TY 2017 Form 990 Schedule R

efile Public Visual Render ObjectId: 201833239349300108 - Submission: 2018-11-19 TIN: 26-3727582

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2017

Open to Public Inspection

Name of the organization

NORTHWELL HEALTH ALLIANCE INC

Employer identification number

26-3727582

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NORTHWELL HEALTH 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3418133	SUPPORT	NY	501(C)(3)	12, TYPE I	NA		No
(2)NORTHWELL HEALTHCARE INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2965586	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(3)NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-1562701	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(4)LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2241326	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(5)GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-1633487	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(6)PLAINVIEW HOSPITAL 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3241243	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(7)SOUTHSIDE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-1667761	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(8)NORTHWELL HEALTH LABORATORIES 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3412370	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(9)FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2673595	RESEARCH	NY	501(C)(3)	4	NORTHWELL		No
(10)NORTHWELL HEALTH FOUNDATION 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2965575	FUNDRAISING	NY	501(C)(3)	7	NORTHWELL		No
(11)NORTHWELL HEALTH STERN FAMILY CECR 972 BRUSH HOLLOW RD WESTBURY,NY11590 23-7007485	NURSING HOME	NY	501(C)(3)	9	HCI		No
(12)LIJ AT HOME PHARMACY 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3251128	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(13)LIJ FOUNDATION 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2661239	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(14)NORTH SHORE-LIJ MEDICAL CARE CENTERS 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3473923	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(15)SSH INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2774102	SUPPORT	NY	501(C)(3)	12, TYPE I	SOUTHSIDE		No
(16)NORTH SHORE COMMUNITY SERVICES INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 23-7273200	HOUSING	NY	501(C)(2)	N/A	NORTHWELL		No
(17)NORTH SHORE UNIVERSITY HOSPITAL HOUSING 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2171903	HOUSING	NY	501(C)(2)	N/A	NORTHWELL		No
(18)NSUH AT GLEN COVE HOUSING 972 BRUSH HOLLOW RD WESTBURY,NY11590 23-7010468	HOUSING	NY	501(C)(2)	N/A	NORTHWELL		No
(19)HILLSIDE HOSPITAL HOUSES INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-2113949	HOUSING	NY	501(C)(2)	N/A	NORTHWELL		No
(20)SIUH SYSTEMS INC 475 SEAVIEW AVE STATEN ISLAND,NY10305 06-1074604	FUNDRAISING	NY	501(C)(3)	7	HCI		No
(21)STATEN ISLAND UNIVERSITY HOSPITAL 475 SEAVIEW AVE STATEN ISLAND,NY10305 11-2868878	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(22)STATEN ISLAND UNIVERSITY HOSPITAL FDN 360 SEAVIEW AVE STATEN ISLAND,NY10305 87-0765787	FUNDRAISING	NY	501(C)(3)	7	SIUH		No
(23)THE HEART INSTITUTE 475 SEAVIEW AVE STATEN ISLAND,NY10305 31-1757254	INACTIVE	NY	501(C)(3)	12, TYPE I	NA		No
(24)PHYSICIANS OF UNIVERSITY HOSPITAL PC 1 EDGEWATER PLAZA 6TH FL STATEN ISLAND,NY10305 20-0096809	HEALTH CARE	NY	501(C)(3)	12, TYPE I	SIUH		No
(25)HOSPICE CARE NETWORK 99 SUNNYSIDE BLVD WOODBURY,NY11797 11-2925757	HOSPICE	NY	501(C)(3)	9	NORTHWELL		No
(26)HUNTINGTON HOSPITAL 270 PARK AVENUE HUNTINGTON,NY11743 11-1630914	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(27)HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH 284 PULASKI RD GREENLAWN,NY11740 11-3368503	HEALTH CARE	NY	501(C)(3)	3	HUNTINGTON		No
(28)LENOX HILL HOSPITAL 100 EAST 77TH ST NEW YORK,NY10021 13-1624070	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(29)LHH CORPORATION 100 EAST 77TH ST NEW YORK,NY10021 13-3272016	SUPPORT	NY	501(C)(3)	12, TYPE I	NORTHWELL		No
(30)ELMEZZI GRADUATE SCHOOL OF MOLECULAR MED 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3284934	GRAD SCHOOL	NY	501(C)(3)	2	RESEARCH		No
(31)SPORTS PHYSICAL THERAPY & REHAB SVCS 972 BRUSH HOLLOW RD WESTBURY,NY11590 06-1655704	HEALTH CARE	NY	501(C)(3)	9	LIJ		No
(32)THE LONG ISLAND HOME 400 SUNRISE HIGHWAY AMITYVILLE,NY11701 11-2837244	HEALTH CARE	NY	501(C)(3)	3	LHH CORP		No
(33)CLNY ALLIANCE INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-3146870	LABORATORY	NY	501(C)(3)	3	LABS		No
(34)NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-5078717	MEDICAL SVCS	NY	501(c)(3)	12, TYPE I	NSUH		No
(35)NORTH SHORE-LIJ CARDIOLOGY AT DEER PARK 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-5078531	MEDICAL SVCS	NY	501(c)(3)	12, TYPE I	NSUH		No
(36)NORTH SHORE-LIJ HEART SURGERY PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-5078838	MEDICAL SVCS	NY	501(c)(3)	12, TYPE I	NSUH		No
(37)NORTH SHORE-LIJ INTERNAL MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-5078631	MEDICAL SVCS	NY	501(c)(3)	12, TYPE I	NSUH		No
(38)NSLIJ MEDICAL GROUP URGENT MEDICAL CARE 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-5078426	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(39)NORTH SHORE-LIJ MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 45-3023019	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(40)NORTH SHORE-LIJ HEALTH PLAN INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-1617516	INSURANCE	NY	501(C)(3)	9	HPLAN HOLD		No
(41)NS-LIJ HEALTH PLAN HOLDING COMPANY 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-2478147	HOLDING COMP	NY	501(C)(3)	12, TYPE II	HCI		No
(42)PHELPS MEMORIAL HOSPITAL ASSOCIATION 701 NORTH BROADWAY SLEEPY HOLLOW,NY10591 13-1725076	HOSPITAL	NY	501(C)(3)	3	HCI		No
(43)PHELPS MEDICAL SERVICES PC 701 NORTH BROADWAY SLEEPY HOLLOW,NY10591 27-4416017	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	PHELPS		No
(44)NORTHERN WESTCHESTER HOSPITAL ASSOC 400 EAST MAIN ST MOUNT KISCO,NY10549 13-1740118	HOSPITAL	NY	501(C)(3)	3	HCI		No
(45)NORTHERN WESTCHESTER HOSPITAL FOUNDATION 400 EAST MAIN ST MOUNT KISCO,NY10549 13-4067064	FOUNDATION	NY	501(C)(3)	9	NWHA		No
(46)NORCORP INC 400 EAST MAIN ST MOUNT KISCO,NY10549 13-3366748	SUPPORT ORG	NY	501(C)(3)	12, TYPE I	NWHA		No
(47)NORTHERN WESTCHESTER REALTY HOLDING COMP 400 EAST MAIN ST MOUNT KISCO,NY10549 91-2134215	HOLDING COMP	NY	501(C)(2)	N/A	NWHA		No
(48)CENTRAL SUFFOLK HOSPITAL ASSOCIATION 1300 ROANOKE AVE RIVERHEAD,NY11901 11-1661359	HEALTH CARE	NY	501(C)(3)	3	HCI		No
(49)STATEN ISLAND PERFORMING PROVIDER SYSTEM 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-2544659	DSRIP	NY	501(C)(3)	10	NA		No
(50)Visiting Nurse of Hudson Valley Inc 540 White Plains Rd Tarrytown,NY10591 13-1739952	Home Health C	NY	501(C)(3)	10	NW HEALTHCAR		No
(51)Hospice Care in Westchester and Putnam 540 White Plains Rd Tarrytown,NY10591 13-3882602	Hospice Care	NY	501(C)(3)	10	VNA Hudson		No
(52)VNA Home Health Services Inc 540 White Plains Rd Tarrytown,NY10591 13-3690105	Home Health C	NY	501(C)(3)	10	VNA Hudson		No
(53)Marcus Emergency Medicine PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 47-4377679	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(54)North Shore-LIJ Radiology Services PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 22-3970667	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(55)North Shore-LIJ Anesthesiology PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 46-1617561	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	SSIDE		No
(56)North Shore-LIJ OB-GYN PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 46-1382916	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	LIJMC		No
(57)Carnegie Cardiovascular PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 47-4377825	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	LENOX HILL		No
(58)Westchester Health Medical PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 47-4539584	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(59)Peconic Cardiology PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 81-3149464	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(60)North Shore-LIJ OB-GYN at Garden City P 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 46-2886776	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(61)North Shore-LIJ Medical Group at Hunting 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 27-4384049	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(62)North Shore-LIJ Pediatrics of Suffolk Co 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 46-5746956	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(63)Brooklyn Ambulatory Care PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 47-4447289	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	NSUH		No
(64)Lakeville Surgery PC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 47-4377760	MEDICAL SVCS	NY	501(C)(3)	12, TYPE I	LENOX HILL		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2017

Page 2

Schedule R (Form 990) 2017

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) KRASNOFF CONSULTATIVE SERVICES LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 26-2838027	CONSULTING	NY	CMG
(2) ENDOSCOPY CENTER OF LONG ISLAND 972 BRUSH HOLLOW RD WESTBURY,NY11590 26-0000980	MEDICAL SVCS	NY	NSLIJ VENTURES
(3) TRUE NORTH URGENT CARE LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-4113494	URGENT CARE	NY	NSLIJ URGENT
(4) TRUE NORTH DC LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-4601950	DIALYSIS	NY	RENAL VENTURES
(5) SYNERGY HEALTH TRUE NORTH LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-4106483	MEDICAL SVCS	NY	CENTRAL STERILE
(6) NORTH SHORE-LIJ MEDICAL AIR TRANSPORT 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-4858222	AIR TRANSPORT	NY	NSUH
(7) NSLIJ CONTRACT RESEARCH ORG 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-4469806	RESEARCH	NY	HCI
(8) NASSAU QUEENS PERFORMING PROVIDER SYSTEM 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-2544821	DSRIP	NY	NA
(9) ENDO GROUP LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 20-0248148	MEDICAL SVCS	NY	VENTURES GCSC
(10) HOSPITAL CITY LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-4091780	INACTIVE	DE	NORTHWELL
(11) NORTHWELL GENOMIC ALLIANCE LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-0826710	LABS	DE	LABS
(12) HEALTH CONNECT TECHNOLOGIES 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-0967200	INACTIVE	NY	NEWPORT HEALTH
(13) PHELPS PROFESSIONAL BUILDING CORP LP 701 NORTH BROADWAY SLEEPY HOLLOW,NY10591 13-3645137	REAL ESTATE	NY	PHELPS
(14) OPTUM 360 LLC 11000 OPTUM CIRCLE EDEN PRAIRIE,MN55344 46-3328307	BILLING	MN	OPTUM
(15) SOUTH SHORE SURGERY CENTER LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 34-1997077	MEDICAL SVCS	NY	MULTISPECIALTY
(16) FORMATIV HEALTH LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-3121231	HOLDING CO	DE	MAGNITUDE
(17) FORMATIV HEALTH INTERMEDIATE LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-4614788	HOLDING CO	DE	FORMATIV HEALTH
(18) SUFFOLK SURGERY CENTER LLC 972 BRUSH HOLLOW RD WESTBURY,NY11590 20-0080609	MEDICAL SVCS	NY	MULTISPECIALTY
(19) Anesthesia Management Services LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 82-3199065	MEDICAL SVCS	NY	NEA PC
(20) Northwell Health Sleep Lab LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 82-1516748	MEDICAL SVCS	NY	SLEEP HLGS
(21) Technopath Northwell Health North Americ 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 82-2869458	LAB SVCS	NY	TECHNOPATH USA
(22) Richmond ASC LLC 1360 HYLAN BLVD STATEN ISLAND,NY10305 47-2882195	MEDICAL SVCS	NY	CHAPMAN
(23) Surgical Specialty Center of Westchester 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 81-4359712	MEDICAL SVCS	NY	NA
(24) True North DC Holding LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 81-3347874	MEDICAL SVCS	NY	RENAL VENTURES
(25) True North II DC LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 35-2568005	MEDICAL SVCS	NY	DC HOLDING
(26) Melville SC LLC 1895 Walt Whitman Road Melville,NY11747 20-3487522	MEDICAL SVCS	NY	Melville ASC
(27) Brooklyn Ambulatory Services LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 81-2910850	MEDICAL SVCS	NY	NORTHWELL HEALT
(28) True North IV DC LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 61-1816900	MEDICAL SVCS	NY	DC HOLDING
(29) True North V DC LLC 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 32-0518811	MEDICAL SVCS	NY	DC HOLDING

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) NORTH SHORE HEALTH SYSTEM ENTERPRISES 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3316922	HOLDING COMPA	NY	NORTHWELL	C				No
(2) REGIONCARE INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3052191	HOMECARE	NY	NSHS ENTERPRISE	C				No
(3) NORTH SHORE HEALTH ENTERPRISE 972 BRUSH HOLLOW RD WESTBURY,NY11590 06-1605319	HOLDING COMPA	NY	NSHS ENTERPRISE	C				No
(4) CARE MANAGEMENT GROUP OF GREATER NY 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3336381	BUSINESS SERV	NY	NSH ENTERPRISE	C				No
(5) REGIONAL INSURANCE COMPANY LTD C/O CEDAR HOUSE 41 CEDAR AVE HAMILTON,BERMUDAHM 12 BD 000000000	INSURANCE	BD	HCI	C				No
(6) Northwell Health Regional Alliance Inc 972 BRUSH HOLLOW RD WESTBURY,NY11590 26-3651575	SUPPORT	NY	NA	C				No
(7) NORTH SHORE-LIJ HEALTH SYSTEM IPA #1 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3533659	HEALTH CARE	NY	LIJ	C				No
(8) NORTH SHORE-LIJ HEALTH SYSTEM IPA #2 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3533670	HEALTH CARE	NY	LIJ	C				No
(9) NORTH SHORE IPA 5 INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 11-3383468	BUSINESS SERV	NY	HCI	C				No
(10) NORTH SHORE-LIJ NETWORK INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 32-0257193	SUPPORT SERVI	NY	NORTHWELL	C				No
(11) VIVOHEALTH INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 26-4118016	HEALTH & WELL	NY	NSH ENTERPRISE	C				No
(12) AUTOIMMUNE RESEARCH THERAPEUTICS 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-0701486	INACTIVE	NY	RESEARCH	C				No
(13) NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-3957752	MED SERVICES	NY	NSUH	C				No
(14) NORTH SHORE-LIJ MEDICAL GROUP PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-4384249	MED SERVICES	NY	NSUH	C				No
(15) NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-4384146	MED SERVICES	NY	NSUH	C				No
(16) NORTH SHORE-LIJ PHYSICIANS GROUP PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-4384326	MED SERVICES	NY	NSUH	C				No
(17) NS-LIJ INTERNAL MEDICINCE AT LYNBROOK 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-3475908	MED SERVICES	NY	NSUH	C				No
(18) NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-2822879	MED SERVICES	NY	NSUH	C				No
(19) CARECONNECT INSURANCE CO 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-2270382	MED SERVICES	NY	GROUP HOLDING	C				No
(20) LENOX HILL HOSPITAL MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 45-2661543	MED SERVICES	NY	LENOX HILL	C				No
(21) NS-LIJ OCCUPATIONAL MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 45-1004103	MED SERVICES	NY	NSUH	C				No
(22) SIUH PERINATOLOGY PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 13-4107082	MED SERVICES	NY	SIUH	C				No
(23) UNITED MEDICAL SURGICAL PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 13-4038780	MED SERVICES	NY	SIUH	C				No
(24) LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY 186 EAST 76TH ST 2ND FL NEW YORK,NY10021 20-8784395	MED SERVICES	NY	LENOX HILL	C				No
(25) LENOX HILL PATHOLOGY PC 100 EAST 77TH ST NEW YORK,NY10021 13-3644370	MED SERVICES	NY	LENOX HILL	C				No
(26) NORTH SHORE MEDICAL ACCELERATOR PC 256 MASON AVE BLDG B 2ND FL STATEN ISLAND,NY10305 11-2945979	MEDICAL SERVI	NY	NSUH	S				No
(27) TRUE NORTH HEALTH PHARMACY INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-1020508	PHARMACY	NY	NSHS Enterprise	C				No
(28) NS-LIJ CARECONNECT INSURANCE AGENCY 186 EAST 76TH ST 2ND FL NEW YORK,NY10021 47-1994548	INSURANCE AGE	NY	GRP HOLDING	C				No
(29) CARECONNECT GROUP HOLDING COMPANY 100 EAST 77TH ST NEW YORK,NY10021 47-2478692	HOLDING COMP	NY	HPLAN HOLDING	C				No
(30) NORTH SHORE-LIJ URGENT CARE PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-1758444	MEDICAL SVCS	NY	NSUH	C				No
(31) Wellbridge Psychiatry PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-5495054	MEDICAL SVCS	NY	NSUH	C				No
(32) NS-LIJ OPHTHALMOLOGY INSTITUTE 972 BRUSH HOLLOW ROAD WESTBURY,NY11590 30-0930851	INACTIVE	NY	NSUH	C				No
(33) PHELPS REALTY CORP 972 BRUSH HOLLOW RD WESTBURY,NY11590 13-3645135	REAL ESTATE	NY	PHELPS	C				No
(34) NWHC HEALTH MANAGEMENT SERVICES INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 13-3697510	HEALTH MGMT	NY	NORCORP	C				No
(35) NORTHERN WESTCHESTER SURGICAL SERVICES 972 BRUSH HOLLOW RD WESTBURY,NY11590 27-4550915	MEDICAL SVCS	NY	NWHA	C				No
(36) NS-LIJ OB-GYN AT NEW HYDE PARK PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 47-3722278	MEDICAL SVCS	NY	NSUH	C				No
(37) Community Drive Surgery PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-1672429	MEDICAL SVCS	NY	NSUH	C				No
(38) MARCUS AVENUE MEDICAL PC 400 EAST MAIN ST MOUNT KISCO,NY10549 30-0930577	MEDICAL SVCS	NY	NSUH	C				No
(39) CARECONNECT ADMINISTRATIVE SERVICES INC 400 EAST MAIN ST MOUNT KISCO,NY10549 47-5182974	ADMIN	NY	GRP HOLDING	C				No
(40) NORTHWELL FLEXSTAFF INC 400 EAST MAIN ST MOUNT KISCO,NY10549 81-0836815	INACTIVE	NY	NSH Enterprise	C				No
(41) FEINSTEIN CENTER FOR BIOELECTRONIC MED 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-2885700	INACTIVE	NY	FEINSTEIN	C				No
(42) TRUE NORTH HEALTH MANAGEMENT INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-3428274	INACTIVE	NY	HCI	C				No
(43) NARROWS IPA INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 13-3978565	BUSINESS SVC	NY	NSUH	C				No
(44) VIVOHEALTH PLANS INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 46-1164689	INACTIVE	NY	HCI	C				No
(45) FORMATIV HEALTH MANAGEMENT INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-3454243	HODLING CO	DE	FORMATIV INTER	C				No
(46) FORMATIV HEALTH NEWCO INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-3928889	HODLING CO	DE	FORMATIV HOLDCO	C				No
(47) FORMATIV HEALTH HOLDCO INC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-3928672	HODLING CO	DE	FORMATIV HEALTH	C				No
(48) Northwell Quality and Medical Affairs I 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-4113233	INACTIVE	NY	NW HEALTHCARE	C				No
(49) Montauk Risk Retention Group Inc 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-2587942	INSURANCE	NY	N/A	C				No
(50) True North Flexstaff Inc 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-1446568	INACTIVE	NY	NW HEALTHCARE	C				No
(51) Northwell Proton Therapy PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 81-2766298	INACTIVE	NY	NSUH	C				No
(52) Suite 130 Plastic Surgery PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-1772747	MEDICAL SVCS	NY	LIJ	C				No
(53) Northeastern Anesthesia of New Jersey P 972 BRUSH HOLLOW RD WESTBURY,NY11590 20-8709500	MEDICAL SVCS	NJ	NSUH	C				No
(54) Brightwaters Gynecology PC 972 BRUSH HOLLOW RD WESTBURY,NY11590 82-1883445	MEDICAL SVCS	NY	NSUH	C				No

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2017

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