2016-11-14T10:46:06-06:00 2015-12-31 990 2015-01-01 112837244 THE LONG ISLAND HOME % ARBER KOKONESHI TREASURER LONG 6316085107 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 PATRICIA A PORTER EXEC. DIRECTOR & COO 5163216025 2016-11-02 2015 2017-02-10 21:41:12Z ARBER KOKONESHI 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 104443590 false X WWW.LONGISLANDHOME.ORG X 1999 NY THE LONG ISLAND HOME STRIVES TO PROVIDE innovative, effective and cost-efficient services within an integrated community health delivery system. 19 14 1516 70 0 456030 501615 96080797 103455835 44308 48823 491349 437317 97072484 104443590 0 0 0 0 84078520 85352966 0 0 0 27980471 29061501 112058991 114414467 -14986507 -9970877 98765080 98651237 91480851 101128332 7284229 -2477095 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. false false 58149564 60629024 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. 45407130 42826811 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. 103556694 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 101 0 true 1516 true false false false false false false false false false false false false false X 19 14 true false false false false true true true true false false true true true true true true true true false NY X ARBER KOKONESHI TREASURER 6316085107 400 SUNRISE HIGHWAY AMITYVILLE NY 11701 PATRICIA A PORTER EXEC. DIRECTOR & COO 35.0 0.0 X X 435109 0 290281 ROGER A BLUMENCRANZ TRUSTEE 0.0 2.0 X 0 0 0 ROBERT W CHASANOFF TRUSTEE 0.0 2.0 X 0 0 0 ELLEN RICCIUTI VICE CHAIRPERSON 1.0 0.0 X X 0 0 0 MICHAEL STOLTZ TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL E FELDMAN TRUSTEE 0.0 2.0 X 0 0 0 ROBERT F ROSE CHAIRMAN 3.0 0.0 X X 0 0 0 JOHN T O CONNELL TRUSTEE 1.0 0.0 X 0 0 0 RAYMOND J FUREY TRUSTEE 1.0 0.0 X 0 0 0 JACQUELINE S HARRIS TRUSTEE 1.0 0.0 X 0 0 0 MARK CLASTER TRUSTEE 0.0 2.0 X 0 0 0 LLOYD M GOLDMAN TRUSTEE 0.0 2.0 X 0 0 0 RICHARD D GOLDSTEIN TRUSTEE 0.0 2.0 X 0 0 0 MARK SHAW TRUSTEE 1.0 0.0 X 0 0 0 DONALD ZUCKER TRUSTEE 0.0 2.0 X 0 0 0 JEFFREY A KRAUT TRUSTEE/SVP PLANNING, Nwh 0.0 50.0 X 0 1077844 373819 WINIFRED MACK TRUSTEE/REG EXEC DIR, nwh 0.0 50.0 X 0 969931 38059 MARK J SOLAZZO TRUSTEE/ EVP & COO, nwh 0.0 50.0 X 0 2196565 556379 DEBORAH TASCONE TRUSTEE 0.0 2.0 X 0 0 0 HOWARD B GOLD EVP & chf mgd care bs dvlp off 0.0 50.0 X 0 1638945 38059 LAURENCE A KRAEMER vp & deputy gen councel, nwh 0.0 50.0 X 0 640878 55176 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 319536 46368 Laura Peabody SVP & Chief Legal Officer 0.0 50.0 X 0 1002534 210021 Andrew Schulz Vp & General Counsel 0.0 50.0 X 0 877620 55176 ARBER KOKONESHI SECRETARY & ASST TREASURER 35.0 0.0 X 148501 0 30752 KIRAN KAMDAR MD MEDICAL DIRECTOR PSYCH 35.0 0.0 X 317929 0 16437 KEVIN COTTERELL MD medical director physch 35.0 0.0 X 270450 0 9919 GERARD KAISER vp OF SENIOR SERVICE 35.0 0.0 X 286415 0 36640 PATRICE REIVES-BRIGHT MEDICAL DIRECTOR PHYSCH 35.0 0.0 X 266030 0 8077 HENA SIDDIQUI MEDICAL DIRECTOR BLM 35.0 0.0 X 248434 0 32066 ROBERT E DETOR FORMER CHAIRMAN 0.0 0.0 X 123450 0 1209 2096318 8723853 1798438 79 true true false AFFINITY REHABILITATION 10600 YORK ROAD SUITE 105 COCKEYSVILLE MD 21030 PT/OT/ST THERAPY 2021441 Transcare Ambulance Corp 1 Metrtech Center 20th Floor BROOKLYN NY 11201 Transportation SVCS 854207 NORTHWELL HEALTH LaboratorIES 10 Nevada Drive LAKE SUCCESS NY 11201 LABORARTORY SERVICES 795679 SPENCER KETCHAM SON BUILDERS 43 SHORE DR W COPIAGUE NY 11726 GENERAL CONTRACTOR 334696 RD CARPET TILE CORPORATION 72 ROME STREET FARMINGDALE NY 11735 GENERAL CONTRACTOR 248101 42 489852 11763 501615 BEHAVIORAL HEALTH PSYCHIATRIC 900099 60629024 60629024 SENIOR HEALTH SERVICES 623000 42826811 42826811 103455835 48823 48823 0 0 20400 20400 0 20400 0 396 396 0 0 EXCESS UTILITIES 221000 17340 17340 CAFETERIA 722210 110032 110032 CHALLENGE ACTIVITIES ROPES 900099 82189 82189 206960 206960 416521 104443590 103538024 383155 0 0 0 0 583610 0 583610 0 0 62617806 58234433 4383373 3476342 3327900 148442 13883906 12828946 1054960 4791302 4421974 369328 0 118537 3178 115359 83609 83609 0 0 0 0 117566 2143 115423 375656 301115 74541 876004 876004 0 2724259 2349932 374327 68572 55060 13512 0 69245 47440 21805 1657076 1524510 132566 0 2605393 2357286 248107 1281032 1129620 151412 BAD DEBT 1797086 1797086 PURCHASED SERVICES 5698391 5393539 304852 COST OF DRUGS 2417315 2415866 1449 STATE CASH ASSESSMENT 2012754 2012754 7159006 5353912 1805094 114414467 103556694 10857773 0 1630471 722900 4917701 2634546 0 0 11058551 12541000 0 0 0 0 0 0 488476 487517 823673 850937 65506690 8510926 55298883 56995764 7079538 7069658 0 0 0 0 0 0 17467787 17348915 98765080 98651237 8346058 8594776 0 0 0 0 0 0 0 0 0 0 28081389 26021909 0 0 55053404 66511647 91480851 101128332 X 7284229 -2477095 0 0 0 0 7284229 -2477095 98765080 98651237 X -9970877 -9879 219432 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20669023 20669023 36239656 4782394 31457262 7772668 3728532 4044136 825343 825343 56995764 INSURANCE CLAIMS RECIEVABLE 7920851 457B PLAN ASSETS 360039 INTANGIBLE ASSETS 8700000 OTHER ASSETS 368025 17348915 0 PENSION & POST-RET. BENEFITS 1524320 ACCRUED PENSION LIAB 9025213 DUE TO THIRD PARTY PAYORS 2363678 INTEREST RATE SWAP LIABILITY 1160884 INSURANCE CLAIMS LIABILITY 7920851 NOTE PAYABLE TO AFFILIATE 35089106 MALPRACTICE & OTHER INSURANCE 3975558 DUE TO AFFILIATE 5452037 66511647 X 102636625 -9879 -1797086 -1806965 104443590 104443590 111066775 111066775 3347692 3347692 114414467 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 true true X true X true X 500. true true true false true true 1772866 1772866 0.02830 2189032 2189032 0.03490 3961898 3961898 0.06320 3401 3401 0.00010 1124712 500782 623930 0.01000 1128113 500782 627331 0.01010 5090011 500782 4589229 0.07330 185 185 53503 53503 3649 3649 4562 4562 61899 61899 false 1419846 141985 9785925 10488940 -703015 X true true 1 1 SOUTH OAKS HOSPITAL 400 SURNISE HIGHWAY AMITYVILLE NY 11701 WWW.LONGISLANDHOME.ORG X SOUTH OAKS HOSPITAL 1 false false true X X X X X X X X X 13 true true true true X WWW.NORTHWELL.EDU X true 13 true WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFI false 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 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: 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 1 BROADLAWN MANOR NURSING & REHABILITATION 399 COUNTY LINE ROAD AMITYVILLE NY 11701 SKILLED NURSING FACILITY 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.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 X X X X X false true false false false false false true false PATRICIA A PORTER EXEC. DIRECTOR & COO 380838 0 43875 0 10396 0 278896 0 11385 0 725390 0 0 0 KIRAN KAMDAR MD MEDICAL DIRECTOR PSYCH 317929 0 0 0 0 0 8575 0 7862 0 334366 0 0 0 HOWARD B GOLD EVP & chf mgd care bs dvlp off 0 1079181 0 528000 0 31764 0 29150 0 8909 0 1677004 0 0 LAURENCE A KRAEMER vp & deputy gen councel, nwh 0 462463 0 87300 0 91115 0 29150 0 26026 0 696054 0 0 HARRY GINDI ASSISTANT SECRETARY 0 288163 0 27171 0 4202 0 29150 0 17218 0 365904 0 0 JEFFREY A KRAUT TRUSTEE/SVP PLANNING, Nwh 0 910565 0 135000 0 32279 0 347793 0 26026 0 1451663 0 0 WINIFRED MACK TRUSTEE/REG EXEC DIR, nwh 0 799411 0 135000 0 35520 0 29150 0 8909 0 1007990 0 0 MARK J SOLAZZO TRUSTEE/ EVP & COO, nwh 0 1267281 0 900000 0 29284 0 538262 0 18117 0 2752944 0 0 Laura Peabody SVP & Chief Legal Officer 0 819005 0 140000 0 43529 0 183995 0 26026 0 1212555 0 0 Andrew Schulz Vp & General Counsel 0 737078 0 108000 0 32542 0 29150 0 26026 0 932796 0 0 KEVIN COTTERELL MD medical director physch 270450 0 0 0 0 0 9919 0 0 0 280369 0 0 0 GERARD KAISER vp OF SENIOR SERVICE 275108 0 11307 0 0 0 13733 0 22907 0 323055 0 0 0 ARBER KOKONESHI SECRETARY & ASST TREASURER 148501 0 0 0 0 0 23819 0 6933 0 179253 0 0 0 PATRICE REIVES-BRIGHT MEDICAL DIRECTOR PHYSCH 266030 0 0 0 0 0 8077 0 0 0 274107 0 0 0 HENA SIDDIQUI MEDICAL DIRECTOR BLM 248434 0 0 0 0 0 9159 0 22907 0 280500 0 0 0 ROBERT E DETOR FORMER CHAIRMAN 123450 0 0 0 0 0 1209 0 0 0 124659 0 0 0 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). 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 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 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 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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 C/O CEDAR HOUSE 41 CEDAR AVE HAMILTON BERMUDA BD HM 12 000000000 INSURANCE BD NW HEALTHCARE C false 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 false false false false false false false false false false false false false false true true false false