2020-11-11T21:17:18-06:00 2019-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2019-01-01 111352310 SOUTH NASSAU COMMUNITIES HOSPITAL INC SOUT 5166323000 ONE HEALTHY WAY OCEANSIDE NY 115721551 JOHN POHLMAN CHIEF FINANCIAL OFFICER 5166323000 2020-11-11 1 CHRISTINE KAWECKI P00743140 5169187000 2020-11-10 67.86.145.242 2020-11-11 15:19:36 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E92AC2A5F6A2C52CD6F2C24317479AB514821823 2019 2021-01-29 14:40:06Z MOUNT SINAI SOUTH NASSAU JOHN POHLMAN ONE HEALTHY WAY OCEANSIDE NY 115721551 558906985 0 5611 X WWW.SOUTHNASSAU.ORG X 1927 NY SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 20 17 4042 428 3299570 0 17092169 10314198 475722990 526056945 6034389 5949613 16949179 10990034 515798727 553310790 0 0 0 0 292569036 302378749 0 0 276172 206142162 215507627 498711198 517886376 17087529 35424414 697964550 785025372 432717723 485928516 265246827 299096856 X SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 0 0 287789549 386930934 MEDICAL AND SURGICAL INPATIENT SERVICES:THE HOSPITAL IS CERTIFIED FOR 329 MEDICAL SURGICAL BEDS. THESE BEDS INCLUDE A 36-BED ORTHOPEDIC SPECIALTY UNIT, A 38-BED ONCOLOGY (CANCER) UNIT, A 23-BED STEP-DOWN PROGRESSIVE CARE UNIT INCLUDING AN 8-BED BARIATRIC SURGERY UNIT AND 89 BEDS FOR TELEMETRY OR OTHERS WITH LESS THAN ACUTE CORONARY PROBLEMS. THE HOSPITAL ALSO HAS A 20 BED TRANSITIONAL CARE UNIT. THE HOSPITAL'S OPERATING ROOMS CONSISTS OF 15 SUITES WHICH ARE AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. A FULL RANGE OF SURGICAL SPECIALTIES ARE PERFORMED WHICH INCLUDE ORTHOPEDICS, SPINE SURGERY, PLASTIC SURGERY, NEUROSURGERY, GYNECOLOGIC SURGERY, GASTROINTESTINAL SURGERY, LAPAROSCOPIC BARIATRIC SURGERY (MINIMALLY INVASIVE SURGERY FOR WEIGHT LOSS), UROLOGY, OPHTHALMOLOGY, VASCULAR SURGERY, THORACIC SURGERY, PERMANENT PACEMAKERS, IMPLANTABLE DEFIBRILLATORS, PODIATRIC SURGERY, PEDIATRIC SURGERY, EAR, NOSE AND THROAT SURGERY, AND GENERAL SURGERY. THE HOSPITAL ADMITTED 15,814 MEDICAL SURGICAL PATIENTS IN 2019.PEDIATRICS SERVICES:THE HOSPITAL PROVIDES COMPREHENSIVE GENERAL AND SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND TEENAGERS IN NEED OF SURGICAL OR PREVENTIVE SERVICES OR CARE FOR INFECTIOUS DISEASES, SERIOUS ILLNESSES OR COMPLEX MEDICAL CONDITIONS. THIS UNIT FEATURES SPECIALISTS IN PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, HEMATOLOGY-ONCOLOGY, NEUROLOGY, PULMONARY MEDICINE AS WELL AS A PEDIATRIC SURGEON, NEONATOLOGIST AND ANESTHESIOLOGIST. A SPECIAL CARE PEDIATRIC UNIT EQUIPPED WITH THE LATEST PEDIATRIC MEDICAL TECHNOLOGY AND MONITORING SYSTEM, CAN EFFECTIVELY MANAGE AND TREAT ALMOST ANY EMERGENCY OR SERIOUS ILLNESS. THE UNIT FEATURES A MULTI-PURPOSE TREATMENT ROOM TO PERFORM MINOR PROCEDURES, WHETHER SURGICAL OR NON-SURGICAL. A TEAM OF SPECIALLY TRAINED NURSING STAFF AND PEDIATRICIANS, INCLUDING NURSING STAFF TRAINED IN PEDIATRIC ADVANCE LIFE SUPPORT (PALS), WITH SPECIALISTS ON-CALL AROUND THE CLOCK. THE HOSPITAL ADMITTED 131 PEDIATRIC PATIENTS IN 2019.MATERNITY AND NURSERY SERVICES:THE HOSPITAL HAS STATE-OF-THE-ART LABOR/DELIVERY ROOMS WHICH CREATE A COMFORTING ENVIRONMENT WHILE PROVIDING ALL THE NECESSARY EQUIPMENT AND CLINICAL SUPPORT FOR MOTHER AND BABY. ALL 26 POSTPARTUM BEDS OFFER PRIVATE ACCOMMODATIONS. THE HOSPITAL PROVIDES SPECIALIZED SERVICES FOR WOMEN WITH HIGH-RISK PREGNANCIES. THE UNIT IS STAFFED BY SOME OF THE AREA'S LEADING SPECIALISTS IN HIGH-RISK PREGNANCIES. SOUTH NASSAU PROVIDES A COMPREHENSIVE PACKAGE OF SERVICES, INCLUDING PERINATOLOGY, FETAL MONITORING, GENETICS COUNSELING, AND DIAGNOSTIC CARE FOR ALL STAGES OF HIGH-RISK PREGNANCIES INCLUDING AMNIOCENTESIS AND ULTRASOUND. THE HOSPITAL ADMITTED 4,600 MATERNITY PATIENTS (INCLUDING NEWBORNS) IN 2019.NEONATAL SERVICES:THE HOSPITAL ALSO HAS A LEVEL II NEONATAL INTENSIVE CARE UNIT FOR PREMATURE BABIES. PREMATURE DELIVERIES AND NEWBORNS WITH DEVELOPMENTAL COMPLICATIONS OR CONDITIONS RECEIVE THE SPECIALIZED CARE THEY NEED IN THE NEONATAL INTENSIVE CARE UNIT. STAFFED BY HIGHLY TRAINED, BOARD-CERTIFIED NEONATOLOGISTS AND NURSES, THE NURSERY PROVIDES INTENSIVE ONE-TO-ONE CARE AND IS EQUIPPED WITH DEDICATED MEDICAL TECHNOLOGY FOR PREMATURE DELIVERIES AND NEWBORNS WITH SPECIAL NEEDS. THE NURSERY ALSO FEATURES A STATE-OF-THE-ART MONITORING SYSTEM. THE HOSPITAL ADMITTED 123 NEONATES IN 2019.IN-PATIENT PSYCHIATRIC SERVICES:IN OUR 36-BED SHORT-TERM INPATIENT BEHAVIORAL HEALTH UNIT, WE PROVIDE RAPID STABILIZATION FOR A WIDE RANGE OF ACUTE PSYCHIATRIC CONDITIONS. PATIENTS RECEIVE PSYCHIATRIC AND PSYCHOLOGICAL CONSULTATION DURING THEIR HOSPITAL STAY TO ALLEVIATE DISTRESS AND PAIN. THE HOSPITAL ADMITTED 916 PSYCHIATRIC PATIENTS IN 2019.TRANSITIONAL CARE UNIT: THIS 20 BED UNIT PROVIDES "TRANSITIONAL" CARE FOR PATIENTS WHO HAVE COMPLETED THEIR ACUTE STAY IN THE HOSPITAL YET STILL REQUIRE SKILLED NURSING AND OTHER SUPPORTIVE CARE BEFORE RETURNING TO HOME OR OTHER LIVING ARRANGEMENTS. THE HOSPITAL ADMITTED 515 PATIENTS IN 2019.SUMMARY:THE HOSPITAL ADMITTED A TOTAL OF 22,099 PATIENTS IN 2019 FOR INPATIENT SERVICES. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS OR EMERGENCY BASIS. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $3.4 MILLION (CHARGES) FOR INPATIENTS SERVED IN 2019. 54354030 59447798 AMBULATORY SURGERY: SOUTH NASSAU AMBULATORY SURGERY SERVICE LINE CONSISTS OF OUTPATIENT SURGICAL, ENDOSCOPY, PAIN MANAGEMENT AND CARDIAC SERVICES. SEE DETAILS OF THE SERVICES THAT COMPRISE AMBULATORY SURGERY BELOW:OUTPATIENT SURGERIES:SOUTH NASSAU'S AMBULATORY SURGERY UNIT (ASU) FEATURES 10 SEMI-PRIVATE PRE-OPERATIVE PATIENT SUITES WHERE THE PATIENT IS ADMITTED PRIOR TO SURGERY AND 16 SEMI-PRIVATE POSTOPERATIVE ROOMS WHERE PATIENTS COMPLETE PHASE TWO OF THEIR RECOVERY, RECEIVE PAIN MEDICATION AND POST-OPERATIVE TEACHING PRIOR TO BEING DISCHARGED FROM THE HOSPITAL. THE ASU POST-OPERATIVE UNIT IS OPEN 24 HOURS A DAY. THE HOSPITAL PERFORMED 6,142 OUTPATIENT SURGICAL PROCEDURES IN 2019.ENDOSCOPY:SOUTH NASSAU COMMUNITIES HOSPITAL'S ENDOSCOPY UNIT PROVIDES STATE-OF-THE-ART PATIENT CARE FOR BOTH INPATIENTS AND OUTPATIENTS REQUIRING UPPER OR LOWER GASTROINTESTINAL STUDIES. THE SERVICE OFFERS E.R.C.P. (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) STUDIES OF THE GALL BLADDER, PANCREAS AND BILE DUCTS. ALSO OFFERED ARE ENDOSCOPIC ULTRASOUND, WHICH EXAMINES THE WALLS AND THE SURROUNDING STRUCTURES OF THE GI SYSTEM; GASTROSCOPY AND COLONOSCOPY, A MINIMALLY INVASIVE PROCEDURE TO VIEW THE GASTROINTESTINAL SYSTEM INCLUDING THE ESOPHAGUS, STOMACH AND COLON; AND LIVER BIOPSIES. THE ENDOSCOPY UNIT ALSO PERFORMS PH AND MOTILITY STUDIES USING THE "BRAVO" CAPSULE. THE HOSPITAL PERFORMED 3,054 OUTPATIENT ENDOSCOPY PROCEDURES IN 2019.PAIN MANAGEMENT:SOUTH NASSAU'S PAIN MANAGEMENT UNIT PROVIDES CARE TO BOTH INPATIENTS AND OUTPATIENTS REQUIRING INTERVENTIONAL PAIN MANAGEMENT PROCEDURES. THE PAIN MANAGEMENT ANESTHESIOLOGISTS, WHO ARE ASSISTED BY HIGHLY SKILLED REGISTERED NURSES, ARE TRAINED IN CUTTING-EDGE INTERVENTIONAL PAIN MANAGEMENT MODALITIES. THE HOSPITAL PERFORMED 1,773 OUTPATIENT PAIN MANAGEMENT PROCEDURES IN 2019.CARDIAC SERVICES:CARDIAC CATHETERIZATION LABORATORY: THE HOSPITAL'S CARDIAC CATHETERIZATION LABORATORIES IN THE CENTER FOR CARDIOVASCULAR HEALTH USE STATE-OF-THE-ART DIGITAL IMAGING CAMERAS FOR THE HIGHEST POSSIBLE RESOLUTION AND IMAGE QUALITY. THIS PROVIDES PRECISE RESULTS FOR CARDIAC PROCEDURES WHILE SIGNIFICANTLY REDUCING THE PATIENT'S EXPOSURE TO RADIATION. SOUTH NASSAU WAS APPROVED BY THE DEPARTMENT OF HEALTH TO PERFORM ELECTIVE ANGIOPLASTY. THIS ALLOWS SOUTH NASSAU TO PERFORM DIAGNOSTIC CARDIAC CATHETERIZATIONS AS WELL AS BOTH ELECTIVE AND EMERGENT CORONARY ANGIOPLASTY PROCEDURES. THE CARDIAC CATHETERIZATION LAB AND THE CARDIAC SERVICES ADMITTING/RECOVERY UNIT ARE STAFFED BY SPECIALLY TRAINED REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN'S ASSISTANTS AND EXPERIENCED INTERVENTIONAL CARDIOLOGISTS WHO RANK AMONG THE BEST IN THE STATE. THE HOSPITAL PERFORMED 914 OUTPATIENT CATHETERIZATION PROCEDURES IN 2019.ELECTROPHYSIOLOGY LABORATORY:THE HOSPITAL'S ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF LIFE-THREATENING HEART RHYTHM DISORDERS. THE ELECTROPHYSIOLOGY LAB USES STATE-OF-THE-ART 3-D CARDIAC ANATOMIC MAPPING WHICH ALLOWS FOR THE PRECISE LOCATION OF IRREGULAR HEARTBEATS. THE ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB TEAM IS COMPOSED OF BOARD-CERTIFIED ELECTROPHYSIOLOGISTS TOGETHER WITH SPECIALLY TRAINED PHYSICIAN ASSISTANTS AND REGISTERED NURSES. THE LAB IMPLANTS PERMANENT PACEMAKERS, CARDIAC DEFIBRILLATORS, BIVENTRICULAR DEVICES AND LOOP RECORDERS AND PROVIDES ELECTROPHYSIOLOGY PROCEDURES SUCH AS TABLE TESTING, CARDIAC ABLATIONS, CARDIOVERSIONS, TRANSESOPHAGEAL ECHOCARDIOGRAMS AND DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES. PATIENTS RECEIVING PERMANENT PACEMAKERS OR DEFIBRILLATORS HAVE THE DEVICE INTERROGATIONS PERFORMED IN THE ELECTROPHYSIOLOGY LAB FOLLOWING THE IMPLANTATION AND AT ROUTINE INTERVALS. THE HOSPITAL PERFORMED 322 OUTPATIENT EP STUDIES IN 2019.SUMMARY:AMBULATORY SURGERY SERVICES WERE PROVIDED TO 12,487 MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $1.6 MILLION (CHARGES) FOR AMBULATORY PATIENTS SERVED IN 2019. 56913826 61000015 EMERGENCY SERVICES:OCEANSIDE:THE EMERGENCY ROOM IS OPERATED ON A FULL TIME BASIS (24 HOURS 365 DAYS A WEEK). OUR EMERGENCY ROOM IS ONE OF THE BUSIEST ON THE SOUTH SHORE OF NASSAU COUNTY. THE EMERGENCY ROOM IS THIS AREA'S LEADING CENTER OF SPECIALIZED EMERGENCY CARE, WITH A SOLID REPUTATION FOR DEVELOPING AND IMPLEMENTING INNOVATIONS IN EMERGENCY HEALTH CARE SERVICES. THE EMERGENCY ROOM IS STAFFED BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING BOARD-CERTIFIED, RESIDENCY-TRAINED EMERGENCY MEDICINE PHYSICIANS (ONE OF FEW HOSPITALS IN NEW YORK WITH SUCH STAFFING), AS WELL AS NURSES, NURSE PRACTITIONERS AND PHYSICIANS' ASSISTANTS WHO HAVE BEEN SPECIALLY-TRAINED IN EMERGENCY MEDICAL CARE. THE EMERGENCY ROOM IS ALSO A LEVEL II TRAUMA CENTER, EQUIPPED WITH THE ADVANCED MEDICAL TECHNOLOGY AND SKILLED SPECIALISTS REQUIRED TO PERFORM EMERGENCY TRAUMA PROCEDURES. IT HAS ALSO BEEN DESIGNATED AS A STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH BECAUSE WE OFFER THE RAPID ASSESSMENT AND ADVANCED THERAPIES AND PROCEDURES THAT CAN MAKE A DIFFERENCE FORSTROKE PATIENT. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS RECEIVING EMERGENCY ROOM SERVICES CONSISTENT WITH OUR POLICY. THE HOSPITAL EXPERIENCED 62,962 EMERGENCY ROOM VISITS IN 2019 OF WHICH 16,608 PATIENTS WERE ADMITTED IN 2019, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $2.0 MILLION (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES.LONG BEACH:THE FREE STANDING EMERGENCY DEPARTMENT, WHICH OPERATES ON A FULL TIME BASIS (24 HOURS A DAY, 365 DAYS A YEAR), IS STAFFED WITH CERTIFIED EMERGENCY NURSES AND PHYSICIANS BOARD CERTIFIED IN EMERGENCY MEDICINE, AND HAS THE SAME FEATURES AND DIAGNOSTIC EQUIPMENT AS A TRADITIONAL EMERGENCY DEPARTMENT WITH THE EXCEPTION BEING THAT IT IS NOT LOCATED ON THE HOSPITAL'S MAIN CAMPUS. ANY PATIENTS REQUIRING CONTINUED HOSPITAL CARE OR ADMISSION ARE TRANSFERRED TO THE MAIN CAMPUS VIA A SOUTH NASSAU AMBULANCE. THESE TRANSFERS ARE PAID FOR BY THE HOSPITAL. IN 2019, THE LONG BEACH EMERGENCY DEPARTMENT EXPERIENCED 10,330 VISITS, OF WHICH 1,236 PATIENTS WERE TRANSFERRED TO THE HOSPITAL'S MAIN CAMPUS RESULTING IN 829 ADMISSIONS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $200,000 (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES. 63009940 24585238 ADDITIONAL OUTPATIENT SERVICES OFFERED BY SOUTH NASSAU COMMUNITIES HOSPITAL ARE: WOUND CARE; FAMILY MEDICINE; SPORTS MEDICINE AND REHABILITATION THERAPY; BEHAVIORAL HEALTH SERVICES; OUTPATIENT DIALYSIS; PARENT-CHILD EDUCATION; PRIMARY MEDICAL CARE; CARDIAC REHABILITATION; WEIGHT & LIFE MANAGEMENT; HOME HEALTH CARE; CANCER SERVICES; GAMMA KNIFE SERVICES; BREAST/GYN HEALTH; OTHER CARDIOVASCULAR SERVICES; RADIOLOGY SERVICES; WOMEN'S IMAGING; SLEEP MEDICINE; AND FAMILY MEDICINE AT LONG BEACH. THE HOSPITAL PROVIDED 284,000 SERVICES RELATED TO THE OTHER OUTPATIENT SERVICES IN 2019. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO A PAY FOR THESE SERVICES.IN 2019, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $4.5 MILLION (CHARGES) FOR OTHER OUTPATIENT SERVICES. 63009940 24585238 462067345 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 1 406 0 1 4042 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 20 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN POHLMAN 5166324062 ONE HEALTHY WAY OCEANSIDE NY 11572 RICHARD MURPHY PRESIDENT & CEO 35.50 2.00 X X 1411619 0 160222 ANTHONY CANCELLIERI DIRECTOR 1.00 1.00 X 0 0 0 ANTHONY PONTE DIRECTOR 1.00 0.00 X 0 0 0 ARTHUR KLEIN DIRECTOR 1.00 59.00 X 0 1841178 39086 BUTCH YAMALI DIRECTOR 1.00 0.00 X 0 0 0 DAVID BONAGURA DIRECTOR 1.00 0.00 X 0 0 0 DONALD SCANLON DIRECTOR 1.00 59.00 X 0 2055954 57285 EDWARD SCOTT DIRECTOR 1.00 1.00 X 0 0 0 HARRY KASSEL VICE CHAIRMAN 1.00 0.00 X 0 0 0 JEFFREY FRISCH DIRECTOR 1.00 0.00 X 0 0 0 JOEL SCHNEIDER DIRECTOR 1.00 0.00 X 0 0 0 JOSPEPH J FENNESSY CHAIRMAN 1.00 1.00 X 0 0 0 LOWELL FREY ASSISTANT SECRETARY 1.00 0.00 X 0 0 0 MARILYN COHEN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL SCHAMROTH PAST CHAIRMAN 1.00 0.00 X 0 0 0 MIHAI DIMANCESCU MD DIRECTOR 1.00 0.00 X 0 0 0 PETER C BREITSTONE TREASURER 1.00 1.00 X 0 0 0 SALLY VALENTI DIRECTOR 1.00 0.00 X 0 0 0 STEVEN GOLD DIRECTOR 1.00 0.00 X 0 0 0 WAYNE LIPTON DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM ALLISON CHIEF OPERATING OFFICER 36.50 1.00 X 619989 0 24331 ADHI SHARMA CHIEF MEDICAL OFFICER 36.50 1.00 X 595507 0 40693 MARK BOGEN CHIEF FINANCIAL OFFICER 36.50 1.00 X 554409 0 30643 JOHN POHLMAN CHIEF FINANCIAL OFFICER 36.50 1.00 X 126008 0 5440 ALAN GARELY CLINICAL CHAIR OB/GYN 22.00 15.50 X 1153548 0 37985 ASIF REHMAN ASSOC DIR INTER CARDIO 37.50 0.00 X 920538 0 36648 JASON FREEMAN DIR OF INTER CARDIO 37.50 0.00 X 1119836 0 36504 LAWRENCE KANNER DIR OF ELECTROPHYSIOLOGY 36.50 1.00 X 1063091 0 38282 MICHAEL HERMAN PHYSICIAN 19.60 17.90 X 0 543708 38535 7564545 4440840 545654 616 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURG PA 152516170 CATERING SERVICES 5397501 CADUCEUS 30 MONTGOMERY ST SUITE 720 JERSEY CITY NJ 073023841 HEALTHCARE MANAGEMENT SERVICES 3356128 HUNTER ROBERTS CONSTRUCTION GROUP LLC 55 WATER ST 51TH FLOOR NEW YORK NY 10041 CONSTRUCTION SERVICES 3132468 ION COMPUTER SYSTEMS 30 OSER AV SUITE 300 HAUPPAUGE NY NY 11788 COMPUTER SYSTEMS 2693819 CBRE 400 S HOPE STREET 25TH FLOOR LOS ANGELES CA 90071 REAL ESTATE SERVICES 1762112 91 1074246 4785926 4454026 102582 10314198 PATIENT REVENUE 622110 521128990 521128990 REFERENCE LAB 621500 3296376 3296376 RENTAL INCOME -RELATED 531120 1631579 1631579 526056945 2511357 2511357 8475970 5037714 3438256 3438256 3438256 242996 1074246 558481 -315485 -315485 SERVICES TO AFFILIATES 621400 6197181 6197181 CAF & CAFETERIA 722514 2098909 2098909 REBATES & DISCOUNTS 900099 1225387 1225387 1784042 1780848 3194 11305519 553310790 531963985 3299570 7733037 8331236 7306494 1024742 238595383 209353951 29031692 209740 11527914 10106783 1421131 26237494 22992404 3245090 17686722 15506349 2180373 1160514 1017449 143065 543996 543996 372656 372656 203740 203740 44600620 39102371 5498249 1945145 1945145 6300561 4099371 2134758 66432 5130437 4497970 632467 5084102 4457347 626755 263432 230957 32475 449679 394244 55435 4138329 3628167 510162 32990403 28923432 4066971 8817379 7730395 1086984 MEDICAL SUPPLIES 81892198 81892198 OTS MANAGEMENT 6458500 6458500 EQUIPMENT RENTAL & MAIN 6008093 5267431 740662 PERIODIC NON-SERVICE BE 2481283 2481283 6666560 6620249 46311 517886376 462067345 55542859 276172 8603783 15436778 8677462 16415543 66213576 72749048 8860814 8147076 4286269 5726276 713390249 372399870 325996807 340990379 133205774 153221393 7786166 10039319 134333899 162299560 697964550 785025372 90805447 102144632 55891977 57613939 162456726 189571560 10867930 10610104 6070000 5749001 106625643 120239280 432717723 485928516 X 257982725 289276107 7264102 9820749 265246827 299096856 697964550 785025372 X 35424414 21674307 -23248692 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 372656 372656 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF MULTIPLE HEALTHCARE ASSOCIATIONS WHICH INCLUDE THE AMERICAN HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK, THE NASSAU SUFFOLK HOSPITAL COUNCIL, AND THE HOME CARE ASSOCIATION OF NEW YORK STATE. THESE ORGANIZATIONS LOBBY ON BEHALF OF THE HEALTHCARE INDUSTRY. THE HOSPITAL ALSO CONTRACTS WITH VARIOUS LOBBYING CONSULTING FIRMS ON HOSPITAL SPECIFIC ISSUES. 7264102 8705608 6150239 9819471 6118501 16346591 15200990 7264102 3815354 6282696 3979549 6118501 1774697 2161697 121040 3815354 2010535 8398283 8634121 1774697 0.14000 0.86000 0 0 27806344 27806344 359130707 195088447 164042260 10143325 9384893 758432 239550440 166310590 73239850 76759433 1615940 75143493 340990379 DUE FROM SUBSIDIARIES 30731450 ASSETS WHOSE USE IS LIMITED 97798293 INSURANCE CLAIMS RECEIVABLE 3047000 OPERATING LEASES 29759533 OTHER ASSETS 963284 162299560 ESTIMATED PROFESSIONAL & GENERAL LIABILITY 31940000 ACCRUED PENSION PAYABLE 71024394 ACCRUED POST RETIREMENT BENEFITS 2769000 INSURANCE CLAIMS PAYABLE 3047000 SELF INSURANCE- MALPRACTICE LIABILITY- CURRENT 8700000 OTHER LIABILITIES 2758886 120239280 PART V, LINE 4: TWO FUNDS EXIST AT THE HOSPITAL, THE ANNUAL IMPROVEMENT FUND AND THE SPECIAL PURPOSE FUND. THESE FUNDS ARE RESTRICTED AS TO THEIR PURPOSE OR TIME AS IS STIPULATED BY THE DONOR'S REQUEST. THE MONEY IS KEPT IN SEPARATE INVESTMENT VEHICLES FOR EACH FUND. UNRESTRICTED DONATIONS ARE KEPT IN THESE TEMPORARY FUNDS ALSO. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS AND ARE TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THESE ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH MAY BE RESTRICTED FOR SPECIFIC HOSPITAL ACTIVITIES OR MAY BE UNRESTRICTED AS TO USE. IF A DONATION IS MADE FOR A SPECIAL PROGRAM, IT IS PLACED INTO A TEMPORARILY RESTRICTED CATEGORY. WHEN THE EXPENDITURE IS INCURRED TO FULFILL THE REQUIREMENTS OF THIS PROGRAM/DONATION, THE FUNDS ARE TRANSFERRED FROM TEMPORARILY RESTRICTED STATUS AND ARE EXPENDED. CARNATION BALL 742727 658441 84286 61490 199706 GOLF OUTING 574515 415805 158710 145034 152251 1317242 1074246 242996 206524 351957 558481 -315485 1 1 X 1 X 1 X 1 1 0 1 1 1 1372 1913928 1292070 621858 0.00120 1 74443 92510275 59187392 33322883 0.06430 2 75815 94424203 60479462 33944741 0.06550 151 9468 492807 492807 0.00100 3 100 7307686 6563270 744416 0.00140 3 53938 48215144 28810796 19404348 0.03750 157 63506 56015637 35374066 20641571 0.03990 159 139321 150439840 95853528 54586312 0.10540 14 5672 45691 45691 0.00010 11 633 289173 289173 0.00060 25 6305 334864 334864 0.00070 0 30356192 1464051 170002043 178216445 -8214402 X 1 1 1 NEW YORK MEDICAL PARTNERS ACO LLC ACCOUNTABLE CARE ORGANIZATION 0.50000 0.00000 0.50000 1 1 SOUTH NASSAU COMMUNITIES HOSPITAL ONE HEALTHY WAY OCEANSIDE NY 115721551 HTTPS://WWW.SOUTHNASSAU.ORG 2950001H X X X SOUTH NASSAU COMMUNITIES HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX X X 1 19 1 HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX 0 1 X 100.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX X HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX X HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/FINANCIAL-ASSISTANCE-PROGRAM.ASPX X X X X X X 1 X 0 X X X X 1 X 0 0 SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A SERIES OF COLLABORATIVE CHNA PLANNING AND IMPLEMENTATION MEETINGS WITH REPRESENTATION AND INPUT FROM PUBLIC HEALTH EXPERTS, FROM LOCAL ACADEMIC PARTNERS, THE NASSAU COUNTY DEPARTMENT OF HEALTH, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH AND HOSPITALS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS LOCATED THROUGHOUT NASSAU AND SUFFOLK COUNTIES. THE LONG ISLAND HEALTH COLLABORATIVE, CONSISTING OF OVER ONE HUNDRED ENTITIES, DEVELOPED THE HEALTH NEEDS ASSESSMENT AND THEN DISTRIBUTED IT TO THE PUBLIC VIA THE INTERNET, LOCAL COMMUNITY BASED ORGANIZATIONS, THE PARTICIPATING HOSPITALS AND COMMUNITY MAILINGS. THE LONG ISLAND POPULATION HEALTH IMPROVEMENT PROGRAM (LIPHIP) IS A NEW YORK STATE DEPARTMENT OF HEALTH GRANT-FUNDED INITIATIVE; THE LONG ISLAND HEALTH COLLABORATIVE (LIHC) IS A WORKGROUP OF THE LIPHIP. TO CAPTURE THE VALUABLE PERSPECTIVES OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS) AND SOCIAL SERVICE AGENCIES ON LONG ISLAND, THE PHIP HELD TWO SUMMIT EVENTS DURING WHICH QUALITATIVE DATA WAS COLLECTED. REPRESENTATIVES FROM A COMPREHENSIVE NETWORK OF ORGANIZATIONS WHO POSSESS UNPARALLELED EXPERIENCE WORKING WITH COMMUNITY MEMBERS THROUGHOUT LONG ISLAND PARTICIPATED DURING THESE EVENTS. SOME EXAMPLES OF PARTICIPATING CBOS ARE LI CARES, MOMMAS HOUSE, CATHOLIC HOME CARE, COORDINATING AGENCY FOR SPANISH AMERICANS, FAMILY & CHILDREN'S ASSOCIATION, LGBT NETWORK, SOCIETY OF ST. VINCENT DE PAUL, AND THE HISPANIC COUNSELING CENTER. A TOTAL OF 45 ORGANIZATIONS FROM NASSAU COUNTY PARTICIPATED IN THE SUMMIT WHICH CONTRIBUTED TO THE DIVERSITY AND BREADTH OF QUALITATIVE DATA COLLECTED AND ANALYZED. A SCRIPT FOR FACILITATORS WAS DEVELOPED AND USED AS THE PRIMARY DATA COLLECTION TOOL, ADAPTED FROM THE NASSAU COUNTY DEPARTMENT OF HEALTH'S KEY INFORMANT SCRIPT. QUESTIONS PERTAINED TO HEALTH PROBLEMS AND CONCERNS, HEALTH DISPARITIES, BARRIERS TO CARE, SERVICES AVAILABLE AND OPPORTUNITIES FOR IMPROVEMENT.FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 6A: FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 6B: FOR A COMPLETE LIST OF GREATER THAN 100 MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 7D: MOUNT SIANAI SOUTH NASSAU POSTS THE COMMUNITY SERVICE PLAN ("CSP")/COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") ON ITS WEBSITE (WWW.SOUTHNASSAU.ORG) AND OFFERS PAPER COPIES TO THE PUBLIC WHEN REQUESTED. OUR COMMUNITY NEWSLETTER, WHICH REACHES OVER 300,000 RESIDENTS, PROVIDES INFORMATION ON HOW TO OBTAIN THE CSP/CHNA, AS DOES THE EMPLOYEE NEWSLETTER. ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION BRINGS THE DOCUMENT TO VARIOUS COMMUNITY EVENTS. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 11: DETAILS ON HOW SOUTH NASSAU COMMUNITIES HOSPITAL, INC. IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA ARE IDENTIFIED IN THE HOSPITAL'S COMPREHENSIVE 2019-2021 COMMUNITY SERVICE PLAN (CSP), AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.SOUTHNASSAU.ORG/MAIN/COMMUNITY-SERVICE-PLAN.ASPX. THIS 3-YEAR PLAN EXPLAINS IN DETAIL THE MANY WAYS WE ARE COMMITTED TO THE HEALTH OF THE COMMUNITIES WE SERVE BY OFFERING COMMUNITY PROGRAMS (I.E. 5-WEEK SMOKING CESSATION PROGRAM), LECTURES (I.E. DIABETES PREVENTION, CARDIOVASCULAR HEALTH, FALL PREVENTION) AND FREE HEALTH SCREENINGS (I.E. CHOLESTEROL, BLOOD PRESSURE, PSA).THE CRITERIA UTILIZED TO DETERMINE THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITIES WE SERVE INCLUDED ANALYSIS OF THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY, REVIEW OF THE INFORMATION GLEANED FROM THE NASSAU COUNTY CBO SUMMIT, AND REVIEW OF PUBLICLY-AVAILABLE DATA SETS INCLUDING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), NEW YORK STATE PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND NEW YORK STATE VITAL STATISTICS. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM. THE HEALTH CONCERNS WHICH SURFACED AS TOP PRIORITIES WERE: 1) PREVENT CHRONIC DISEASE, AND 2) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. 12 1 - SNCH - OUTPATIENT BEHAVIORAL HEALTH 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT 2 - SNCH - FAMILY PRACTICE CENTER 196 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT 3 - SNCH - RADIATION ONCOLOGY THERAPY CNTR ONE SOUTH CENTERAL AVE VALLEY STREAM NY 11580 OUTPATIENT 4 - SNCH - OUTPATIENT DIALYSIS CENTER 3618 OCEANSIDE ROAD OCEANSIDE NY 11572 OUTPATIENT 5 - SNCH - OUTPATIENT ANNEX 440 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT 6 - SNCH - SLEEP CENTER 1420 BROADWAY HEWLETT NY 11557 OUTPATIENT 7 - SNCH - HOMECARE AGENCY 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT 8 - SNCH - LONG TERM HOMECARE AGENCY 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT 9 - SNCH - FAMILY MEDICINE AT LONG BEACH 761 FRANKLIN BLVD LONG BEACH NY 11561 OUTPATIENT 10 - SNCH - OFF CAMPUS EMERGENCY DEPARTMENT 325 EAST BAY DRIVE LONG BEACH NY 11561 OUTPATIENT 11 - SNCH - MENTAL HEALTH AT HEMPSTEAD 250 FULTON AVE HEMPTEAD NY 11550 OUTPATIENT 12 - SNCH - DIABETES EDUCATION CENTER 519 MERRICK RD ROCKVILLE CENTRE NY 11570 OUTPATIENT PART I, LINE 6A: THE HOSPITAL FILED A 2019-2021 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON DECEMBER 19, 2019. PART I, LINE 7: IN LIEU OF A COST ACCOUNTING SYSTEM, THE COST TO CHARGE RATIO WAS GENERATED FROM THE 2019 INSTITUTIONAL COST REPORT STEP-DOWN. THIS METHODOLOGY APPLIES COSTS TO EACH UNIT BY SERVICE. THE COST TO CHARGE RATIO WAS UTILIZED TO DERIVE THE COSTS. PART I, LINE 7G: INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, NPATIENT PEDIATRIC, INPATIENT PSYCHIATRIC, AND TRANSITIONAL CARE UNIT PROGRAMS.PART I, LN 7 COL (F):DISTINGUISHING BAD DEBT EXPENSE FROM CHARITY CARE REQUIRES JUDGMENT; TOGETHER, THEY REPRESENT UNCOMPENSATED CARE. THE HOSPITAL'S POLICY REGARDING CHARITY IS TO PROVIDE A SIGNIFICANT AMOUNT OF CARE WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SERVICES RENDERED; THIS INCLUDES FREE CARE AND A SLIDING FEE SCALE, BASED ON THE PATIENTS' ABILITY TO PAY WHICH IS DEFINED AS UP TO 300% OF THE POVERTY LEVEL. THE HOSPITAL UTILIZES A CREDIT VERIFICATION FIRM TO ASSIST IN DETERMINING IF UNINSURED PATIENTS MEET THE HOSPITAL'S CHARITY CRITERIA. THIS PROCESS IDENTIFIES UNINSURED PATIENTS THAT WERE UNDER THE POVERTY LEVEL BUT DID NOT APPLY FOR CHARITY CARE. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT). PART III, LINE 3: THE AMOUNT REPORTED IN PART III LINE 3 WAS RELATED TO THE EMERGENCY ROOM'S BAD DEBT AT COST. THE FIGURE WAS DERIVED USING THE EMERGENCY ROOM'S BAD DEBT GROSS CHARGES AND MULTIPLYING THIS AMOUNT BY THE EMERGENCY'S ROOMS SPECIFIC RCC TO COME UP WITH THE BAD DEBT EXPENSE AT COST FOR THE EMERGENCY ROOM. WE DID NOT INCLUDE ANY AMOUNTS OF BAD DEBT IN PART I LINE 7. WE BELIEVE THE ENTIRE AMOUNT SHOULD BE CONSIDERED CHARITY CARE. EMTALA AND OTHER REGULATIONS REQUIRE THAT THE HOSPITAL PROVIDE EMERGENCY SERVICES TO INDIVIDUALS BEFORE DISCUSSING FINANCIAL INFORMATION.CHARITY CARE IS USUALLY RELATED TO PATIENTS WHO WE DEFINE AS LACKING THEABILITY TO PAY. A HOSPITAL'S INABILITY TO COLLECT FROM A PATIENT WHO HAS THE MEANS TO PAY IS BAD DEBT EXPENSE.OUR REGISTRATION DEPARTMENT DOES NOT HAVE THE ABILITY TO DETERMINE THE EMERGENCY ROOM PATIENT FINANCIAL STATUS BEFORE CARE IS DELIVERED AND IN MANY CASES, THE INFORMATION PROVIDED BY THE PATIENTS IS INACCURATE. SINCE WE RENDERED CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY WE BELIEVE THAT THESE PATIENTS ARE SIMILAR TO CHARITY CARE AND NOT BAD DEBT. PART III, LINE 4: BAD DEBT EXPENSE IS DESCRIBED IN PAGE 18 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: SOUTH NASSAU COMMUNITIES HOSPITAL CONSIDERS THE MEDICARE SHORTFALL AS A BENEFIT PROVIDED TO THE COMMUNITY. IF IT WAS ALLOWED TO BE INCLUDED IN THE SHORTFALL, THE COMMUNITY BENEFIT PERCENTAGE WOULD BE 13.54%. THE AMOUNT REPORTED IN PART III, LINE 6 WAS RELATED TO MEDICARE'S ALLOWABLE COSTS. THE FIGURE WAS DERIVED USING THE MEDICARE CHARGES AS REPORTED ON THE ANNUAL INSTITUTIONAL COST REPORT AND MULTIPLYING THAT AMOUNT BY THE RATIO OF COST TO CHARGE (RCC). PART III, LINE 9B: UPON APPLYING FOR CHARITY CARE, THE PATIENT IS ADVISED TO DISREGARD ALL BILLS SENT BY THE HOSPITAL UNTIL A FINAL DECISION HAS BEEN MADE. A PATIENT THAT RECEIVES PARTIAL CHARITY CARE IS SUBJECT TO THE HOSPITAL COLLECTION POLICY EXCEPT THAT:1) THE PATIENT WILL BE PROVIDED WITH A WRITTEN NOTICE 30 DAYS PRIOR TO THE ACCOUNT GOING TO COLLECTION.2) THE HOSPITAL WILL NOT PLACE A LIEN ON THE PATIENT'S ASSETS. PART VI, LINE 2: IN AN EFFORT TO IDENTIFY THE NEEDS OF PATIENTS AND COMMUNITIES, SOUTH NASSAU UTILIZES TOOLS AND COLLABORATES WITH LOCAL AND STATE GOVERNMENTS, CIVIC ASSOCIATIONS AND OTHER COMMUNITY GROUPS TO ESTABLISH THE NEEDS OF THE COMMUNITY THE HOSPITAL SERVICES. NASSAU COUNTY DEPARTMENT OF HEALTH CONDUCTED A COMPARISON BETWEEN A SELECTED GROUP OF COMMUNITIES AND THE REST OF THE COUNTY POPULATION. THE ANALYSIS HELPED TO LOCATE MANY OF THE HEALTH DISPARITIES THAT EXIST WITHIN THE COUNTY. THE SELECTED COMMUNITIES WERE CHOSEN WITH THE ASSISTANCE OF AN INDEX COMPRISED OF MULTIPLE SOCIOECONOMIC AND HEALTH RELATED FACTORS. OF THE IDENTIFIED AT-RISK COMMUNITIES, TWO FALL WITHIN OUR PRIMARY SERVICE AREA (FREEPORT AND ROOSEVELT) AND FOUR WITHIN OUR SECONDARY SERVICE AREA (ELMONT, HEMPSTEAD, UNIONDALE, AND INWOOD. SO, WHILE NASSAU COUNTY AS A WHOLE APPEARS TO BE QUITE WELL OFF, THERE IS AN UNEQUAL DISTRIBUTION OF WEALTH AND WELLBEING AMONG COMMUNITIES.THE HOSPITAL PARTICIPATES IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES PATIENT SATISFACTION SURVEY (KNOWN AS HCAHPS) BY USING PRESS GANEY, WHICH CONDUCTS A PHONE SURVEY, CONTACTING A STATISTICALLY VALID SAMPLE OF INPATIENTS AFTER DISCHARGE. SURVEY QUESTIONS INQUIRE ABOUT PATIENTS' SATISFACTION WITH THE DOCTORS, NURSES, TRANSITIONS OF CARE PLANNING, MEDICATIONS AND HOSPITAL SERVICES. QUARTERLY SURVEY RESULTS ARE BENCHMARKED AGAINST NATIONAL, STATE AND COMPARABLE HOPSITALS. THE QUARTERLY RESULTS ARE REVIEWED BY THE ADMINISTRATIVE TEAM, MANAGERIAL STAFF AND HOSPITAL STAFF. QUARTERLY ACTION PLANS TO IMPROVE THE SCORES NOT MEETING ESTABLIHSED GOALS ARE DEVELOPED BY THE VARIOUS NURSING UNITS AND DEPARTMENTS. SOUTH NASSAU'S BOARD, WHICH IS COMPOSED OF LOCAL INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY THE HOSPITAL AND INCLUDES A CROSS-SECTION OF REPRESENTATIVES SUCH AS CLERGY, BUSINESS PEOPLE AND PHYSICIANS, MEETS REGULARLY. WHILE THE MEMBERS OF SOUTH NASSAU COMMUNITIES HOSPITAL'S BOARD OF DIRECTORS ACCEPT RESPONSIBILITY FOR GOVERNANCE OF THE HOSPITAL, THEY ARE ALSO COMMUNITY ADVOCATES. AS SUCH, THEY ARE ABLE TO SPEAK ON BEHALF OF THE COMMUNITY AND RAISE ISSUES WITH THE HOSPITAL OR CONSIDER ACTIONS THAT AFFECT HOSPITALS PLANS AND OPERATIONS. THE BOARD HAS ESTABLISHED A NUMBER OF COMMITTEES THAT ARE RESPONSIBLE FOR OVERSIGHT AND COORDINATION OF HOSPITAL ACTIVITIES IN REGARDS TO COMMUNITY ADVOCACY.SOUTH NASSAU SOLICITS THE COMMUNITY'S FEEDBACK FOLLOWING FREE PUBLIC CONFERENCES IT SPONSORS EACH YEAR. SURVEYS YIELD VALUABLE INFORMATION SUCH AS COMMUNITY PREFERENCE FOR SEMINAR CONTENT AND FORMAT AND REQUESTS FOR EXPANDED PROGRAMS AND SERVICES.DEPARTMENTS HOSPITAL-WIDE HAVE RELATIONSHIPS WITH INDIVIDUALS AND GROUPS WHO HAVE SPECIAL NEEDS, SUCH AS PHYSICAL HANDICAPS, LANGUAGE BARRIERS AND CULTURAL ISSUES. THESE DEPARTMENTS ENCOURAGE COMMENTS AND SUGGESTIONS FROM THESE POPULATIONS. THEIR FEEDBACK IS USED TO ASSESS THE EFFECTIVENESS OF EXISTING PROCEDURES AND PROGRAMS.SOUTH NASSAU'S ADMINISTRATION MAINTAINS AN OPEN-DOOR POLICY AND ANY MEMBER OF THE COMMUNITY IS WELCOME TO COMMENT. ANY REASONABLE ISSUE RAISED IS ADDRESSED AND CARE IS TAKEN TO RESPOND IN A TIMELY AND SATISFACTORY FASHION.SOUTH NASSAU MAINTAINS AN EXTENSIVE WEBSITE, WWW.SOUTHNASSAU.ORG, A COMPREHENSIVE SOURCE OF INFORMATION ON THE HOSPITAL'S SERVICES, SPECIALTY CENTERS, PHYSICIANS, NEW DEVELOPMENTS AND EMPLOYMENT OPPORTUNITIES. IT INCORPORATES MICROSITES FOR CARDIOLOGY, CANCER AND CANCER TREATMENT OPTIONS, ORTHPEDICS, WEIGHT LOSS SURGERY, UROLOGY AND MORE. CONTACT INFORMATION FOR USERS TO SUBMIT QUESTIONS AND REQUESTS FOR INFORMATION IS CLEARLY PROVIDED, AS IS LOCATION AND PHONE INFORMATION FOR THE HOSPITAL'S SATELLITE PRACTICES.SOUTH NASSAU'S ADMINISTRATION IS IN CONSTANT COMMUNICATION WITH LOCAL AND GOVERNMENT LEADERS IN DETERMINING THE NEEDS OF THE COMMUNITIES. THE ADMINISTRATIVE TEAMS ALSO ARE INVOLVED WITH HOSPITAL ASSOCIATIONS AND OTHER HEALTHCARE ASSOCIATES WHICH TARGET THE NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES. NEW YORK STATE'S DEPARTMENT OF HEALTH ALSO WORKS VERY CLOSELY WITH THE HOSPITAL TO HELP ASSESS THE NEEDS OF THE COMMUNITY SERVED.SOUTH NASSAU'S FOUR ACTIVE AUXILIARIES ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITIES THEY REPRESENT.THE HOSPITAL COLLECTS DATA WITH REGARDS TO ECONOMIC, SOCIAL, CULTURAL AND GEOGRAPHIC BARRIERS THAT EXIST. PART VI, LINE 3: THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH TRANSLATION CAPABILITIES THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER,HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER,HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND SPANISH.THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL AID INCLUDING CHARITY CARE ON ITS EXTERNAL WEBSITE: SOUTHNASSAU.ORG DIRECTING THEM TO THE FINANCIAL ASSISTANCE DEPARTMENT.THE HOSPITAL EDUCATES ALL EMPLOYEES THAT INTERACT WITH PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CHARITY CARE AND WHERE TO FIND INFORMATION ON THESE PROGRAMS.FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS INCLUDED IN PATIENT GUIDES AND SERVICE LINE GUIDES THAT ARE PROVIDED TO PATIENTS.PATIENT BILLS SENT OUT INCLUDE A NOTE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ON THE BACK OF THE BILL IS A CHARITY CARE APPLICATION. BILLING AND ACCOUNT SERVICES DEPARTMENTS ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND INFORMS PATIENTS OF THIS POLICY. ANY PATIENT CAN REQUEST AN APPLICATION FOR CHARITY CARE FROM THE ABOVE REGISTRATION AREAS, BILLING OFFICE AND ACCOUNT SERVICES DURING REGULAR BUSINESS HOURS AND VIA TELEPHONE. PART VI, LINE 4: SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF OCEANSIDE. NASSAU COUNTY HAS A POPULATION OF 1.36 MILLION (BASED ON JULY 1, 2019 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $111,240 (ACCORDING TO 2014-2018 CENSUS DATA) AND $49,211 PER CAPITA (2014-2018 (BASED ON PAST 12 MONTHS IN 2013- 2017 CENSUS). ACCORDING TO THE 2014-2018 CENSUS ESTIMATES, NASSAU COUNTY'S POVERTY LEVEL WAS 5.8%, WITH MORE OF THE POORER AREAS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY AND FALLING INTO THE HOSPITAL'S SERVICE AREA. HISPANICS, ALONG WITH OTHER MINORITIES, ARE CONCENTRATED IN SOUTH SHORE COMMUNITIES SUCH AS BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT, AND INWOOD, WITH MANY OF THESE COMMUNITIES' MEMBERS BEING UNINSURED OR INSURED BY MEDICAID.BASED ON 2019 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 37% MEDICAID 23% SELF PAY 1% AND CHARITY CARE 1%.OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE FRANKLIN HOSPITAL-NORTHWELL HEALTH AND MERCY MEDICAL CENTER. PART VI, LINE 5: THE HOSPITAL HAS ESTABLISHED A COMMUNITY ADVOCACY COMMITTEE THAT IS COMPOSED OF MEMBERS OF A NUMBER OF COMMUNITY ORGANIZATIONS, AND REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, STAFF AND BOARD. THIS GROUP MEETS FOUR TIMES A YEAR TO IDENTIFY NEEDS OF THEIR RESPECTIVE COMMUNITIES AND TO DISCUSS ISSUES OR RECOMMEND ACTIONS IN THE INTEREST OF IMPROVED SERVICE TO THOSE COMMUNITIES. THIS INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR CONSIDERATION.SOUTH NASSAU'S DEPARTMENT OF COMMUNITY EDUCATION IS A VALUED COMMUNITY RESOURCE. THIS DEPARTMENT PROVIDES HEALTH EDUCATION, COMMUNITY OUTREACH, FREE HEALTH SCREENINGS, AND REFERRAL SERVICES TO THE COMMUNITIES WE SERVE. IN KEEPING WITH POPULATION HEALTH INITIATIVES, THE DEPARTMENT'S GOALS FOCUS ON PROMOTING WELLNESS AND PREVENTING OR MANAGING CHRONIC DISEASE. IN 2019, OUR COMMUNITY-WIDE EFFORTS TOUCHED THE LIVES OF ALMOST 16,000 INDIVIDUALS. FEEDBACK FROM PROGRAM PARTICIPANTS AS WELL AS COMMUNITY PARTNERS CONTINUES TO BE OVERWHELMINGLY POSITIVE WHICH HAS BEEN EVIDENT IN POST-PROGRAM EVALUATIONS AND FOLLOW-UP. OUR SCREENINGS FOR THE YEAR TOTALED 1,752 AND INCLUDED BALANCE, BLOOD PRESSURE, BMI, CHOLESTEROL, COLORECTAL CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, SKIN CANCER, AND SLEEP ASSESSMENT. THE MISSION OF THE DEPARTMENT OF COMMUNITY EDUCATION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES THROUGH EDUCATION, AWARENESS, OUTREACH, PREVENTION AND SCREENING SERVICES. THROUGH ITS COMMUNITY-BASED INITIATIVES, THE DEPARTMENT STRIVES TO SUPPORT THE HOSPITAL'S PERFORMANCE TARGETS IN THE AREAS OF QUALITY, PATIENT SAFETY, AND SERVICE EXCELLENCE. THE DEPARTMENT PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS LOCAL LIBRARIES AND SCHOOLS, COMMUNITY CENTERS, SENIOR CENTERS AND CHURCHES TO PROVIDE EDUCATIONAL PROGRAMS, PRESENTATIONS AND SCREENINGS TO WHERE PEOPLE LIVE, WORK, AND PLAY. EXAMPLES OF THESE COMMUNITY PARTNERS ARE THE HEWLETT HOUSE 1 IN 9 CANCER SUPPORT CENTER, NEW YORK POISON CONTROL CENTER, THE OCEANSIDE JEWISH COMMUNITY CENTER, THE KNIGHTS OF COLUMBUS, THE TOWN OF HEMPSTEAD, AND THE CITY OF LONG BEACH.ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION OFFERS CPR CLASSES TO THE COMMUNITY AND BLS AND ACLS TO THE STAFF. THE DEPARTMENT RECOGNIZES THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' NATIONAL HEALTH OBSERVANCES WITH INFORMATION AND PRESENTATIONS ON THE MONTH'S CHOSEN TOPICS. COMMUNITY EDUCATION IS ALSO RESPONSIBLE FOR FOURTEEN FREE SUPPORT GROUPS RANGING FROM BARIATRIC SUPPORT TO BREAST CANCER TO BEREAVEMENT. THE ACTIVITIES OF THE DEPARTMENT OF COMMUNITY EDUCATION ARE REPORTED REGULARLY TO THE BOARD OF DIRECTORS. PART VI, LINE 6: SOUTH NASSAU COMMUNITIES HOSPITAL IS AFFILIATED WITH MOUNT SINAI HOSPITALS GROUP, INC. (MOUNT SINAI). MOUNT SINAI IS A NOT-FOR-PROFIT CORPORATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EFFECTIVE SEPTEMBER 2019, THE HOSPITAL IS DOING BUSINESS AS (D/B/A) MOUNT SINAI SOUTH NASSAU.THE HOSPITAL PARTICIPATES IN THE LONG ISLAND HEALTH COLLABORATIVE (LIHC), A COALITION THAT INCLUDES NASSAU AND SUFFOLK COUNTY HEALTH DEPARTMENTS, EVERY HOSPITAL ON LONG ISLAND, HEALTH AND SOCIAL SERVICE COMMUNITY-BASED ORGANIZATIONS, INSURANCE PLANS, ACADEMIC INSTITUTIONS, LOCAL GOVERNMENTS, AND OTHER GROUPS THAT ARE WORKING TOGETHER TOWARD A HEALTHIER LONG ISLAND COMMUNITY. THE LONG ISLAND HEALTH COLLABORATIVE WORKS TO IMPROVE CLINICAL QUALITY AND EXPAND ACCESS TO CARE FOR THE 2.8 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. LIHC HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURERS' EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 1 1 0 0 0 0 0 1 0 RICHARD MURPHY PRESIDENT & CEO 832158 0 166431 0 413030 0 128000 0 32222 0 1571841 0 0 0 ARTHUR KLEIN DIRECTOR 0 1000000 0 150000 0 691178 0 28000 0 11086 0 1880264 0 0 DONALD SCANLON DIRECTOR 0 1200000 0 486185 0 369769 0 28000 0 29285 0 2113239 0 0 WILLIAM ALLISON CHIEF OPERATING OFFICER 495477 0 121632 0 2880 0 14000 0 10331 0 644320 0 0 0 ADHI SHARMA CHIEF MEDICAL OFFICER 454106 0 136601 0 4800 0 14000 0 26693 0 636200 0 0 0 MARK BOGEN CHIEF FINANCIAL OFFICER 282844 0 0 0 271565 0 4240 0 26403 0 585052 0 0 0 ALAN GARELY CLINICAL CHAIR OB/GYN 951674 0 201874 0 0 0 13223 0 24762 0 1191533 0 0 0 ASIF REHMAN ASSOC DIR INTER CARDIO 920538 0 0 0 0 0 14603 0 22045 0 957186 0 0 0 JASON FREEMAN DIR OF INTER CARDIO 919836 0 200000 0 0 0 14603 0 21901 0 1156340 0 0 0 LAWRENCE KANNER DIR OF ELECTROPHYSIOLOGY 860591 0 202500 0 0 0 13731 0 24551 0 1101373 0 0 0 MICHAEL HERMAN PHYSICIAN 0 493708 0 50000 0 0 0 14423 0 24112 0 582243 0 0 PART I, LINES 4A-B 4A) MARK BOGEN - SERVANCE ISSUED MARCH, 2019, IN THE AMOUNT OF $269,965. LAST DAY OF EMPLOYMENT 2/20/19. 4B) SOUTH NASSAU COMMUNITIES HOSPITAL MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") FOR THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. THE SERP IS DESIGNED TO PROVIDE RICHARD MURPHY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH ANNUAL HOSPITAL FUNDED CONTRIBUTIONS OF $111,200 THAT ARE SUBJECT TO VESTING LIMITATIONS DESIGNED TO RETAIN MR. MURPHY. THIS COMPENSATION IS REPORTED IN SCHEDULE J, PART II, BOX C. SENIOR EXECUTIVE POSITIONS, WHO ARE IMPACTED BY LIMITS UNDER THE HOSPITAL'S TAX-QUALIFIED RETIREMENT PLAN THAT DO NOT LIMIT OTHER EMPLOYEES, ALSO HAVE A SUPPLEMENTAL PLAN. THE SUPPLEMENTAL PLAN IS INTENDED ONLY TO MAKE UP FOR SUCH LIMITS AND CONTAINS VESTING SCHEDULES DESIGNED TO RETAIN THE EXECUTIVE UNTIL RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2019, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION IN SCHEDULE J, PART II, BOX C: ADHI SHARMA, MD - SUPPLEMENTAL RETIREMENT OF $10,705 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2019, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, BOX B DUE TO THE PARTICIPANT'S ATTAINMENT OF NORMAL RETIREMENT AGE: RICHARD MURPHY - SUPPLEMENTAL RETIREMENT OF $33,129 WILLIAM ALLISON - SUPPLEMENTAL RETIREMENT OF $10,897 PART I, LINE 7 THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PRE-ESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. AWARDS ARE SET FORTH IN PART II, COLUMN B(II). ADDITIONAL DISCLOSURE THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR CERTAIN OFFICERS AND KEY PERSONNEL REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO SOUTH NASSAU COMMUNITIES HOSPITAL ("SNCH") AND ITS AFFILIATED ORGANIZATIONS. THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS. A NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP 274291221 63166LBT7 2012-10-23 100932698 REFUND PRIOR BONDS ISSUED 8/22/01 & 8/7/03-CONSTRUCTION & EQUIP. PURCHASE 0 0 0 A 25305000 100932698 1603400 1667774 1454576 27110685 70699662 2015 1 1 1 1 A 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP DATE THE REBATE COMPUTATION WAS PERFORMED: 01/13/2017 PART II, LINE 4 THE AMOUNT SHOWN HERE CONSISTS OF DEPOSITS TO A BONA FIDE DEBT SERVICE FUND. PART III, LINE 2 CERTAIN PROPERTY FINANCED BY THE BONDS IS LEASED TO AFFILIATED 501(C)(3) ORGANIZATIONS; SUCH LEASES DO NOT GIVE RISE TO PRIVATE BUSINESS USE. PART IV, LINE 6 THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5397501 CATERING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4637052 MEDICAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3729575 CONSTRUCTION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3356128 BILLING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3132468 CONSTRUCTION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2693819 COMPUTER SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1762112 CONSTRUCTION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1666280 MEDICAL RECORDS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1565466 CONSTRUCTION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1399314 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 224836 NEUROLOGICAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 406081 ORTHOPEDIC SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1367821 COMMUNICATION SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 468743 ELECTRICAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 572971 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1027015 CLEANING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 140000 CONSULTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 402048 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 255114 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 268410 LEGAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 210588 LEGAL SERVICES 0 X 3 102582 COST OR SELLING PRICE 0 0 1 0 PART I, COLUMN (B): THERE WERE 3 CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE SNCH GROUP OF AFFILIATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS. FORM 990, PART VI, SECTION A, LINE 7A MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO SUCH AUTHORITY RESERVED TO THE TAXPAYER'S SOLE MEMBER, MOUNT SINAI HOSPITALS GROUP, INC. ("MOUNT SINAI") PURSUANT TO THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW, SUCH AS THE AUTHORITY TO (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS, CONSOLIDATIONS, THE DISSOLUTION OF THE TAXPAYER AND THE SALE, LEASE, MORTGAGE, PLEDGE OR OTHER TRANSFER OF SIGNIFICANT ASSETS OF THE TAXPAYER, THE APPROVAL OF THE FOLLOWING MATTERS HAVE BEEN SPECIFICALLY RESERVED TO MOUNT SINAI, IN ITS CAPACITY AS THE TAXPAYER'S SOLE MEMBER, PURSUANT TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS: (A) THE INITIATION BY SNCH OF A VENTURE INVOLVING THE JOINT OWNERSHIP OR OPERATION OF A BUSINESS ACTIVITY WITH ONE OR MORE THIRD PARTIES OR THE AMENDMENT OF AN EXISTING VENTURE IF, IN ANY SUCH CASE, SUCH VENTURE IS MATERIAL TO SNCH OR INVOLVES ONE OR MORE THIRD PARTIES THAT IS A COMPETITOR OF MSHG OR AN AFFILIATE OF MSHG; (B) ESTABLISHMENT OF ANY MATERIAL NEW LINE OF BUSINESS; (C) ANY MERGER, CONSOLIDATION OR DISSOLUTION OF SNCH OR ANY SNCH AFFILIATE; (D) ANY CORPORATE REORGANIZATION OF SNCH AND ANY ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY ORGANIZATION; (E) ANY ACQUISITION OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER ALIENATION OF ASSETS OR PROPERTY OF SNCH OR ANY MATERIAL SUBSIDIARY THAT IN ANY CASE HAS A VALUE AT THE TIME OF THE TRANSACTION EQUAL TO OR GREATER THAN $10,000,000; (F) ANY TRANSACTION THAT RESULTS IN SNCH BECOMING THE SOLE MEMBER OR, TO THE EXTENT PERMITTED BY LAW, THE SOLE SHAREHOLDER OF ANY CORPORATION OWNING OR OPERATING A LICENSED HOSPITAL; (G) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING A MEMBER OF SNCH OR A MEMBER OR EQUITY OWNER OF A SNCH AFFILIATE; (H) ANY TRANSACTION THAT RESULTS IN ANY OTHER CORPORATION, ENTITY OR PERSON BECOMING ENTITLED TO APPOINT DESIGNEES TO THE BOARD OF DIRECTORS OF SNCH OR TO THE GOVERNING BOARD OF A SNCH AFFILIATE; (I) INITIATION OF BANKRUPTCY OR INSOLVENCY ACTIONS WITH RESPECT TO SNCH OR AN SNCH AFFILIATE; (J) ANY ACTION THAT RESULTS IN THE COMPLETE CLOSURE OR CONVERSION OF USE FROM A GENERAL ACUTE CARE MEMBER OF SNCH; (K) ANY AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF SNCH OR ANY AMENDMENT TO THE BYLAWS (PROVIDED THAT, DURING THE INITIAL PERIOD, SUCH RIGHT OF APPROVAL SHALL ONLY APPLY TO AMENDMENTS (I) THAT AFFECT THE RIGHTS OF THE MSHG, OR (II) THAT OTHERWISE AMENDS THE BYLAWS AND MSHG OBJECTS IN WRITING WITHIN THIRTY (30) DAYS OF ITS RECEIPT OF NOTICE); (L) ISSUANCE OF LONG TERM DEBT IN EXCESS OF $10,000,000, SUCH APPROVAL NOT TO BE UNREASONABLY WITHHELD; (M) THE SUBMISSION OF AN APPLICATION FOR A CERTIFICATE OF NEED ("CON") TO ANY REGULATORY AUTHORITY IF SUCH APPLICATION WILL BE SUBJECT TO FULL REVIEW BY SUCH REGULATORY AUTHORITY (PROVIDED NOTICE IS PROVIDED TO THE MEMBER OF ANY CON THAT IS NOT SUBJECT TO FULL REVIEW; (N) THE ESTABLISHMENT OF AN ACADEMIC AFFILIATION, OR THE AMENDMENT OF AN EXISTING ACADEMIC AFFILIATION AGREEMENT, WITH ANY EDUCATIONAL INSTITUTION OTHER THAN THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (EXISTING AFFILIATION AGREEMENTS ARE PERMITTED); OR (O) THE EXERCISE BY A MATERIAL SUBSIDIARY OF ANY AUTHORITY THAT PURSUANT TO THE GOVERNING DOCUMENTS OF SUCH MATERIAL SUBSIDIARY REQUIRES THE CONSENT OR APPROVAL OF SNCH OR ANY OTHER MATERIAL SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11B THE POLICY OF SOUTH NASSAU COMMUNITIES HOSPITAL FOR REVIEWING AND APPROVING THE IRS FORM 990 IS THE FOLLOWING: THE AUDIT COMMITTEE, A SUB COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW AND APPROVE THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION, BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SOUTH NASSAU COMMUNITIES HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS UPDATED ON AN ANNUAL BASIS WITH MEMBERS OF THE CORPORATE COMPLIANCE COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) AND WITH LEGAL COUNSEL. THE POLICY IS UPDATED FOR ANY NEW/UPDATED LEGAL AND GOVERNANCE ISSUES AND DISTRIBUTED TO BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT ON AN ANNUAL BASIS. ALONG WITH THE POLICY, A QUESTIONNAIRE IS PROVIDED TO ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT REQUESTING ACKNOWLEDGEMENT THAT THEY RECEIVED THE FORM, ASKING THEM TO DISCLOSE ALL KNOWN RELATIONSHIPS AND RETURN THE SIGNED FORM TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT FOLLOWS UP WITH ANY BOARD MEMBER, OFFICERS, KEY EMPLOYEES OR MANAGEMENT STAFF WHEN A POTENTIAL CONFLICT EXISTS. THIS INFORMATION IS THEN REPORTED BACK TO THE CORPORATE COMPLIANCE COMMITTEE WHICH THEN REPORTS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 15(A) SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE-HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15(B) COMPENSATION FOR THE OTHER OFFICERS (NOT INCLUDED ABOVE) AND KEY EMPLOYEES IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC CAN OBTAIN A COPY OF THE 990, 990T, AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE HOSPITAL CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: 1-516-377-5370. THE HOSPITAL'S PREVIOUS YEARS' 990 CAN BE FOUND ON THE WEBSITE, WWW.GUIDESTAR.COM. FORM 990, PART XI, LINE 9: TRANSFER TO/FROM RELATED PARTIES -10,848,808. PENSION AND POTRETIREMENT LIABILITY ADJUSTMENTS -12,399,884. SOUTH NASSAU 195 NORTH VILLAGE RVC LLC ONE HEALTHY WAY OCEANSIDE NY 115721551 831998916 HOLDING COMPANY NY -52039 0 SOUTH NASSAU COMMUNITIES HOSPITAL INC SIBS PLACE INC 1420 BROADWAY HEWLETT NY 11557 813485876 SUPPORT PROGRAM NY 501(C)(3) 7 N/A 0 MOUNT SINAI HOSPITALS GROUP INC ONE GUSTAVE L LEVY PLACE BOX 1099 NEW YORK NY 10029 464242915 HOLDING COMPANY NY 501(C)(3) 12 TYPE II MSHS 0 THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 12 TYPE II MSHS 0 MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 12 TYPE I ISMMS 0 THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS 0 MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII 0 MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII 0 MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSH 0 MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MGMT NY 501(C)(3) 12 TYPE I SEE PART VII 0 VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT PROGRAM NY 501(C)(3) 12 TYPE I ISMMS & MSH 0 MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING COMPANY NY 501(C)(3) 12 TYPE II N/A 0 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS 0 CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133939476 HOLDING COMPANY NY 501(C)(3) 12 TYPE I N/A 0 BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING COMPANY NY 501(C)(3) 12 TYPE I BIMC 0 MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO 0 BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO 0 EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133547502 REAL ESTATE NY 501(C)(3) 9 BIMC HOLDCO 0 THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 111018985 HOSPITAL NY 501(C)(3) 3 CHP 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(C)(3) 3 MSHG 0 AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET5TH FLOOR NEW YORK NY 10019 133392851 REAL ESTATE NY 501(C)(3) 12 TYPE I SLR 0 ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(C)(3) 4 SLR 0 NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(C)(3) 3 MSHG 0 NEW YORK EYE & EAR INFIRMARY FNDN 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(C)(3) PF NYEE 0 NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(2) N/A NYEE 0 BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571390 FUNDRAISING NY 501(C)(3) 7 SLR 0 BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(C)(3) 3 MSHG 0 FOJP SERVICE CORPORATION 28 EAST 28TH STREET NEW YORK NY 10016 132914141 INSURANCE NY 501(C)(3) 12 TYPE III N/A 0 MOUNT SINAI HEALTH PARTNERS PC 150E 42ND STREET 5TH FLOOR NEW YORK NY 10017 812057452 HEALTHCARE NY 501(C)(3) 10 MSH 0 THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 MSHG 0 SN HEALTHCARE SERVICES ONE HEALTHY WAY OCEANSIDE NY 11572 113571538 INACTIVE NY SOUTH NASSAU COMMUNITIES HOSPITAL INC C 1.00000 1 SN HEALTHCARE REGISTRY ONE HEALTHY WAY OCEANSIDE NY 11572 260228658 INACTIVE NY SOUTH NASSAU COMMUNITIES HOSPITAL INC C 1.00000 1 GREATER METROPOLITAN IPA II 150 EAST 42D STREET 5TH FL NEW YORK NY 10019 133977019 INACTIVE NY BIMCSLR C 0 GREATER METROPOLITAN IPA V 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 134141695 INACTIVE NY BIMCSLR C 0 MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10 NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR C 0 SLR MANAGEMENT SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133853145 MGMT SERVICES NY SLR C 0 WEST CARE MEDICAL PC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133811203 INACTIVE NY SLR C 0 MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 460953126 HEALTH CARE M NY BIMC HOLDCO C 0 HIBER-CELL INC 850 NEW BURTON ROAD SUITE 201 DOVER DE 19904 820608182 CLINIAL LAB DE ISMMS C 0 AMATHUS THERAPEUTICS INC 1506 BOSTON PROVIDENCE HIGHWAY STE NORWOOD MA 02062 814373501 BIOTECH/PHARM MA ISMMS C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 SOUTH NASSAU FAMILY MEDICINE PC R 847729 CASH BASIS SOUTH NASSAU FAMILY MEDICINE PC N 502044 CASH BASIS SOUTH NASSAU FAMILY MEDICINE PC B 454144 CASH BASIS SN NEONATAL PC S 124391 CASH BASIS SN NEONATAL PC B 494573 CASH BASIS SN OBGYN PC S 320000 CASH BASIS SN MEDICAL GROUP PC B 835980 CASH BASIS SN ONCOLOGY PRACTICE PC S 1250000 CASH BASIS SN ONCOLOGY PRACTICE PC B 1171132 CASH BASIS 203 MERRICK ROAD HOLDING CORP C 85515 CASH BASIS SN SERVICES CORPORATION B 1788717 CASH BASIS SN PHYSICIAN PC - DR DATTA S 200578 CASH BASIS SN PHYSICIAN PC - DR DATTA B 40947 CASH BASIS SN PHYSICIAN PC - DR DATTA N 61020 CASH BASIS SN UROLOGY PC B 117712 CASH BASIS SN UROLOGY PC R 674000 CASH BASIS ELITE PERINATOLOGY B 804358 CASH BASIS ELITE PERINATOLOGY S 758000 CASH BASIS NY MEDICINE PARTNERS ACO B 236151 CASH BASIS PHYSICIANS HOSPITAL ORG B 2828 CASH BASIS SN PHYSICIAN GROUP C 756853 CASH BASIS SN OBGYN PC N 172422 CASH BASIS SN OBGYN PC B 44107 CASH BASIS SN ONCOLOGY PC R 622121 CASH BASIS SN ONCOLOGY PC N 73368 CASH BASIS SN ONCOLOGY PC B 208481 CASH BASIS SN PHYSICIAN PRACTICE PC R 2254477 CASH BASIS SN PHYSICIAN PRACTICE PC N 418776 CASH BASIS SN PHYSICIAN PRACTICE PC B 459686 CASH BASIS SN RADIOLOGY PC S 2767507 CASH BASIS SN RADIOLOGY PC N 89136 CASH BASIS SN RADIOLOGY PC B 1626842 CASH BASIS RADIOLOGY ASSOCIATES OF LONG ISLAND R 1756405 CASH BASIS RADIOLOGY ASSOCIATES OF LONG ISLAND N 245388 CASH BASIS RADIOLOGY ASSOCIATES OF LONG ISLAND B 1760825 CASH BASIS SOUTH NASSAU PRIMARY MEDICAL PC S 29000 CASH BASIS SOUTH NASSAU PRIMARY MEDICAL PC N 69030 CASH BASIS SOUTH NASSAU PRIMARY MEDICAL PC B 485806 CASH BASIS SN MEDICAL GROUP PC S 4973114 CASH BASIS FORM 990, SCHEDULE R, PART V, LINE 2 VALUE OF THE SERVICES ARE REPORTED ON A CASH BASIS. PART II, LINE 5, COLUMN F MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 7, COLUMN F MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 4 COLUMN F MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY.