2021-11-12T09:59:51-06:00 2020-12-31 990 2020-01-01 111639818 John T Mather Memorial Hospital % JOSEPH WISNOSKI JOHN 6314731320 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 Joseph Wisnoski CFO 6314731320 2021-11-05 Joseph Wisnoski 999009999 2 2020 2022-09-23 18:48:47Z Joseph Wisnoski 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 384996393 false X MATHERHOSPITAL.ORG X 1928 NY 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 22 17 2869 152 605766 0 449834 28633097 363367607 352883841 -1100 2447967 4567037 933990 368383378 384898895 3000 3000 0 0 211937584 229631346 0 0 0 161173601 165934602 373114185 395568948 -4730807 -10670053 300177377 379916271 200246274 270343643 99931103 109572628 X 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. true false 330543053 352883841 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. 3000 0 To promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers. 330546053 true true false true false false false false false true true false false true true false false false false false false false false false false true true true false false true true false false false false false false false false true true false false false false false true false false false true 64 0 true 2869 true true true false false false false false false false false false false false X 22 17 true false false false true true true true true false false true true true true true true true true true true NY X X JOSEPH WISNOSKI 6314731320 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 X RALPH NAPPI Trustee/EVC 0.0 50.0 X 0 1021093 55274 STEPHEN BELLO Trustee/EVC 0.0 50.0 X 0 920347 43595 KENNETH D ROBERTS President & CEO 50.0 0.0 X X 873781 0 40659 MOHAMMAD BILAL VP Medical Staff 50.0 0.0 X X 611880 0 48231 JULIET NICHOLS MD Psychiatrist 50.0 0.0 X 586697 0 43959 JOAN C FARO MD Chief Medical Officer 50.0 0.0 X 545713 0 49949 JOSEPH CARRUCCIU MD Director of Breast Center 50.0 0.0 X 538676 0 41109 MICHELLE P PRICE MD Breast Radiologist 50.0 0.0 X 530087 0 40059 MARITZA GROTH Member-at-Large 50.0 0.0 X X 472114 0 70581 JOSEPH WISNOSKI Sr VP & CFO 50.0 0.0 X 469725 0 72685 JOSEPH NG MD Intensivist 50.0 0.0 X 493381 0 41109 KENNY LIEN MD Director of Interventional Rad 50.0 0.0 X 485451 0 38259 MARIE E MULLIGAN Chief Nursing Officer 50.0 0.0 X 334178 0 63056 WAYNE S SHATTES Vice President-Administration 50.0 0.0 X 271369 0 79131 MICHAEL BURGHARDT Vice President Administration 50.0 0.0 X 210885 0 46181 CHRISTINE RUGGIERO President, Medical Staff 50.0 0.0 X X 17500 0 0 Leo Sternlicth Chairman 0.0 3.0 X X 0 0 0 Konrad Kuhn Vice Chairman 0.0 2.0 X X 0 0 0 Betsy N Britton Vice Chairman 0.0 2.0 X X 0 0 0 Harold Tranchon Vice Chairman 0.0 2.0 X X 0 0 0 Timothy Glynn Vice Chairman 0.0 2.0 X X 0 0 0 John Diviney Secretary 0.0 2.0 X X 0 0 0 John Sini Treasurer 0.0 2.0 X X 0 0 0 NON COMPENSATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 6441437 1941440 773837 465 false true false ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 INFOTECH CONSULTANTS 2854009 STONY BROOK MEDICINE 31 RESEARCH WAY STE 119 EAST SETAUKET NY 11733 MEDICAL SERVICES 1535985 NORTH SHORE HEMATOLOGY ONCOLOGY ASS 1500-4 ROUTE 112 PORT JEFFERSON STATION NY 11773 MEDICAL SERVICES 1040677 GOOD SAMARITAN HOSPITAL MEDICAL CEN 100 MONTAUK HIGHWAY WEST ISLIP NY 11795 LABORATORY SERVICES 967930 LI LAPAROSCIPIC SURGERY PLLC 625 BELLE TERRE RD SUITE 202 PORT JEFFERESON NY 11777 LABORATORY SERVICES 894107 50 140000 28490297 2800 28633097 PATIENT SERVICE REVENUE 621300 227892539 227399032 493507 PHYSICIAN 621300 17222673 17222673 MEDICARE/MEDICAID PAYMENTS 621300 106851069 106851069 DSRIP 900090 917560 917560 352883841 2240954 2240954 0 0 213702 84271 129431 0 129431 129431 207013 207013 207013 207013 0 0 0 43720 13227 30493 30493 0 0 0 PHARMACY 621500 320941 320941 CAFETERIA REVENUE 900099 315326 315326 SURVEY REVENUE - LAB 541700 44079 44079 93720 164125 37687 -108092 774066 384898895 355452798 605766 207234 0 3000 3000 0 0 3335031 1001981 2333050 0 167754561 140612825 27141736 27204021 22802565 4401456 18995778 15922369 3073409 12341955 10345097 1996858 616724 616724 224740 224740 116340 116340 0 0 0 38128329 31959382 6168947 419930 351988 67942 76572753 64183716 12389037 0 0 5154381 4320431 833950 0 0 247467 247467 1321526 1321526 0 12858241 10777851 2080390 4494532 4494532 BAD DEBT 8140619 8140619 PURCHASED SERVICES 13555782 13555782 DUES & SUBSCRIPTIONS 594423 498249 96174 CENTRALIZED ADMIN EXPENSE 1911408 1911408 1577407 1328199 249208 395568948 330546053 65022895 0 0 0 41934900 112831073 0 0 47680537 52378881 0 0 0 0 0 0 7448714 9793614 6229033 6241870 143311141 42581261 97028499 100729880 54398215 57200002 0 0 0 0 0 0 45457479 40740951 300177377 379916271 39025277 45479444 0 0 0 0 27310000 24670000 0 0 0 0 0 0 0 0 133910997 200194199 200246274 270343643 X 97328640 107537757 2602463 2034871 99931103 109572628 300177377 379916271 X -10670053 2361018 17950560 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18912 18912 false PART II-B -DESCRIPTION OF LOBBYING ACTIVITY 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. 1015234 2800 14831 1032865 949619 60045 61 -5509 1015234 936914 31984 57 19336 949619 1374421 257325 515 695347 936914 1258566 321235 32 205412 1374421 0.01000 0.99000 false false 8200000 8200000 56700000 10631250 46068750 16279389 3289015 12990374 55986686 27118523 28868163 6145066 1542473 4602593 100729880 INTEREST IN FOUNDATION 1034067 RIGHT OF USE ASSET 7386032 INSURANCE CLAIMS RECEIVABLE 21052828 OTHER ASSETS 268024 INTANGIBLE ASSETS 11000000 40740951 0 DUE TO/FROM AFFLIATES 6126130 INSURANCE CLAIMS LIABILITY 15024987 OTHER LIABILITY 2762973 MALPRATICE INSURANCE 28463324 ACCRUED RETIREMENT BENEFITS 74748571 OPERATING LEASE LIABILITY 7386032 CAPITAL LEASES 9347231 ESTIMATED 3RD PARTY PAYABLES 56334951 200194199 399689830 2361016 12432719 14793735 384896095 2800 2800 384898895 388546694 388546694 7022254 7022254 395568948 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. 43720 7550 5677 false 43720 7550 5677 13227 30493 true false true false 0.90000 0.10000 JOHN T MATHER MEMORIAL HOSPITAL 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 11777 false false true true true X true X 450. true true true false true true 996217 137847 858370 0.00220 36144697 21140424 15004273 0.03860 787780 631913 155867 0.00040 37928694 21910184 16018510 0.04120 13889311 381851 13507460 0.03480 17166729 10156142 7010587 0.01800 24193352 9406318 14787034 0.03810 2864 2864 46918 280 46638 0.00010 55299174 19944591 35354583 0.09100 93227868 41854775 51373093 0.13220 115012 115012 0.00030 18 18 895 895 5996 5996 53889 53889 0.00010 175810 175810 0.00040 true 9116245 100123482 128022966 -27899484 X true true PORT JEFFERSON ASC MEDICAL SERVICES 0.26 1 1 JT MATHER MEMORIAL HOSPITAL 75 North Country Road PORT JEFFERSON NY 11777 http://www.matherhospital.org 5149000H X X X X Mather false false true X X X X X X X X X 19 true true true true X www.northwell.edu/education-and-resource X true 19 true www.northwell.edu/education-and-resources/com false true X 150. 450. X X X X X true true true X Complete web address in Part V X Complete web address in Part V X Complete web address in Part X X X X X X X true X X X false X X X X X true X false false Part V Facility Information, Section C Supplemental Information Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each of the six-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 8 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 Part VI Supplemental Information 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 X true true X X X X X false true false false false false false true false KENNETH D ROBERTS President & CEO 798355 0 0 75426 0 19500 0 21159 0 914440 0 0 0 JOSEPH WISNOSKI Sr VP & CFO 463726 0 0 5999 0 51526 0 21159 0 542410 0 0 0 JOAN C FARO MD Chief Medical Officer 538855 0 0 6858 0 37783 0 12166 0 595662 0 0 0 MARIE E MULLIGAN Chief Nursing Officer 330614 0 0 3564 0 31925 0 31131 0 397234 0 0 0 WAYNE S SHATTES Vice President-Administration 267805 0 0 3564 0 48000 0 31131 0 350500 0 0 0 MICHAEL BURGHARDT Vice President Administration 210429 0 0 456 0 15050 0 31131 0 257066 0 0 0 JULIET NICHOLS MD Psychiatrist 583133 0 0 3564 0 22800 0 21159 0 630656 0 0 0 JOSEPH CARRUCCIU MD Director of Breast Center 535112 0 0 3564 0 19950 0 21159 0 579785 0 0 0 MICHELLE P PRICE MD Breast Radiologist 528845 0 0 1242 0 19950 0 20109 0 570146 0 0 0 JOSEPH NG MD Intensivist 492655 0 0 726 0 19950 0 21159 0 534490 0 0 0 KENNY LIEN MD Director of Interventional Rad 484959 0 0 492 0 17100 0 21159 0 523710 0 0 0 RALPH NAPPI Trustee/EVC 0 784283 203125 0 33685 0 31350 0 23924 0 1076367 0 0 MOHAMMAD BILAL VP Medical Staff 602320 0 0 0 9560 0 17100 0 31131 0 660111 0 0 0 MARITZA GROTH Member-at-Large 469717 0 0 2397 0 39450 0 31131 0 542695 0 0 0 STEPHEN BELLO Trustee/EVC 0 763429 145585 0 11333 0 31350 0 12245 0 963942 0 0 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. A TOWN OF BROOKHAVEN LDC 272768182 000000000 2012-11-30 20105000 REFINANCE 1996 DASNY BONDS false false false B TOWN OF BROOKHAVEN LDC 272768182 000000000 2013-08-15 23000000 CONSTRUCTION FACILITY ADDITION false false false A 0 0 20105000 0 0 0 323740 0 0 0 19781260 0 2015 true false true true B 0 0 23000000 0 1070827 0 351394 0 0 21577779 0 0 2015 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false true true People's United Bank 10. false false false 0 false true B false true false false true true People's United Bank 10. false false false 0 false true A true B true North Shore Professional LLC Business Relation: Kathryn Frey 1693992 Business false ANNE MARIE GOLDBERG Family Relation: KENNETH ROBERTS 68682 Employees false KIMBERLY JARETT Family Relation: HAROLD TRANCHON 50577 Employees false LYNSEY JARETT Family Relation: HAROLD TRANCHON 85889 Employees false 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. 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 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 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 -41123 2152872 false false 0.26000 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 c/o Cedar House 41 Cedar Ave Hamilton BD HM 12 000000000 Insurance BD Healthcare C false 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 false true true false false false false false false false true true false true true false false false JT MATHER HEALTH FACILITIES FOUNDATION C 298996 CASH JT MATHER HEALTH FACILITIES FOUNDATION O 641380 CASH JT MATHER HEALTH FACILITIES FOUNDATION P 641380 CASH HARBOR VIEW MEDICAL SERVICES PC B 10829884 CASH HARBOR VIEW MEDICAL SERVICES PC L 593106 CASH HARBOR VIEW MEDICAL SERVICES PC M 2531248 CASH