SOUTH NASSAU COMMUNITIES HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SOUTH NASSAU COMMUNITIES HOSPITAL (EIN 11-1352310)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202533219349314023
Schema version: 2024v5.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T13:36:04+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MANHATTAN WEST	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100018604	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111352310	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	South Nassau Communities Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	5166323000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DR Ahdi Sharma	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Laura Mayo	PreparerPersonNm
PTIN	P01962945	PTIN
Phone	2127733000	PhoneNum
Preparation	2025-11-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI SOUTH NASSAU	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DR Ahdi Sharma	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$781,217,547	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	5611	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHNASSAU.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SHOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION.	ActivityOrMissionDesc
Voting Members Governing Body	31	VotingMembersGoverningBodyCnt
Voting Members Independent	30	VotingMembersIndependentCnt
Total Employee	5045	TotalEmployeeCnt
Total Volunteers	91	TotalVolunteersCnt
Total Gross UBI	$17,722	TotalGrossUBIAmt
PY Contributions Grants	$45,648,980	PYContributionsGrantsAmt
CY Contributions Grants	$30,878,540	CYContributionsGrantsAmt
PY Program Service Revenue	$615,959,952	PYProgramServiceRevenueAmt
CY Program Service Revenue	$656,381,276	CYProgramServiceRevenueAmt
PY Investment Income	$26,937,370	PYInvestmentIncomeAmt
CY Investment Income	$16,127,097	CYInvestmentIncomeAmt
PY Other Revenue	$72,038,226	PYOtherRevenueAmt
CY Other Revenue	$77,068,978	CYOtherRevenueAmt
PY Total Revenue	$760,584,528	PYTotalRevenueAmt
CY Total Revenue	$780,455,891	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$398,692,689	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$423,684,987	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$575,495	CYTotalFundraisingExpenseAmt
PY Other Expenses	$291,552,495	PYOtherExpensesAmt
CY Other Expenses	$308,414,505	CYOtherExpensesAmt
PY Total Expenses	$690,245,184	PYTotalExpensesAmt
CY Total Expenses	$732,099,492	CYTotalExpensesAmt
PY Revenues Less Expenses	$70,339,344	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$48,356,399	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,180,991,314	TotalAssetsBOYAmt
Total Assets EOY	$1,204,663,711	TotalAssetsEOYAmt
Total Liabilities BOY	$514,951,683	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$533,974,892	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$666,039,631	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$670,688,819	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$362,677,222	ExpenseAmt
Revenue	$491,090,595	RevenueAmt
Desc	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, LAPROSCOPIC 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 15,912 MEDICAL SURGICAL PATIENTS IN 2024. 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 65 PEDIATRIC PATIENTS IN 2024. 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 4,893 MATERNITY PATIENTS (INCLUDING NEWBORNS) IN 2024. 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 150 NEONATES IN 2024. 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 797 PSYCHIATRIC PATIENTS IN 2024. 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 440 PATIENTS IN 2024. SUMMARY: THE HOSPITAL ADMITTED A TOTAL OF 22,256 PATIENTS IN 2024 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 $1.7 MILLION (CHARGES) FOR INPATIENTS SERVED IN 2024.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$127,866,820	ExpenseAmt
Revenue	$54,255,923	RevenueAmt
Desc	OTHER PROGRAM SERVICES: 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 211,000 SERVICES RELATED TO THE OTHER OUTPATIENT SERVICES IN 2024. 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 2024, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $5.6 MILLION (CHARGES) FOR OTHER OUTPATIENT SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$103,995,701	ExpenseAmt
Revenue	$103,864,444	RevenueAmt
Desc	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 7,486 OUTPATIENT SURGICAL PROCEDURES IN 2024. 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 4,340 OUTPATIENT ENDOSCOPY PROCEDURES IN 2024. 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 621 OUTPATIENT PAIN MANAGEMENT PROCEDURES IN 2024. 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 1,539 OUTPATIENT CATHETERIZATION PROCEDURES IN 2024. 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 332 OUTPATIENT EP STUDIES IN 2024. SUMMARY: AMBULATORY SURGERY SERVICES WERE PROVIDED TO 18,676 MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $1.3 MILLION (CHARGES) FOR AMBULATORY PATIENTS SERVED IN 2024.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$69,089,207	ExpenseAmt
Revenue	$82,479,621	RevenueAmt
Desc	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 61,705 EMERGENCY ROOM VISITS IN 2024 OF WHICH 14,791 PATIENTS WERE ADMITTED IN 2024, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $2.5 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 2023, THE LONG BEACH EMERGENCY DEPARTMENT EXPERIENCED 11,426 VISITS, OF WHICH 1,010 PATIENTS WERE TRANSFERRED TO THE HOSPITAL'S MAIN CAMPUS RESULTING IN 734 ADMISSIONS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $271,000 (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$69,089,207	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$82,479,621	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$663,628,950	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	Yes (true)	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	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	339	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5045	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	31	GoverningBodyVotingMembersCnt
Independent Voting Member	30	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
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	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5166324062	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11572	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (61 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Institutional TrusteeInstitutionalTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREW SAUL
TRUSTEE/VICE CHAIR	2.0	17.0	Yes (X)	Yes (X)	$0	$0	$0
BRAD KARP
TRUSTEE/SECRETARY	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
DONALD J GOGEL
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC MINDICH
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES NEARY
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES S TISCH
TRUSTEE/CO-CHAIRMEN OF BOARD	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JEFF T BLAU
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOEL I PICKET
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOEL S EHRENKRANZ
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN A LEVIN
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN B HESS
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JUDITH O RUBIN
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL MINIKES
TRUSTEE/VICE CHAIR/TREASURER	2.0	22.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD A FRIEDMAN
TRUSTEE/CO-CHAIRMEN OF BOARD	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN HOCHBERG
TRUSTEE/VICE CHAIRMAN	2.0	19.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN R CULLMAN
TRUSTEE/VICE CHAIRMAN	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS W STRAUSS
TRUSTEE/VICE CHAIRMAN	2.0	17.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW M ALPER
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
DAVID WINDREICH
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
EDGAR M CULLMAN JR
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
ERIC FRIEDMAN
TRUSTEE	1.0	7.0	Yes (X)		$0	$0	$0
FRANK BISIGNANO
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
HENRY CORNELL
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
JAMES KEMPNER
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
KIMBERLEY HARRIS
TRUSTEE	1.0	7.0	Yes (X)		$0	$0	$0
LEWIS PELL
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
MARC S LIPSCHULTZ
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
MICHAEL ZIMMERMAN
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
ROBERT F SAVAGE JR
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
WILLIAM H WRIGHT
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
KENNETH DAVIS MD
Trustee and Former Officer	2.0	16.0			$0	$7,404,991	$98,069	Yes (X)
ADHI SHARMA MD
PRESIDENT & CEO/DIRECTOR	36.5	23.5		Yes (X)	$1,230,794	$0	$55,404
BETH ESSIG ESQ
EVP, GENERAL COUNSEL	0.5	59.5		Yes (X)	$0	$1,782,724	$58,108
BETH YAGODA
EVP, System Chief Administrative Officer	0.5	59.5		Yes (X)	$0	$557,324	$25,461
BONNIE M DAVIS
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
BRENDAN CARR MD
CHIEF EXECUTIVE OFFICER (START 1/1/24)	0.5	59.5		Yes (X)	$0	$5,442,441	$47,473
CARL ICAHN
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
DAVID REICH MD
SYSTEM CHIEF CLINICAL OFFICER	0.5	59.5		Yes (X)	$0	$2,154,844	$65,965
DENNIS CHARNEY MD
PRESIDENT, ACADEMIC AFFAIRS	0.5	59.5		Yes (X)	$0	$2,579,191	$57,057
EMMA PALMER
EVP, Chief of Staff & External Affairs	0.5	59.5		Yes (X)	$0	$791,409	$71,158
GLENN DUBIN
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
HAMILTON JAMES
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
HENRY R KRAVIS
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
HON ROBERT E RUBIN
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
JAMES W CRYSTAL
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	0.5	59.5		Yes (X)	$0	$1,456,505	$36,176
JOHN POHLMAN
COO/CFO	36.5	1.0		Yes (X)	$686,162	$0	$58,416
KELLY CASSANO DO
EVP, SYS AMBULATORY OPERATION	0.5	59.5		Yes (X)	$0	$1,192,847	$47,350
MARGARET PASTUSZKO
System President & Chief Operating Officer	0.5	59.5		Yes (X)	$0	$2,290,081	$72,844
STEPHEN HARVEY
EVP, SYSTEM CFO (END 12/31/24)	0.5	59.5		Yes (X)	$0	$1,972,048	$85,092
VINCENT TAMMARO
EVP, SYSTEM CFO (START 10/1/24)	0.5	59.5		Yes (X)	$0	$679,061	$9,991
ALAN WONG MD
CHIEF MEDICAL OFFICER	36.5	1.0			$578,013	$0	$37,979		Yes (X)
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	0.5	59.5			$0	$747,329	$60,090		Yes (X)
JOSHUA KUGLER MD
VP-PHYSICIAN SERVICES	36.5	1.0			$726,437	$0	$52,578		Yes (X)
JOSHUA YEDVAB
VP BUSINESS STATEGY & PLANNING	36.5	1.0			$436,685	$0	$44,296		Yes (X)
ALAN GARELY MD
CHAIR OF OBSTERTRICS & GYNECOLOGY	15.5	22.0			$1,114,313	$0	$59,925			Yes (X)
JASON FREEMAN MD
DIR, INTERVENTIAL CARDIOLOGY	36.5	1.0			$1,002,818	$0	$60,114			Yes (X)
LESTER WU MD
ASST DIR RADIATION ONCOLOGY	1.0	36.5			$1,020,128	$0	$62,299			Yes (X)
PAOLO BOLOGNESE MD
ASST CLINICAL PROFESSOR-NEUROSURGERY	37.5	0.0			$1,208,415	$0	$37,999			Yes (X)
RAJIV DATTA MD
PHYSICIAN	19.6	17.9			$1,314,198	$0	$52,312			Yes (X)
JEREMY BOAL MD
FORMER OFFICER	0.0	0.0			$0	$1,795,629	$57,212				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,317,963	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$30,846,424	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,313,368	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1385	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
WHITING-TURNER CONTRACTING COMPANY
300 E JOPPA ROAD	BALTIMORE	MD	212863048	CONSTRUCTION SERVICES	$32,906,799
AXIS CONSTRUCTION CORP
125 LASER COURT	HAUPPAUGE	NY	11788	CONSTRUCTION SERVICES	$25,908,108
HUNTER ROBERTS CONSTRUCTION GROUP
55 WATER ST	ST FL NEW YORK	NY	10041	CONSTRUCTION SERVICES	$10,435,936
SODEXO INC & AFFLIATES
PO BOX 360170	PITTSBURGH	PA	152516170	CATERING SERVICES	$6,365,853
EW HOWELL CO LLC
245 NEWTOWN ROAD	PLAINVIEW	NY	11803	CONSTRUCTION SERVICES	$3,657,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,525,685	FundraisingAmt
Government Grants	$21,843,234	GovernmentGrantsAmt
All Other Contributions	$7,509,621	AllOtherContributionsAmt
Total Contributions	$30,878,540	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	622110	$646,853,862	$646,853,862
REFERENCE LAB	621500	$7,061,977	$7,044,255	$17,722
RENTAL INCOME	531120	$2,465,437	$2,465,437

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$656,381,276	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,138,841	TotalRevenueColumnAmt
Exclusion	$12,138,841	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,988,256	TotalRevenueColumnAmt
Exclusion	$3,988,256	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$258,649	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,525,685	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$761,656	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$503,007	TotalRevenueColumnAmt
Exclusion	-$503,007	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SERVICE TO AFFILIATES	621400	$60,807,355	$60,807,355
REBATES & DISCOUNTS	900099	$2,747,219	$2,747,219
CAFE & CAFETERIA	722514	$2,262,678		$2,262,678

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,754,733	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,754,733	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$77,571,985	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$780,455,891	TotalRevenueColumnAmt
Related Or Exempt Func Income	$731,672,861	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,722	UnrelatedBusinessRevenueAmt
Exclusion	$17,886,768	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,317,963	TotalAmt
Program Services	$8,296,863	ProgramServicesAmt
Management And General	$1,021,100	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$340,946,015	TotalAmt
Program Services	$303,303,900	ProgramServicesAmt
Management And General	$37,362,257	ManagementAndGeneralAmt
Fundraising	$279,858	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,041,836	TotalAmt
Program Services	$15,174,322	ProgramServicesAmt
Management And General	$1,867,514	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,941,085	TotalAmt
Program Services	$24,797,638	ProgramServicesAmt
Management And General	$2,143,447	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,438,088	TotalAmt
Program Services	$26,212,142	ProgramServicesAmt
Management And General	$3,225,946	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,451,147	TotalAmt
Program Services	$1,292,939	ProgramServicesAmt
Management And General	$158,208	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$527,259	TotalAmt
Management And General	$527,259	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$183,005	TotalAmt
Management And General	$183,005	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$190,331	TotalAmt
Management And General	$190,331	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,310,451	TotalAmt
Program Services	$62,654,868	ProgramServicesAmt
Management And General	$8,655,583	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,194,248	TotalAmt
Program Services	$1,063,377	ProgramServicesAmt
Management And General	$130,871	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,690,420	TotalAmt
Program Services	$9,247,190	ProgramServicesAmt
Management And General	$1,147,593	ManagementAndGeneralAmt
Fundraising	$295,637	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,327,599	TotalAmt
Program Services	$7,415,027	ProgramServicesAmt
Management And General	$912,572	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,228,541	TotalAmt
Program Services	$7,326,900	ProgramServicesAmt
Management And General	$901,641	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$122,767	TotalAmt
Program Services	$109,147	ProgramServicesAmt
Management And General	$13,620	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$576,445	TotalAmt
Program Services	$513,258	ProgramServicesAmt
Management And General	$63,187	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,698,154	TotalAmt
Program Services	$4,183,311	ProgramServicesAmt
Management And General	$514,843	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,059,858	TotalAmt
Program Services	$33,890,844	ProgramServicesAmt
Management And General	$4,169,014	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,923,267	TotalAmt
Program Services	$19,520,826	ProgramServicesAmt
Management And General	$2,402,441	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$123,086,796	$123,086,796
EQUIP RENTAL & MAINT.	$7,092,041	$6,278,789	$813,252
CATERING SERVICES	$6,522,677	$5,807,895	$714,782
PERIODIC NON-SVC BEN.	$4,229,499	$3,452,919	$776,580

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$732,099,492	TotalAmt
Program Services	$663,628,951	ProgramServicesAmt
Management And General	$67,895,046	ManagementAndGeneralAmt
Fundraising	$575,495	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,874,309	BOYAmt
EOY	$13,045,701	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$291,502,248	BOYAmt
EOY	$220,328,737	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,310,819	BOYAmt
EOY	$107,105,765	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,906,084	BOYAmt
EOY	$11,825,711	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,984,631	BOYAmt
EOY	$6,157,141	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,195,401,999	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$551,353,910	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$579,631,118	BOYAmt
EOY	$644,048,089	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$52,573,486	BOYAmt
EOY	$58,574,410	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$134,208,619	BOYAmt
EOY	$143,578,157	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,180,991,314	BOYAmt
EOY	$1,204,663,711	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$155,842,777	BOYAmt
EOY	$180,689,932	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,245,194	BOYAmt
EOY	$6,620,194	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$175,960,480	BOYAmt
EOY	$171,622,132	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	$71,821,727	BOYAmt
EOY	$68,009,413	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$13,666,000	BOYAmt
EOY	$15,488,091	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,415,505	BOYAmt
EOY	$91,545,130	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$514,951,683	BOYAmt
EOY	$533,974,892	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	$653,736,617	BOYAmt
EOY	$657,416,351	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,303,014	BOYAmt
EOY	$13,272,468	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$666,039,631	BOYAmt
EOY	$670,688,819	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,180,991,314	BOYAmt
EOY	$1,204,663,711	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$48,356,399	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,982,298	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$301,331	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$45,990,840	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
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)
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	$183,005	OtherActivitiesAmt
Total Lobbying Expenditures	$183,005	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,303,013	BeginningYearBalanceAmt
Contributions	$15,288,218	ContributionsAmt
Other Expenditures	$14,318,762	OtherExpendituresAmt
End Year Balance	$13,272,469	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,729,283	BeginningYearBalanceAmt
Contributions	$41,376,687	ContributionsAmt
Other Expenditures	$39,802,957	OtherExpendituresAmt
End Year Balance	$12,303,013	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,797,887	BeginningYearBalanceAmt
Contributions	$38,531,152	ContributionsAmt
Other Expenditures	$38,599,756	OtherExpendituresAmt
End Year Balance	$10,729,283	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,080,544	BeginningYearBalanceAmt
Contributions	$48,924,107	ContributionsAmt
Other Expenditures	$50,206,764	OtherExpendituresAmt
End Year Balance	$10,797,887	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,819,471	BeginningYearBalanceAmt
Contributions	$8,737,658	ContributionsAmt
Other Expenditures	$6,476,585	OtherExpendituresAmt
End Year Balance	$12,080,544	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.077	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.923	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	$38,206,251	OtherCostOrOtherBasisAmt
Book Value	$38,206,251	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$601,938,046	OtherCostOrOtherBasisAmt
Depreciation	$274,764,528	DepreciationAmt
Book Value	$327,173,518	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,043,205	OtherCostOrOtherBasisAmt
Depreciation	$10,239,130	DepreciationAmt
Book Value	$804,075	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$300,106,385	OtherCostOrOtherBasisAmt
Depreciation	$258,195,630	DepreciationAmt
Book Value	$41,910,755	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$244,108,112	OtherCostOrOtherBasisAmt
Depreciation	$8,154,622	DepreciationAmt
Book Value	$235,953,490	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$644,048,089	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM SUBSIDIARIES	$28,257,059
ASSETS WHOSE USE IS LIMITED	$24,519,921
INSURANCE CLAIMS RECEIVABLE	$5,104,000
OPERATING LEASES	$56,941,409
OTHER ASSETS	$5,553,056
FEMA A/R	$23,202,712

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$143,578,157	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal Income Taxes
EST PROFESSIONAL & GENERAL LIABILITY	$51,060,001
ACCRUED PENSION PAYABLE	$11,961,896
ACCRUED POST RETIREMENT BENEFITS	$1,696,000
INSURANCE CLAIMS PAYABLE	$5,104,000
OTHER CURRENT LIABILITIES	$19,560,000
OTHER LIABILITES	$2,163,233

Field	Value	IRS element (for citing)
Total Liability	$91,545,130	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part X, Line 2 Tax Status

Most entities within the System are not-for-profit corporations as described in Section 501(c)(3) of the Code and are generally exempt from federal income taxes pursuant to Section 501(a) of the Code. Certain entities of the System are for-profit entities. Provisions for income taxes and deferred taxes, where applicable, have been made for the taxable entities of the System. Taxable operations and the potential for income taxes from these entities and unrelated business income activities of the tax-exempt entities are not significant to the accompanying consolidated financial statements. The System evaluates tax positions taken or expected to be taken in the course of preparing the System's tax returns to determine whether the tax positions are "more likely than not" of being sustained by the applicable tax authority based upon the technical merits of the position. The System recognizes the effect of tax positions only if they are more likely than not of being sustained. This evaluation had no impact on the operations of the System as of and for the year ended December 31, 2024.

Schedule D, Part V, Line 4 Intended uses of endowment funds

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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Soiree	Event1Nm
Gross Receipts Event1	$1,001,726	GrossReceiptsEvent1Amt
Charitable Contri Event1	$918,566	CharitableContriEvent1Amt
Gross Revenue Event1	$83,160	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$121,466	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,571	FoodAndBeverageEvent1Amt
Entertainment Event1	$71,268	EntertainmentEvent1Amt
Other Direct Expenses Event1	$142,174	OtherDirectExpensesEvent1Amt
Event2	Golf Outing	Event2Nm
Gross Receipts Event2	$782,609	GrossReceiptsEvent2Amt
Charitable Contri Event2	$607,120	CharitableContriEvent2Amt
Gross Revenue Event2	$175,489	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$235,328	RentFacilityCostsEvent2Amt
Entertainment Event2	$146	EntertainmentEvent2Amt
Other Direct Expenses Event2	$189,703	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$1,784,335	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,525,686	CharitableContributionsTotAmt
Gross Revenue Total Events	$258,649	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$356,794	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,571	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$71,414	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$331,877	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$761,656	DirectExpenseSummaryEventsAmt
Net Income Summary	-$503,007	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1216	PersonsServedCnt
Total Community Benefit Expns	$2,423,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$484,296	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,939,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00265	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	65487	PersonsServedCnt
Total Community Benefit Expns	$124,227,789	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,410,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,817,021	NetCommunityBenefitExpnsAmt
Total Expense	0.09263	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	66703	PersonsServedCnt
Total Community Benefit Expns	$126,651,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,895,064	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,756,241	NetCommunityBenefitExpnsAmt
Total Expense	0.09528	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	454	ActivitiesOrProgramsCnt
Persons Served	16079	PersonsServedCnt
Total Community Benefit Expns	$1,440,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,440,568	NetCommunityBenefitExpnsAmt
Total Expense	0.00197	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	135	PersonsServedCnt
Total Community Benefit Expns	$11,701,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,335,504	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	42173	PersonsServedCnt
Total Community Benefit Expns	$43,623,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,050,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,572,550	NetCommunityBenefitExpnsAmt
Total Expense	0.02264	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	463	ActivitiesOrProgramsCnt
Persons Served	58387	PersonsServedCnt
Total Community Benefit Expns	$56,765,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,385,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,379,318	NetCommunityBenefitExpnsAmt
Total Expense	0.02510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	465	ActivitiesOrProgramsCnt
Persons Served	125090	PersonsServedCnt
Total Community Benefit Expns	$183,416,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,281,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,135,559	NetCommunityBenefitExpnsAmt
Total Expense	0.12039	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,939	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$229,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00031	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$229,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$229,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00031	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$18,987,310	BadDebtExpenseAmt
Bad Debt Expense Attributable	$625,713	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$187,917,680	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$203,063,948	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,146,268	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	1 NEW YORK MEDICAL PARTNERS ACO LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ACCOUNTABLE CARE ORGANIZATION	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

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	SOUTH NASSAU COMMUNITIES HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HEALTHY WAY	AddressLine1Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.southnassau.org/sn	WebsiteAddressTxt
State License	2950001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU COMMUNITIES HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	22	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	HTTPS://www.southnassau.org/SN/COMMUNITY-SERVICE-PLAN	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://www.southnassau.org/SN/COMMUNITY-SERVICE-PLAN	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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	HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
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
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H, Part V, Section B, Line 5 Facility , 1	FormAndLineReferenceDesc
Explanation	Facility , 1 - SOUTH NASSAU COMMUNITIES HOSPITAL. THE HOSPITAL PARTICIPATED IN A SERIES OF COLLARBORATIVE 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 (LIHC), 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. LIHC CAPTURES THE VALUABLE PERSPECTIVES OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS) AND SOCIAL SERVICE AGENCIES ON LONG ISLAND, 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. MANY ORGANIZATIONS FROM NASSAU SOUTH NASSAU COMMUNITIES HOSPITAL, INC. 11-1352310 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 THE LONG ISLAND HEALTH COLLABORATIVE PLEASE SEE APPENDIX C OF THE CHNA REPORT, AVAILABLE AT HTTPS://WWW.SOUTHNASSAU.ORG/SN/COMMUNITY-SERVICE-PLAN	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SNCH - OUTPATIENT BEHAVIORAL HEALTH
2277 GRAND AVE	BALDWIN	NY	11510	OUTPATIENT
SNCH - FAMILY PRACTICE CENTER
196 MERRICK ROAD	OCEANSIDE	NY	11572	OUTPATIENT
SNCH - RADIATION ONCOLOGY THERAPY CNT
ONE SOUTH CENTERAL AVE	VALLEY STREAM	NY	11580	OUTPATIENT
SNCH - OUTPATIENT DIALYSIS CENTER
3618 OCEANSIDE ROAD	OCEANSIDE	NY	11572	OUTPATIENT
SNCH - OUTPATIENT ANNEX
440 MERRICK ROAD	OCEANSIDE	NY	11572	OUTPATIENT
SNCH - SLEEP CENTER
1420 BROADWAY	HEWLETT	NY	11557	OUTPATIENT
SNCH - FAMILY MEDICINE AT LONG BEACH
761 FRANKLIN BLVD	LONG BEACH	NY	11561	OUTPATIENT
SNCH - OFF CAMPUS EMERGENCY DEPARTMEN
325 EAST BAY DRIVE	LONG BEACH	NY	11561	OUTPATIENT
SNCH - MENTAL HEALTH AT HEMPSTEAD
250 FULTON AVE	HEMPTEAD	NY	11550	OUTPATIENT
SNCH - DIABETES EDUCATION CENTER
2277 GRAND AVENUE	BALDWIN	NY	11510	OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	THE HOSPITAL FILED A 2022-2024 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON DECEMBER 29, 2022.
Schedule H, Part I, Line 7g Subsidized Health Services	INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, AND THE INPATIENT PEDIATRIC PROGRAMS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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).
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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 EMERGENCYS ROOM'S 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 THE ABILITY 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	BAD DEBT EXPENSE IS DESCRIBED IN PAGE 16 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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 15.53%. 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).
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- SOUTH NASSAU COMMUNITIES HOSPITAL: Line 16a URL: HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SOUTH NASSAU COMMUNITIES HOSPITAL: Line 16b URL: HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SOUTH NASSAU COMMUNITIES HOSPITAL: Line 16c URL: HTTPS://WWW.SOUTHNASSAU.ORG/SN/FINANCIAL-ASSISTANCE-PROGRAM;
Schedule H, Part VI, Line 2 Needs assessment	N 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 WELL BEING 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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, 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, 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.
Schedule H, Part VI, Line 4 Community information	SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF HEMPSTEAD. NASSAU COUNTY HAS A POPULATIONOF 1.39 MILLION (BASED ON JULY 1, 2024 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $143,408 (ACCORDING TO 2023 CENSUS DATA) AND $62,743 PER CAPITA (2023). ACCORDING TO THE 2022 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 2024 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 39% MEDICAID 20% SELF PAY 2% AND CHARITY CARE 1%. OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE LONG ISLAND JEWISH VALLEY STREAM HOSPITAL-NORTHWELL HEALTH AND MERCY MEDICAL CENTER.
Schedule H, Part VI, Line 5 Promotion of community health	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 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 2024 , OUR COMMUNITY-WIDE EFFORTS TOUCHED THE LIVES OF MANY 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 11,255 AND INCLUDED BALANCE, BLOOD PRESSURE, BMI, CHOLESTEROL, COLORECTAL CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, SKIN CANCER, AND SLEEP ASSESSMENT. DURING 2024 MOUNT SINAI SOUTH NASSAU CONTINUED ITS COVID-19 TESTING PROGRAM. THROUGH THE VARIOUS SITES (FIVE TOWNS, LONG BEACH, ETC.) THE HOSPITAL PROVIDED 462 COVID-19 VACCINES IN ADDITION TO 943 FLU VACCINES TO THE COMMUNITY VIA THE VAXMOBILE. THE VAXMOBILE ALSO VISITED 20 HOME BOUND PEOPLE. 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 THEU.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 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.
Schedule H, Part VI, Line 6 Affiliated health care system	SOUTH NASSAU COMMUNITIES HOSPITAL IS AFFILIATED WITH MOUNT SINAI HOSPITALS GROUP, INC. (MOUNT SINAI). MOUNT SINAI IS A NOT-FOR-PROFIT CORPORATIONRECOGNIZED 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 MOUNT SINAI SOUTH NASSAU. THE HOSPITAL PARTICIPATES IN THE LONG ISLAND HEALTH COLLABORTIVE (LIHC). A COALITION THAT INCLUDES THE 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 LIHC WORKS TO IMPROVE CLINICAL QUALITY AND EXPAND ACCESS TO CARE FOR THE 2.9 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. LIHC HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURER'S EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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 (24 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 DAVIS MD
Trustee and Former Officer	$0	$0	$0	$0	$0	$7,404,991	$0	$34,500	$0	$63,569	$0	$7,503,060	$0	$0
JEREMY BOAL MD
FORMER OFFICER	$0	$0	$0	$0	$0	$1,795,629	$0	$0	$0	$57,212	$0	$1,852,841	$0	$0
BRENDAN CARR MD
CHIEF EXECUTIVE OFFICER (START 1/1/24)	$0	$4,010,053	$0	$1,070,000	$0	$362,388	$0	$34,500	$0	$12,973	$0	$5,489,914	$0	$0
DENNIS CHARNEY MD
PRESIDENT, ACADEMIC AFFAIRS	$0	$1,100,000	$0	$268,000	$0	$1,211,191	$0	$34,500	$0	$22,557	$0	$2,636,248	$0	$0
MARGARET PASTUSZKO
System President & Chief Operating Officer	$0	$1,750,000	$0	$410,375	$0	$129,706	$0	$34,500	$0	$38,344	$0	$2,362,925	$0	$0
KELLY CASSANO DO
EVP, SYS AMBULATORY OPERATION	$0	$850,000	$0	$199,325	$0	$143,522	$0	$34,500	$0	$12,850	$0	$1,240,197	$0	$0
BETH ESSIG ESQ
EVP, GENERAL COUNSEL	$0	$1,350,000	$0	$316,575	$0	$116,149	$0	$34,500	$0	$23,608	$0	$1,840,832	$0	$0
STEPHEN HARVEY
EVP, SYSTEM CFO (END 12/31/24)	$0	$1,200,000	$0	$340,025	$0	$432,023	$0	$34,500	$0	$50,592	$0	$2,057,140	$0	$0
VINCENT TAMMARO
EVP, SYSTEM CFO (START 10/1/24)	$0	$487,500	$0	$121,875	$0	$69,686	$0	$0	$0	$9,991	$0	$689,052	$0	$0
DAVID REICH MD
SYSTEM CHIEF CLINICAL OFFICER	$0	$1,700,000	$0	$300,160	$0	$154,684	$0	$34,500	$0	$31,465	$0	$2,220,809	$0	$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	$0	$1,032,000	$0	$234,500	$0	$190,005	$0	$34,500	$0	$1,676	$0	$1,492,681	$0	$0
BETH YAGODA
EVP, System Chief Administrative Officer	$0	$425,000	$0	$99,662	$0	$32,662	$0	$23,073	$0	$2,388	$0	$582,785	$0	$0
EMMA PALMER
EVP, Chief of Staff & External Affairs	$0	$637,500	$0	$142,375	$0	$11,534	$0	$34,500	$0	$36,658	$0	$862,567	$0	$0
ADHI SHARMA MD
PRESIDENT & CEO/DIRECTOR	$939,262	$0	$291,532	$0	$0	$0	$20,700	$0	$34,704	$0	$1,286,198	$0	$0	$0
JOHN POHLMAN
COO/CFO	$557,402	$0	$123,000	$0	$5,760	$0	$17,250	$0	$41,166	$0	$744,578	$0	$0	$0
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	$0	$600,000	$0	$120,600	$0	$26,729	$0	$34,500	$0	$25,590	$0	$807,419	$0	$0
JOSHUA KUGLER MD
VP-PHYSICIAN SERVICES	$571,822	$0	$154,615	$0	$0	$0	$17,250	$0	$35,328	$0	$779,015	$0	$0	$0
ALAN WONG MD
CHIEF MEDICAL OFFICER	$472,313	$0	$105,700	$0	$0	$0	$17,250	$0	$20,729	$0	$615,992	$0	$0	$0
JOSHUA YEDVAB
VP BUSINESS STATEGY & PLANNING	$377,328	$0	$57,857	$0	$1,500	$0	$24,150	$0	$20,146	$0	$480,981	$0	$0	$0
RAJIV DATTA MD
PHYSICIAN	$1,214,198	$0	$100,000	$0	$0	$0	$24,150	$0	$28,162	$0	$1,366,510	$0	$0	$0
PAOLO BOLOGNESE MD
ASST CLINICAL PROFESSOR-NEUROSURGERY	$708,415	$0	$500,000	$0	$0	$0	$17,250	$0	$20,749	$0	$1,246,414	$0	$0	$0
ALAN GARELY MD
CHAIR OF OBSTERTRICS & GYNECOLOGY	$1,002,813	$0	$111,500	$0	$0	$0	$20,700	$0	$39,225	$0	$1,174,238	$0	$0	$0
LESTER WU MD
ASST DIR RADIATION ONCOLOGY	$745,028	$0	$275,100	$0	$0	$0	$24,150	$0	$38,149	$0	$1,082,427	$0	$0	$0
JASON FREEMAN MD
DIR, INTERVENTIAL CARDIOLOGY	$902,818	$0	$100,000	$0	$0	$0	$24,150	$0	$35,964	$0	$1,062,932	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	DR. JEREMY BOAL RECEIVED $1,795,629 OF SEVERANCE PAYMENTS DURING 2024. DR. KENNETH DAVIS RECEIVED $7,404,991 OF SEVERANCE PAYMENTS DURING 2024.
Schedule J, Part II, Column (C)	THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2024, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION IN SCHEDULE J, PARTII, BOXC: - JOHN POHLMAN - SUPPPLEMENTAL RETIREMENT OF $11,075 - ALAN WONG - SUPPLEMENTAL RETIREMENT OF $6,620
Schedule J, Part III 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 AMONG MANY ORGANIZATIONS. REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Nassau County Local Economic Assistance Corp	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	274291221	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2022-10-12	BondIssuedDt
Issue Price	$90,000,000	IssuePriceAmt
Purpose	Refinancing 2012 Bonds issued 10/23/12- Additional construction and equipment purchase.	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,677,897	RetiredAmt
Total Proceeds	$92,490,613	TotalProceedsAmt
Issuance Costs From Proceeds	$784,402	IssuanceCostsFromProceedsAmt
Capital Expenditures	$21,983,056	CapitalExpendituresAmt
Other Spent Proceeds	$52,890,247	OtherSpentProceedsAmt
Unspent	$16,832,908	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part V Different Procedures to Undertake Corrective Action	FormAndLineReferenceDesc
Explanation	Issuer name: Nassau County Local Economic Assistance Corp The difference between Part II LIne 3 and Part I Column (E) is due to investment earnings.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a-4c Description of program services	(Expenses $ 69,089,207 including grants of $)(Revenue $ 82,479,621) 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 61,705 EMERGENCY ROOM VISITS IN 2024 OF WHICH 14,791 PATIENTS WERE ADMITTED IN 2024, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $2.5 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 2023, THE LONG BEACH EMERGENCY DEPARTMENT EXPERIENCED 11,426 VISITS, OF WHICH 1,010 PATIENTS WERE TRANSFERRED TO THE HOSPITAL'S MAIN CAMPUS RESULTING IN 734 ADMISSIONS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $271,000 (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - Family relationship, TRUSTEES MARC LIPSCHULTZ AND JOHN HESS - Business relationship, OFFICER KENNETH DAVIS, MD AND OFFICER BONNIE DAVIS - Family relationship, TRUSTEES STEVEN HOCHBERG AND JOEL PICKET - Business relationship, TRUSTEES KIMBERLY HARRIS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES KIMBERLY HARRIS AND JOHN HESS - Business relationship, TRUSTEES JOHN HESS AND RICHARD FRIEDMAN - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	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, Line 7a Members or stockholders electing members of governing body	MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL THE MEMBER APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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 BY LAWS: (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 (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; OF THE MSHG, OR (II) THAT OTHERWISE AMENDS THE BYLAWS AND MSHG OBJECTS IN WRITING WITHIN THIRTY (30) DAYS OF ITS RECEIPT OF NOTICE); (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, Line 11b Review of form 990 by governing body	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, Line 12c Conflict of interest policy	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, Line 15a Process to establish compensation of top management official	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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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, Line 19 Required documents available to the public	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 VII, Section A	Dr. Davis receives no compensation for his service as a trustee. Reported amounts represent severance related to his prior role as Chief Executive Officer.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 11754733, Related or Exempt Function Revenue: 11754733, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO/FROM RELATED PARTIES - -55756966; EQUITY TRANSFER TO/FROM RELATED PAR - 3555354; PENSION AND POTRETIREMENT LIABILITY ADJUSTMENTS - 6210772; Total - -45990840;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	195 NORTH VILLAGE RVC LLC	AddressLine1Txt
Address Line2	ONE HEALTHY WAY	AddressLine2Txt
City	OCEANSIDE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	115721551	ZIPCd

Field	Value	IRS element (for citing)
EIN	831998916	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	-$58,915	TotalIncomeAmt
End Of Year Assets	$230,297	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH NASSAU COMMUNITIES HOSPITAL INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 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
SIBS PLACE INC
510 MERRICK ROAD	ROCKVILLE CENTRE	NY	11570	813485876	SUPPORT PROGRAM	NY	501(c)(3)	7	MSSN	false
MOUNT SINAI HOSPITALS GROUP INC
ONE GUSTAVE L LEVY PLACE BOX 1099	NEW YORK	NY	10029	464242915	HOLDING COMPANY	NY	501(c)(3)		MSHS	false
THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136271888	SUPPORT	NY	501(c)(3)		MSHS	false
MITRAL FOUNDATION
1190 FIFTH AVENUE	NEW YORK	NY	10029	800468600	RESEARCH	NY	501(c)(3)		ISMMS	false
THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	223059294	SUPPORT	NY	501(c)(3)		ISMMS	false
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	133852596	REAL ESTATE	NY	501(c)(3)		SEE PART VII	false
MSMC RESIDENTIAL REALTY LLC
1425 Madison Avenue	NEW YORK	NY	10029	200244426	REAL ESTATE	NY	501(c)(3)		SEE PART VII	false
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	201289396	MGMT	NY	501(c)(3)		SEE PART VII	false
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	800952088	SUPPORT PROGRAM	NY	501(c)(3)		ISSMS & MSH	false
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464248304	HOLDING COMPANY	NY	501(c)(3)		NA	false
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136171197	SCHOOL	NY	501(c)(3)	2	MSHS	false
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133939476	HOLDING COMPANY	NY	501(c)(3)		NA	false
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	133444730	HOLDING COMPANY	NY	501(c)(3)		BIMC	false
MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133838460	SURGICENTER	NY	501(c)(3)	3	BIMC HOLD CO	false
BI NURSING HOME COMPANY
327 EAST 17TH STREET	NEW YORK	NY	10003	133627753	NURSING HOME	NY	501(c)(3)	3	BIMC HOLD CO	false
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133547502	REAL ESTATE	NY	501(c)(3)	9	BIMC HOLD CO	false
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	111018985	HOSPITAL	NY	501(c)(3)	3	CHP	false
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132997301	HOSPITAL	NY	501(c)(3)	3	MSHG	false
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOOR	NEW YORK	NY	10019	133392851	REAL ESTATE	NY	501(c)(3)		SLR	false
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132914343	RESEARCH	NY	501(c)(3)	4	SLR	false
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET	NEW YORK	NY	10003	135562304	HOSPITAL	NY	501(c)(3)	3	MSHG	false
NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREET	NEW YORK	NY	10003	134012469	PRIVATE FDN	NY	501(c)(3)		NYEE	false
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET	NEW YORK	NY	10003	311696826	REAL ESTATE	NY	501(c)(3)		NYEE	false
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOO	NEW YORK	NY	10019	300571387	````````````````````	NY	501(c)(3)	7	BIMC	false
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	false
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	135564934	HOSPITAL	NY	501(c)(3)	3	MSHG	false
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR	NEW YORK	NY	10017	812057452	HEALTHCARE	NY	501(c)(3)	10	MSH	false
THE MOUNT SINAI HOSPITAL
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	131624096	HOSPITAL	NY	501(c)(3)	3	HSHG	false
SOUTH NASSAU UNIVERSITY HEALTH SYSTEM
ONE HUNTINGTON QUADRANGLE	MELVILLE	NY	11747	066427908	DELIVERY CARE	NY	501(c)(3)	11	MSSN	false
MOUNT SINAI DIAG & TREATMENT CENTER
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	450537391	DIAG CLINIC	NY	501(c)(3)	3	MSHG	false
MOUNT SINAI HEALTH SYSYEM SELF INSURANCE
150E 42ND STREET	NEW YORK	NY	10017	823994798	SUPPORT	NY	501(c)(3)		MSHG	false
EAST 98TH STREET COMMUNITY SERVICE INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	822536805	AMB SURG CENTER	NY	501(c)(3)	3	MSHG	false
BACHMAN-STAUSS DYSTONIA FOUNDATION INC
150E 42ND STREET	NEW YORK	NY	10017	133804248	FUNDRAISING	NY	501(c)(3)	7	MSHG	false
CARE CONTINUUM VENTURESINC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	863155355	SUPPORT	NY	501(c)(3)		MSHG	false
OCEANSIDE COUNSELING CENTER INC
71 HOMECREST COURT	OCEANSIDE	NY	11572	237062966	SUPPORT	NY	501(c)(3)		MSSN	false
SOUTH NASSAU SERVICES CORP
1 HEALTHY WAY	OCEANSIDE	NY	11572	112727976	HOLDING COMPANY	NY	501(c)(3)		MSSN	false
NYMP MSO LLC
1 HEALTHY WAY	OCEANSIDE	NY	11572	812675045	HOLDING COMPANY	NY	501(c)(3)		MSSN	false
203 MERRICK ROAD HOLDING CORP
1 HEALTHY WAY	OCEANSIDE	NY	11572	275368294	HOLDING COMPANY	NY	501(c)(3)		MSSN	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
SN HEALTHCARE SERVICES
ONE HEALTHLY WAY	OCEANSIDE	NY	11572	113571538	INACTIVE	NY	SOUTH NASSAU COMMUNITIES HOSPITAL INC	C Corporation	false
SN HEALTHCARE REGISTRY
ONE HEALTHY WAY	OCEANSIDE	NY	11572	260228658	INACTIVE	NY	SOUTH NASSAU COMMUNITIES HOSPITAL INC	C Corporation	false
GREATER METROPOLITAN IPA V
150 EAST 42ND ST 5TH FL	NEW YORK	NY	10019	133977019	INACTIVE	NY	NA	C Corporation	false
GREATER METROPOLITAN IPA V
150 EAST 42ND ST 5TH FL	NEW YORK	NY	10019	134141695	INACTIVE	NY	NA	C Corporation	false
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FL	NEW YORK	NY	10019	133618543	MGMT SERVICES		NA	C Corporation	false
SLR MANAGEMENT SERVICES
150 EAST 42ND ST 5TH FL	NEW YORK	NE	10019	133977019	MGMT SERVICES	NY	NA	C Corporation	false
WEST CARE MEDICAL PC
150 EAST 42ND ST 5TH FL	NEW YORK	NY	10019	133811203	INACTIVE	NY	NA	C Corporation	false
MOUNT SINAI HC VENTURES INC
150 EAST 42ND ST 5TH FL	NEW YORK	NY	10019	460953126	HEALTH CARE M	NY	NA	C Corporation	false
HIBER-CELL INC
850 NEW BURTON ROAD SUITE 201	DOVER	DE	19904	820608182	CLINICAL LAB	DE	NA	C Corporation	false
AMATHUS THERAPEUTICS INC
1506 BOSTON PROVIDENCE HIGHWAY STE	NORWOOD	MA	02062	814373501	BIOTECH/PHARM	MA	NA	C Corporation	false
MSHS VACCINE COMPANY
1209 ORANGE STREET	WILMINGTON	DE	19801	874250003	CLINICAL LAB	DE	NA	C Corporation	false
KANTARO BIOSCIENCES LLC
1460 BROADWAY	NEW YORK	NY	10036	851089445	CLINICAL LAB	NY	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
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	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
$9,191,215	CASH BASIS
THE MOUNT SINAI HOSPITAL
$1,820,923	CASH BASIS
SOUTH NASSAU FAMILY MEDICINE PC
$679,509	CASH BASIS
SOUTH NASSAU FAMILY MEDICINE PC
$1,392,361	CASH BASIS
SN NEO NATAL PC
$1,241,541	CASH BASIS
SN MEDICAL GROUP PC
$9,241,776	CASH BASIS
203 MERRICK ROAD HOLDING CORP
$276,303	CASH BASIS
SN SERVICES CORPORATION
$1,776,671	CASH BASIS
SN PHYSICAN PC - DR DATTA
$2,562,601	CASH BASIS
SN PHYSICAN PC - DR DATTA
$69,825	CASH BASIS
SN PHYSICIAN GROUP
$6,146,217	CASH BASIS
SN ONOLOGY PC
$85,641	CASH BASIS
SN ONOLOGY PC
$387,856	CASH BASIS
SN PHYSICIANS PRACTICE PC
$489,876	CASH BASIS
SN PHYSICIANS PRACTICE PC
$1,968,546	CASH BASIS

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule R, Part VII MSMC REALTY CORPORATION	ISMMS, MSH & MSMC REAL. CORP.
Schedule R, Part VII MSMC RESIDENTIAL REALTY LLC	ISMMS, MSH & MSMC REAL. CORP.
Schedule R, Part VII MSMC RESIDENTIAL REALTY MANAGER, INC	ISMMS, MSH & MSMC REAL. CORP.