | 501(C)(3) | 12, Type I | SIUH | false |
| Plainview Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113241243 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Sandi and Bill Nicholson - The Women Who | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 850554966 | Fundraising | NY | 501(C)(3) | Applied For | NA | false |
| SIUH Systems Inc | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 061074604 | Fundraising | NY | 501(C)(3) | 7 | Healthcare | false |
| South Shore University Hospital | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 111667761 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Southside Faculty Medical Affiliates Un | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 853953395 | Billing | NY | 501(C)(3) | Applied For | South Shore | false |
| Sports Physical Therapy Occupational Th | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 061655704 | Health Care | NY | 501(C)(3) | 9 | LIJMC | false |
| Staten Island Faculty Medical Affiliates | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 850710387 | Billing | NY | 501(C)(3) | Applied For | SIUH | false |
| Staten Island Performing Provider System | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 472544659 | DSRIP | NY | 501(C)(3) | 10 | SIUH | false |
| Staten Island University Hospital | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 112868878 | Health Care | NY | 501(C)(3) | 3 | Healthcare | false |
| Staten Island University Hospital Founda | ||||||||||
| 360 Seaview Avenue | Staten Island | NY | 10305 | 870765787 | Fundraising | NY | 501(C)(3) | 7 | SIUH | false |
| Suite 130 Plastic Surgery PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821772747 | Medical Servi | NY | 501(C)(3) | 12, Type I | LIJMC | false |
| The Calverton Foundation Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 831118138 | Medical Servi | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| The Elmezzi Graduate School of Molecular | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113284934 | Graduate Scho | NY | 501(C)(3) | 2 | Healthcare | false |
| The Feinstein Institute for Medical Rese | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112673595 | Research | NY | 501(C)(3) | 4 | Northwell He | false |
| The Heart Institute | ||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 311757254 | Inactive | NY | 501(C)(3) | 12, Type I | NA | false |
| The Long Island Home | ||||||||||
| 400 Sunrise Highway | Amityville | NY | 11701 | 112837244 | Health Care | NY | 501(C)(3) | 3 | LHH Corporat | false |
| True North Flexstaff Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821446568 | Medical Servi | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| True North Health Management Inc | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813428274 | Supporting Or | NY | 501(C)(3) | 12, Type I | Healthcare | false |
| True North Patient Safety Organization | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 831429773 | Medical Servi | NY | 501(C)(3) | 12, Type I | Northwell He | false |
| Virtual Health Medicine PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 274384326 | Medical Servi | NY | 501(C)(3) | 10 | NSUH | false |
| Visiting Nurse Association of Hudson Val | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 131739952 | Home Health C | NY | 501(C)(3) | 10 | Healthcare | false |
| VNA Home Health Services Inc | ||||||||||
| 540 White Plains Rd | Tarrytown | NY | 10591 | 133690105 | Home Health C | NY | 501(C)(3) | 10 | VNA Hudson | false |
| Wellbridge Psychiatry PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 465495054 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
| Westchester Health Medical PC | ||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474539584 | Medical Servi | NY | 501(C)(3) | 12, Type I | NSUH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brooklyn Ambulatory Services LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 812910850 | Medical Svcs | NY | Northwell Healt | ||||||
| DHCH LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 811030907 | Medical Svcs | NY | Endoscopy Ventu | ||||||
| Endo Group LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 200248148 | Medical Svcs | NY | Ventures GCSC | ||||||
| Endoscopy Center of Long Island | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 260000980 | Medical Svcs | NY | NS-LIJ Ventures | ||||||
| Formativ Health Intermediate LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 814614788 | Holding Co | DE | Formativ Health | ||||||
| Formativ Health LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813121231 | Holding Co | DE | TN Health Svcs | ||||||
| Hospital City LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 474091780 | Inactive | DE | Northwell Healt | ||||||
| Krasnoff Consultative Services LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 262838027 | Consulting | NY | Care Mgmt Grp | ||||||
| Melville SC LLC | |||||||||||||
| 1895 Walt Whitman Rd | Melville | NY | 11747 | 203487522 | Medical Svcs | NY | Melville ASC | ||||||
| North Shore-LIJ and Yale New Haven Healt | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464858222 | Air Transport | NY | NSUH | ||||||
| North Shore-LIJ Contract Research Organi | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464469806 | Research | NY | Healthcare | ||||||
| Northwell Genomics Alliance LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 810826710 | Inactive | DE | NWH Labs | ||||||
| Northwell Health Sleep Lab LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 821516748 | Medical Svcs | NY | Sleep Holdings | ||||||
| Phelps Professional Building Corp LP | |||||||||||||
| 777 North Broadway | Sleepy Hollow | NY | 10591 | 133645137 | Real Estate | NY | PMHA | ||||||
| South Shore Surgery Center LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 341997077 | Medical Svcs | NY | Multispecialty | ||||||
| Suffolk Surgery Center | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 200080609 | Medical Svcs | NY | Multispecialty | ||||||
| Technopath Northwell Health North Americ | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 822869458 | Lab Services | NY | Technopath USA | ||||||
| True North II DC LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 352568005 | Medical Svcs | NY | DC Holding | ||||||
| True North IV DC LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 611816900 | Medical Svcs | NY | DC Holding | ||||||
| True North Rad-Onc MSO LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 834660846 | Medical Svcs | NY | Northwell Rad-O | ||||||
| True North Urgent Care LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 464113494 | Medical Svcs | NY | NSLIJ Urgent Ca | ||||||
| True North V DC LLC | |||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 320518811 | Medical Svcs | NY | DC Holding | ||||||
| PORT JEFFERSON ASC | |||||||||||||
| 1500 ROUTE 112 BUILDING 3 | PORT JEFFERSON STATION | NY | 11776 | 371794376 | AMBULATORY SU | NY | NA | RELATED | -$41,123 | $2,152,872 | false | false | 0.26000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (48 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Autoimmune Research Therapeutics | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 270701489 | Inactive | NY | Research | C | false | |||||
| Care Management Group of Greater NY | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113336381 | Business Service | NY | NSH Enterprise | C | false | |||||
| CareConnect Group Holding Company Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 472478692 | Holding Co | NY | Hplan Holding | C | false | |||||
| CareConnect Insurance Co | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 462270382 | Insurance | NY | Group Holding | C | false | |||||
| EvidencePoint Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 853582198 | Inactive | NY | Northwell Holdi | C | false | |||||
| Feinstein Center for Bioelectronic Medic | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 812885700 | Inactive | NY | Feinstein | C | false | |||||
| Formativ Health Management Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813454243 | Holding Co | DE | Formativ Health | C | false | |||||
| Formativ Health NewCo Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 813928889 | Holding Co | DE | Formativ Health | C | false | |||||
| Krauss Joint Replacement Program PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 300920275 | Medical Services | NY | Central Suffolk | C | false | |||||
| Medical Services of Kips Bay PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 853052457 | Medical Services | NY | NSUH | C | false | |||||
| Medical Services of Lynbrook PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 844268663 | Medical Services | NY | NSUH | C | false | |||||
| Medical Services of Setauket PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 844305970 | Medical Services | NY | NSUH | C | false | |||||
| Medical Services of Uniondale PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 844279391 | Medical Services | NY | NSUH | C | false | |||||
| Montauk Risk Retention Group Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 822587942 | Insurance | NY | Healthcare | C | false | |||||
| Narrows IPA Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 133978565 | Business Services | NY | Healthcare | C | false | |||||
| North Shore Health Enterprises Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 061605319 | Holding Comp | NY | NSHS Enterprise | C | false | |||||
| North Shore Health System Enterprises I | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113316922 | Holding Comp | NY | Northwell Healt | C | false | |||||
| North Shore IPA 5 Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113383468 | Business Services | NY | Healthcare | C | false | |||||
| North Shore Medical Accelerator PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 112945979 | Medical Services | NY | NSUH | S | false | |||||
| North Shore-LIJ CareConnect Insurance Ag | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 471994548 | Insurance Agency | NY | Group Holding | C | false | |||||
| North Shore-LIJ Health System IPA #1 | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533659 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Health System IPA #2 | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113533670 | Health Care | NY | LIJ | C | false | |||||
| North Shore-LIJ Network Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 320257193 | Support Services | NY | Northwell Healt | C | false | |||||
| North Shore-LIJ Ophthalmology Institute | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 300930851 | Inactive | NY | Healthcare | C | false | |||||
| North Shore-LIJ Urgent Care PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 471758444 | Medical Services | NY | NSUH | C | false | |||||
| Northeastern Anesthesia of New Jersey P | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 208709500 | Medical Services | NJ | South Shore | C | false | |||||
| Northwell Direct Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 842739816 | Business Services | NY | NW Holdings | C | false | |||||
| Northwell Direct Administrative Services | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 475182974 | Admin | NY | Northwell Direc | C | false | |||||
| Northwell FlexStaff Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 810836815 | Medical Services | NY | NSH Enterprise | C | false | |||||
| Northwell Health Medical Surgical PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 832198276 | Medical Services | NJ | SIUH | C | false | |||||
| Northwell Health Regional Alliance Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 263651575 | Support Services | NY | NA | C | false | |||||
| Northwell Holdings Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 834045975 | Business Services | NY | NSHS Enterprise | C | false | |||||
| NWHC Health Management Services Inc | ||||||||||||||
| 400 East Main St | Mount Kisco | NY | 10549 | 133697510 | Health Mgmt | NY | NORCORP | C | false | |||||
| Peconic Bay Medical Services PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 472151802 | Medical Services | NY | Central Suffolk | C | false | |||||
| Peconic Bay Primary Medical Care PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113265111 | Medical Services | NY | Central Suffolk | C | false | |||||
| PMHC Realty Corporation | ||||||||||||||
| 701 North Broadway | Sleepy Hollow | NY | 10591 | 133645135 | Real Estate | NY | Phelps Memorial | C | false | |||||
| Prime Care Medical of Long Island PC | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 204398486 | Medical Services | NY | Central Suffolk | C | false | |||||
| Regional Insurance Company LTD | ||||||||||||||
| 000000000 | Insurance | Healthcare | C | false | c/o Cedar House 41 Cedar Ave | Hamilton | BD | HM 12 | BD | |||||
| Regioncare Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 113052191 | Homecare | NY | NSHS Enterprise | C | false | |||||
| Staten Island University Hospital Perina | ||||||||||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 134107082 | Medical Services | NY | SIUH | C | false | |||||
| True North 3D Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 845176444 | Business Services | NY | True North Heal | C | false | |||||
| True North Enterprises Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 000000000 | Inactive | NY | Healthcare | C | false | |||||
| True North Health Pharmacy Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 471020508 | Pharmacy | NY | NSHS Enterprise | C | false | |||||
| True North Health Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 830616581 | Medical Services | DE | Healthcare | C | false | |||||
| True North Workforce Safety Consulting | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 842395117 | Business Services | NY | True North Heal | C | false | |||||
| United Medical Surgical PC | ||||||||||||||
| 256 Mason Ave Bldg B 2nd Fl | Staten Island | NY | 10305 | 134038780 | Surgical Services | NY | SIUH | C | false | |||||
| VivoHealth Plan Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 461164689 | Inactive | NY | Healthcare | C | false | |||||
| Vivohealth Inc | ||||||||||||||
| 972 Brush Hollow Rd | Westbury | NY | 11590 | 264118016 | Inactive | NY | NSH Enterprise | C | false | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| C | $298,996 | CASH |
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| O | $641,380 | CASH |
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| P | $641,380 | CASH |
| HARBOR VIEW MEDICAL SERVICES PC | ||
| B | $10,829,884 | CASH |
| HARBOR VIEW MEDICAL SERVICES PC | ||
| L | $593,106 | CASH |
| HARBOR VIEW MEDICAL SERVICES PC | ||
| M | $2,531,248 | CASH |