2017-11-14T10:15:09-06:00 2016-12-31 990 2016-01-01 111562701 NORTH SHORE UNIVERSITY HOSPITAL C/O NORTHWELL HEALTH INC % NORTHWELL HEALTH INC NORT 5163216025 972 BRUSH HOLLOW ROAD Suite 5TH FL WESTBURY NY 11590 ROBERT S SHAPIRO EXEC VP & CFO 5163216025 2017-11-03 69.27.229.129 12270920173185000000 2017-11-14 P 64888C196846E503F90B13161ED1827B039267C6 08A1259C5F1059ABDC7B7C0B44F2F73D70A20910 2016 2017-02-10 21:41:12Z MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 2939308942 false X WWW.NORTHWELL.EDU X 1955 NY North Shore strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to pay. 32 27 12522 855 -124771 -490488 17430725 16794333 2073143667 2324644453 16569710 22821889 124348037 103180785 2231492139 2467441460 0 0 0 0 1268794738 1412433776 0 0 3573639 877560687 929434863 2146355425 2341868639 85136714 125572821 1999352868 2109341858 1042473135 979831972 956879733 1129509886 X NORTH SHORE UNIVERSITY HOSPITAL IS PART OF NORTHWELL HEALTH ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 1019082190 1576948579 NORTH SHORE UNIVERSITY HOSPITAL ("NSUH")IS AN 812-BED QUATERNARY CARE TEACHING HOSPITAL THAT SERVES AS THE CLINICAL CAMPUS FOR THE HOFSTRA NORTHWELL SCHOOL OF MEDICINE. NSUH is a major cardiac diagnostic, interventional and open heart surgical center. The hospital offers the largest cancer patient care, medical research and education network on Long Island. In 2016, NSUH had 48,372 inpatient discharges, delivered 6,149 babies, provided 87,751 emergency department visits and performed 21,434 ambulatory surgeries, including endoscopies and outpatient catheterizations. 610331748 383384916 North Shore University Hospital is an affiliated member of the Northwell Health ("Northwell")and part of Northwell's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay. 115412384 140077288 Syosset Hospital is a 103-bed community hospital that maintains a 911 response Emergency Department and inpatient services, including an intensive care unit, and telemetry unit, which serves as a surgical step-down unit. In 2016, the hospital had 3,991 inpatient discharges, provided 15,056 Emergency Department visits and performed 11,529 ambulatory surgeries. 192599180 224233669 OTHER 192599180 224233669 1937425502 true true false true false false false false false true true false false true true true false true false false false false false false false true true true false false true true false false false false false false false false true true false false false false true true true false false false true 370 2 true 12522 true true true false false false false true true false false false false false false false X 32 27 true false false false false true true true true false false true true true true true true true true true true NY X X NORTHWELL HEALTH INC 5168766061 972 BRUSH HOLLOW RD WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 4026026 51426 HOWARD GOLD EVP MANAGED CARE, BUSINESS DEV 0.0 50.0 X 0 1812973 37583 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 2398244 600022 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0.0 50.0 X 0 3571801 373568 LAWRENCE G SMITH EVP/PHYSICIAN IN CHIEF 0.0 50.0 X 0 1287293 46028 JEFFREY KRAUT EVP,STRATEGIC PLANNING 0.0 50.0 X 0 1272461 413713 KATHLEEN GALLO RN PHD CHF LEARNING OFFICER 0.0 50.0 X 0 903337 45453 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0.0 50.0 X 0 911460 236725 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 376124 45417 RICHARD D GOLDSTEIN IMMEDIATE PAST CHAIRMAN 0.0 2.0 X X 0 0 0 WILLIAM L MACK VICE CHAIRMAN 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN VICE CHAIRMAN 0.0 2.0 X X 0 0 0 ALAN I GREENE TREASURER 0.0 2.0 X X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X X 0 0 0 MARK CLASTER CHAIRMAN 0.0 3.0 X X 0 0 0 RALPH NAPPI TRUSTEE & EVC 0.0 50.0 X X 0 947428 45453 NON COMPENSATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 50.0 0.0 X 0 1140697 210317 EUGENE TANGNEY SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 1224832 247944 ANDREW SCHULZ SVP & GEN COUNSEL 0.0 50.0 X 0 1093281 53304 ANTHONY FERRERI EVP/CHF AFFILIATION OFFICER 0.0 50.0 X 0 3231532 369606 KEVIN BEINER SVP/DEPUTY REG EXEC DIR 50.0 0.0 X 629990 0 37602 ALESSANDRO BELLUCCI EXECUTIVE DIRECTOR 50.0 0.0 X 1065285 0 45453 MICHAEL FENER EXECUTIVE DIRECTOR 0.0 50.0 X 0 833750 280055 JASON NAIDICH MED SCHOOL CHAIR RADIOLOGY 0.0 50.0 X 0 1205005 53304 FRANK RIZZO REGIONAL CFO 50.0 0.0 X 721585 0 53430 RICK ESPOSITO ASSOC CHAIRPERSON 50.0 0.0 X 1815619 0 45453 ALAN HARTMAN MED SCHOOL CHAIR CTS 50.0 0.0 X 2421336 0 53304 STANLEY KATZ MED SCHOOL CHAIR CARDIOLOGY 50.0 0.0 X 1762835 0 45417 EUGENE KRAUSS DIR, ORTHOPEDICS 50.0 0.0 X 3009722 0 45453 JAMES TAYLOR CO-DIRECTOR 50.0 0.0 X 2093079 0 53304 13519451 26236244 3489334 2636 false true false NEWPORT CREDENTIALING SOLUTIONS 16 ATLANTIC AVENUE LYNBROOK NY 11563 IT SERVICES 2578263 CANNON DESIGN 360 MADISON AVENUE NEW YORK NY 10017 ARCHITECTURE & ENGIN 1657133 SUTHERLAND HEALTHCARE SOLUTIONS INC 2 BRIGHTON ROAD SUITE 300 CLIFTON NJ 07012 CONSULTING SERVICES 1509603 HEALTHCARE PARKING SYSTEMS OF AMERI 1459 HAMILTON AVENUE CLEVELAND OH 44114 VALET PARKING SERVIC 1372931 SIEMENS MEDICAL SOLUTIONS USA INC PO BOX 7777 W3580 PHILADELPHIA PA 19175 EQUIPMENT SERVICE 1386695 134 8363686 8261105 169542 16794333 NET PATIENT SERV. 621300 1533890601 1533890601 FACULTY PRACTICE 621300 384066507 384066507 MEDICARE/MEDICAID PAYMENTS 621300 406687345 406687345 2324644453 12764068 12764068 210370 210370 0 31279860 31279860 0 31279860 481220258 466920 471839727 9380531 466920 9847451 0 0 0 51390 27755 23635 0 0 0 PHARMACY 900099 41971337 41971337 CHARGEBACK REVENUE 900099 11742505 11742505 ELECTRONIC HEALTH RECORD 900099 500000 500000 17663448 11580360 -124771 6207859 71877290 2467441460 2348467318 -124771 61153634 0 0 0 0 2416860 2416860 0 1157328311 1051510362 103701590 2116359 74613379 67791258 6685679 136442 112440625 102159846 10075163 205616 65634601 59633436 5881142 120023 8213478 8049208 164270 220940 220940 0 0 0 0 12860945 11685031 1152396 23518 502844 456867 45057 920 369701719 335898798 33126863 676058 0 0 61624962 55990410 5521861 112691 3669548 3669548 0 3609419 3609419 5607829 5607829 0 65437416 59454280 5983136 47734340 47734340 PURCHASED SERVICES 86251718 86251718 DUES & SUBSCRIPTIONS 2853252 2592371 260881 CENTRALIZED ADMIN EXP 213688397 213688397 BAD DEBT EXPENSE 37755895 37755895 9702161 8815063 869356 17742 2341868639 1937425502 400869498 3573639 0 0 754368402 9605027 5251656 5990461 284783576 317081005 0 0 0 0 0 0 21736675 24110116 7199927 8562454 835724471 391990104 457389392 443734367 209605494 947478175 0 0 0 0 0 0 259017746 352780253 1999352868 2109341858 248772401 219832042 0 0 0 0 135371516 124880712 0 0 0 0 0 0 0 0 658329218 635119218 1042473135 979831972 X 859380297 1020693532 70066140 80718475 27433296 28097879 956879733 1129509886 1999352868 2109341858 X 125572821 35453842 11603490 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 265563 265563 false LOBBYING ACTIVITY NORTH SHORE UNIVERSITY HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 24609496 1705654 588058 25727092 25411627 -212720 589412 24609495 24791961 300 1109339 489973 25411627 21821155 3448404 477598 24791961 18070718 1396511 2776026 422100 21821155 1.00000 false false 5621276 5621276 511723898 264090847 247633051 674048 295867 378182 273909340 122729377 151179963 43795909 4874013 38921895 443734367 SECURITY DEPOSITS 324623 INTEREST IN FOUNDATION 37624108 OTHER CURRENT ASSETS 7428184 OTHER ASSETS 136738302 AUXILIARY ASSETS 78012 INSURANCE CLAIMS RECEIVABLE 102877827 DUE FROM AFFILIATE 66244085 OTHER THIRD PARTY RECEIVABLES 1465112 352780253 0 EST. PAYABLE TO THIRD PARTY 169290528 ACCRUED RETIREMENT BENEFITS 151920662 MALPRACTICE SELF-INSUR. LIAB. 199847324 INSURANCE CLAIMS LIABILITY 102877827 OTHER LIABILITY 2714539 OTHER SHORT TERM BORROWINGS 7500000 SWAP VALUATION ALLOWANCE 220321 GAAP ADJUSTMENT FOR TELP -4216726 DEFERRED FINANCING -1313124 BOND PREM/DISCOUNT 6277867 635119218 X 2469537862 34414298 -14339494 20074804 2449463058 17978402 17978402 2467441460 2292296008 2292296008 49572631 49572631 2341868639 PART X, LINE 2 - FIN 48 Certain entities included in Northwells consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2016 and 2015, Northwell has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $408,000,000, which expire in varying amounts through 2036, and are available to offset future taxable income. PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUE REVENUE ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (37,755,895) CHANGE IN INTEREST IN ACQUIRED ENTITIES 7,027,044 BOOK/TAX ADJUSTMENT 1,919,529 NET ASSETS RELEASED FROM RESTRICTION 14,469,828 TOTAL (14,339,494) REVENUE ON RETURN NOT 0N BOOKS NSUH AUXILLARY 22,887 RESTRICTED INVESTMENT INCOME 1,181,316 RESTRICTED CONTRIBUTIONS 16,774,199 TOTAL 17,978,402 PART XII, LINE 4B - RECONCILIATION OF EXPENSES ADDITIONAL MINIMUM PENSION LIABILITY 11,816,736 PROVISION FOR BAD DEBTS 37,755,895 TOTAL 49,572,631 INTENDED USE OF ENDOWMENTS There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment. 51390 1000 22370 4385 true 51390 1000 22370 4385 27755 23635 true false false false NORTHWELL HEALTH 972 BRUSH HOLLOW RD WESTBURY NY 11590 false B false true true X true X true X 500. true true true false true true 23224027 2617503 20606524 0.00940 272987285 208381736 64605549 0.02960 296211312 210999239 85212073 0.03900 8847446 4914809 3932637 0.00180 116747666 35709327 81038339 0.03710 4094758 3130496 964262 0.00040 27573839 27573839 0.01260 1644137 40400 1603737 0.00070 158907846 43795032 115112814 0.05260 455119158 254794271 200324887 0.09160 170 170 5087 5087 142199 142199 0.00010 4526 4526 17178 17178 1134 1134 11719 11719 182013 182013 0.00010 false 9305225 443777402 495712357 -51934955 X true true TRUE NORTH DIALYSIS MEDICAL SERVICES 0.49 NS MED ACCELERATOR MEDICAL SERVICES 0.7 0.3 ENDOSCOPY CENTER LI MEDICAL SERVICES 0.7 0.3 TRUE NORTH URGENT CA MEDICAL SERVICES 0.5 ENDO GROUP LLC MEDICAL SERVICES 0.565 BROOKLYN MSO LLC MEDICAL SERVICES 0.75 SOUTH SHORE SURGERY MEDICAL SERVICES 0.501 0.499 NSLIJ & YALE NEW HAV MEDICAL SERVICES 0.9 2 1 NORTH SHORE UNIVERSITY HOSPITAL 300 COMMUNITY DRIVE MANHASSET NY 11030 WWW.NORTHWELL.EDU 2951001H X X X X A 2 SYOSSET HOSPITAL 221 JERICHO TURNPIKE SYOSSET NY 11791 WWW.NORTHWELL.EDU 2951001H X X X X A A false false true X X X X X X X X X 16 true true true true X WWW.NORTHWELL.EDU X true 16 true WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFI false true X 100 500. X X X X true true X X X true X WWW.NORTHWELL.EDU X WWW.NORTHWELL.EDU X WWW.NORTHWELL.EDU X X X X X X X true X false X X X X X true X false false PART V, SECTION C - SUPPLEMENTAL INFORMATION Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each county served by Northwell and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); Northwell; local businesses; and faith-based organizations; and a "voice of the community" (i.e. the community's perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6b: For a detailed listing of other than hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 7d: N/A Part V, Section B, line 11: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (i.e. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16j: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A 63 The Monter Cancer Center 450 Lakeville Road Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 865 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 611 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 100 Community Drive Manhasset NY 11030 Outpatient Physician Clinic Mitchell A Goldman MD Diagnostic Imag 450 Lakeville Road Lake Success NY 11042 Diagnostic Center Northwell Health Physician Partners 1999 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 1991 Marcus Avenue Lake Success NY 11030 Outpatient Physician Clinic Northwell Health Physician Partners 850 Hicksville Road Seaford NY 11783 Outpatient Physician Clinic Northwell Health Physician Partners 450 Lakeville Road Lake Success NY 11042 Outpatient Physician Clinic Northwell Health Physician Partners 600 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic The Center for Human Reproductive at Flu 136-17 39th Avenue Flushing NY 11354 Outpatient Physician Clinic Imaging Center at Greenlawn 284 Pulaski Road Huntington NY 11740 Diagnostic Center Northwell Health Physician Partners 1001 Franklin Avenue Garden City NY 11530 Outpatient Physician Clinic Imaging at Bay Shore 440 East Main Street Bay Shore NY 11706 Diagnostic Center Great South Bay Imaging 620 Main Street Islip NY 11751 Diagnostic Center Surgical Services at Woodbury 321 Crossways Park Drive Woodbury NY 11797 Outpatient Physician Clinic Imaging Center at Syosset 100 Lafayette Drive Syosset NY 11791 Diagnostic Center Northwell Health Physician Partners 43 Crossways Park Drive Woodbury NY 11797 Outpatient Physician Clinic Northwell Health Physician Partners 1554 Northern Boulevard Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Physician Partners 900 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic INSALL Scott Kelly Institute for Orho & 210 East 64th Street New York NY 10065 Outpatient Physician Clinic Northwell Health Physician Partners 1010 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Northwell Health Physician Partners 410 Lakeville Road New Hyde Park NY 11040 Outpatient Physician Clinic Imaging Center at Garden City 711 Stewart Ave Garden City NY 11530 Diagnostic Center Northwell Health Physician Partners 2001 Marcus Avenue Lake Success NY 11042 Outpatient Physician Clinic Great Neck Medical Associates 1165 Northern Boulevard Manhasset NY 11030 Outpatient Physician Clinic Northwell Health Orthopaedic Institute 833 Northern Boulevard Great Neck NY 11021 Outpatient Physician Clinic Cardiology and Internal Medicine at Whit 150-55 14th Avenue Whitestone NY 11357 Outpatient Physician Clinic Cardiology - Downtown 121 West 20th Street New York NY 10011 Outpatient Physician Clinic Urgent Care Center at Bethpage 4300 Hempstead Turnpike Bethpage NY 11714 Outpatient Physician Clinic North Shore Surgical Specialists 310 East Shore Road Great Neck NY 11021 Outpatient Physician Clinic Occupational and Environmental Medicine 2035 Lakeville Road New Hyde Park NY 11040 Outpatient Physician Clinic Northwell Health Physician Partners 896 North Broadway Massapequa NY 11758 Outpatient Physician Clinic Cardiology at Hampton Bays 80 East Montauk Highway Hampton Bays NY 11946 Outpatient Physician Clinic Sleep Disorder Center 155 Community Drive Great Neck NY 11021 Outpatient Physician Clinic University Orthopaedic Associates at Eas 801 Merrick Avenue East Meadow NY 11544 Outpatient Physician Clinic Center for Human Reproduction Suffolk 285 Middle Country Road Smithtown NY 11787 Outpatient Physician Clinic Center for Tobacco Control 225 Community Drive Great Neck NY 11021 Outpatient Physician Clinic East Hills Internal Medicine 70 Glen Cove Road Roslyn Heights NY 11577 Outpatient Physician Clinic Gustavo Depetris MD 23-22 30th Avenue Astoria NY 11102 Outpatient Physician Clinic Center for Human Reproduction at Rego Pa 95-25 Queens Boulevard Rego Park NY 11374 Outpatient Physician Clinic Occupational and Environmental Medicine 2950 Expressway Drive South Islandia NY 11749 Outpatient Physician Clinic Northwell Health Physician Partners 185 Merrick Road Lynbrook NY 11563 Outpatient Physician Clinic Northern Pulmonary Medical Associates 58-06 Francis Lewis Boulevard Bayside NY 11364 Outpatient Physician Clinic Neurosurgery Spine 306 Broadway Lynbrook NY 11563 Outpatient Physician Clinic Northwell Health Physician Partners 114-12 Beach Channel Drive Rockaway Park NY 11694 Outpatient Physician Clinic Student Health Center at Franklin K Lan 999 Jamaica Avenue Brooklyn NY 11208 Outpatient Physician Clinic Massapequa Internal Medicine Associates 2857 Jerusalem Avenue Wantagh NY 11793 Outpatient Physician Clinic Jason Karp MD 800 Community Drive Manhasset NY 11030 Outpatient Physician Clinic Center for Human Reproduction Mineola 300 Old Country Road Mineola NY 11501 Outpatient Physician Clinic Lenox Hill Human Reproduction 110 East 59th Street New York NY 10021 Outpatient Physician Clinic Internal Medicine at Farmingdale 475 Main Street Farmingdale NY 11735 Outpatient Physician Clinic Northwell Health Physician Partners 157-02 Cross Bay Blvd Howard Beach NY 11414 Outpatient Physician Clinic Northern Boulevard Internal Medicine 170-03 Northern Boulevard Flushing NY 11358 Outpatient Physician Clinic Family Practice of Port Washington 110 Main Street Port Washington NY 11050 Outpatient Physician Clinic Internal Medicine at Astoria Newton Ave 31-09 Newtown Avenue Astoria NY 11102 Outpatient Physician Clinic The Far Rockaway Youth Consultation Cent 1045 Nameoke Street Far Rockaway NY 11691 Outpatient Physician Clinic Northern Pulmonary Medical Associates at 23-18 31st Street Astoria NY 11105 Outpatient Physician Clinic Immediate Care Center Fire Island 504 Bayberry Walk Ocean Beach NY 11770 Outpatient Physician Clinic Cleft Palate Craniofacial Center 225 Community Drive Great Neck NY 11021 Outpatient Physician Clinic NuHealth - Cardiology at NUMC 2201 Hempstead Turnpike East Meadow NY 11554 Outpatient Physician Clinic Student Health Center at Far Rockaway Ed 821 Bay 25th Street Far Rockaway NY 11691 Outpatient Physician Clinic Cardiology and Internal Medicine at Asto 22-31 33rd Street Astoria NY 11105 Outpatient Physician Clinic PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health Inc. ("Northwell"). Northwell uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website: http://www.northwell.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospitals financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 11.29 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwells bioterrorism & disaster preparedness includes Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organizations collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospitals collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwells community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and childrens health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, Northwell participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CB X X X X X false true false true false false false true false MICHAEL J DOWLING PRESIDENT & CEO 0 1474510 0 2528000 0 23516 0 29150 0 22276 0 4077452 0 0 HOWARD GOLD EVP MANAGED CARE, BUSINESS DEV 0 1079110 0 701250 0 32613 0 29150 0 8433 0 1850556 0 0 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1368841 0 1000000 0 29403 0 589158 0 10864 0 2998266 0 0 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0 1167747 0 371250 0 2032804 0 357265 0 16303 0 3945369 0 1195740 LAWRENCE G SMITH EVP/PHYSICIAN IN CHIEF 0 933759 0 324675 0 28859 0 29150 0 16878 0 1333321 0 0 JEFFREY KRAUT EVP,STRATEGIC PLANNING 0 918272 0 320625 0 33564 0 389559 0 24154 0 1686174 0 0 KATHLEEN GALLO RN PHD CHF LEARNING OFFICER 0 671809 0 196875 0 34653 0 29150 0 16303 0 948790 0 0 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0 653272 0 196875 0 61313 0 212571 0 24154 0 1148185 0 0 HARRY GINDI ASSISTANT SECRETARY 0 296913 0 74884 0 4327 0 29150 0 16267 0 421541 0 0 RICHARD D GOLDSTEIN IMMEDIATE PAST CHAIRMAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WILLIAM L MACK VICE CHAIRMAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BARRY RUBENSTEIN VICE CHAIRMAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALAN I GREENE TREASURER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DONALD ZUCKER SECRETARY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MARK CLASTER CHAIRMAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RALPH NAPPI TRUSTEE & EVC 0 719676 0 196875 0 30877 0 29150 0 16303 0 992881 0 0 NON COMPENSATED TRUSTEES SEE SCHEDULE O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0 888245 0 239063 0 13389 0 191309 0 19008 0 1351014 0 0 EUGENE TANGNEY SVP, CHIEF ADMIN OFFICER 0 960697 0 253125 0 11010 0 223790 0 24154 0 1472776 0 0 ANDREW SCHULZ SVP & GEN COUNSEL 0 743505 0 317969 0 31807 0 29150 0 24154 0 1146585 0 0 ANTHONY FERRERI EVP/CHF AFFILIATION OFFICER 0 856309 0 303750 0 2071473 0 353303 0 16303 0 3601138 0 1468574 KEVIN BEINER SVP/DEPUTY REG EXEC DIR 483179 0 118125 0 28686 0 29150 0 8452 0 667592 0 0 0 ALESSANDRO BELLUCCI EXECUTIVE DIRECTOR 865226 0 185625 0 14434 0 29150 0 16303 0 1110738 0 0 0 MICHAEL FENER EXECUTIVE DIRECTOR 0 646075 0 157625 0 30050 0 264537 0 15518 0 1113805 0 0 JASON NAIDICH MED SCHOOL CHAIR RADIOLOGY 0 924600 0 250583 0 29822 0 29150 0 24154 0 1258309 0 0 FRANK RIZZO REGIONAL CFO 552580 0 106487 0 62518 0 29150 0 24280 0 775015 0 0 0 RICK ESPOSITO ASSOC CHAIRPERSON 1793058 0 0 0 22561 0 29150 0 16303 0 1861072 0 0 0 ALAN HARTMAN MED SCHOOL CHAIR CTS 2364572 0 25000 0 31764 0 29150 0 24154 0 2474640 0 0 0 STANLEY KATZ MED SCHOOL CHAIR CARDIOLOGY 1745837 0 0 0 16998 0 29150 0 16267 0 1808252 0 0 0 EUGENE KRAUSS DIR, ORTHOPEDICS 2682444 0 250000 0 77278 0 29150 0 16303 0 3055175 0 0 0 JAMES TAYLOR CO-DIRECTOR 2088822 0 0 0 4257 0 29150 0 24154 0 2146383 0 0 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Mark J Solazzo ($560,008), Robert S Shapiro ($328,115), Jeffrey Kraut ($360,409), Donna Drummond ($183,421),Laura Peabody ($162,159), Eugene Tangney ($194,640), Anthony Ferreri ($324,153)and Michael Fener ($235,387). PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUES Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee. PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). PART II, COLUMN (F) - SERP PAYOUT The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903LC3 2007-05-31 89271702 2007 A&B BONDS-FACILITY RENOVATION true false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905QL3 2009-09-17 26646500 2009 A&E BONDS-CAPITAL IMPROV & RE true false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906UY8 2012-05-03 29074101 2012 A BONDS - REFUND 1998 BONDS false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BNL3 2015-06-23 66964515 2015 A BONDS - REFUND 2003 & 2005 false false false A 36250249 38988898 87458582 970232 1317311 2755658 883469 0 0 20962482 61539662 0 2009 true true true true B 2530701 18059552 26439997 415871 2060531 0 431955 0 970498 18611463 4365551 0 2012 true false true true C 8393045 0 33308014 0 0 0 627701 0 0 0 32680313 0 2012 true false true true D 857599 0 73297202 0 422098 45939489 669959 0 0 6699505 16753728 0 true true false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true true false true Citibank NA 25.9 true false true MBIA 18.1 true true true B false false true true false false 0 false 0 true true C false false true true false false 0 false 0 false true D false true true false false false 0 false 0 false true A true B true C true D true PART II, LINE 3-TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 6/30/2010 FOR TELP, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 11/3/2012 FOR 2012 BONDS, SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 12/28/2010 FOR TELP,SINCE BOND PROCEEDS HAVE BEEN SPENT A SPENDING EXCEPTION WAS MET. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2008-12-30 8578266 TELP - PURCHASE OF EQUIPMENT false false false A 4438107 0 8581141 0 0 0 0 0 0 8581141 0 0 2010 false false true true A false false false false 0 false false false true A false false true true false false 0 false 0 false true A true BRIAN DOWLING FAMILY RELATION: MICHAEL DOWLING 131680 EMPLOYEES false DAN GRIFFIN FAMILY RELATION: DON ZUCKER 11666 EMPLOYEES false ASHLEY DOWLING FAMILY RELATION: MICHAEL DOWLING 61563 EMPLOYEES false GLOBAL PACKAGING SOLUTIONS BUSINESS RELATION: FJ MCCARTHY 38814 COMPANY false PATRICK SMITH FAMILY RELATION: LAWRENCE SMITH 92690 EMPLOYEES false ASHLEY CUOCCIO FAMILY RELATION: MARK SOLAZZO 85967 EMPLOYEES false THOMAS BOGUE FAMILY RELATION: EUGENE TANGNEY 26171 EMPLOYEES false PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with Northwell Health entities are as follows: (1) negotiated at arms length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an as needed basis. Roger Blumencranz has a business relationship with Richard D. Goldstein, Alan Greene, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Robert Rosenthal. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman, William Mack and Barry Rubenstein. Saul Katz has a business relationship with Seth Lipsay, F.J. McCarthy and Robert Rosenthal. Jeffrey Lane has a business relationship with William Mack. Seth Lipsay has a business relationship with Saul Katz and Robert Rosenthal. William Mack has business relationships with Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz and Robert Rosenthal. Ralph Nappi has a business relationship with Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, Saul Katz, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B - POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation PART VI, SECTION B - POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A Frank J. Besignano Alan I. Greene Charles Merinoff Roger A. Blumencranz Paul B. Guenther Ralph A. Nappi Robert W. Chasanoff William O. Hiltz Richard B. Nye Mark L. Claster Nancy Karch Sharon Patterson Michael J. Dowling Saul B. Katz Lewis S. Ranieri Michael A. Epstein Cary Kravet Robert D. Rosenthal Michael E. Feldman Jeffrey B. Lane Barry Rubenstein Catherine C. Foster Seth Lipsay Richard J. Sinni William H. Frazier William L. Mack Donald Zucker Lloyd M. Goldman F.J. McCarthy Roy J. Zuckerberg Richard D. Goldstein Patrick F. McDermott PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health, Inc.("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates. PART VI, SECTION A - GOVERNING BODY, LINE 7 Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. PART XI, LINE 9 - RECONCILIATION OF NET ASSETS CHANGE IN EQUITY UNDER FAS 136 10,544,868 NON OPERATING GAINS/LOSSES 16,969,096 CHANGE IN INTEREST IN ACQUIRED ENTITIES 7,027,044 CHANGE IN FV SWAP AGREEMENT - CASH FLOW 287,594 CHANGE IN UNRESTRICTED PY ADJUSTMENT (22,566) TRANSFER TO AFFILIATE (25,234,532) BOOK/TAX ADJUSTMENT 1,919,529 NET ASSETS RELEASED FROM RESTRICTIONS 112,456 TOTAL 11,603,489 NORTH SHORE-LIJ VENTURES LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 455221514 MEDICAL SVCS NY 5048526 18958468 NSUH NORTH SHORE-LIJ VENTURES GCSC LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 463279716 ASC NY 1270480 913301 NSUH NS-LIJ URGENT CARE VENTURES LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 464822513 URGENT CARE NY 1330698 28130529 NSUH SYOASC LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 465066204 INACTIVE NY 0 0 NSUH NORTH SHORE-LIJ MULTISPECIALTY LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 472528221 INACTIVE NY 0 0 NSUH NORTH SHORE-LIJ ENDOSCOPY VENTURES LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 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