THE LONG ISLAND HOME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: THE LONG ISLAND HOME (EIN 11-2837244)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201613199349302996
Schema version: 2015v2.1
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 D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T10:46:06-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	112837244	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE LONG ISLAND HOME	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ARBER KOKONESHI TREASURER	InCareOfNm
Business Name Control	LONG	BusinessNameControlTxt
Phone	6316085107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SUNRISE HIGHWAY	AddressLine1Txt
City	AMITYVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PATRICIA A PORTER	PersonNm
Person Title	EXEC. DIRECTOR & COO	PersonTitleTxt
Phone	5163216025	PhoneNum
Signature	2016-11-02	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ARBER KOKONESHI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SUNRISE HIGHWAY	AddressLine1Txt
City	AMITYVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$104,443,590	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LONGISLANDHOME.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE LONG ISLAND HOME STRIVES TO PROVIDE innovative, effective and cost-efficient services within an integrated community health delivery system.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1516	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$456,030	PYContributionsGrantsAmt
CY Contributions Grants	$501,615	CYContributionsGrantsAmt
PY Program Service Revenue	$96,080,797	PYProgramServiceRevenueAmt
CY Program Service Revenue	$103,455,835	CYProgramServiceRevenueAmt
PY Investment Income	$44,308	PYInvestmentIncomeAmt
CY Investment Income	$48,823	CYInvestmentIncomeAmt
PY Other Revenue	$491,349	PYOtherRevenueAmt
CY Other Revenue	$437,317	CYOtherRevenueAmt
PY Total Revenue	$97,072,484	PYTotalRevenueAmt
CY Total Revenue	$104,443,590	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$84,078,520	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,352,966	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,980,471	PYOtherExpensesAmt
CY Other Expenses	$29,061,501	CYOtherExpensesAmt
PY Total Expenses	$112,058,991	PYTotalExpensesAmt
CY Total Expenses	$114,414,467	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,986,507	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,970,877	CYRevenuesLessExpensesAmt
Total Assets BOY	$98,765,080	TotalAssetsBOYAmt
Total Assets EOY	$98,651,237	TotalAssetsEOYAmt
Total Liabilities BOY	$91,480,851	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,128,332	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,284,229	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$2,477,095	NetAssetsOrFundBalancesEOYAmt
Mission	THE LONG ISLAND HOME PROVIDES INNOVATIVE, EFFECTIVE AND COST-EFFICIENT SERVICES WITHIN AN INTEGRATED COMMUNITY HEALTH DELIVERY SYSTEM, AND PROMOTES THE HIGHEST PRACTICAL LEVELS OF WELLNESS AND INDEPENDENCE FOR PATIENTS AND FAMILIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$58,149,564	ExpenseAmt
Revenue	$60,629,024	RevenueAmt
Desc	SOUTH OAKS HOSPITAL (SOH) IS A FREESTANDING PYSCHIATRIC HOSPITAL LICENSED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH (OMH) AND OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES (OASAS). MENTAL HEALTH SERVICES ARE PROVIDED TO CHILDREN, ADOLESCENTS, ADULTS, AND GERIATRICS. SOH ALSO PROVIDES PARTIAL HOSPITALIZATION TREATMENT FOR ADULTS AND ADOLESCENTS. THIS SETTING PROVIDES INTENSIVE PSYCHIATRIC TREATMENT IN A STRUCTURED ENVIRONMENT. COMPREHENSIVE OUTPATIENT BEHAVIORAL SERVICES (COBS) PROGRAM SERVICES YOUTHS AND FAMILIES WITHIN THE COMMUNITY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$45,407,130	ExpenseAmt
Revenue	$42,826,811	RevenueAmt
Desc	BROADLAWN MANOR NURSING AND REHABILITATION CENTER IS A COMPREHENSIVE RESIDENTIAL HEALTH CARE FACILITY, LICENSED IN NEW YORK STATE, OFFERING PROGRESSIVE AND INNOVATIVE CARE. INCLUDED IN THEIR FACILITY BEDS ARE A 40 BED SUBACUTE UNIT AND TWO 40 BED UNITS DEDICATED TO ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. THE NURSING CENTER ALSO PROVIDES A NUMBER OF SPECIALTY SERVICES. ADULT DAY HEALTH SERVICES PROVIDES THERAPEAUTIC, REHABILITATIVE AND RECREATIONAL SERVICES TO THE MEDICALLY IMPAIRED OLDER ADULT AND THE DISABLED.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$103,556,694	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	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	false	TaxExemptBondsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	101	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1516	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ARBER KOKONESHI TREASURER	PersonNm
Phone	6316085107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SUNRISE HIGHWAY	AddressLine1Txt
City	AMITYVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICIA A PORTER
EXEC. DIRECTOR & COO	35.0	0.0	Yes (X)	Yes (X)	$435,109	$0	$290,281
ROGER A BLUMENCRANZ
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
ROBERT W CHASANOFF
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
ELLEN RICCIUTI
VICE CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL STOLTZ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL E FELDMAN
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
ROBERT F ROSE
CHAIRMAN	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN T O CONNELL
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RAYMOND J FUREY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JACQUELINE S HARRIS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARK CLASTER
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
LLOYD M GOLDMAN
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
RICHARD D GOLDSTEIN
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
MARK SHAW
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DONALD ZUCKER
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
JEFFREY A KRAUT
TRUSTEE/SVP PLANNING, Nwh	0.0	50.0	Yes (X)		$0	$1,077,844	$373,819
WINIFRED MACK
TRUSTEE/REG EXEC DIR, nwh	0.0	50.0	Yes (X)		$0	$969,931	$38,059
MARK J SOLAZZO
TRUSTEE/ EVP & COO, nwh	0.0	50.0	Yes (X)		$0	$2,196,565	$556,379
DEBORAH TASCONE
TRUSTEE	0.0	2.0	Yes (X)		$0	$0	$0
HOWARD B GOLD
EVP & chf mgd care bs dvlp off	0.0	50.0		Yes (X)	$0	$1,638,945	$38,059
LAURENCE A KRAEMER
vp & deputy gen councel, nwh	0.0	50.0		Yes (X)	$0	$640,878	$55,176
HARRY GINDI
ASSISTANT SECRETARY	0.0	50.0		Yes (X)	$0	$319,536	$46,368
Laura Peabody
SVP & Chief Legal Officer	0.0	50.0		Yes (X)	$0	$1,002,534	$210,021
Andrew Schulz
Vp & General Counsel	0.0	50.0		Yes (X)	$0	$877,620	$55,176
ARBER KOKONESHI
SECRETARY & ASST TREASURER	35.0	0.0		Yes (X)	$148,501	$0	$30,752
KIRAN KAMDAR MD
MEDICAL DIRECTOR PSYCH	35.0	0.0			$317,929	$0	$16,437	Yes (X)
KEVIN COTTERELL MD
medical director physch	35.0	0.0			$270,450	$0	$9,919	Yes (X)
GERARD KAISER
vp OF SENIOR SERVICE	35.0	0.0			$286,415	$0	$36,640	Yes (X)
PATRICE REIVES-BRIGHT
MEDICAL DIRECTOR PHYSCH	35.0	0.0			$266,030	$0	$8,077	Yes (X)
HENA SIDDIQUI
MEDICAL DIRECTOR BLM	35.0	0.0			$248,434	$0	$32,066	Yes (X)
ROBERT E DETOR
FORMER CHAIRMAN	0.0	0.0			$123,450	$0	$1,209		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,096,318	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,723,853	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,798,438	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	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
AFFINITY REHABILITATION
10600 YORK ROAD SUITE 105	COCKEYSVILLE	MD	21030	PT/OT/ST THERAPY	$2,021,441
Transcare Ambulance Corp
1 Metrtech Center 20th Floor	BROOKLYN	NY	11201	Transportation SVCS	$854,207
NORTHWELL HEALTH LaboratorIES
10 Nevada Drive	LAKE SUCCESS	NY	11201	LABORARTORY SERVICES	$795,679
SPENCER KETCHAM SON BUILDERS
43 SHORE DR W	COPIAGUE	NY	11726	GENERAL CONTRACTOR	$334,696
RD CARPET TILE CORPORATION
72 ROME STREET	FARMINGDALE	NY	11735	GENERAL CONTRACTOR	$248,101

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Government Grants	$489,852	GovernmentGrantsAmt
All Other Contributions	$11,763	AllOtherContributionsAmt
Total Contributions	$501,615	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BEHAVIORAL HEALTH PSYCHIATRIC	900099	$60,629,024	$60,629,024
SENIOR HEALTH SERVICES	623000	$42,826,811	$42,826,811

Field	Value	IRS element (for citing)
Total Program Service Revenue	$103,455,835	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,823	TotalRevenueColumnAmt
Exclusion	$48,823	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$20,400	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$20,400	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,400	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Field	Value	IRS element (for citing)
Fundraising Gross Income	$396	FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$396	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EXCESS UTILITIES	221000	$17,340	$17,340
CAFETERIA	722210	$110,032	$110,032
CHALLENGE ACTIVITIES ROPES	900099	$82,189		$82,189

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,960	TotalRevenueColumnAmt
Exclusion	$206,960	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$416,521	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$104,443,590	TotalRevenueColumnAmt
Related Or Exempt Func Income	$103,538,024	RelatedOrExemptFuncIncomeAmt
Exclusion	$383,155	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$583,610	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$583,610	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,617,806	TotalAmt
Program Services	$58,234,433	ProgramServicesAmt
Management And General	$4,383,373	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,476,342	TotalAmt
Program Services	$3,327,900	ProgramServicesAmt
Management And General	$148,442	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,883,906	TotalAmt
Program Services	$12,828,946	ProgramServicesAmt
Management And General	$1,054,960	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,791,302	TotalAmt
Program Services	$4,421,974	ProgramServicesAmt
Management And General	$369,328	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$118,537	TotalAmt
Program Services	$3,178	ProgramServicesAmt
Management And General	$115,359	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$83,609	TotalAmt
Management And General	$83,609	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$117,566	TotalAmt
Program Services	$2,143	ProgramServicesAmt
Management And General	$115,423	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$375,656	TotalAmt
Program Services	$301,115	ProgramServicesAmt
Management And General	$74,541	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$876,004	TotalAmt
Management And General	$876,004	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,724,259	TotalAmt
Program Services	$2,349,932	ProgramServicesAmt
Management And General	$374,327	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$68,572	TotalAmt
Program Services	$55,060	ProgramServicesAmt
Management And General	$13,512	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$69,245	TotalAmt
Program Services	$47,440	ProgramServicesAmt
Management And General	$21,805	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,657,076	TotalAmt
Program Services	$1,524,510	ProgramServicesAmt
Management And General	$132,566	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,605,393	TotalAmt
Program Services	$2,357,286	ProgramServicesAmt
Management And General	$248,107	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,281,032	TotalAmt
Program Services	$1,129,620	ProgramServicesAmt
Management And General	$151,412	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$1,797,086	$1,797,086
PURCHASED SERVICES	$5,698,391	$5,393,539	$304,852
COST OF DRUGS	$2,417,315	$2,415,866	$1,449
STATE CASH ASSESSMENT	$2,012,754	$2,012,754

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,159,006	TotalAmt
Program Services	$5,353,912	ProgramServicesAmt
Management And General	$1,805,094	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,414,467	TotalAmt
Program Services	$103,556,694	ProgramServicesAmt
Management And General	$10,857,773	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,630,471	BOYAmt
EOY	$722,900	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,917,701	BOYAmt
EOY	$2,634,546	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,058,551	BOYAmt
EOY	$12,541,000	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$488,476	BOYAmt
EOY	$487,517	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$823,673	BOYAmt
EOY	$850,937	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$65,506,690	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,510,926	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,298,883	BOYAmt
EOY	$56,995,764	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,079,538	BOYAmt
EOY	$7,069,658	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,467,787	BOYAmt
EOY	$17,348,915	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,765,080	BOYAmt
EOY	$98,651,237	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,346,058	BOYAmt
EOY	$8,594,776	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$28,081,389	BOYAmt
EOY	$26,021,909	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,053,404	BOYAmt
EOY	$66,511,647	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,480,851	BOYAmt
EOY	$101,128,332	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,284,229	BOYAmt
EOY	-$2,477,095	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,284,229	BOYAmt
EOY	-$2,477,095	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$98,765,080	BOYAmt
EOY	$98,651,237	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,970,877	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,879	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$219,432	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,669,023	OtherCostOrOtherBasisAmt
Book Value	$20,669,023	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,239,656	OtherCostOrOtherBasisAmt
Depreciation	$4,782,394	DepreciationAmt
Book Value	$31,457,262	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,772,668	OtherCostOrOtherBasisAmt
Depreciation	$3,728,532	DepreciationAmt
Book Value	$4,044,136	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$825,343	OtherCostOrOtherBasisAmt
Book Value	$825,343	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,995,764	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE CLAIMS RECIEVABLE	$7,920,851
457B PLAN ASSETS	$360,039
INTANGIBLE ASSETS	$8,700,000
OTHER ASSETS	$368,025

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,348,915	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION & POST-RET. BENEFITS	$1,524,320
ACCRUED PENSION LIAB	$9,025,213
DUE TO THIRD PARTY PAYORS	$2,363,678
INTEREST RATE SWAP LIABILITY	$1,160,884
INSURANCE CLAIMS LIABILITY	$7,920,851
NOTE PAYABLE TO AFFILIATE	$35,089,106
MALPRACTICE & OTHER INSURANCE	$3,975,558
DUE TO AFFILIATE	$5,452,037

Field	Value	IRS element (for citing)
Total Liability	$66,511,647	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$102,636,625	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$9,879	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,797,086	OtherRevenueAmt
Revenue Not Reported	-$1,806,965	RevenueNotReportedAmt
Revenue Subtotal	$104,443,590	RevenueSubtotalAmt
Total Revenue Per Form990	$104,443,590	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$111,066,775	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$111,066,775	ExpensesSubtotalAmt
Other Expenses Not Included	$3,347,692	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,347,692	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$114,414,467	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2	The Long Island Home and the Foundation are exempt from federal income taxes under the provisions of Section 501(a) of the Internal Revenue Code (the Code) as organizations described in Section 501(C)(3) and are also exempt from New York State and local income taxes. LIH has determined that there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements. LIH's Wholly Owned, For-Profit entities (SOMBHA, Inc. and LIPA-1, Inc., both of which are currently dormant) are taxable entities under federal and state laws.
PART XI, LINE 2D	PROVISION FOR BAD DEBT (1,797,086) TOTAL (1,797,086)
PART XII, LINE 4B	ADDITIONAL MINIMUM PENSION Adjustment 1,550,606 PROVISION FOR BAD DEBTS 1,797,086 TOTAL 3,347,692

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,772,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,772,866	NetCommunityBenefitExpnsAmt
Total Expense	0.02830	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,189,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,189,032	NetCommunityBenefitExpnsAmt
Total Expense	0.03490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,961,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,961,898	NetCommunityBenefitExpnsAmt
Total Expense	0.06320	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,401	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,124,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$623,930	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,128,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$627,331	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,090,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,589,229	NetCommunityBenefitExpnsAmt
Total Expense	0.07330	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$185	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,503	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,649	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,649	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,562	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,562	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,899	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,899	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,419,846	BadDebtExpenseAmt
Bad Debt Expense Attributable	$141,985	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$9,785,925	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,488,940	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$703,015	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
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 OAKS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SURNISE HIGHWAY	AddressLine1Txt
City	AMITYVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.LONGISLANDHOME.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH OAKS 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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.NORTHWELL.EDU	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFI	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NORTHWELL.EDU	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NORTHWELL.EDU	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.NORTHWELL.EDU	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Section C, Supplemental Information	FormAndLineReferenceDesc
Explanation	Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each 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: http://www.northwell.edu/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: http://www.northwell.edu/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 6b: For a detailed listing of other than hospital facilities go to web link: http://www.northwell.edu/hospitals/about-us/about-us-community-service -plans-benefit-report 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: http://www.northwell.edu/hospitals/about-us/about-us-community-service -plans-benefit-report 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 16i: 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 18d: N/A Part V, Section B, line 19d: 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 22d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROADLAWN MANOR NURSING & REHABILITATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	399 COUNTY LINE ROAD	AddressLine1Txt
City	AMITYVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11701	ZIPCd

Field	Value	IRS element (for citing)
Facility	SKILLED NURSING FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART VI - SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	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.edu/about/our-organization/office-community-and-publi c-health/reports 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. An 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 hospital facility 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 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 (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital that appears on Form 990, Part IX Line 25 column (A), less bad debt expense (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 12.65 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 CBOs, enables region wide leveraging of resources, co	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
PATRICIA A PORTER
EXEC. DIRECTOR & COO	$380,838	$0	$43,875	$0	$10,396	$0	$278,896	$0	$11,385	$0	$725,390	$0	$0	$0
KIRAN KAMDAR MD
MEDICAL DIRECTOR PSYCH	$317,929	$0	$0	$0	$0	$0	$8,575	$0	$7,862	$0	$334,366	$0	$0	$0
HOWARD B GOLD
EVP & chf mgd care bs dvlp off	$0	$1,079,181	$0	$528,000	$0	$31,764	$0	$29,150	$0	$8,909	$0	$1,677,004	$0	$0
LAURENCE A KRAEMER
vp & deputy gen councel, nwh	$0	$462,463	$0	$87,300	$0	$91,115	$0	$29,150	$0	$26,026	$0	$696,054	$0	$0
HARRY GINDI
ASSISTANT SECRETARY	$0	$288,163	$0	$27,171	$0	$4,202	$0	$29,150	$0	$17,218	$0	$365,904	$0	$0
JEFFREY A KRAUT
TRUSTEE/SVP PLANNING, Nwh	$0	$910,565	$0	$135,000	$0	$32,279	$0	$347,793	$0	$26,026	$0	$1,451,663	$0	$0
WINIFRED MACK
TRUSTEE/REG EXEC DIR, nwh	$0	$799,411	$0	$135,000	$0	$35,520	$0	$29,150	$0	$8,909	$0	$1,007,990	$0	$0
MARK J SOLAZZO
TRUSTEE/ EVP & COO, nwh	$0	$1,267,281	$0	$900,000	$0	$29,284	$0	$538,262	$0	$18,117	$0	$2,752,944	$0	$0
Laura Peabody
SVP & Chief Legal Officer	$0	$819,005	$0	$140,000	$0	$43,529	$0	$183,995	$0	$26,026	$0	$1,212,555	$0	$0
Andrew Schulz
Vp & General Counsel	$0	$737,078	$0	$108,000	$0	$32,542	$0	$29,150	$0	$26,026	$0	$932,796	$0	$0
KEVIN COTTERELL MD
medical director physch	$270,450	$0	$0	$0	$0	$0	$9,919	$0	$0	$0	$280,369	$0	$0	$0
GERARD KAISER
vp OF SENIOR SERVICE	$275,108	$0	$11,307	$0	$0	$0	$13,733	$0	$22,907	$0	$323,055	$0	$0	$0
ARBER KOKONESHI
SECRETARY & ASST TREASURER	$148,501	$0	$0	$0	$0	$0	$23,819	$0	$6,933	$0	$179,253	$0	$0	$0
PATRICE REIVES-BRIGHT
MEDICAL DIRECTOR PHYSCH	$266,030	$0	$0	$0	$0	$0	$8,077	$0	$0	$0	$274,107	$0	$0	$0
HENA SIDDIQUI
MEDICAL DIRECTOR BLM	$248,434	$0	$0	$0	$0	$0	$9,159	$0	$22,907	$0	$280,500	$0	$0	$0
ROBERT E DETOR
FORMER CHAIRMAN	$123,450	$0	$0	$0	$0	$0	$1,209	$0	$0	$0	$124,659	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

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 ($509,112), Jefferey Kraut ($318,643), Patricia Porter ($248,708), and Laura Peabody ($154,845).

PART I, LINE 7

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).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 Goldstein, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Richard Goldstein. Lloyd Goldman has a business relationship with Richard Goldstein. Richard Goldstein has a business relationship with Roger Blumencranz, Mark Claster and Lloyd Goldman Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz.
PART VI, SECTION B, 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, LINE 12	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, 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, LINE 19	CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
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	CHANGE IN INTEREST RATE SWAP $219,432 Total $219,432

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 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
NORTHWELL HEALTH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113418133	SUPPORT	NY	501(C)(3)	11, TYPE I	NA	false
NORTHWELL HEALTHCARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965586	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111562701	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112241326	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111633487	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112163522	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113241243	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112296824	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111667761	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
NORTHWELL HEALTH LABORATORIES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113412370	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112673595	RESEARCH	NY	501(C)(3)	4	NW HEALTH	false
NORTHWELL HEALTH FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965586	FUNDRAISING	NY	501(C)(3)	7	NW HEALTH	false
NORTHWELL HEALTH STERN FAMILY CENTER FOR
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237007485	NURSING HOME	NY	501(C)(3)	9	NW HEALTHCAR	false
LIJ AT HOME PHARMACY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113251128	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
LIJ FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112661239	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
NORTH SHORE-LIJ MEDICAL CARE CENTERS INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113473923	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
SSH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112774102	SUPPORT	NY	501(C)(3)	11, TYPE I	SOUTHSIDE	false
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237273200	HOUSING	NY	501(C)(2)	N/A	NW HEALTH	false
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112171903	HOUSING	NY	501(C)(2)	N/A	NW HEALTH	false
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237010468	HOUSING	NY	501(C)(2)	N/A	NW HEALTH	false
HILLSIDE HOUSING HOUSES INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112113949	HOUSING	NY	501(C)(2)	N/A	NW HEALTH	false
SIUH SYSTEMS INC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	061074604	FUNDRAISING	NY	501(C)(3)	7	NW HEALTHCAR	false
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	112868878	HEALTH CARE	NY	501(C)(3)	3	NW HEALTH	false
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVE	STATEN ISLAND	NY	10305	870765787	FUNDRAISING	NY	501(C)(3)	7	SIUH	false
THE HEART INSTITUTE
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	311757254	INACTIVE	NY	501(C)(3)	11, TYPE I	NA	false
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FL	STATEN ISLAND	NY	10305	200096809	HEALTH CARE	NY	501(C)(3)	11, TYPE I	SIUH	false
HOSPICE CARE NETWORK
99 SUNNYSIDE BVLD	WOODBURY	NY	11797	112925757	HOSPICE	NY	501(C)(3)	9	NW HEALTH	false
HUNTINGTON HOSPITAL
270 PARK AVENUE	HUNTINGTON	NY	11743	111630914	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RD	GREENLAWN	NY	11740	113368503	HEALTH CARE	NY	501(C)(3)	3	HUNTINGTON	false
LENOX HILL HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	131624070	HEALTH CARE	NY	501(C)(3)	3	NW HEALTHCAR	false
LHH CORPORATION
100 EAST 77TH ST	NEW YORK	NY	10021	133272016	SUPPORT	NY	501(C)(3)	11, TYPE I	NW HEALTH	false
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113284934	GRAD SCHOOL	NY	501(C)(3)	2	RESEARCH	false
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061655704	HEALTH CARE	NY	501(C)(3)	9	LIJ	false
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263727582	HEALTH CARE	NY	501(C)(3)	3	NA	false
CLNY Alliance Inc
972 Brush Hollow Road	Westbury	NY	11590	463146870	Laboratory	NY	501(C)(3)	3	NWH LAB	false
North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow Road	Westbury	NY	11590	275078717	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Cardiology At Deer Park
972 Brush Hollow Road	Westbury	NY	11590	275078531	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Heart Surgery PC
972 Brush Hollow Road	Westbury	NY	11590	275078838	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Internal Medicine PC
972 Brush Hollow Road	Westbury	NY	11590	275078631	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow Road	Westbury	NY	11590	275078426	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Medical PC
972 Brush Hollow Road	Westbury	NY	11590	453023019	Medical Servi	NY	501(C)(3)	11, Type I	NSUH	false
North Shore-LIJ Health Plan Inc
972 Brush Hollow Road	Westbury	NY	11590	461617516	Insurance	NY	501(C)(3)	9	HPLAN HOLDIN	false
Advocate Community Providers
972 Brush Hollow Rd	Westbury	NY	11590	472528627	DSRIP	NY	APPLIED OFR		NA	false
North Shore-LIJ Health Plan Holding Comp
972 Brush Hollow Rd	Westbury	NY	11590	462478147	HOLDING CO	NY	501(C)(3)	11, TYPE II	NW HEALTHCAR	false
Phelps Memorial Hospital Association
701 North Broadway	Sleepy Hollow	NY	10591	131725076	Hospital	NY	501(c)(3)	3	NW HEALTHCAR	false
Phelps Medical Services PC
701 North Broadway	sleepy Hollow	NY	10591	274416017	MEDICAL SVCS	NY	501(C)(3)	11, type i	pmh	false
Northern Westchester Hospital Associatio
400 East Main Street	Mount Kisco	NY	10549	131740118	Hospital	NY	501(C)(3)	3	NW HEALTHCAR	false
Northern Westchester Hospital Foundation
400 East Main Street	Mount Kisco	NY	10549	134067064	FOUNDATION	NY	501(C)(3)	9	NWHA	false
NORCORP Inc
400 East Main Street	Mount Kisco	NY	10549	133366748	Support Org	NY	501(C)(3)	11, TYPE I	NWHA	false
Northern Westchester Realty Holding Comp
400 East Main Street	Mount Kisco	NY	10549	912134215	HOLDING CO	NY	501(c)(2)	N/A	NWHA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	262838027	CONSULTING	NY	CMG
Endoscopy Center of Long Island
972 Brush Hollow Road	Westbury	NY	11590	260000980	Medical Servi	NY	NS-LIJ Ventures
True North Urgent Care LLC
972 Brush Hollow Road	Westbury	NY	11590	464113494	Medical Servi	NY	NSLIJ Urgent Ca
True North DC LLC
972 Brush Hollow Road	Westbury	NY	11590	464601950	Medical Servi	NY	Renal Ventures
Synergy Health True North LLC
972 Brush Hollow Road	Westbury	NY	11590	464106483	Medical Servi	NY	Central Sterile
North Shore-LIJ Medical Air Transport L
972 Brush Hollow Road	Westbury	NY	11590	464858222	Air Transport	NY	NSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464469806	RESEARCH	NY	HEALTH CARE
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	463869336	MEDICAL SVCS	NY	NSUH
STATEN ISLAND PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472544659	DSRIP	NY	SIUH
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472544821	DSRIP	NY	NSUH
Endo Group LLC
972 Brush Hollow Rd	Westbury	NY	11590	200248148	MEDICAL SVCS	NY	VENTURES GCSC
Hospital City LLC
972 Brush Hollow Rd	Westbury	NY	11590	474091780	INACTIVE	NY	NW HEALTH
Northwell Genomic Alliance LLC
972 Brush Hollow Rd	Westbury	NY	11590	810826710	INACTIVE	NY	NWH LABS
Health Connect Technologies LLC
972 Brush Hollow Rd	WESTBURY	NY	11590	810967200	Inactive	NY	NEWPORT HEALTH
Phelps Professional Building Corp LP
777 North Broadway	Sleepy Hollow	NY	10591	133645137	REAL ESTATE	NY	PMHA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 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	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113316922	HOLDING COMPANY	NY	NW HEALTH	C	false
REGIONCARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113052191	HOMECARE	NY	NSHS ENT	C	false
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061605319	HOLDING COMPANY	NY	NSHS ENT	C	false
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113336381	BUSINESS SERVICES	NY	NSH ENT	C	false
VIVOHEALTH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	264118016	HEALTH CARE	NY	NSH ENT	C	false
REGIONAL INSURANCE COMPANY LTD
				000000000	INSURANCE		NW HEALTHCARE	C	false	C/O CEDAR HOUSE 41 CEDAR AVE	HAMILTON	BERMUDA	BD	HM 12	BD
ALETTA CORPORATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112622371	HEALTH CARE	NY	SOUTHSIDE	C	false
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK ST	BURLINGTON	VT	05401	261487515	INSURANCE	VT	NW HEALTHCARE	C	false
NORTH SHORE-LIJ SERVICE ALLIANCE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263651575	SUPPORT	NY	NA	C	false
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533659	HEALTH CARE	NY	LIJ	C	false
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533670	HEALTH CARE	NY	LIJ	C	false
NORTH SHORE IPA 5 INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113383468	BUSINESS SERVICES	NY	NW HEALTHCARE	C	false
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	320257193	SUPPORT	NY	NW HEALTH	C	false
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	270701489	INACTIVE	NY	RESEARCH	C	false
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	223970667	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	273957752	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384249	MEDICAL SERVICES	NY	NSUH	C	false
NS-LIJ MEDICAL GROUP AT HUNTINGTON
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384049	MEDICAL SERVICES	NY	NSUH	C	false
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384146	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384326	MEDICAL SERVICES	NY	NSUH	C	false
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	452661543	MEDICAL SERVICES	NY	LENOX	C	false
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	451004103	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	461382916	MEDICAL SERVICES	NY	LIJ	C	false
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	461617561	MEDICAL SERVICES	NY	SOUTHSIDE	C	false
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZA 6TH FL	STATEN ISLAND	NY	10305	133138888	MANAGEMENT SVCS	NY	SIUH	C	false
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZA 6TH FL	STATEN ISLAND	NY	10305	133773601	INACTIVE	NY	OVM	C	false
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZA 6TH FL	STATEN ISLAND	NY	10305	133277698	INACTIVE	NY	OVM	C	false
SIUH PERINATOLOGY PC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	134107082	MEDICAL SERVICES	NY	SIUH	C	false
UNITED MEDICAL SURGICAL PC
256 MASON AVE BLDG B 2ND FL	STATEN ISLAND	NY	10305	134038780	MEDICAL SERVICES	NY	SIUH	C	false
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-A	NEW YORK	NY	10021	133775996	MANAGED CARE	NY	LENOX	C	false
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FL	NEW YORK	NY	10021	208784395	MEDICAL SERVICES	NY	LENOX	C	false
LENOX HILL PATHOLOGY PC
100 EAST 77TH ST	NEW YORK	NY	10021	133644370	MEDICAL SERVI	NY	LENOX	C	false
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH ST	NEW YORK	NY	10021	262661082	MEDICAL SERVICES		LENOX	C	false
North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow Road	Westbury	NY	11590	463475908	Medical ServiCES	NY	NSUH	C	false
North Shore-LIJ Internal Medicine At NHP
972 Brush Hollow Road	Westbury	NY	11590	462822879	Medical ServiCES	NY	NSUH	C	false
North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow Road	Westbury	NY	11590	462886776	Medical ServiCES	NY	NSUH	C	false
North Shore-LIJ CareConnect Insurance Co
972 Brush Hollow Road	Westbury	NY	11590	462270382	Insurance	NY	GROUP HOLDING	C	false
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	112945979	MEDICAL SERVICES	NY	NSUH	S	false
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471020508	PHARMACY	NY	NSUH	C	false
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471994548	INSURANCE AGE	NY	GROUP HOLDING	C	false
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472478692	HOLDING CO	NY	HPLAN HOLDING	C	false
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	465746956	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471758444	MEDICAL SERVICES	NY	NSUH	C	false
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	465495054	MEDICAL SERVICES	NY	NSUH	C	false
North Shore-LIJ Ophthalmology Institute
972 Brush Hollow RD	Westbury	NY	11590	300930851	Inactive	NY	NSUH	C	false
Phelps Realty Corp
701 North Broadway	Sleepy Hollow	NY	10591	133645135	Real Estate	NY	Phelps Memorial	C	false
Health Delivery Analysis Inc
701 North Broadway	Sleepy Hollow	NY	10591	133352327	Inactive	NY	PHELPS MEMORIAL	C	false
Phelps Management Services Inc
701 North Broadway	Sleepy Hollow	NY	10591	131726635	Inactive	NY	Phelps Memorial	C	false
Phelps Services Inc
701 North Broadway	Sleepy Hollow	NY	10591	131742995	Inactive	NY	Phelps Memorial	C	false
Northern Westchester Oncology Management
400 East Main St	Mount Kisco	NY	10549	133697507	Medical Svcs	NY	NORCORP	C	false
NWHC Health Management Services Inc
400 East Main St	Mount Kisco	NY	10591	133697510	Health Mgmt	NY	NORCORP	C	false
Northern Westchester Surgical Services
400 East Main St	Mount Kisco	NY	10549	274550915	Medical Svcs	NY	NWHA	C	false
North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow Rd	Westbury	NY	11590	473722278	Medical Svcs	NY	NSUH	C	false
Lakeville Surgery PC
972 Brush Hollow Rd	Westbury	NY	11590	474377760	Medical Svcs	NY	Lenox Hill	C	false
Marcus Emergency Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	474377679	Medical Svcs	NY	Lenox Hill	C	false
Carnegie Cardiovascular PC
972 Brush Hollow Rd	Westbury	NY	11590	474377825	Medical Svcs	NY	Lenox Hill	C	false
Madison Imaging PC
972 Brush Hollow Rd	Westbury	NY	11590	000000000	Medical Svcs	NY	NSUH	C	false
Community Drive Medicine PC
972 Brush Hollow Rd	Westbury	NY	11590	474447289	Medical Svcs	NY	NSUH	C	false
Westchester Health Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	474539584	Medical Svcs	NY	NSUH	C	false
Marcus Avenue Medical PC
972 Brush Hollow Rd	Westbury	NY	11590	300930577	Medical Svcs	NY	NSUH	C	false
CareConnect Administrative Services Inc
972 Brush Hollow Rd	Westbury	NY	11590	475182974	Admin	NY	Group Holding	C	false
Northwell FlexStaff Inc
972 Brush Hollow Rd	Westbury	NY	11590	810836815	Inactive	NY	NW HEALTHCARE	C	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd