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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
NORTHWELL HEALTH FOUNDATION
 
Employer identification number
11-2965575
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-2241326 501(C)(3) 5,959,883       GENERAL SUPPORT
(2) NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-1562701 501(C)(3) 16,342,228       GENERAL SUPPORT
(3) SOUTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-1667761 501(C)(3) 202,064       GENERAL SUPPORT
(4) FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-2673595 501(C)(3) 15,484,992       GENERAL SUPPORT
(5) GLEN COVE HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-1633487 501(C)(3) 658,157       GENERAL SUPPORT
(6) LENOX HILL HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		13-1624070 501(C)(3) 9,094,232       GENERAL SUPPORT
(7) NORTHWELL HEALTHCARE INC
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-2296824 501(C)(3) 7,020,493       GENERAL SUPPORT
(8) HUNTINGTON HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-3241243 501(C)(3) 876,797       GENERAL SUPPORT
(9) HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-3368503 501(C)(3) 41,878       GENERAL SUPPORT
(10) STATEN ISLAND UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-2868878 501(C)(3) 50,900       GENERAL SUPPORT
(11) STERN FAMILY CENTER FOR REHABILITATION
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		23-7007485 501(C)(3) 9,000       GENERAL SUPPORT
(12) NORTHWELL HEALTH LABORATORIES
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-3412370 501(C)(3) 8,521       GENERAL SUPPORT
(13) PHELPS MEMORIAL HOSPITAL
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		13-1725076 501(C)(3) 6,995       GENERAL SUPPORT
(14) REGIONCARE
972 BRUSH HOLLOW RD
WESTBURY,NY11590 		11-3052191 N/A 8,000       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
16
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
GENERAL INFORMATION ON GRANTS AND ASSISTANCE ON A MONTHLY BASIS THE FOUNDATION DISTRIBUTES THE COLLECTIONS OF SPECIAL PURPOSY FUNDS ("SPF"), RESEARCH AND A BUDGETED AMOUNT OF SUPPORT FOR RESEARCH OPERATIONS. THE SPF IS THEN ALLOCATED TO EACH GRANT AND SPENDING OF THESE GRANTS WOULD BE BASED ON CHECK REQUESTS WITH PROPER APPROVAL. ENDOWMENT COLLECTIONS ARE DISTRIBUTED TO THE APPROPRIATE SITE AS COLLECTED AND THERE WOULD BE NO SPENDING OF THE PRINCIPAL. CAPITAL DISTRIBUTIONS ARE BASED ON SPECIFIC REQUESTS AND ARE DISTRIBUTED AFTER THE FUNDS HAVE BEEN SPENT.
Schedule I (Form 990) 2020



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