SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
NORTH SHORE UNIVERSITY HOSPITAL
C/O NORTHWELL HEALTH INC
Employer identification number

11-1562701
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    29,259,271 2,622,375 26,636,897 0.730 %
b Medicaid (from Worksheet 3, column a) . . . . .     441,708,327 285,617,271 156,091,056 4.290 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     470,967,598 288,239,646 182,727,953 5.020 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     20,809,946 7,138,457 13,671,489 0.380 %
f Health professions education (from Worksheet 5) . . .     117,790,963 52,321,197 65,469,767 1.800 %
g Subsidized health services (from Worksheet 6) . . . .     357,927,134 177,214,233 180,712,901 4.970 %
h Research (from Worksheet 7) .     22,754,366   22,754,366 0.630 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     10,110,481   10,110,481 0.280 %
j Total. Other Benefits . .     529,392,890 236,673,887 292,719,004 8.060 %
k Total. Add lines 7d and 7j .     1,000,360,488 524,913,533 475,446,957 13.080 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     101,992   101,992  
4 Environmental improvements     3,810   3,810  
5 Leadership development and
training for community members		            
6 Coalition building     18,862   18,862  
7 Community health improvement advocacy     304,955   304,955 0.010 %
8 Workforce development     71,575   71,575  
9 Other            
10 Total     501,194   501,194 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
39,437,610
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
596,968,985
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
748,727,832
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-151,758,847
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1NS MED ACCELERATOR
  		MEDICAL SERVICES 100 %   0 %
2ENDO GROUP LLC
  		MEDICAL SERVICES 53.958 %   8.838 %
3SOUTH SHORE SURGERY
  		MEDICAL SERVICES 69 %   31 %
4Richmond ASC LLC
  		MEDICAL SERVICES 20 %   80 %
5LONG ISLAND CENTER F
  		MEDICAL SERVICES 52.81 %   45.76 %
6MELVILLE SC LLC
  		MEDICAL SERVICES 50.141 %   49.859 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 NORTH SHORE UNIVERSITY HOSPITAL
300 COMMUNITY DRIVE
MANHASSET,NY11030
WWW.NORTHWELL.EDU 		X X   X     X     A
2 SYOSSET HOSPITAL
221 JERICHO TURNPIKE
SYOSSET,NY11791
WWW.NORTHWELL.EDU 		X X   X     X     A
Schedule H (Form 990) 2023
Page 4
Schedule H (Form 990) 2023
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): COMPLETE WEB ADDRESS IN PART V
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2023
Page 5
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V
b
See Part V
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
Page 7
Schedule H (Form 990) 2023
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
Page 8
Schedule H (Form 990) 2023
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
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 of the six counties served by Northwell and its hospitals. External stakeholders included representatives from county health departments, area hospitals, academia, business, government agencies, and community-based organizations with an emphasis on those who serve communities with health disparities. Quantitative and 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 community member and community-based organization/provider surveys, facilitated focus groups, and community-based organization summits. Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to the web link: https://www.northwell.edu/doctors-and-care/locations?type=hospitals Part V, Section B, line 6b: For a detailed listing of other organizations go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf Part V, Section B, line 7a: Hospital facility's website/CHNA report go to web link: https://www.northwell.edu/sites/northwell.edu/files/2022-12/northwell-heal th-2022-2024-CHNA-CHIP-CSP-NYSDOH-implementation-plan.pdf Part V, Section B, line 7d: N/A Part V, Section B, line 10a: https://www.northwell.edu/sites/northwell.edu/files/2022-12/northwell-heal th-2022-2024-CHNA-CHIP-CSP-NYSDOH-implementation-plan.pdf Part V, Section B, line 11: The Northwell Health Implementation Plan for 2022-2024 includes the goals, objectives, activities, and performance measures planned to address the chosen New York State Prevention Agenda Priority Areas. The hospital identified and addressed primary needs based on an assessment of the highest-ranked health priorities of the community, regulatory input, and resources available. For further information go to the web link: https://www.northwell.edu/sites/northwell.edu/files/2023-04/System-Report- 2022-2024.pdf 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 16 a-c: https://www.northwell.edu/billing-and-insurance/financial-assistance-progr ams-policies/financial-assistance-policy Part V, Section B, line 16j: Information on our Financial Assistance Policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions listed, the hospital facility sends letters, makes telephone calls, and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Page 9
Schedule H (Form 990) 2023
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?112
Name and address Type of Facility (describe)
1 Northwell Health Physician Partners
865 Northern Boulevard
Great Neck,NY11021 		Outpatient Physician Clinic
2 Northwell Health Physician Partners
450 Lakeville Road
Garden City,NY11042 		Outpatient Physician Clinic
3 Northwell Health Physician Partners
611 Northern Boulevard
Great Neck,NY11021 		Outpatient Physician Clinic
4 Northwell Health Physician Partners
600 Northern Boulevard
Great Neck,NY11021 		Outpatient Physician Clinic
5 Northwell Health Physician Partners
410 Lakeville Road
New Hyde Park,NY11040 		Outpatient Physician Clinic
6 Northwell Health Physician Partners
155 West 11th Street 2nd 3rd Fl
New York NY,NY10011 		Outpatient Physician Clinic
7 Northwell Health Fertility at Manhasset
330 Community Drive
Manhasset,NY11030 		Outpatient Physician Clinic
8 NHPP Pulmonary Medicine and Cardiology a
1350 Northern Blvd
Manhasset,NY11030 		Outpatient Physician Clinic
9 Northwell Health Physician Partners Mate
1111 Marcus Avenue Suite M10c
Lake Success,NY11042 		Outpatient Physician Clinic
10 Northwell Health Physician Partners
1999 Marcus Avenue
Lake Success,NY11042 		Outpatient Physician Clinic
11 Northwell Health Imaging at the Center f
450 Lakeville Road
Lake Success,NY11042 		Diagnostic Clinic
12 Northwell Health Physician Partners
3003 New Hyde Park Road
New Hyde Park,NY11042 		Outpatient Physician Clinic
13 Northwell Health Physician Partners
1991 Marcus Avenue
Lake Success,NY11042 		Outpatient Physician Clinic
14 Northwell Health Physician Partners
900 Northern Blvd
Great Neck,NY11021 		Outpatient Physician Clinic
15 Northwell Health Physician Partners
300 Old Country Road
Mineola,NY11501 		Outpatient Physician Clinic
16 Northwell Health Physician Partners
850 Hicksville Road
Seaford,NY11783 		Outpatient Physician Clinic
17 Northwell Health Imaging at Garden City
711 Stewart Avenue
Garden City,NY11530 		Diagnostic Clinic
18 Northwell Health Physician Partners
1130 South Avenue 3rd Floor
Staten Island,NY10314 		Outpatient Physician Clinic
19 Northwell Health Physician Partners
136-20 38th Avenue CF
Flushing,NY11354 		Outpatient Physician Clinic
20 Northwell Health Physician Partners
1010 Northern Blvd
Great Neck,NY11021 		Outpatient Physician Clinic
21 NHPP Adult & Pediatric Cardiology at Woo
43 Crossways Park Drive 1st Floor
Woodbury,NY11797 		Outpatient Physician Clinic
22 NHPP Cardiology and Medicine Specialties
2119 Merrick Road
Merrick,NY11566 		Outpatient Physician Clinic
23 Northwell Health Imaging at Huntington
284 Pulaski Road
Green Lawn,NY11740 		Diagnostic Clinic
24 Northwell Health Physician Partners
400 Community Drive
Manhasset,NY11030 		Outpatient Physician Clinic
25 Northwell Health Physician Partners
225 Community Drive
Suite,NY11030 		Outpatient Physician Clinic
26 Northwell Health Physician Partners
1001 Franklin Avenue
Garden City,NY11530 		Outpatient Physician Clinic
27 Northwell Health Neurosurgery
805 Northern Boulevard Suite 100
Great Neck,NY11021 		Outpatient Physician Clinic
28 Northwell Health Imaging at Lenox Health
200 West 13th Street 5th Floor
New York,NY10011 		Diagnostic Clinic
29 Northwell Health Medical Pavilion at Len
200 West 13th Street 6th Floor
New York,NY10011 		Outpatient Physician Clinic
30 Northwell Health Imaging at Great Neck
611 Northern Boulevard
Great Neck,NY11021 		Diagnostic Clinic
31 Northwell Health Imaging at Smithtown
226 Middle Country Road
Smithtown,NY11787 		Diagnostic Clinic
32 Northwell Health Physician Partners
100 Community Drive
Syosset,NY11797 		Outpatient Physician Clinic
33 Northwell Health Imaging at Great South
620 Main Street
Islip,NY11751 		Diagnostic Clinic
34 NHPP Obstetrics and Gynecology at North
1 Hollow Lane Suite 101
North Hills,NY11042 		Outpatient Physician Clinic
35 Northwell Health Imaging at Syosset
100 Lafayette Drive
Syosset,NY11797 		Diagnostic Clinic
36 Northwell Health Physician Partners
1200 South Avenue Suites 303-304
Staten Island,NY10314 		Outpatient Physician Clinic
37 NHPP Neurosurgery & Spine at Lynbrook
444 Merrick Road
Lynbrook,NY11563 		Outpatient Physician Clinic
38 NHPP Medicine Specialties at Woodbury
415 Crossways Park Drive
Woodbury,NY11797 		Outpatient Physician Clinic
39 Northwell Health Physician Partners
2001 Marcus Avenue
Lake Success,NY11042 		Outpatient Physician Clinic
40 NHPP Family Medicine and Endocrinology a
733 Sunrise Highway First Floor
Lynbrook,NY11563 		Outpatient Physician Clinic
41 NHPP Medicine Specialties at Manhasset
1165 Northern Blvd Suite 300
Manhasset,NY11030 		Outpatient Physician Clinic
42 NHPP Orthopaedic Institute at Great Neck
833 Northern Blvd Suite 220
Great Neck,NY11021 		Outpatient Physician Clinic
43 Northwell Health Physician Partners
205 South Ocean Avenue
Patchogue,NY11772 		Outpatient Physician Clinic
44 Northwell Health Physician Partners
150-51/55 14th Avenue 2nd FL
Whitestone,NY11357 		Outpatient Physician Clinic
45 Northwell Health Physician Partners
110 East 59th Street 10D
New York NY,NY10022 		Outpatient Physician Clinic
46 Northwell Health Physician Partners
3111 New Hyde Park Road Lower Lev
North Hills,NY11042 		Outpatient Physician Clinic
47 Northwell Health Physician Partners
155 Community Drive South Mezzani
Manhasset,NY11030 		Outpatient Physician Clinic
48 NHPP Surgical Specialties at Great Neck
310 East Shore Road Suite 203
Great Neck,NY11021 		Outpatient Physician Clinic
49 Northwell Health Physician Partners
658 White Plains Road
Tarrytown,NY10591 		Outpatient Physician Clinic
50 NHPP Orthopaedic Institute at Great Neck
825 Northern Blvd Suite 201
Great Neck,NY11021 		Outpatient Physician Clinic
51 Northwell Health Physician Partners at S
8 Greenfield Road
Syosset,NY11791 		Outpatient Physician Clinic
52 NHPP Urology and Surgery at Riverhead
1267 East Main Street
Riverhead,NY11901 		Outpatient Physician Clinic
53 NHPP Medicine Specialties at Howard Beac
156-36 Cross Bay Boulevard
Howard Beach,NY11414 		Outpatient Physician Clinic
54 Northwell Health Physician Partners
1270-1274 East Main Street
Riverhead,NY11901 		Outpatient Physician Clinic
55 Northwell Health Physician Partners
31-57 31st Street Suites 56
Astoria,NY11106 		Outpatient Physician Clinic
56 NHPP Obstetrics & Gynecology at Garden C
877 Stewart Avenue Suite 7
Garden City,NY115304803 		Outpatient Physician Clinic
57 Northwell Health Physician Partners
1983 Marcus Avenue Suite 110
Lake Success,NY11042 		Outpatient Physician Clinic
58 Northwell Health Physician Partners at W
244 Westchester Avenue Suite 411
White Plains,NY10604 		Outpatient Physician Clinic
59 Northwell Health Physician Partners at W
79 Deer Park Avenue
Babylon,NY11702 		Outpatient Physician Clinic
60 Northwell Health Physician Partners
1034 N Broadway Suite 201 202
Yonkers,NY10701 		Outpatient Physician Clinic
61 NHPP Gynecologic Oncology at New Hyde Pa
9 Vermont Drive 1st Floor
New Hyde Park,NY11042 		Outpatient Physician Clinic
62 NHPP Cardiology & Internal Medicine at R
115-06 Beach Channel Drive
Rockaway Park,NY11694 		Outpatient Physician Clinic
63 Northwell Health Physician Partners
6144 Route 25A Suites 1011 12
Wading River,NY11792 		Outpatient Physician Clinic
64 NHPP Gastroenterology at Douglaston
241-02 Northern Boulevard First F
Douglaston,NY11362 		Outpatient Physician Clinic
65 NHPP Obstetrics and Gynecology at Richmo
1855 Richmond Avenue
Staten Island,NY10314 		Outpatient Physician Clinic
66 NHPP Internal Medicine at Wantagh
2857 Jerusalem Avenue
Wantagh,NY11793 		Outpatient Physician Clinic
67 NHPP Medicine Specialties at Bayside
36-29 Bell Boulevard Suite 200
Bayside,NY11361 		Outpatient Physician Clinic
68 Northwell Health Physician Partners
1890 Old Country Road
Riverhead,NY11901 		Outpatient Physician Clinic
69 NHPP Neuropsychology at Manhasset
1554 Northern Boulevard Suite 204
Manhasset,NY11030 		Outpatient Physician Clinic
70 NHPP Internal Medicine at East Hills
70 Glen Cove Road Suite 301
Roslyn Heights,NY11577 		Outpatient Physician Clinic
71 Northwell Health Physician Partners
667 Madison Avenue Lower Level
New York,NY10065 		Outpatient Physician Clinic
72 NHPP Queens Radiation Center
106-14 70th Avenue
Forest Hills,NY11375 		Diagnostic Clinic
73 Northwell Health Physician Partners
270 Pulaski Road
Greenlawn,NY11740 		Outpatient Physician Clinic
74 Northwell Health Physician Partners
210 Mineola Boulevard
Mineola,NY11501 		Outpatient Physician Clinic
75 NHPP Family Practice of Port Washington
110 Main Street Suite 202
Port Washington,NY11050 		Outpatient Physician Clinic
76 Northwell Health Physician Partners
3010 Westchester Avenue
Purchase,NY10577 		Outpatient Physician Clinic
77 Northwell Health Center for Liver Diseas
261 East 78th Street 4th Floor
New York,NY10075 		Outpatient Physician Clinic
78 NHPP Surgical Specialties at Woodbury
321 Crossways Park Drive B
Woodbury,NY11797 		Outpatient Physician Clinic
79 NHPP Obstetrics & Gynecology at Wading R
271 Route 25 A Suite 2
Wading River,NY11792 		Outpatient Physician Clinic
80 NHPP Family Medicine at East Moriches
516 Montauk Highway Suite 1
East Moriches,NY11940 		Outpatient Physician Clinic
81 NHPP Medicine Specialties at Astoria
30-16 30th Drive Suite 1A
Astoria,NY11102 		Outpatient Physician Clinic
82 NHPP Obstetrics & Gynecology at Riverhea
31 Main Road
Riverhead,NY11901 		Outpatient Physician Clinic
83 Northwell Health Physician Partners at B
4072 Hempstead Turnpike
Bethpage,NY11714 		Outpatient Physician Clinic
84 NHPP Pulmonary Medicine at Bayside
58-06 Francis Lewis Blvd
Bayside,NY11364 		Outpatient Physician Clinic
85 NHPP Orthopaedic Institute at Glen Cove
10 Medical Plaza Suite 202
Glen Cove,NY11542 		Outpatient Physician Clinic
86 NHPP Orthopaedic Institute at East Meado
801 Merrick Avenue
East Meadow,NY11554 		Outpatient Physician Clinic
87 NHPP Occupational and Environmental Medi
2950 Express Drive South Suite 10
Islandia,NY11749 		Outpatient Physician Clinic
88 Northwell Health Fertility at Mount Kisc
344 East Main Street Suite 403
Mt Kisco,NY10549 		Outpatient Physician Clinic
89 Northwell Health Physician Partners
50-01 2nd Street
Long Island City,NY11101 		Outpatient Physician Clinic
90 Northwell Health Physician Partners
241 East Main Street 1st Fl
Huntington,NY11743 		Outpatient Physician Clinic
91 NHPP Obstetrics and Gynecology at 4th Av
9920 4th Avenue Suite 316
Brooklyn,NY11209 		Outpatient Physician Clinic
92 NHPP Internal Medicine at Farmingdale M
475 Main Street 1A
Farmingdale,NY11735 		Outpatient Physician Clinic
93 Northwell Health Physician Partners
400 Old Country Road Suite 16
Riverhead,NY11901 		Outpatient Physician Clinic
94 Northwell Health Physician Partners
6740 Third Ave
Brooklyn,NY11220 		Outpatient Physician Clinic
95 Northwell Health Physician Partners
170 Great Neck Road
Great Neck,NY11021 		Outpatient Physician Clinic
96 Northwell Health Physician Partners
2360 Grand Ave
Baldwin,NY11510 		Outpatient Physician Clinic
97 Northwell Health Physician Partners
78-01 Myrtle Ave
Glendale,NY11385 		Outpatient Physician Clinic
98 Northwell Health Physician Partners
1151 Dutch Broadway
Valley Stream,NY11580 		Outpatient Physician Clinic
99 Northwell Health Physician Partners
150-15 41st Avenue
Flushing,NY11354 		Outpatient Physician Clinic
100 Northwell Health Physician Partners
160 Hicksville Road
Bethpage,NY11714 		Outpatient Physician Clinic
101 Northwell Health Physician Partners
31-22 Union Street Suite 1B
Flushing,NY11354 		Outpatient Physician Clinic
102 Northwell Health Physician Partners
811 Walt Whitman Road
Melville,NY11747 		Outpatient Physician Clinic
103 Northwell Health Physician Partners
6010 Bay Parkway 7th Floor
Brooklyn,NY11204 		Outpatient Physician Clinic
104 Northwell Health Physician Partners
100 South Bedford Road
Mount Kisco,NY10549 		Outpatient Physician Clinic
105 Northwell Health Physician Partners
4230 Hempstead Turnpike Ste 200
Bethpage,NY11714 		Outpatient Physician Clinic
106 Northwell Health Physician Partners
1 Dakota Drive Suite 105
Lake Success,NY11042 		Outpatient Physician Clinic
107 Northwell Health Physician Partners
31 River Road Suite 102
Nyack,NY10960 		Outpatient Physician Clinic
108 Northwell Health Physician Partners
38-34 Parsons Boulevard Suite 1D
Flushing,NY11354 		Outpatient Physician Clinic
109 Northwell Health Physician Partners
135-28 37th Avenue
Flushing,NY11354 		Outpatient Physician Clinic
110 Northwell Health Physician Partners
128 Mott Street Suite 308
New York,NY10013 		Outpatient Physician Clinic
111 Northwell Health Physician Partners
8012 Third Avenue
Brooklyn,NY11209 		Outpatient Physician Clinic
112 Northwell Health Physician Partners
108-16 72nd Avenue2nd Floor
Forest Hills,NY11375 		Outpatient Physician Clinic
Schedule H (Form 990) 2023
Page 10
Schedule H (Form 990) 2023
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health, Inc. ("Northwell"). Northwell uses U.S. Federal Poverty Guidelines (FPG) to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of resources. Resource 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. Northwell reviews and provides financial assistance on a case-by-case basis to individuals who may not meet the standards for eligibility but face other financial hardship that affects their ability to pay their medical bill. Part I, Line 6a: Northwell Health, Inc., the parent of the hospital, prepares a detailed analysis of the hospital's community benefit activities in its annual report. This report is accessible to the public and can be accessed on the Northwell website. https://www.northwell.edu/about-northwell/financial-health-annual-report Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost-to-charges (RCC) calculated using IRS Form 990, Schedule H instructions, Worksheet 2 applied to gross charges for patients qualifying for charity under the hospital's financial assistance policy. Beginning in 2023, to comply with a Best Practice Agreement established between Northwell Health, Inc. and the New York State Attorney General, Northwell hospitals will apply an RCC to deductibles and copayments written off as Financial Assistance for underinsured patients. This treatment of applying an RCC to deductibles and copayments is contrary to the Medicare Cost Report Instructions published by the Centers for Medicare & Medicaid Services (CMS). Bad debt expense is 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 calculated 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) In general, costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The costs related to health professions education were determined by utilizing the step-down method of cost finding. Bad Debt Expense reported on Form 990, Part IX, Line 25 column (A), is not included for purposes of calculating the percentage of total expense in column (f). 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 and the cost or fair market value of medical supplies donated. Salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense excluding bad debt for the hospital (to calculate the percent of total expense). Note: With the adoption of the NYS Attorney General's Best Practice Agreement, Northwell Health, Inc. and its affiliates provided Financial Assistance and total benefit to the community of approximately 16% of total expenses, excluding bad debt. If Northwell Health, Inc. followed CMS methodology, its reported Financial Assistance and total benefit to the community would be $145M higher. 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 initiatives, organizational response to worldly disasters, and bioterrorism efforts. Northwell has taken the lead in increasing awareness of gun violence as a public health crisis. Our Center for Gun Violence has produced a national firearm safety ad campaign to increase public awareness of the need for safe firearm storage and educate parents in ways to raise awareness; help establish the Learning Collaborative for Health Systems and Hospitals which supports health professionals in talking about the impact of gun violence, sharing best practices, and taking collective actions; launching "we ask everyone" universal screening project, which screens individuals for risk of injury from firearms. Northwell's bioterrorism & disaster preparedness includes the 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 has provided a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stands 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. 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. Information pertaining to bad debt can be found in footnote 3 on pages 22 of the audited financial statements. Part III, Line 8: Northwell hospitals treat patients eligible for Medicare, to alleviate the Federal government's burden of providing medical services, which meets the Internal Revenue Service's guideline of a charitable purpose. Medicare rates are non-negotiable and often do not cover the costs of treating Medicare patients therefore shortfalls should be reportable as a community benefit. 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, Section C, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g., insured, underinsured, and uninsured). The hospital's collection policy states it will not send an account to collections and will suspend all collection activity if the patient has submitted a financial assistance application, 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 that 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 organizations (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives f
Schedule H (Form 990) 2023
Additional Data


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