JOHN T MATHER MEMORIAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JOHN T MATHER MEMORIAL HOSPITAL (EIN 11-1639818)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-02
IRS object ID: 202033079349300543
Schema version: 2019v5.1
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	2020-11-02T09:29:55-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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	2020-11-02	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.27.229.128	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	11062320203075000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-02	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	A8E867FBD87B7B19EACF155E00BCAC716138C3E7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FE6D4BC8627C1BF7E49D7105CE5A8CB468BF2CC7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$368,479,815	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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2916	TotalEmployeeCnt
Total Volunteers	226	TotalVolunteersCnt
Total Gross UBI	$774,207	TotalGrossUBIAmt
PY Contributions Grants	$1,740,526	PYContributionsGrantsAmt
CY Contributions Grants	$449,834	CYContributionsGrantsAmt
PY Program Service Revenue	$349,693,405	PYProgramServiceRevenueAmt
CY Program Service Revenue	$363,367,607	CYProgramServiceRevenueAmt
PY Investment Income	$1,689,609	PYInvestmentIncomeAmt
CY Investment Income	-$1,100	CYInvestmentIncomeAmt
PY Other Revenue	$18,420,391	PYOtherRevenueAmt
CY Other Revenue	$4,567,037	CYOtherRevenueAmt
PY Total Revenue	$371,543,931	PYTotalRevenueAmt
CY Total Revenue	$368,383,378	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	$205,225,795	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$211,937,584	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$159,711,026	PYOtherExpensesAmt
CY Other Expenses	$161,173,601	CYOtherExpensesAmt
PY Total Expenses	$364,939,821	PYTotalExpensesAmt
CY Total Expenses	$373,114,185	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,604,110	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,730,807	CYRevenuesLessExpensesAmt
Total Assets BOY	$278,158,871	TotalAssetsBOYAmt
Total Assets EOY	$300,177,377	TotalAssetsEOYAmt
Total Liabilities BOY	$194,876,873	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$200,246,274	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,281,998	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$99,931,103	NetAssetsOrFundBalancesEOYAmt
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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$311,519,456	ExpenseAmt
Revenue	$363,367,607	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
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	$311,522,456	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	Yes (true)	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	85	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2916	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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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 (25 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
KEVIN BEINER
TRUSTEE/SVP NORTHWELL	0.0	50.0	Yes (X)	$0	$1,027,394	$42,368
RALPH A NAPPI
TRUSTEE/EVC	0.0	50.0	Yes (X)	$0	$951,213	$53,335
KENNETH D ROBERTS
President & CEO	50.0	0.0	Yes (X)	$860,486	$0	$78,154	Yes (X)
JULIET NICHOLS
Psychiatrist	50.0	0.0		$610,009	$0	$47,954		Yes (X)
JOHN YU MD
TRUSTEE/PHYSICIAN NORTHWELL	0.0	50.0	Yes (X)	$0	$610,042	$47,883
MOHAMMAD BILAL
Dir, Interventional Radiology	50.0	0.0		$608,023	$0	$47,954		Yes (X)
JOAN C FARO
Chief Medical Officer	50.0	0.0		$524,785	$0	$48,937			Yes (X)
MICHELLE P PRICE
Radiologist	50.0	0.0		$521,264	$0	$50,326		Yes (X)
JOSEPH CARRUCCIU
Dir, Breast Center	50.0	0.0		$511,468	$0	$50,754		Yes (X)
JOSEPH WISNOSKI
SVP & CFO	50.0	0.0		$454,031	$0	$78,434	Yes (X)
JOSEPH NG
Intensivist	50.0	0.0		$462,438	$0	$50,754		Yes (X)
MARIE E MULLIGAN
Chief Nursing Officer	50.0	0.0		$322,010	$0	$62,597			Yes (X)
WAYNE S SHATTES
VP-Administration	50.0	0.0		$264,144	$0	$78,154			Yes (X)
MICHAEL BURGHARDT
VP-Administration	50.0	0.0		$181,828	$0	$43,904			Yes (X)
KEVIN J MURRAY
SVP-Administration	50.0	0.0		$122,918	$0	$34,651			Yes (X)
NICHOLAS CRAIG MD
Pres Medical Staff/Chairman Me	0.0	2.0	Yes (X)	$40,000	$0	$0	Yes (X)
CHRISTINE RUGGIERO
VP Medical Staff/Vice Chairman	0.0	2.0	Yes (X)	$20,000	$0	$0	Yes (X)
LEO STERNLICHT
Chairman	0.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
KONRAD J 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 JR
Vice Chairman	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY B GLYNN ESQ
Vice Chairman	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN K DIVINEY ESQ
Secretary	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN R SINI
Treasurer	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
NON COMPENSATED TRUSTE
SEE SCHEDULE O	0.0	2.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,503,404	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,588,649	TotReportableCompRltdOrgAmt
Total Other Compensation	$816,159	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	417	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	$2,462,266
STONY BROOK MEDICINE
31 RESEARCH WAY STE 119	EAST SETAUKET	NY	11733	MEDICAL SERVICES	$1,349,840
NORTH SHORE HEMATOLOGY ONCOLOGY ASS
1500-4 ROUTE 112	PORT JEFFERSON STATION	NY	11776	MEDICAL SERVICES	$1,109,965
LI LAPAROSCOPIC SURGERY PLLC
625 BELLE TERRE RD	PORT JEFFERSON STATION	NY	11776	MEDICAL SERVICES	$871,338
UNITED WESTLABS INC
801 N PARKCENTER DRIVE	SANTA ANA	CA	92705	LABORATORY SERVICES	$742,268

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$53,520	RelatedOrganizationsAmt
Government Grants	$283,546	GovernmentGrantsAmt
All Other Contributions	$112,768	AllOtherContributionsAmt
Total Contributions	$449,834	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621300	$214,789,482	$214,789,482
PHYSICIAN	621300	$18,153,105	$18,153,105
MEDICARE/MEDICAID PAYMENTS	621300	$130,161,546	$130,161,546
DSRIP	900090	$263,474	$263,474

Field	Value	IRS element (for citing)
Total Program Service Revenue	$363,367,607	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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	$247,312	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$83,642	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$163,670	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$163,670	TotalRevenueColumnAmt
Related Or Exempt Func Income	$163,670	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,100	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,100	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,100	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	$28,355	GamingGrossIncomeAmt
Gaming Direct Expenses	$11,695	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,660	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,660	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	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MLMIC POLICY CONVERSION	900099	$1,694,703	$1,694,703
INVESTMENT INCOME	900099	$1,258,000	$1,258,000
LAB PRIVATE PATIENT	621500	$668,667		$668,667

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$765,337	TotalRevenueColumnAmt
Related Or Exempt Func Income	$458,416	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$88,880	UnrelatedBusinessRevenueAmt
Exclusion	$218,041	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,386,707	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$368,383,378	TotalRevenueColumnAmt
Related Or Exempt Func Income	$363,988,593	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$774,207	UnrelatedBusinessRevenueAmt
Exclusion	$3,170,744	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,000	TotalAmt
Program Services	$3,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$2,790,203	TotalAmt
Program Services	$1,021,942	ProgramServicesAmt
Management And General	$1,768,261	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	$159,015,349	TotalAmt
Program Services	$134,403,270	ProgramServicesAmt
Management And General	$24,612,079	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,892,741	TotalAmt
Program Services	$14,278,116	ProgramServicesAmt
Management And General	$2,614,625	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,775,314	TotalAmt
Program Services	$18,404,974	ProgramServicesAmt
Management And General	$3,370,340	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,463,977	TotalAmt
Program Services	$9,689,605	ProgramServicesAmt
Management And General	$1,774,372	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,027,699	TotalAmt
Management And General	$3,027,699	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,493,721	TotalAmt
Management And General	$1,493,721	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$161,875	TotalAmt
Management And General	$161,875	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	$35,599,056	TotalAmt
Program Services	$30,089,105	ProgramServicesAmt
Management And General	$5,509,951	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$843,704	TotalAmt
Program Services	$713,117	ProgramServicesAmt
Management And General	$130,587	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,307,748	TotalAmt
Program Services	$66,187,431	ProgramServicesAmt
Management And General	$12,120,317	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	$4,984,451	TotalAmt
Program Services	$4,212,967	ProgramServicesAmt
Management And General	$771,484	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	$377,962	TotalAmt
Program Services	$377,962	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,537,490	TotalAmt
Management And General	$1,537,490	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,627,462	TotalAmt
Program Services	$13,208,675	ProgramServicesAmt
Management And General	$2,418,787	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,040,742	TotalAmt
Program Services	$4,040,742	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$5,740,331	$5,740,331
PURCHASED SERVICES	$7,621,406	$7,621,406
DUES & SUBSCRIPTIONS	$439,471	$371,451	$68,020
OTHER EXPENSE	$1,370,483	$1,158,362	$212,121

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$373,114,185	TotalAmt
Program Services	$311,522,456	ProgramServicesAmt
Management And General	$61,591,729	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,590	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$29,847,836	BOYAmt
EOY	$41,934,900	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	$43,192,483	BOYAmt
EOY	$47,680,537	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	$8,849,405	BOYAmt
EOY	$7,448,714	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,902,397	BOYAmt
EOY	$6,229,033	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$127,028,083	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$29,999,584	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$100,815,185	BOYAmt
EOY	$97,028,499	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$49,230,713	BOYAmt
EOY	$54,398,215	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	$39,315,262	BOYAmt
EOY	$45,457,479	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$278,158,871	BOYAmt
EOY	$300,177,377	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$167,566,873	BOYAmt
EOY	$39,025,277	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	$27,310,000	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	$0	BOYAmt
EOY	$133,910,997	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$194,876,873	BOYAmt
EOY	$200,246,274	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	$80,864,482	BOYAmt
EOY	$97,328,640	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,417,516	BOYAmt
EOY	$2,602,463	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,281,998	BOYAmt
EOY	$99,931,103	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$278,158,871	BOYAmt
EOY	$300,177,377	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,730,807	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,463,191	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$18,916,721	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	$16,730	OtherActivitiesAmt
Total Lobbying Expenditures	$16,730	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,602,275	BeginningYearBalanceAmt
Contributions	$138,886	ContributionsAmt
Investment Earnings Or Losses	$8,443	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,491,038	OtherExpendituresAmt
End Year Balance	$1,258,566	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	$7,087,500	DepreciationAmt
Book Value	$49,612,500	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,397,417	OtherCostOrOtherBasisAmt
Depreciation	$2,144,097	DepreciationAmt
Book Value	$9,253,320	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,945,476	OtherCostOrOtherBasisAmt
Depreciation	$19,739,305	DepreciationAmt
Book Value	$27,206,171	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,785,190	OtherCostOrOtherBasisAmt
Depreciation	$1,028,682	DepreciationAmt
Book Value	$2,756,508	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$97,028,499	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN FOUNDATION	$1,612,283
RIGHT OF USE ASSET	$10,989,064
INSURANCE CLAIMS RECEIVABLE	$21,588,109
OTHER ASSETS	$268,023
INTANGIBLE ASSETS	$11,000,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$45,457,479	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO/FROM AFFLIATES	$9,009,450
INSURANCE CLAIMS LIABILITY	$10,880,289
OTHER LIABILITY	$2,603,929
MALPRATICE INSURANCE	$28,129,713
ACCRUED RETIREMENT BENEFITS	$66,417,763
OPERATING LEASE LIABILITY	$10,989,063
CAPITAL LEASES	$5,880,790

Field	Value	IRS element (for citing)
Total Liability	$133,910,997	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$384,538,627	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,463,191	NetUnrealizedGainsInvstAmt
Other Revenue	$13,751,983	OtherRevenueAmt
Revenue Not Reported	$16,215,174	RevenueNotReportedAmt
Revenue Subtotal	$368,323,453	RevenueSubtotalAmt
Other Revenues Not Included	$59,925	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$59,925	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$368,383,378	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$378,741,301	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$378,741,301	ExpensesSubtotalAmt
Other Expenses Not Included	-$5,627,116	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$5,627,116	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$373,114,185	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 (5,740,331) NON-OPERATING NET PERIODIC PENSION COST (1,225,983) DISCOUNTS & REBATES 2,231,184 NON-OPERATING GAIN 746,188 AMOUNTS REPORTED SEPARATELY 17,740,925 TOTAL 13,751,983 RECONCILIATION OF REVENUE, LINE 4B RESTRICTED CONTRIBUTIONS 59,925 TOTAL 59,925
PART XIII, LINE 2D & 4B	RECONCILIATION OF EXPENSE, LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 7,378,679 NON OPERATING NET PERIODIC PENSION COSTS 1,225,983 PROVISION FOR BAD DEBTS 5,740,331 DISCOUNTS & REBATES (2,231,184) AMOUNTS REPORTED SEPARATELY (17,740,925) TOTAL (5,627,116)
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	$28,355	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$5,000	CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$6,695	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	0.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$28,355	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$5,000	CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$6,695	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$11,695	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$16,660	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NY	StatesWhereGamingConductedCd
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
Gaming Manager Person	NANCY UZO	GamingManagerPersonNm
Gaming Manager Compensation	$1,294	GamingManagerCompensationAmt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
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	$582,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$569,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,823,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,478,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,344,159	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,405,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,491,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,913,916	NetCommunityBenefitExpnsAmt
Total Expense	0.03850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,466,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,794,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,671,775	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,164,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,781,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,383,718	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,002,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,575,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,426,548	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,407,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,067,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,340,464	NetCommunityBenefitExpnsAmt
Total Expense	0.08870	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$174,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,368	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,686	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,686	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,731	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,731	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,723	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,723	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,615,247	BadDebtExpenseAmt
Reimbursed By Medicare	$112,126,140	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$134,507,384	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,381,244	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
Strategy Attached	Yes (true)	StrategyAttachedInd
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
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.matherhospital.org/patients-v	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.matherhospital.org/patie	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 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/2019-12/Northwell-Heal th-2019-CHNA-FINAL.pdf Part V, Section B, line 7d: N/A Part V, Section B, line 11: The Northwell Health Implementation Plan for 2019-2021 includes the goals, objectives, activities, and performance measures planned to address the chosen New York State Prevention Agenda Priority Areas. The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input and resources available. For further information go to web link: https://www.northwell.edu/sites/northwell.edu/files/2019-12/Northwell-NYSD OH-2019-chip-workplan.pdf Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 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 20d: Financial assistance and the amounts charged are determined by the individual's score as it relates to the Federal Poverty Guidelines (FPG). 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
Outpatient Behavioral Health Services
100 Highlands Boulevard	Port Jefferson	NY	11777	Outpatient Physician Clinic
John T Mather Memorial Hospital Outpatie
125 Oakland Avenue	Port Jefferson	NY	11777	Outpatient Physician Clinic
Northwell Health Physician Partners
170 North Country Road	Port Jefferson	NY	11777	Outpatient Physician Clinic
Primary Med Care Outpatient
5225 Rt 347	Port Jefferson Station	NY	11776	Outpatient Physician Clinic
J T Mather Wound Care Clinic
1895 Walt Whitman Road	Melville	NY	11747	Outpatient Physician Clinic
Precision CyberKnife of New York
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	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	Part I, 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 Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website https://www.northwell.edu/sites/northwell.edu/files/2020-10/nwh_community2 019-FINAL.pdf 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) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The 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 12.7 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; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwell's community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention especially in at risk and diverse communities (Cancer, Diabetes, CVD, Obesity), healthy safe environments, health access, changes in the built environment - housing and access to affordable food, mental health and substance abuse and need for better health literacy. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, C	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	false	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 Filing OrganizationBonusFilingOrganizationAmount	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
KENNETH D ROBERTS
President & CEO	$759,180	$0	$0	$0	$101,306	$0	$47,000	$0	$31,154	$0	$938,640	$0	$0	$0
JOSEPH WISNOSKI
SVP & CFO	$448,304	$0	$0	$0	$5,727	$0	$47,280	$0	$31,154	$0	$532,465	$0	$0	$0
JOAN C FARO
Chief Medical Officer	$517,927	$0	$0	$0	$6,858	$0	$36,748	$0	$12,189	$0	$573,722	$0	$0	$0
MARIE E MULLIGAN
Chief Nursing Officer	$318,446	$0	$0	$0	$3,564	$0	$31,443	$0	$31,154	$0	$384,607	$0	$0	$0
WAYNE S SHATTES
VP-Administration	$260,580	$0	$0	$0	$3,564	$0	$47,000	$0	$31,154	$0	$342,298	$0	$0	$0
MICHAEL BURGHARDT
VP-Administration	$181,600	$0	$0	$0	$228	$0	$12,750	$0	$31,154	$0	$225,732	$0	$0	$0
KEVIN J MURRAY
SVP-Administration	$119,753	$0	$0	$0	$3,165	$0	$19,000	$0	$15,651	$0	$157,569	$0	$0	$0
MOHAMMAD BILAL
Dir, Interventional Radiology	$597,213	$0	$0	$0	$10,810	$0	$16,800	$0	$31,154	$0	$655,977	$0	$0	$0
JULIET NICHOLS
Psychiatrist	$606,445	$0	$0	$0	$3,564	$0	$16,800	$0	$31,154	$0	$657,963	$0	$0	$0
JOSEPH CARRUCCIU
Dir, Breast Center	$507,904	$0	$0	$0	$3,564	$0	$19,600	$0	$31,154	$0	$562,222	$0	$0	$0
MICHELLE P PRICE
Radiologist	$520,454	$0	$0	$0	$810	$0	$19,600	$0	$30,726	$0	$571,590	$0	$0	$0
JOSEPH NG
Intensivist	$462,147	$0	$0	$0	$291	$0	$19,600	$0	$31,154	$0	$513,192	$0	$0	$0
KEVIN BEINER
TRUSTEE/SVP NORTHWELL	$0	$836,564	$0	$153,344	$0	$37,486	$0	$30,800	$0	$11,568	$0	$1,069,762	$0	$0
RALPH A NAPPI
TRUSTEE/EVC	$0	$754,221	$0	$164,063	$0	$32,929	$0	$30,800	$0	$22,535	$0	$1,004,548	$0	$0
JOHN YU MD
TRUSTEE/PHYSICIAN NORTHWELL	$0	$583,752	$0	$25,000	$0	$1,290	$0	$30,800	$0	$17,083	$0	$657,925	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 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 ii, Line 2(i), column (iii)

Kenneth D. Roberts other reportable compensation, $101,306, includes the proceeds of a Supplemental Executive Retirement Plan ("SERP") in the amount of $86,075 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	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TOWN OF BROOKHAVEN LDC
A	272768182	2012-11-30	$20,105,000	REFINANCE 1996 DASNY BONDS	false	false	false
TOWN OF BROOKHAVEN LDC
B	272768182	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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0.00000	false	false	false	Yes (true)	0.00000	0.00000

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 (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
North Shore Professional LLC
Business Relation: Kathryn Frey	$1,987,287	Business	false
ANNE MARIE GOLDBERG
Family Relation: KENNETH ROBERTS	$64,103	Employees	false
KIMBERLY JARETT
Family Relation: HAROLD TRANCHON	$44,547	Employees	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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. Timothy Glynn has a business relationship with Harold Tranchon and John Sini. Craig Nicholas has a business relationship with John Yu. Harold Tranchon has a business relationship with Timothy Glynn and John Sini. John Sini has a business relationship with Timothy Glynn and Harold Tranchon. John Yu has a business relationship with Craig Nicholas.
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	Kevin S. Beiner Donald E. Lippencott Roger Blumencranze Richard Lusack Betsy N. Britton Ralph Nappi Nicholas Craig Kenneth D. Roberts James Danowski Christine Ruggiero, MD Sylvia Diaz John Sini John Diviney Leo Sternlicht Debra Engelhardt Harold Tranchon Kathryn B. Frey Edward Weiss Timothy Glynn John Yu, MD Konard Kuhn
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 (111,609) TRANSFER TO AFFILIATE 18,000,000 NET ASSETS RELEASED FROM RESTRICTION (26,924) NON-OPERATING GAINS 746,189 OTHER CHANGE IN NET ASSETS 309,065 TOTAL 18,916,721

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (88 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
1300 Roanoke Ave	Riverhead	NY	11901	111661359	Health Care	NY	501(C)(3)	3	NW Healthcar	false
CLNY Alliance Inc
972 Brush Hollow Rd	Westbury	NY	11590	463146870	Laboratory	NY	501(C)(3)	3	NW Labs	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	Northwell He	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	Northwell He	false
Huntington Hospital Association
270 Park Avenue	Huntington	NY	11743	111630914	Health Care	NY	501(C)(3)	3	Northwell He	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 Health Facilities Foundat
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 Hospital
972 Brush Hollow Rd	Westbury	NY	11590	131624070	Health Care	NY	501(C)(3)	3	Northwell He	false
Lenox Hill Hospital Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	452661543	Medical Servi	NY	501(C)(3)	10	Lenox Hill	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 Medical Center
972 Brush Hollow Rd	Westbury	NY	11590	112241326	Health Care	NY	501(C)(3)	3	Northwell He	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	Lenox Hill	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-LIJ Medical Care Centers
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	Northwell He	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	SSIDE	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
Northwell Health Plans Holding Company
972 Brush Hollow Rd	Westbury	NY	11590	462478147	Holding Compa	NY	501(C)(3)	12, Type II	Northwell He	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	275078426	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	Northwell He	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 Laboratories
972 Brush Hollow Rd	Westbury	NY	11590	113412370	Supporting Or	NY	501(C)(3)	12, Type I	Northwell He	false
Northwell Health Stern Family Center for
972 Brush Hollow Rd	Westbury	NY	11590	237007485	Nursing Home	NY	501(C)(3)	9	Northwell He	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
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	Northwell He	false
Physicians of Univeristy 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	Northwell He	false
SIUH Systems Inc
475 Seaview Avenue	Staten Island	NY	10305	061074604	Fundraising	NY	501(C)(3)	7	Northwell He	false
Southside Hospital
972 Brush Hollow Rd	Westbury	NY	11590	111667761	Health Care	NY	501(C)(3)	3	Northwell He	false
Sports Physical Therapy Occupational Th
972 Brush Hollow Rd	Westbury	NY	11590	061655704	Health Care	NY	501(C)(3)	9	LIJ	false
Staten Island Performing Provider System
972 Brush Hollow Rd	Westbury	NY	11590	472544659	DSRIP	NY	501(C)(3)	10	NA	false
Staten Island University Hospital
475 Seaview Avenue	Staten Island	NY	10305	112868878	Health Care	NY	501(C)(3)	3	Northwell He	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	LIJ	false
The Calverton Foundation Inc
972 Brush Hollow Rd	Westbury	NY	11590	831118138	Medical Servi	NY	501(C)(3)	Applied For	HCI	false
The Elmezzi Graduate School of Molecular
972 Brush Hollow Rd	Westbury	NY	11590	113284934	Graduate Scho	NY	501(C)(3)	2	Research	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 Hghwy	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)	Applied For	HCI	false
True North Patient Safety Organization
972 Brush Hollow Rd	Westbury	NY	11590	831429773	Medical Servi	NY	501(C)(3)	Applied For	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	NW Healthcar	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
Westchester Health Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	474539584	Medical Servi	NY	501(C)(3)	12, Type I	NSUH	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
Wellbridge Psychiatry PC
972 Brush Hollow Rd	Westbury	NY	11590	465495054	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 Medic
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	Health Care
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 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
True North Rad-Onc MSO LLC
972 Brush Hollow Rd	Westbury	NY	11590	834660846	Medical Svcs	NY	Northwell Rad-O
PORT JEFFERSON ASC
1500 ROUTE 112 BUILDING 3	PORT JEFFERSON STATION	NY	11776	371794376	AMBULATORY SURGER	NY	NA	RELATED	-$407,798	$147,798	false	false	0.26000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Regional Insurance Company LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	c/o Cedar House 41 Cedar Ave	AddressLine1Txt
City	Hamilton	CityNm
Country	BD	CountryCd
Foreign Postal	HM 12	ForeignPostalCd

Field	Value	IRS element (for citing)
EIN	000000000	EIN
Primary Activities	Insurance	PrimaryActivitiesTxt
Legal Domicile Foreign Country	BD	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Healthcare	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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
Div Related Organization	false	DivRelatedOrganizationInd
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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JT MATHER HEALTH FACILITIES FOUNDATION
C	$205,924	CASH
JT MATHER HEALTH FACILITIES FOUNDATION
O	$701,765	CASH
JT MATHER HEALTH FACILITIES FOUNDATION
P	$701,765	CASH