SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and 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
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?
Yes No
(1)Brightwaters Gynecology PC
972 Brush Hollow Rd

Westbury,NY11590
82-1883445
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(2)Brooklyn Ambulatory Care PC
972 Brush Hollow Rd

Westbury,NY11590
47-4447289
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(3)Carnegie Cardiovascular PC
972 Brush Hollow Rd

Westbury,NY11590
47-4377825
Medical Servi NY 501(C)(3) 12, Type I Lenox Hill
 
 
No
(4)Central Suffolk Hospital
1 Heroes Way

Riverhead,NY11901
11-1661359
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(5)CLNY Alliance Inc
972 Brush Hollow Rd

Westbury,NY11590
46-3146870
Laboratory NY 501(C)(3) 3 NA
 
 
No
(6)Community Drive Surgery PC
972 Brush Hollow Rd

Westbury,NY11590
82-1672429
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(7)Glen Cove Hospital
972 Brush Hollow Rd

Westbury,NY11590
11-1633487
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(8)Harbor View Medical Services PC
75 North Country Rd

Port Jefferson,NY11777
26-4517010
Supporting Or NY 501(C)(3) 12, Type I Mather
 
 
No
(9)Hillside Hospital Houses Inc
972 Brush Hollow Rd

Westbury,NY11590
11-2113949
Housing Comp NY 501(C)(2) N/A Northwell He
 
 
No
(10)Hospice Care in Westchester and Putnam
540 White Plains Rd

Tarrytown,NY10591
13-3882602
Hospice Care NY 501(C)(3) 10 VNA Hudson
 
 
No
(11)Hospice Care Network
99 Sunnyside Blvd

Woodbury,NY11797
11-2925757
Hospice NY 501(C)(3) 9 Healthcare
 
 
No
(12)Huntington Faculty Medical Affiliates U
972 Brush Hollow Rd

Westbury,NY11590
85-0642554
Billing NY 501(C)(3) Applied For Huntington
 
 
No
(13)Huntington Hospital Association
270 Park Avenue

Huntington,NY11743
11-1630914
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(14)Huntington Hospital Dolan Family Health
284 Pulaski Rd

Greenlawn,NY11740
11-3368503
Health Care NY 501(C)(3) 3 Huntington
 
 
No
(15)John T Mather Memorial Hospital
75 North Country Rd

Port Jefferson,NY11777
11-1639818
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(16)Lakeville Surgery PC
972 Brush Hollow Rd

Westbury,NY11590
47-4377760
Medical Servi NY 501(C)(3) 10 Lenox Hill
 
 
No
(17)Lenox Hill Faculty Medical Affiliates U
972 Brush Hollow Rd

Westbury,NY11590
85-0656357
Billing NY 501(C)(3) Applied For Lenox
 
 
No
(18)Lenox Hill Hospital
972 Brush Hollow Rd

Westbury,NY11590
13-1624070
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(19)Lenox Hill Hospital Medical PC
972 Brush Hollow Rd

Westbury,NY11590
45-2661543
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(20)Lenox Hill Pathology PC
972 Brush Hollow Rd

Westbury,NY11590
13-3644370
Medical Servi NY 501(C)(3) 12, Type I Lenox Hill
 
 
No
(21)Lenox Otolaryngology Head & Neck Surgery
972 Brush Hollow Rd

Westbury,NY11590
20-8784395
Medical Servi NY 501(C)(3) 12, Type I Lenox Hill
 
 
No
(22)LHH Corporation
972 Brush Hollow Rd

Westbury,NY11590
13-3272016
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(23)LIJ Foundation
972 Brush Hollow Rd

Westbury,NY11590
11-2661239
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(24)Long Island Jewish Faculty Medical Affil
972 Brush Hollow Rd

Westbury,NY11590
85-0667316
Billing NY 501(C)(3) Applied For LIJMC
 
 
No
(25)Long Island Jewish Medical Center
972 Brush Hollow Rd

Westbury,NY11590
11-2241326
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(26)Long Island Jewish Medical Center at Hom
972 Brush Hollow Rd

Westbury,NY11590
11-3251128
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(27)Marcus Avenue Medical PC
972 Brush Hollow Rd

Westbury,NY11590
81-0861452
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(28)Medical Care of Queens PC
972 Brush Hollow Rd

Westbury,NY11590
47-4377679
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(29)NORCORP Inc
400 East Main Street

Mount Kisco,NY10549
13-3366748
Support Org NY 501(C)(3) 12, Type I NWHA
 
 
No
(30)North Shore Community Services Inc
972 Brush Hollow Rd

Westbury,NY11590
23-7273200
Housing Comp NY 501(C)(2) N/A Northwell He
 
 
No
(31)North Shore Faculty Medical Affiliates
972 Brush Hollow Rd

Westbury,NY11590
85-2887872
Billing NY 501(C)(3) Applied For NSUH
 
 
No
(32)North Shore Long Island Jewish Medical C
972 Brush Hollow Rd

Westbury,NY11590
11-3473923
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(33)North Shore University Hospital
972 Brush Hollow Rd

Westbury,NY11590
11-1562701
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(34)North Shore University Hospital at Glen
972 Brush Hollow Rd

Westbury,NY11590
23-7010468
Housing Comp NY 501(C)(2) N/A Northwell He
 
 
No
(35)North Shore University Hospital Housing
972 Brush Hollow Rd

Westbury,NY11590
11-2171903
Housing Comp NY 501(C)(2) N/A Northwell He
 
 
No
(36)North Shore-LIJ Anesthesiology PC
972 Brush Hollow Rd

Westbury,NY11590
46-1617561
Medical Servi NY 501(C)(3) 12, Type I South Shore
 
 
No
(37)North Shore-LIJ Cardiology at Deer Park
972 Brush Hollow Rd

Westbury,NY11590
27-5078531
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(38)North Shore-LIJ Cardiovascular Medicine
972 Brush Hollow Rd

Westbury,NY11590
27-5078717
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(39)North Shore-LIJ Health Plan Inc
972 Brush Hollow Rd

Westbury,NY11590
46-1617516
Insurance NY 501(C)(3) 9 Health Plan
 
 
No
(40)North Shore-LIJ Heart Surgery PC
972 Brush Hollow Rd

Westbury,NY11590
27-5078838
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(41)North Shore-LIJ Internal Medicine at Lyn
972 Brush Hollow Rd

Westbury,NY11590
46-3475908
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(42)North Shore-LIJ Internal Medicine at New
972 Brush Hollow Rd

Westbury,NY11590
46-2822879
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(43)North Shore-LIJ Internal Medicine PC
972 Brush Hollow Rd

Westbury,NY11590
27-5078631
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(44)North Shore-LIJ Medical Group at Hunting
972 Brush Hollow Rd

Westbury,NY11590
27-4384049
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(45)North Shore-LIJ Medical Group at North N
972 Brush Hollow Rd

Westbury,NY11590
27-4384146
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(46)North Shore-LIJ Medical Group at Syosset
972 Brush Hollow Rd

Westbury,NY11590
27-3957752
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(47)North Shore-LIJ Medical Group PC
972 Brush Hollow Rd

Westbury,NY11590
27-4384249
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(48)North Shore-LIJ Medical Group Urgent Med
972 Brush Hollow Rd

Westbury,NY11590
27-5078246
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(49)North Shore-LIJ Medical PC
972 Brush Hollow Rd

Westbury,NY11590
45-3023019
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(50)North Shore-LIJ OB-GYN at Garden City P
972 Brush Hollow Rd

Westbury,NY11590
46-2886776
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(51)North Shore-LIJ OB-GYN at New Hyde Park
972 Brush Hollow Rd

Westbury,NY11590
47-3722278
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(52)North Shore-LIJ OB-GYN PC
972 Brush Hollow Rd

Westbury,NY11590
46-1382916
Medical Servi NY 501(C)(3) 10 LIJMC
 
 
No
(53)North Shore-LIJ Occupational Medicine PC
972 Brush Hollow Rd

Westbury,NY11590
45-1004103
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(54)North Shore-LIJ Pediatrics of Suffolk Co
972 Brush Hollow Rd

Westbury,NY11590
46-5746956
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(55)North Shore-LIJ Radiology Services PC
972 Brush Hollow Rd

Westbury,NY11590
22-3970667
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(56)Northern Westchester Hospital Associatio
400 East Main Street

Mount Kisco,NY10549
13-1740118
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(57)Northern Westchester Hospital Center Fou
400 East Main Street

Mount Kisco,NY10549
13-4067064
Foundation NY 501(C)(3) 9 NWHA
 
 
No
(58)Northern Westchester Realty Holding Comp
400 East Main Street

Mount Kisco,NY10549
91-2134215
Holding Compa NY 501(C)(2) N/A NWHA
 
 
No
(59)Northwell Health Alliance Inc
972 Brush Hollow Rd

Westbury,NY11590
26-3727582
Health Care NY 501(C)(3) 3 NA
 
 
No
(60)Northwell Health Gastroenterology Instit
972 Brush Hollow Rd

Westbury,NY11590
85-2355853
Medical Servi NY 501(C)(3) Applied For NA
 
 
No
(61)Northwell Health Laboratories
972 Brush Hollow Rd

Westbury,NY11590
11-3412370
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(62)Northwell Health Plans Holding Company
972 Brush Hollow Rd

Westbury,NY11590
46-2478147
Holding Compa NY 501(C)(3) 12, Type II Healthcare
 
 
No
(63)Northwell Health Stern Family Center for
972 Brush Hollow Rd

Westbury,NY11590
23-7007485
Nursing Home NY 501(C)(3) 9 Healthcare
 
 
No
(64)Northwell Health Inc
972 Brush Hollow Rd

Westbury,NY11590
11-3418133
Supporting Or NY 501(C)(3) 12, Type I NA
 
 
No
(65)Northwell Healthcare Inc
972 Brush Hollow Rd

Westbury,NY11590
11-2965586
Supporting Or NY 501(C)(3) 12, Type I Northwell He
 
 
No
(66)Northwell Proton Therapy PC
972 Brush Hollow Rd

Westbury,NY11590
81-2766298
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(67)Northwell Quality and Medical Affairs I
972 Brush Hollow Rd

Westbury,NY11590
82-4113233
Supporting Or NY 501(C)(3) 12, Type I Healthcare
 
 
No
(68)Nurse Heroes of Northwell Health Foundat
972 Brush Hollow Rd

Westbury,NY11590
85-3994359
Fundraising NY 501(C)(3) Applied For NA
 
 
No
(69)Peconic Cardiology PC
972 Brush Hollow Rd

Westbury,NY11590
81-3149464
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(70)Phelps Medical Services PC
701 North Broadway

Sleepy Hollow,NY10591
27-4416017
Medical Servi NY 501(C)(3) 12, Type I Phelps Memor
 
 
No
(71)Phelps Memorial Hospital Association
701 North Broadway

Sleepy Hollow,NY10591
13-1725076
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(72)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
(73)Plainview Hospital
972 Brush Hollow Rd

Westbury,NY11590
11-3241243
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(74)Sandi and Bill Nicholson - The Women Who
972 Brush Hollow Rd

Westbury,NY11590
85-0554966
Fundraising NY 501(C)(3) Applied For NA
 
 
No
(75)SIUH Systems Inc
475 Seaview Avenue

Staten Island,NY10305
06-1074604
Fundraising NY 501(C)(3) 7 Healthcare
 
 
No
(76)South Shore University Hospital
972 Brush Hollow Rd

Westbury,NY11590
11-1667761
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(77)Southside Faculty Medical Affiliates Un
972 Brush Hollow Rd

Westbury,NY11590
85-3953395
Billing NY 501(C)(3) Applied For SSIDE
 
 
No
(78)Sports Physical Therapy Occupational Th
972 Brush Hollow Rd

Westbury,NY11590
06-1655704
Health Care NY 501(C)(3) 9 LIJMC
 
 
No
(79)Staten Island Faculty Medical Affiliates
972 Brush Hollow Rd

Westbury,NY11590
85-0710387
Billing NY 501(C)(3) Applied For SIUH
 
 
No
(80)Staten Island Performing Provider System
972 Brush Hollow Rd

Westbury,NY11590
47-2544659
DSRIP NY 501(C)(3) 10 SIUH
 
 
No
(81)Staten Island University Hospital
475 Seaview Avenue

Staten Island,NY10305
11-2868878
Health Care NY 501(C)(3) 3 Healthcare
 
 
No
(82)Staten Island University Hospital Founda
360 Seaview Avenue

Staten Island,NY10305
87-0765787
Fundraising NY 501(C)(3) 7 SIUH
 
 
No
(83)Suite 130 Plastic Surgery PC
972 Brush Hollow Rd

Westbury,NY11590
82-1772747
Medical Servi NY 501(C)(3) 12, Type I LIJMC
 
 
No
(84)The Calverton Foundation Inc
972 Brush Hollow Rd

Westbury,NY11590
83-1118138
Medical Servi NY 501(C)(3) 12, Type I Healthcare
 
 
No
(85)The Elmezzi Graduate School of Molecular
972 Brush Hollow Rd

Westbury,NY11590
11-3284934
Graduate Scho NY 501(C)(3) 2 Healthcare
 
 
No
(86)The Feinstein Institute for Medical Rese
972 Brush Hollow Rd

Westbury,NY11590
11-2673595
Research NY 501(C)(3) 4 Northwell He
 
 
No
(87)The Heart Institute
475 Seaview Avenue

Staten Island,NY10305
31-1757254
Inactive NY 501(C)(3) 12, Type I NA
 
 
No
(88)The Long Island Home
400 Sunrise Hghwy

Amityville,NY11701
11-2837244
Health Care NY 501(C)(3) 3 LHH Corporat
 
 
No
(89)True North Flexstaff Inc
972 Brush Hollow Rd

Westbury,NY11590
82-1446568
Medical Servi NY 501(C)(3) 12, Type I Healthcare
 
 
No
(90)True North Health Management Inc
972 Brush Hollow Rd

Westbury,NY11590
81-3428274
Supporting Or NY 501(C)(3) 12, Type I Healthcare
 
 
No
(91)True North Patient Safety Organization
972 Brush Hollow Rd

Westbury,NY11590
83-1429773
Medical Servi NY 501(C)(3) 12, Type I Northwell He
 
 
No
(92)Virtual Health Medicine PC
972 Brush Hollow Rd

Westbury,NY11590
27-4384326
Medical Servi NY 501(C)(3) 10 NSUH
 
 
No
(93)Visiting Nurse Association of Hudson Val
540 White Plains Rd

Tarrytown,NY10591
13-1739952
Home Health C NY 501(C)(3) 10 Healthcare
 
 
No
(94)VNA Home Health Services Inc
540 White Plains Rd

Tarrytown,NY10591
13-3690105
Home Health C NY 501(C)(3) 10 VNA Hudson
 
 
No
(95)Wellbridge Psychiatry PC
972 Brush Hollow Rd

Westbury,NY11590
46-5495054
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
(96)Westchester Health Medical PC
972 Brush Hollow Rd

Westbury,NY11590
47-4539584
Medical Servi NY 501(C)(3) 12, Type I NSUH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



(k)
Percentage
ownership


Yes No Yes No
(1) Brooklyn Ambulatory Services LLC

972 Brush Hollow Rd
Westbury,NY11590
81-2910850
Medical Svcs NY Northwell Healt
 
                 
(2) DHCH LLC

972 Brush Hollow Rd
Westbury,NY11590
81-1030907
Medical Svcs NY Endoscopy Ventu
 
                 
(3) Endo Group LLC

972 Brush Hollow Rd
Westbury,NY11590
20-0248148
Medical Svcs NY Ventures GCSC
 
                 
(4) Endoscopy Center of Long Island

972 Brush Hollow Rd
Westbury,NY11590
26-0000980
Medical Svcs NY NS-LIJ Ventures
 
                 
(5) Formativ Health Intermediate LLC

972 Brush Hollow Rd
Westbury,NY11590
81-4614788
Holding Co DE Formativ Health
 
                 
(6) Formativ Health LLC

972 Brush Hollow Rd
Westbury,NY11590
81-3121231
Holding Co DE TN Health Svcs
 
                 
(7) Hospital City LLC

972 Brush Hollow Rd
Westbury,NY11590
47-4091780
Inactive DE Northwell Healt
 
                 
(8) Krasnoff Consultative Services LLC

972 Brush Hollow Rd
Westbury,NY11590
26-2838027
Consulting NY Care Mgmt Grp
 
                 
(9) Melville SC LLC

1895 Walt Whitman Rd
Melville,NY11747
20-3487522
Medical Svcs NY Melville ASC
 
                 
(10) North Shore-LIJ and Yale New Haven Healt

972 Brush Hollow Rd
Westbury,NY11590
46-4858222
Air Transport NY NSUH
 
                 
(11) North Shore-LIJ Contract Research Organi

972 Brush Hollow Rd
Westbury,NY11590
46-4469806
Research NY Healthcare
 
                 
(12) Northwell Genomics Alliance LLC

972 Brush Hollow Rd
Westbury,NY11590
81-0826710
Inactive DE NWH Labs
 
                 
(13) Northwell Health Sleep Lab LLC

972 Brush Hollow Rd
Westbury,NY11590
82-1516748
Medical Svcs NY Sleep Holdings
 
                 
(14) Phelps Professional Building Corp LP

777 North Broadway
Sleepy Hollow,NY10591
13-3645137
Real Estate NY PMHA
 
                 
(15) South Shore Surgery Center LLC

972 Brush Hollow Rd
Westbury,NY11590
34-1997077
Medical Svcs NY Multispecialty
 
                 
(16) Suffolk Surgery Center

972 Brush Hollow Rd
Westbury,NY11590
20-0080609
Medical Svcs NY Multispecialty
 
                 
(17) Technopath Northwell Health North Americ

972 Brush Hollow Rd
Westbury,NY11590
82-2869458
Lab Services NY Technopath USA
 
                 
(18) True North II DC LLC

972 Brush Hollow Rd
Westbury,NY11590
35-2568005
Medical Svcs NY DC Holding
 
                 
(19) True North IV DC LLC

972 Brush Hollow Rd
Westbury,NY11590
61-1816900
Medical Svcs NY DC Holding
 
                 
(20) True North Rad-Onc MSO LLC

972 Brush Hollow Rd
Westbury,NY11590
83-4660846
Medical Svcs NY Northwell Rad-O
 
                 
(21) True North Urgent Care LLC

972 Brush Hollow Rd
Westbury,NY11590
46-4113494
Medical Svcs NY NSLIJ Urgent Ca
 
                 
(22) True North V DC LLC

972 Brush Hollow Rd
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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Autoimmune Research Therapeutics

972 Brush Hollow Rd
Westbury,NY11590
27-0701489
Inactive NY Research
 
C         No
(2) Care Management Group of Greater NY

972 Brush Hollow Rd
Westbury,NY11590
11-3336381
Business Service NY NSH Enterprise
 
C         No
(3) CareConnect Group Holding Company Inc

972 Brush Hollow Rd
Westbury,NY11590
47-2478692
Holding Co NY Hplan Holding
 
C         No
(4) CareConnect Insurance Co

972 Brush Hollow Rd
Westbury,NY11590
46-2270382
Insurance NY Group Holding
 
C         No
(5) EvidencePoint Inc

972 Brush Hollow Rd
Westbury,NY11590
85-3582198
Inactive NY Northwell Holdi
 
C         No
(6) Feinstein Center for Bioelectronic Medic

972 Brush Hollow Rd
Westbury,NY11590
81-2885700
Inactive NY Feinstein
 
C         No
(7) Formativ Health Management Inc

972 Brush Hollow Rd
Westbury,NY11590
81-3454243
Holding Co DE Formativ Health
 
C         No
(8) Formativ Health NewCo Inc

972 Brush Hollow Rd
Westbury,NY11590
81-3928889
Holding Co DE Formativ Health
 
C         No
(9) Krauss Joint Replacement Program PC

972 Brush Hollow Rd
Westbury,NY11590
30-0920275
Medical Services NY Central Suffolk
 
C         No
(10) Medical Services of Kips Bay PC

972 Brush Hollow Rd
Westbury,NY11590
85-3052457
Medical Services NY NSUH
 
C         No
(11) Medical Services of Lynbrook PC

972 Brush Hollow Rd
Westbury,NY11590
84-4268663
Medical Services NY NSUH
 
C         No
(12) Medical Services of Setauket PC

972 Brush Hollow Rd
Westbury,NY11590
84-4305970
Medical Services NY NSUH
 
C         No
(13) Medical Services of Uniondale PC

972 Brush Hollow Rd
Westbury,NY11590
84-4279391
Medical Services NY NSUH
 
C         No
(14) Montauk Risk Retention Group Inc

972 Brush Hollow Rd
Westbury,NY11590
82-2587942
Insurance NY Healthcare
 
C         No
(15) Narrows IPA Inc

972 Brush Hollow Rd
Westbury,NY11590
13-3978565
Business Services NY Healthcare
 
C         No
(16) North Shore Health Enterprises Inc

972 Brush Hollow Rd
Westbury,NY11590
06-1605319
Holding Comp NY NSHS Enterprise
 
C         No
(17) North Shore Health System Enterprises I

972 Brush Hollow Rd
Westbury,NY11590
11-3316922
Holding Comp NY Northwell Healt
 
C         No
(18) North Shore IPA 5 Inc

972 Brush Hollow Rd
Westbury,NY11590
11-3383468
Business Services NY Healthcare
 
C         No
(19) North Shore Medical Accelerator PC

972 Brush Hollow Rd
Westbury,NY11590
11-2945979
Medical Services NY NSUH
 
S         No
(20) North Shore-LIJ CareConnect Insurance Ag

972 Brush Hollow Rd
Westbury,NY11590
47-1994548
Insurance Agency NY Group Holding
 
C         No
(21) North Shore-LIJ Health System IPA #1

972 Brush Hollow Rd
Westbury,NY11590
11-3533659
Health Care NY LIJ
 
C         No
(22) North Shore-LIJ Health System IPA #2

972 Brush Hollow Rd
Westbury,NY11590
11-3533670
Health Care NY LIJ
 
C         No
(23) North Shore-LIJ Network Inc

972 Brush Hollow Rd
Westbury,NY11590
32-0257193
Support Services NY Northwell Healt
 
C         No
(24) North Shore-LIJ Ophthalmology Institute

972 Brush Hollow Rd
Westbury,NY11590
30-0930851
Inactive NY Healthcare
 
C         No
(25) North Shore-LIJ Urgent Care PC

972 Brush Hollow Rd
Westbury,NY11590
47-1758444
Medical Services NY NSUH
 
C         No
(26) Northeastern Anesthesia of New Jersey P

972 Brush Hollow Rd
Westbury,NY11590
20-8709500
Medical Services NJ South Shore
 
C         No
(27) Northwell Direct Inc

972 Brush Hollow Rd
Westbury,NY11590
84-2739816
Business Services NY NW Holdings
 
C         No
(28) Northwell Direct Administrative Services

972 Brush Hollow Rd
Westbury,NY11590
47-5182974
Admin NY Northwell Direc
 
C         No
(29) Northwell FlexStaff Inc

972 Brush Hollow Rd
Westbury,NY11590
81-0836815
Medical Services NY NSH Enterprise
 
C         No
(30) Northwell Health Medical Surgical PC

972 Brush Hollow Rd
Westbury,NY11590
83-2198276
Medical Services NJ SIUH
 
C         No
(31) Northwell Health Regional Alliance Inc

972 Brush Hollow Rd
Westbury,NY11590
26-3651575
Support Services NY NA
 
C         No
(32) Northwell Holdings Inc

972 Brush Hollow Rd
Westbury,NY11590
83-4045975
Business Services NY NSHS Enterprise
 
C         No
(33) NWHC Health Management Services Inc

400 East Main St
Mount Kisco,NY10549
13-3697510
Health Mgmt NY NORCORP
 
C         No
(34) Peconic Bay Medical Services PC

972 Brush Hollow Rd
Westbury,NY11590
47-2151802
Medical Services NY Central Suffolk
 
C         No
(35) Peconic Bay Primary Medical Care PC

972 Brush Hollow Rd
Westbury,NY11590
11-3265111
Medical Services NY Central Suffolk
 
C         No
(36) PMHC Realty Corporation

701 North Broadway
Sleepy Hollow,NY10591
13-3645135
Real Estate NY Phelps Memorial
 
C         No
(37) Prime Care Medical of Long Island PC

972 Brush Hollow Rd
Westbury,NY11590
20-4398486
Medical Services NY Central Suffolk
 
C         No
(38) Regional Insurance Company LTD

c/o Cedar House 41 Cedar Ave
  HamiltonHM 12,
BD
000000000
Insurance BD Healthcare
 
C         No
(39) Regioncare Inc

972 Brush Hollow Rd
Westbury,NY11590
11-3052191
Homecare NY NSHS Enterprise
 
C         No
(40) Staten Island University Hospital Perina

475 Seaview Ave
Staten Island,NY10305
13-4107082
Medical Services NY SIUH
 
C         No
(41) True North 3D Inc

972 Brush Hollow Rd
Westbury,NY11590
84-5176444
Business Services NY True North Heal
 
C         No
(42) True North Enterprises Inc

972 Brush Hollow Rd
Westbury,NY11590
000000000
Inactive NY Healthcare
 
C         No
(43) True North Health Pharmacy Inc

972 Brush Hollow Rd
Westbury,NY11590
47-1020508
Pharmacy NY NSHS Enterprise
 
C         No
(44) True North Health Inc

972 Brush Hollow Rd
Westbury,NY11590
83-0616581
Medical Services DE Healthcare
 
C         No
(45) True North Workforce Safety Consulting

972 Brush Hollow Rd
Westbury,NY11590
84-2395117
Business Services NY True North Heal
 
C         No
(46) United Medical Surgical PC

256 Mason Ave Bldg B 2nd Fl
Staten Island,NY10305
13-4038780
Surgical Services NY SIUH
 
C         No
(47) VivoHealth Plan Inc

972 Brush Hollow Rd
Westbury,NY11590
46-1164689
Inactive NY Healthcare
 
C         No
(48) Vivohealth Inc

972 Brush Hollow Rd
Westbury,NY11590
26-4118016
Inactive NY NSH Enterprise
 
C         No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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) 2020
Schedule R (Form 990) 2020
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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) 2020

Additional Data


Software ID:  
Software Version: