TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ERNEST PATRICK SMITH...................................................................... CHAIRMAN	0.50 ................. 0.50	X	X	0	0
(2) FELIX GRUCCI JR...................................................................... VICE CHAIRMAN	0.50 ................. 0.50	X	X	0	0
(3) FREDERICK C BRAUN III...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(4) ANDREW W BROTMAN MD...................................................................... TRUSTEE	0.50 ................. 60.00	X		8,057,058	1,660,498
(5) GARY BROWN...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(6) JOSEPH GRECO MD...................................................................... TRUSTEE	0.50 ................. 60.00	X		4,073,466	461,659
(7) GARY KALKUT MD...................................................................... TRUSTEE	0.50 ................. 60.00	X		1,473,530	78,609
(8) NABIL KIRIDLY MD...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(9) JOSEPH J LHOTA...................................................................... TRUSTEE	0.50 ................. 60.00	X		4,204,670	1,002,586
(10) JAMES MAIORINO...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(11) VICKI MATCH SUNA AIA...................................................................... TRUSTEE	0.50 ................. 60.00	X		5,404,143	716,541
(12) JEFF MAYER...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(13) MAUREEN MENNELLA...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(14) MARK MULHOLLAND...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(15) CLYDE PARKER...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(16) SHARON NORTON REMMER...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0
(17) ROBERT ROCHE MD...................................................................... TRUSTEE	0.50 ................. 0.50	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LISA ROSE........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(19) ERIC RUSSO........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(20) ROBERT W SCHWARZ........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(21) TRICHY ARUMUGAM MD........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(22) JOHN SULLIVAN........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(23) STEVEN TAITZ........................................................................ TRUSTEE	0.50 .......................0.50	X					0	0	0
(24) MARC S ADLER MD MBA........................................................................ SVP / CHIEF OF HOSPITAL OPERATIONS	60.00 .......................0.50	X	X				0	1,673,540	47,856
(25) MICHELE KNAPP........................................................................ TREASURER	0.50 .......................0.50	X	X				0	0	0
(26) EDWARD KORMYLO DPM........................................................................ SECRETARY	7.50 .......................0.50	X	X				318,575	0	0
(27) RAVI SINGH MD THROUGH 2024........................................................................ PRESIDENT OF MEDICAL STAFF	0.50 .......................0.50	X					0	0	0
(28) WEHBEH WEHBEH MD........................................................................ VP, CHIEF QUALITY MEDICAL OFFICER	40.00 .......................0.00			X			495,055	0	3,807
(29) MATTHEW B PEDDIE........................................................................ VP, CHIEF OPERATING OFFICER	40.00 .......................0.00			X			398,933	0	4,336
(30) DEBRA GRIMM........................................................................ VP, CHIEF NURSING OFFICER	40.00 .......................0.00			X			361,453	0	137
(31) RAVI GUPTA MD........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................0.00				X		340,815	0	9,978
(32) KATHRYN LANG DNP RN NE-BC........................................................................ MEDICAL DIR, PALLIATIVE CA	40.00 .......................0.00				X		320,605	0	949
(33) RACHEL SCHNABL........................................................................ SENIOR DIR DEVELOPMENT, LI REGION	40.00 .......................0.00				X		274,877	0	0
(34) THALIA L ANTHONY........................................................................ DIRECTOR, HUMAN RESOURCES	40.00 .......................0.00				X		273,662	0	214
(35) VERONICA AGBIMSON........................................................................ REGISTERED NURSE	40.00 .......................0.00				X		247,598	0	2,480
(36) RICHARD T MARGULIS........................................................................ FRMR PRESIDENT & CEO (UNTIL 7/1/23)	0.00 .......................0.00					X	931,853	0	2,501

(A) Name and business address	(B) Description of services	(C) Compensation
VAYA WORKFORCE SOLUTIONS INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO,CA92121	STAFFING	15,064,384
PROGRESSIVE EMERGENCY 1236 RXR PLAZA UNIONDALE,NY11556	STAFFING	4,041,957
BARTON & ASSOCIATES INC 1001 DAY HILL ROAD WINDSOR,CT06095	STAFFING	2,727,274
CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY,MO64117	CONSULTING	1,575,271
THE REMI GROUP LLC 6325 ARDREY KELL ROAD STE 200 CHARLOTTE,NC28277	SVC CONTRACTOR	925,277
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 53

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2023

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH		Employer identification number 11-1704595

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH			Employer identification number 11-1704595
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

61,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

76,395

Total. Add lines 1c through 1i ....................................................................................................

137,395

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	SCHEDULE C, PART II, LINE 1G: LICH PAID TWO LOBBYISTS WITH RESPECT TO FEDERAL, STATE, AND LOCAL AFFAIRS. THE LOBBYISTS ENGAGED IN DIRECT CONTACT WITH ELECTED OFFICIALS ON BEHALF OF LICH. THE TOTAL AMOUNT OF FEES PAID TO THE CONSULTANTS FOR LOBBYING PURPOSES WAS $61,000. SCHEDULE C, PART II, LINE 1I: LICH PAID DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION HEALTH EDUCATION PROJECT, AMERICAN HOSPITAL ASSOCIATION, AND NASSAU-SUFFOLK HOSPITAL COUNCIL AND HOME CARE ASSOCIATION OF NEW YORK STATE, A PERCENTAGE OF WHICH WERE ALLOCATED TO LOBBYING FOR A TOTAL OF $76,395.

Return Reference

Explanation

PART II-B, LINE 1:

SCHEDULE C, PART II, LINE 1G: LICH PAID TWO LOBBYISTS WITH RESPECT TO FEDERAL, STATE, AND LOCAL AFFAIRS. THE LOBBYISTS ENGAGED IN DIRECT CONTACT WITH ELECTED OFFICIALS ON BEHALF OF LICH. THE TOTAL AMOUNT OF FEES PAID TO THE CONSULTANTS FOR LOBBYING PURPOSES WAS $61,000. SCHEDULE C, PART II, LINE 1I: LICH PAID DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION HEALTH EDUCATION PROJECT, AMERICAN HOSPITAL ASSOCIATION, AND NASSAU-SUFFOLK HOSPITAL COUNCIL AND HOME CARE ASSOCIATION OF NEW YORK STATE, A PERCENTAGE OF WHICH WERE ALLOCATED TO LOBBYING FOR A TOTAL OF $76,395.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	1,000,000	1,000,000	1,000,000	1,000,000	1,000,000
b	Contributions ...
c	Net investment earnings, gains, and losses	196,961	202,380	135,883	188,417	187,749
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	196,961	202,380	135,883	188,417	187,749
f	Administrative expenses ....
g	End of year balance ......	1,000,000	1,000,000	1,000,000	1,000,000	1,000,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	22,673,529		22,673,529
b	Buildings ....	221,218,651	111,022,886	110,195,765
c	Leasehold improvements
d	Equipment ....	194,054,188	130,705,411	63,348,777
e	Other .....	24,537,693		24,537,693
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				220,755,764

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) INVESTMENT IN LICH HEALTH CARE SERVICES FOUNDATION	25,032,805	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	25,032,805

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)OTHER RECEIVABLES				25,910,568
(2)THIRD PARTY RATE ACCOUNT				1,053,484
(3)OPERATING LEASE RIGHT OF USE ASSETS				1,052,652
(4)NYS HCRA POOLS				11,105,703
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				39,122,407

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OPERATING LEASE LIABILITY	1,118,275
NET DUE TO THIRD PARTY PAYORS	9,172,907
DUE TO RELATED ORGANIZATIONS	167,030,027
OTHER PAYABLES	13,523,138
MALPRACTICE RESERVES	29,460,000
OTHER RESERVES	5,335,765



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	225,640,112
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

LICH'S ENDOWMENT FUND CONSISTS OF A DONOR-RESTRICTED ENDOWMENT FUND THAT HAS BEEN INITIALLY ESTABLISHED BY A DONOR IN 1969 FOR VARIOUS PURPOSES AND HAS BEEN CLASSIFIED WITHIN NET ASSETS WITH DONOR RESTRICTIONS. THE ORGANIZATION IS ENTITLED TO THE INCOME EARNED ON THE TRUST, AS PER THE DONOR AGREEMENT, AND IS ALLOWED TO SPEND 5% OF THE PRIOR THREE YEARS' TOTAL VALUE, AS MANDATED BY A PAST COURT DECISION.

PART X, LINE 2:

FINANCIAL ACCOUNTING STANDARDS BOARD'S ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES DIRECTION ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNCERTAIN INCOME TAX POSITIONS DID NOT HAVE A SIGNIFICANT IMPACT ON NYU LANGONE HEALTH'S COMBINED FINANCIAL STATEMENTS DURING THE YEARS ENDED AUGUST 31, 2024 AND 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 60000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 80000.0000000000 %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	8,464,762	26,597,780	0	0 %
b	Medicaid (from Worksheet 3, column a) . . . . .	76,732,290	48,018,034	28,714,256	7.400 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	85,197,052	74,615,814	28,714,256	7.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,151,537		1,151,537	0.300 %
f	Health professions education (from Worksheet 5) . . .	3,959,327	3,565,004	394,323	0.100 %
g	Subsidized health services (from Worksheet 6) . . . .	35,736,944	10,888,142	24,848,802	6.410 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	40,847,808	14,453,146	26,394,662	6.810 %
k	Total. Add lines 7d and 7j .	126,044,860	89,068,960	55,108,918	14.210 %

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
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

144,277

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

90,519,206

Enter Medicare allowable costs of care relating to payments on line 5.....

120,966,203

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-30,446,997

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

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?1Name, 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)
1	LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH 101 HOSPITAL ROAD PATCHOGUE,NY11772 SEE PART V, PAGE 63 5123000H	X	X	X

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)

	LONG ISLAND COMMUNITY HOSPITAL
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

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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 .................

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..................................

Yes

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, PAGE 55

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, PAGE 55

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LONG ISLAND COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 600.000000000000%
and FPG family income limit for eligibility for discounted care of 800.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, PAGE 56

The FAP application form was widely available on a website (list url):

SEE PART V, PAGE 56

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 56

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	LONG ISLAND COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	LONG ISLAND COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

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
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: LICH HAS ESTABLISHED A LEADERSHIP POSITION IN HEALTH PROMOTION, PREVENTION AND EDUCATION THROUGHOUT THE COMMUNITY. REGIONAL HEALTH PLANNING IS ACCOMPLISHED THROUGH A NUMBER OF AGENCY CONTACTS INCLUDING THE SUFFOLK COUNTY DEPARTMENT OF HEALTH, MENTAL HEALTH AGENCIES AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION, THE HOSPITAL WORKS CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LICH IS DEDICATED TO COMMUNICATING WITH KEY STAFF AND COMMUNITY MEMBERS, AS THE HOSPITAL PREPARES TO PLAN FOR THE FUTURE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE. FOCUS GROUPS ARE HELD PERIODICALLY, WHICH INCLUDE MEETING WITH THE MEDICAL STAFF, MEMBERS OF THE BOARD OF DIRECTORS, COMMUNITY MEMBERS, THE WEST ISLIP BREAST CANCER COALITION, THE SOUTHAMPTON BREAST CANCER COALITION, HOSPITAL OUTREACH COMMITTEE, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. THESE CONSTITUENTS HAVE THE ABILITY TO COLLECT INFORMATION FROM VARIED PERSPECTIVES. THE HOSPITAL'S ABILITY TO COLLECT INFORMATION FROM THESE GROUPS AND TRANSLATE THE DIALOG INTO A NEEDS ASSESSMENT IS A VALUABLE RESOURCE TO THE HOSPITAL AS WELL AS THECOMMUNITY.LICH COLLABORATED WITH THE LONG ISLAND HEALTH COLLABORATIVE (LIHC) AND ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (SCDOHS) AND PATIENT/RESIDENTS SERVED BY OUR HOSPITAL. WE DEFINED THE HEALTH NEEDS AND BARRIERS EXPRESSED BY COMMUNITY MEMBERS AND THE LOCAL COMMUNITY-BASED ORGANIZATIONS THAT SERVE THIS REGION. OUR MOST RECENT CHNA REFLECTS DATA COLLECTED DURING THE PERIOD FROM JANUARY 2021 THROUGH AUGUST 2022. WE ALSO EXAMINED DATA FROM THE 2018-2021 CHNA TO SERVE AS A BLUEPRINT FOR OUR HOSPITAL AND COLLABORATING PARTNERS TO ENSURE THAT INTERVENTIONS AND STRATEGIES ADDRESS THE HEALTH NEEDS AND ACHIEVE HEALTH EQUITY.LICH WORKED WITH THE LIHC AND THE SCDOHS, AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO PRODUCE ITS MOST RECENT CHNA. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY THE LIHC AND DATAGEN. TOP, HIGH-LEVEL FINDINGS INCLUDE A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, OBESITY AND CANCER. FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL. IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB.PRIMARY DATA WAS OBTAINED FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SENT TO INDIVIDUALS AND A SIMILAR SURVEY TO COMMUNITY-BASED ORGANIZATION LEADERS. ADDITIONALLY, WE LOOKED AT RESULTS FROM TWO QUALITATIVE STUDIES TO ROUND OUT OUR PRIMARY DATA. SECONDARY DATA WAS DERIVED FROM PUBLICLY-AVAILABLE DATA SETS CURATED BY DATAGEN INTO ITS PROPRIETARY DATA ANALYTICS PLATFORM, CHNA ADVANTAGE, OFFERING 200 PLUS METRICS TO DETERMINE HEALTH ISSUES WITHIN SUFFOLK COUNTY. AS SUCH, PRIORITIES SELECTED FOR THE 2022-2024 CYCLE REMAIN UNCHANGED FROM THE 2019-2021 CYCLE SELECTION, AND THE SELECTED HEALTH DISPARITIES IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN HISTORICALLY UNDERSERVED COMMUNITIES AND COMMUNITIES OF COLOR. ADDITIONAL PREVENTION AGENDA PRIORITIES/DISPARITIES BEING ADDRESSED BY LICH ARE OUTLINED IN THE 2022-2024 WORK PLAN. LICH WORKS WITH A BROAD RANGE OF PARTNERS TO CONNECT WITH THE COMMUNITY, TO ASSESS THEIR NEEDS THROUGH DISTRIBUTION AND PROMOTION OF DATA COLLECTION TOOLS, AND TO PROVIDE INTERVENTIONS IN COLLABORATIVE SETTINGS, WHEN APPROPRIATE. WE ALSO RELY ON THE LIHC AND ITS ROLE AS NEUTRAL CONVENER AND REGIONAL LEADER, ESPOUSING THE COLLECTIVE IMPACT MODEL AND FRAMEWORK. AS SUCH, THE LIHC SERVES AS A BACKBONE ORGANIZATION, PROVIDING ITS DIVERSE PARTNERS WITH DATA ANALYTICS AND ADMINISTRATIVE SUPPORT IN THE AREAS OF COMMUNITY OUTREACH AND EDUCATION, AND MEDIA RELATIONS SUPPORT. LIHC'S NETWORKING CAPABILITIES, ITS PROGRAMS AROUND WALKING AND CHRONIC HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKED COLLABORATIVELY ON THE CHNA. IN ADDITION, OUR HOSPITAL MAINTAINS A COMMUNITY OUTREACH COMMITTEE MADE UP OF A GROUP OF LOCAL COMMUNITY MEMBERS WHO MEET THROUGHOUT THE YEAR WITH HOSPITAL LEADERSHIP, OFFERING INPUT ABOUT COMMUNITY NEEDS AND LEARN ABOUT THE SERVICES THE HOSPITAL OFFERS TO THE COMMUNITY. THE COMMITTEE INCLUDES CIVIC LEADERS, SCHOOL REPRESENTATIVES, PUBLIC HEALTH ADVOCATES, BUSINESS LEADERS, SERVICE AND FRATERNAL CLUB MEMBERS, CONSUMERS, PATIENTS AND FRIENDS OF THE HOSPITAL.INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES INDIVIDUALS FROM LOW- INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED} OR CARE AT ALL IF THEY ARE UNINSURED. THE INABILITY TO AFFORD CO-PAYS AND DEDUCTIBLES CONSISTENTLY RISES TO THE TOP AS A BARRIER TO HEALTHCARE ON LIHC'S COMMUNITY HEALTH ASSESSMENT SURVEY YEAR AND AFTER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS BY RACE IS $107,422 (WHITE}, $85,840 (BLACK}, $91,711 (HISPANIC/LATINO}. MEAN INCOME IN THE PAST 12 MONTHS, PER CAPITA BY RACE IS $50,352, $33,170 AND $28,414, RESPECTIVELY. ACCORDING TO RESEARCH CONDUCTED BY THE UNITED WAY OF NEW YORK'S ALICE REPORT, LONG ISLAND RESIDENTS ARE EARNING WAGES THAT DO NOT COVER LIFE'S BASIC COSTS. AS OF 2020, 31.5% OF LONG ISLAND HOUSEHOLDS FALL BELOW THE SET INCOME THRESHOLD NEEDED TO LIVE AND WORK, WHICH EQUATES TO 171,921 HOUSEHOLDS IN SUFFOLK COUNTY AND 130,599 HOUSEHOLDS IN NASSAU COUNTY AND THAT ARE STRUGGLING TO AFFORD THESE BASIC NEEDS. MUNICIPALITIES IN TARGET COMMUNITY LICH ATTENDS TO PATIENTS AND RESIDENTS THROUGHOUT SUFFOLK COUNTY'S 10 TOWN SHIPS. THROUGHOUT SUFFOLK COUNTY, THERE ARE 17 IDENTIFIED COMMUNITIES IN WHICH A VARIETY OF SOCIOECONOMIC FACTORS LEAD TO VAST HEALTH DISPARITIES. THESE IDENTIFIED COMMUNITIES WERE DETERMINED BY THE SCDOHS WITH CONCURRENCE FROM HOSPITAL PARTNERS. THESE COMMUNITIES ARE: WYANDANCH, CENTRAL ISLIP, BRENTWOOD, RIVERHEAD, BAY SHORE, COPIAGUE, MASTIC, MASTIC BEACH, BELLPORT, AMITYVILLE, CALVERTON, PATCHOGUE, SHIRLEY, GREENPORT, LINDENHURST, WEST BABYLON, AND RIDGE.HEALTHCARE AND OTHER KEY INSTITUTIONS LICH IS DEDICATED TO THE DIVERSE NEEDS OF ITS MANY COMMUNITIES, WITH A SPECIAL EMPHASIS ON DIABETES MANAGEMENT AND MENTAL HEALTH/SUBSTANCE MISUSE NEEDS. WE COLLABORATE WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS, OUR LOCAL CHAMBERS OF COMMERCE, LIBRARIES AND SCHOOLS, AND THE SCDOHS, AMONG MANY OTHERS. THE ORGANIZATIONS LISTED BELOW PARTNER WITH US TO REDUCE THE INCIDENCE OF CHRONIC DISEASE, MENTAL HEALTH, AND SUBSTANCE MISUSE IN OUR COMMUNITIES.- BELLPORT AND PATCHOGUE HEAD START- BELLPORT HAGERMAN EAST PATCHOGUE ALLIANCE- BELLPORT OUTREACH- BOYS AND GIRLS CLUB OF BELLPORT- CORNELL COOPERATIVE EXTENSION OF SUFFOLK COUNTY- FAMILY AND CHILDREN'S ASSOCIATION- FAMILY SERVICE LEAGUE- HAGERMAN FIRE DEPARTMENT- HUNTER BUSINESS SCHOOL- BAYPORT BLUEPOINT LIBRARY- LIGHTHOUSE MISSION- LIONS CLUB OF SUFFOLK COUNTY- NIH HEALING COMMUNITIES STUDY (OPIOID OVERDOSE REDUCTION)- OVATIONS DANCE STUDIO- PATCHOGUE YMCA- PATCHOGUE-MEDFORD LIBRARY- PATCHOGUE-MEDFORD UNION FREE SCHOOL DISTRICT- SACHEM HIGH SCHOOL NORTH- SACHEM LIBRARY- SAYVILLE PANTRY- SAYVILLE UNION FREE SCHOOL DISTRICT- SEAFIELD RECOVERY CENTER- ST. JOSEPH'S UNIVERSITY- SUBSTANCE ABUSE AGENCIES- SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMSHA)- SUN RIVER HEALTH CENTER SHIRLEY- THE DIABETES RESOURCE COALITION OF LONG ISLAND- VICTORY RECOVERY CENTER- VILLAGE WALK AT PATCHOGUE (ASSISTED LIVING)- WILLIAM FLOYD SCHOOL DISTRICT
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: LICH'S 2022-2024 CHNA WAS CONDUCTED WITH THE LONG ISLAND HEALTH COLLABORATIVE ("LIHC") WHICH INCLUDES THE FOLLOWING HOSPITAL FACILITIES:- CATHOLIC HEALTH - GOOD SAMARITAN UNIVERSITY HOSPITAL, ST. CATHERINE OF SIENA HOSPITAL, AND ST. CHARLES HOSPITAL- NORTHWELL HEALTH SYSTEM - HUNTINGTON HOSPITAL, MATHER HOSPITAL, PECONIC BAY MEDICAL CENTER, AND SOUTH SHORE UNIVERSITY HOSPITAL- STONY BROOK MEDICINE - STONY BROOK SOUTHAMPTON HOSPITAL, STONY BROOK UNIVERSITY HOSPITAL, AND STONY BROOK EASTERN LONG ISLAND HOSPITAL- VETERANS AFFAIRS MEDICAL CENTER - NORTHPORT, NY- NYU LANGONE HOSPITAL LONG ISLAND
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA REPRESENTS A COLLABORATION BETWEEN LICH, THE LIHC AND ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES, AND PATIENTS/RESIDENTS SERVED BY OUR HOSPITAL. IT DEFINES THE HEALTH NEEDS AND BARRIERS EXPRESSED BY COMMUNITY MEMBERS AND THE LOCAL COMMUNITY-BASED ORGANIZATIONS THAT SERVE THIS REGION. IT REFLECTS PRIMARY DATA COLLECTED DURING JANUARY 2021 THROUGH AUGUST 2022. SECONDARY DATA FROM 2018 - 2021 WAS ALSO EXAMINED. IT IS INTENDED TO SERVE AS A BLUEPRINT FOR OUR HOSPITAL AND COLLABORATING PARTNERS TO ENSURE THAT INTERVENTIONS AND STRATEGIES ADDRESS HEALTH NEEDS AND ACHIEVE HEALTH EQUITY.
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 7D: HARD COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY SERVICE PLAN AND PROGRESS REPORTS ARE AVAILABLE WITHOUT CHARGE TO ANYONE UPON REQUEST AND ARE REGULARLY DISTRIBUTED TO COMMUNITY BOARD MEMBERS, POLICYMAKERS, LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND OTHER INTERESTED STAKEHOLDERS. THROUGH OUR OUTREACH AND ENGAGEMENT ACTIVITIES, WE CONTINUALLY SEEK TO KEEP THE COMMUNITY INFORMED ABOUT OUR ACTIVITIES AND TO GET FEEDBACK AND INPUT.
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: LICH, WORKED WITH THE LIHC, THE SCDOHS, AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO PRODUCE THIS CHNA. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY THE LIHC AND DATAGEN. USING DATA FROM BOTH THE PRIMARY AND SECONDARY DATA SOURCES, THE FOLLOWING KEY THEMES WERE REVEALED. PRIMARY DATA SURVEY RESULTS FROM HUNDREDS OF SUFFOLK COUNTY RESIDENTS REVEAL CANCER, SAFETY ISSUES, DIABETES, MENTAL HEALTH, DRUG AND ALCOHOL USAGE, AND OBESITY/WEIGHT LOSS ISSUES ARE SOME OF THE TOP CONCERNS FOR 2022 ALONG WITH A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, AND CANCER.FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL. IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED: 1. PREVENT CHRONIC DISEASE FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT 2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION REDUCING CHRONIC DISEASES AND MENTAL HEALTH ILLNESS/SUBSTANCE MISUSE HAVE BEEN IDENTIFIED AS THE TOP TWO PRIORITIES IN OUR COMMUNITIES. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE WAS A MEMBER OF THE 2022 CHNA WORKGROUP CONVENED BY THE LONG ISLAND HEALTH COLLABORATIVE. THE PREVAILING HEALTH/SOCIAL SUPPORT NEEDS UNCOVERED THROUGH PRIMARY AND SECONDARY DATA RESEARCH WERE DISCUSSED WITH OTHER WORKGROUP MEMBERS, ONE OF WHOM WAS A LOCAL COUNTY HEALTH DEPARTMENT EXECUTIVE, AS PART OF THE NINE-MONTH CHNA PROCESS. MEMBERS OF THE WORKGROUP BROUGHT INSIGHT LEARNED FROM THE PREVIOUS CHNA REPORT CYCLE TO THE TABLE, INCLUDING RELEVANT COMMENTS FROM COMMUNITY MEMBERS. WE THEN CONFIDENTLY AND UNANIMOUSLY SELECTED THE PRIORITIES NOTED. EMBEDDED WITHIN THESE PRIORITIES ARE AREAS OF NEED, AS REVEALED BY THE PRIMARY AND SECONDARY RESEARCH.PRIMARY DATA AND SECONDARY DATA DEMONSTRATE THAT RESIDENTS LIVING IN SUFFOLK COUNTY ARE EXPERIENCING POOR MENTAL HEALTH STATUS. MENTAL HEALTH ISSUES HAVE SOARED IN THE PAST TWO YEARS SPURRED, IN PART, BY THE EFFECTS OF THE PANDEMIC. THE TOWN OF BROOKHAVEN HAS AN ESPECIALLY HIGH INCIDENCE OF OPIOID USE, OVERDOSE, AND DEATH AND THIS IS WHY THE NATIONAL INSTITUTES OF HEALTH SELECTED THE 27 ZIP CODES WITHIN THE TOWNSHIP OF BROOKHAVEN TO PARTICIPATE IN A TWO-YEAR NATIONAL STUDY AND EFFORT TO REDUCE OPIOID-RELATED OVERDOSE DEATHS BY 40 PERCENT. OTHER GOALS OF THE STUDY INCLUDED INCREASING ACCESS TO NALOXONE, EXPANDING USE OF MEDICATIONS FOR OPIOID USE DISORDER, SUCH AS BUPRENORPHINE, METHADONE, AND NALTREXONE, AS WELL AS REDUCING HIGH-RISK OPIOID PRESCRIBING. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE SERVED ON THE STUDY'S LOCAL ADVISORY BOARD AND PARTICIPATED IN A TREATMENT WORKGROUP. DURING THE STUDY PERIOD, LONG ISLAND COMMUNITY HOSPITAL EXPANDED ITS SUBOXONE INDUCTIONS GIVEN IN THE EMERGENCY ROOM TO INCLUDE MEDICAL UNITS. THESE INTERVENTIONS CONTINUE TO THIS DAY. ALSO IN LINE WITH THE STUDY GOALS AND IN SYNC WITH THEIR WORK TO REDUCE OPIOID USE, THE HOSPITAL PROVIDES NARCAN KITS AND TRAINING TO COMMUNITY MEMBERS AND HOSPITAL STAFF ON AN ONGOING BASIS. ALIGNED WITH THE HEALING COMMUNITIES STUDY GOALS IS OUR HOSPITAL'S INVOLVEMENT IN A SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GRANT. WE ARE IMPLEMENTING A FIVE-YEAR GRANT DESIGNED TO INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT FOR PATIENTS IN THE EMERGENCY ROOM, INPATIENT UNITS, AND OUTPATIENT CHEMICAL DEPENDENCY PROGRAM.PRIMARY DATA WAS OBTAINED FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SENT TO INDIVIDUALS AND A SIMILAR SURVEY TO COMMUNITY-BASED ORGANIZATION LEADERS. ADDITIONALLY, WE LOOKED AT RESULTS FROM TWO QUALITATIVE STUDIES TO ROUND OUT OUR PRIMARY DATA. SECONDARY DATA WAS DERIVED FROM PUBLICLY-AVAILABLE DATA SETS CURATED BY DATAGEN INTO ITS PROPRIETARY DATA ANALYTICS PLATFORM, CHNA ADVANTAGE, OFFERING 200 PLUS METRICS TO DETERMINE HEALTH ISSUES WITHIN SUFFOLK COUNTY. AS SUCH, PRIORITIES SELECTED FOR THE 2022-2024 CYCLE REMAIN UNCHANGED FROM THE 2019-2021 CYCLE SELECTION, AND THE SELECTED HEALTH DISPARITIES IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN HISTORICALLY UNDERSERVED COMMUNITIES AND COMMUNITIES OF COLOR. ADDITIONAL PREVENTION AGENDA PRIORITIES/DISPARITIES BEING ADDRESSED BY LONG ISLAND COMMUNITY HOSPITAL ARE OUTLINED IN THE 2022-2024 WORK PLAN.IN SUPPORT OF OUR COMMUNITY SERVICE PLAN, DURING THE PAST THREE YEARS, LICH PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS IN MULTIPLE COMMUNITIES TO HOLD DIABETES AND OTHER CHRONIC DISEASE MANAGEMENT EDUCATIONAL PROGRAMS, NARCAN TRAINING, SUPPORT GROUPS, HEALTH SCREENINGS, AND FOOD DRIVES, AMONG OTHER OUTREACH ACTIVITIES. DUE TO THE COVID-19 PANDEMIC, MANY OUTREACH ACTIVITIES TRADITIONALLY HELD IN THE COMMUNITY WERE PAUSED. HOWEVER, AS MANY PROGRAMS AS POSSIBLE THAT COULD BE DELIVERED VIRTUALLY WERE.
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 13H: DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING ADDITIONAL CRITERIA:1. FOR NON-NEW YORK RESIDENTS, THE NATURE OF THE MEDICAL SERVICE (E.G., TREATMENT IN THE EMERGENCY DEPARTMENT, INPATIENT ADMISSION, ELECTIVE PROCEDURE, ETC.);2. FAMILY SIZE, WHICH IS CALCULATED FOR ADULT PATIENTS, BY ADDING THE PATIENT, AND IF APPLICABLE, THE LEGAL GUARDIAN WITH WHOM THE PATIENT RESIDES. A PREGNANT WOMAN IS COUNTED AS TWO FAMILY MEMBERS.FOR PATIENTS WITH UNPAID BALANCES WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ASSIST IN THE APPLICATION PROCESS, THE HOSPITAL MAY SUBMIT THE PATIENT'S DEMOGRAPHICS TO A CREDIT BUREAU TO UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO.
LONG ISLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: INFORMATION ABOUT FINANCIAL ASSISTANCE IS MADE AVAILABLE IN THE HOSPITAL'S ADMISSION BROCHURE. ADDITIONALLY, ALL HOSPITAL BILLS AND STATEMENTS INCLUDE A STATEMENT THAT IF THE PATIENT IS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION.APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN AND SPANISH, AND TRANSLATION SERVICES ARE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
FORM 990, SCH H, PART V, SECTION B, LINE 7:	PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S CHNA WAS AVAILABLE AT HTTPS://LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMUNITY-SERVICE-PLAN/AS OF MARCH 1, 2025 THE CHNA IS AVAILABLE AT: HTTPS://NYULANGONE.ORG/OUR-STORY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-SERVICE-PLAN
FORM 990, SCH H, PART V, SECTION B, LINE 10A:	LICH IMPLEMENTATION PLAN WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S IMPLEMENTATION PLAN WAS AVAILABLE AT HTTPS://LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMUNITY-SERVICE-PLAN/AS OF MARCH 1, 2025 THE IMPLEMENTATION PLAN IS AVAILABLE AT: HTTPS://NYULANGONE.ORG/OUR-STORY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-SERVICE-PLAN
FORM 990, SCH H, PART V, SECTION B, LINES 16 A-C	PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT: HTTPS://LICOMMUNITYHOSPITAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE-POLICY/AS OF MARCH 1, 2025 THE HOSPITAL'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://NYULANGONE.ORG/INSURANCE-BILLING-FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2023

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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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2023

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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 I, LINE 3C:	LICH'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. THE SLIDING SCALE PROVIDES FOR DISCOUNTED CARE STARTING AT 800% OF FPG AND FREE CARE AT 600% OF FPG. LICH MAY UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME AND FINANCIAL ASSISTANCE ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO.
PART I, LINE 7:	THE COST-TO-CHARGES RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED ON PART I, LINES 7A AND B.THE RATIO OF COST TO CHARGES ("RCC") WAS CALCULATED BY DIVIDING TOTAL PATIENT CARE EXPENSE BY GROSS PATIENT CHARGES. GIVEN THE DIFFERENCES IN THE PATIENT POPULATIONS OF MEDICARE AND MEDICAID, LICH CALCULATES A SEPARATE COST OF CARE FOR THESE DISCRETE PAYORS. AN OVERALL RATIO OF COST TO CHARGE WAS USED FOR THE REMAINING PATIENT POPULATION.TO DETERMINE AN OVERALL RCC, PATIENT CARE EXPENSE IS DETERMINED BY TAKINGTOTAL OPERATING EXPENSE OF THE STATEMENT OF OPERATIONS AND ADJUSTING FOR CERTAIN EXPENSES THAT ARE UNRELATED TO PATIENT CARE.THE RATIO REPRESENTS THE PERCENTAGE OF NET COMMUNITY BENEFIT EXPENSES AS APERCENTAGE OF TOTAL HOSPITAL EXPENSES EXCLUDING BAD DEBT EXPENSES.THE AMOUNT REPORTED ON LINE 7A INCLUDES CHARITY CARE AT THE ORGANIZATION'S FULL GROSS CHARGES AS REPORTED ON INSTITUTIONAL COST REPORTING (ICR S-10)WHICH IS REDUCED TO COST USING THE RATIO OF COST-TO-CHARGES METHOD DESCRIBED ABOVE. HISTORICALLY, THIS AMOUNT WAS REPORTED AS THE DISCOUNT PROVIDED FROM THE AMOUNTS GENERALLY BILLED REDUCED BY THE RATIO OF COST-TO-CHARGES.THE AMOUNT REPORTED ON LINE 7F INCLUDES AMOUNTS FROM THE INSTITUTIONALCOST REPORT AND THE ORGANIZATION'S ACTUAL EXPENSE.THE AMOUNTS REPORTED ON LINES 7E & 7G REPRESENT THE ORGANIZATION'S ACTUALEXPENSE.
PART I, LINE 7G:	THE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY PROVIDING VARIOUS SERVICES AT A LOSS. SUBSIDIZED HEALTH SERVICES INCLUDE: CHEMICAL DEPENDENCY, PEDIATRICS, INFUSION, VASCULAR SURGERY, AND PULMONARY REHABILITATION. THE LOSS IS MEASURED BY THE EXCESS OF THE ORGANIZATION'S COSTS FOR THESE SERVICES OVER THE REVENUE GENERATED. THESE LOSSES EXCLUDE SERVICES THAT ARE OTHERWISE REPORTED AS CHARITY CARE, MEDICARE, OR MEDICAID ACTIVITIES. ADDITIONALLY, THE ORGANIZATION SUPPLEMENTS THE ADDITIONAL UNCOMPENSATED CARE PROVIDED BY THE FACULTY GROUP PRACTICE OFFICES OF THE NYU GROSSMAN SCHOOL OF MEDICINE WHICH ARE LOCATED THROUGHOUT THE ORGANIZATION'S SERVICE AREA.
PART III, LINE 2:	THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS REPORTED AS THE EXPENSE AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGES.
PART III, LINE 3:	BAD DEBT EXPENSE DOES NOT INCLUDE AMOUNTS FOR FINANCIAL ASSISTANCE POLICYELIGIBLE PATIENTS.
PART III, LINE 4:	FOLLOWING IS NYU LANGONE HEALTH'S COMBINED AUDITED FINANCIAL STATEMENT FOOTNOTE ON UNCOMPENSATED CARE (FOOTNOTE 1, PAGE 14):NYU LANGONE HEALTH IS COMMITTED TO ENSURING THAT ITS CARE IS NOT LIMITED TO THOSE WHO HAVE INSURANCE COVERAGE OR THE MEANS TO PAY FOR CARE. NYU LANGONE HEALTH RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF CARE WILL HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. ACCORDINGLY, NYU LANGONE HEALTH HAS IMPLEMENTED A DISCOUNT POLICY AND FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES, AND CAPACITY OF NYU LANGONE HEALTH, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THEIR CARE. AS A MATTER OF POLICY, NYU LANGONE HEALTH PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE UNDER ITS CHARITY CARE POLICY OR THROUGH ITS FINANCIAL AID PROGRAM. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNDER NYU LANGONE HEALTH'S CHARITY CARE POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW NYU LANGONE HEALTH TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. NET PATIENT SERVICE REVENUE RELATED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR EITHER MEDICAID ASSISTANCE OR NYU LANGONE HEALTH'S FINANCIAL AID PROGRAM IS RECOGNIZED FOR THE AMOUNT OF CONSIDERATION TO WHICH NYU LANGONE HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, NET OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS. IMPLICIT PRICE CONCESSION RATES FOR UNINSURED PATIENTS ARE REFINED ON AN ANNUAL BASIS. NYU LANGONE HEALTH'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. PATIENTS ARE ELIGIBLE FOR THE CHARITY CARE FEE SCHEDULE IF THEY MEET CERTAIN INCOME TESTS. SINCE PAYMENT OF THE DIFFERENCE BETWEEN NYU LANGONE HEALTH'S STANDARD CHARGES AND THE CHARITY CARE FEE SCHEDULES IS NOT SOUGHT, THESE FORGONE CHARGES FOR CHARITY CARE ARE NOT REPORTED AS REVENUE.
PART III, LINE 8:	MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED ON PART III, SECTION B,LINES 5 AND 6 ARE DERIVED FROM THE MEDICARE COST REPORT FILED FOR THE FISCAL YEAR ENDED AUGUST 31, 2024.
PART III, LINE 9B:	LICH'S DEBT COLLECTION POLICY IS TO ENSURE COMPLIANCE FOR REGULATORY, NON-REGULATORY AND FISCALLY SOUND PRACTICES FOR BILLING AND COLLECTION OF PATIENT ACCOUNTS RECEIVABLE THAT MAXIMIZE COLLECTIONS OF AMOUNTS DUE THE ORGANIZATION IN A MANNER CONSISTENT WITH THE GOAL OF PROVIDING HIGH CALIBER PATIENT- CENTERED CARE.THE HOSPITAL IS COMMITTED TO FAIR BILLING AND COLLECTION PRACTICES AND TO COMPLIANCE WITH NEW YORK STATE AND FEDERAL REGULATIONS. ACCORDINGLY, THE HOSPITAL AND/OR ITS EMPLOYEES, REPRESENTATIVES, AGENTS AND CONTRACTORS ARE NOT PERMITTED TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. FILE SUITS FOR BALANCES DUE LESS THAN $5,000.002. DEFER, DENY, OR REQUIRE PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE DUE TO NONPAYMENT OF A PREVIOUS BILL;3. SEND AN ACCOUNT TO COLLECTION WHILE AN APPLICATION FOR MEDICAID OR FINANCIAL ASSISTANCE (WHICH IS COMPLETE AND WITH ALL REQUIRED DOCUMENTATION) IS PENDING;4. SEND AN ACCOUNT TO COLLECTION FOR A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED AND FOR WHICH SERVICES MEDICAID PAYMENT IS AVAILABLE;5. SEEK PAYMENT WHILE A FINANCIAL ASSISTANCE OR MEDICAID APPLICATION IS PENDING;6. SEEK FORECLOSURE OR A FORCED SALE OF THE PATIENT'S PRIMARY RESIDENCE;7. FILE PROPERTY LIENS ABSENT EXTRAORDINARY CIRCUMSTANCES;8. FREEZE A PATIENT'S BANK ACCOUNT OR GARNISH A PATIENT'S PAYROLL CHECK ABSENT EXTRAORDINARY CIRCUMSTANCES;9. PURSUE ANY ACTION WHICH WOULD CAUSE OR PREVENT THE PATIENT FROM PAYING HIS/HER NORMAL MONTHLY RENT, UTILITY OR FOOD EXPENSES;10. REPORT TO CREDIT BUREAUS OR CREDIT AGENCIES;11. SELL A PATIENT'S DEBT TO ANOTHER PARTY.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL BE REQUIRED: TO COMPLY WITH THIS POLICY; SEEK THE HOSPITAL'S WRITTEN CONSENT PRIOR TO INSTITUTING A LEGAL ACTION FOR COLLECTION; AND PROVIDE PATIENTS INFORMATION, WHERE APPROPRIATE, ON HOW TO APPLY FOR FINANCIAL ASSISTANCE.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL PROVIDE MONTHLY REPORTS OF THEIR COLLECTION EFFORTS.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL ATTEST TO THEIR COMPLIANCE TO THIS POLICY ON ANNUAL BASIS.
PART V, SECTION A, LINE 1	LICH WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S WEBSITE WAS WWW.LICOMMUNITYHOSPITAL.ORG.AS OF MARCH 1, 2025 THE WEBSITE IS: HTTPS://NYULANGONE.ORG/LOCATIONS/NYU-LANGONE-HOSPITAL-SUFFOLK
PART VI, LINE 2:	LICH WORKED WITH THE LIHC, ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (SCDOHS), AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY LIHC AND DATAGEN. TOP, HIGH-LEVEL FINDINGS INCLUDE A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, OBESITY AND CANCER. FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL.AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT. THE GROUP ALSO AGREED THAT MENTAL HEALTH SHOULD BE HIGHLIGHTED AS AN AREA OF OVERLAY WITHIN ALL INTERVENTION STRATEGIES. COMMUNITY OUTREACH HAS LONG BEEN A MAINSTAY FOR LICH. LICH'S OUTREACH PROGRAM PARTICIPATES IN COMMUNITY HEALTH FAIRS, WITH SENIOR AND COMMUNITY CENTERS, AS WELL AS CIVIC ASSOCIATIONS THROUGHOUT THE REGION. LICH IS ALSO AN ACTIVE MEMBER OF MANY CHAMBERS OF COMMERCE IN THE COMMUNITY. MEMBERSHIP WITH THESE CHAMBERS AFFORDS LICH THE OPPORTUNITY TO LEARN OF THE NEEDS OF THE WORKFORCE AND BUSINESS LEADERS IN THE COMMUNITY. LICH HAS A STRONG PRESENCE IN THE CIVIC AND SERVICE CLUBS,(E.G. KIWANIS, ROTARY CLUB, LIONS,) HOUSES OF WORSHIP, THE YMCA AND BOYS AND GIRLS CLUB, LOCAL GOVERNMENT HEALTH AND SOCIAL SERVICE PROGRAMS, THE SOCIAL SERVICE AGENCIES, SENIOR LIVING COMMUNITIES AND PUBLIC LIBRARIES. GUIDED BY THE LIHC, LICH AND ALL REGIONAL PARTNERS REVIEWED RESULTS FROM THE TWO QUALITATIVE ANALYSES AND TWO QUANTITATIVE ANALYSES, OUR SOURCES OF PRIMARY DATA, AND A VARIETY OF SECONDARY DATA ANALYSES PROVIDED BY DATAGEN, WHICH WERE DRAWN FROM NATIONAL, STATE, AND COUNTY PUBLICLY AVAILABLE DATA SETS. THE ENGAGEMENT PROCESS WE USED TO SELECT THE TWO PRIORITIES WAS PURPOSEFUL AND COLLABORATIVE. ON APRIL 5, 2022, AT 8 A.M., THE LIHC POSTED RESULTS OF ALL ITS DATA ANALYSES. THE MEMBERS OF THE 2022 CHNA WORKGROUP WERE ASKED TO REVIEW THE RESULTS IN ADVANCE OF THE PRIORITY SELECTION MEETING, WHICH OCCURRED ON APRIL 5, 2022, AT 1 P.M. VIA ZOOM. THE DATA ANALYST WALKED PARTICIPANTS THROUGH SCREENSHOTS OF THE RELEVANT FINDINGS. PARTICIPANTS ALSO VIEWED THE PREVENTION AGENDA DASHBOARD, DIVING DEEP INTO THE GOALS, OBJECTIVES, AND RECOMMENDED INTERVENTIONS FOR EACH PRIORITY. PRESENT AT THE MEETING WERE REPRESENTATIVES FROM LONG ISLAND'S TWO HEALTH DEPARTMENTS AND REPRESENTATIVES FROM LONG ISLAND'S HOSPITALS/HEALTH SYSTEMS, AS WELL AS STAFF OF THE LIHC. ATTENDEES DISCUSSED PRIMARY AND SECONDARY DATA RESULTS AND BASED THE SELECTION OF PRIORITIES ON THE FOLLOWING CRITERIA:- THE OVERWHELMING EVIDENCE PRESENTED BY THE DATA, ESPECIALLY THE FIRST TWO QUESTIONS OF THE COMMUNITY HEALTH ASSESSMENT SURVEY- THE ACTIVITIES/STRATEGIES/INTERVENTIONS CURRENTLY IN PLACE THROUGHOUT THE REGION- THE FEASIBILITY OF ACHIEVING MOMENTUM AND SUCCESS WITH A CHOSEN PRIORITY, TAKING INTO ACCOUNT THE DIVERSITY OF PARTNERS AND COMMUNITY MEMBERS SERVED- COMMENTS FROM COMMUNITY MEMBERS AND OTHERS REGARDING THE PREVIOUS CHNAAFTER AN OFFICIAL VOTE, THE PRIORITIES WERE SELECTED UNANIMOUSLY. THE APRIL MEETING WAS A CULMINATION OF SEVEN LIHC WORK GROUP MEETINGS HELD EACH MONTH, BEGINNING IN SEPTEMBER 2021 AND CONCLUDING IN APRIL 2022. AT THESE MEETINGS, IN ADDITION TO REPRESENTATIVES NOTED ABOVE, COMMUNITY-BASED ORGANIZATION LEADERS FROM A RANGE OF SECTORS OFFERED INPUT.ENGAGEMENT OF THE BROADER COMMUNITY, FOR ASSESSMENT PURPOSES, IS ACHIEVED THROUGH THE LIHC'S AND ITS PARTNERS' ONGOING DISTRIBUTION OF THE CHNA - THE MAIN PRIMARY RESEARCH TOOL USED TO GAUGE COMMUNITY HEALTH NEEDS, SOCIAL SUPPORT NEEDS, AND BARRIERS TO HEALTHCARE ON AN ONGOING BASIS. THIS SURVEY IS OFFERED ONLINE VIA A SURVEYMONKEY LINK AND IS AVAILABLE IN PAPER FORMAT TO RESIDENTS AT PUBLIC EVENTS, WORKSHOPS, EDUCATIONAL PROGRAMS, AND INTERVENTIONS WHICH ARE OFFERED BY LICH AND OTHER LIHC PARTNERS. A PAPER VERSION IS ALSO DISTRIBUTED AMONG PHYSICIAN OFFICES, HOSPITAL WAITING AREAS, LIBRARIES, SCHOOLS, FEDERALLY QUALIFIED HEALTH CLINICS, INSURANCE ENROLLMENT SITES, AND OTHER PUBLIC VENUES. THE LIHC VIGILANTLY PROMOTES THE SURVEY THROUGH SOCIAL MEDIA AND ASKS LIHC PARTICIPANTS TO POST THE SURVEY LINK ON EACH OF THEIR WEBSITES. THE LIHC PROVIDES A SOCIAL MEDIA TOOLKIT WITH AN OPPORTUNITY FOR CO-BRANDING TO FACILITATE PARTICIPATION AND LICH HAS AVAILED ITSELF OF THIS SERVICE. LICH POSTS THIS SURVEY AND THE SURVEYMONKEY LINK ON ITS WEBSITE AND IN ELECTRONIC AND PRINT COMMUNITY NEWSLETTERS. THE SURVEY CAN ALSO BE ACCESSED VIA A QR CODE. RESULTS FROM THE COMMUNITY HEALTH ASSESSMENT SURVEY ARE ANALYZED YEARLY. FINDINGS ARE SHARED WITH ALL LIHC PARTICIPANTS, WITH THE MEDIA, AND POSTED ON THE LIHC WEBSITE. A CERTIFIED TRANSLATION OF THE SURVEY IS AVAILABLE IN THE FOLLOWING LANGUAGES: SPANISH, POLISH, AND HAITIAN CREOLE. LARGE PRINT COPIES ARE ALSO AVAILABLE TO THOSE LIVING WITH VISION IMPAIRMENT. ENGAGEMENT OF THE BROADER COMMUNITY, FOR IMPLEMENTATION PURPOSES, IS ASSISTED BY THE LIHC'S ENCOURAGEMENT OF COMMUNITY MEMBERS TO PARTICIPATE IN PROGRAMS, WORKSHOPS, SUPPORT GROUPS AND EDUCATIONAL PROGRAMS OFFERED BY LICH AND ALL LIHC PARTNERS. IN ADDITION, THE LIHC OFFERS LIMITED PROGRAMMING ITSELF, SUCH AS THE WALK SAFE WITH A DOC EVENTS AND TALK WITH A DOC EVENTS (PRESENTED IN COLLABORATION WITH AARP-LI). ALL LIHC QUARTERLY MEETINGS ARE OPEN TO THE PUBLIC AND RECORDINGS OF THE MEETINGS ARE HOUSED ON ITS WEBSITE. THE LIHC, ON BEHALF OF ALL ITS PARTICIPANTS AND THE COMMUNITY MEMBERS EACH PARTICIPANT SERVES, SUPPORTS THE FOLLOWING EVIDENCE-BASED ACTIVITIES AND PROGRAMS:- AWARENESS CAMPAIGN (LIVE BETTER) ABOUT CHRONIC DISEASE VIA SOCIAL MEDIA AND TRADITIONAL MEDIA PLATFORMS (THIS CAMPAIGN CAPTURES ANY MENTIONS ABOUT CHRONIC DISEASES AND RELEVANT PROGRAMS/EDUCATION EFFORTS)- AWARENESS CAMPAIGN ABOUT MENTAL HEALTH PREVENTION AND TREATMENT PROGRAMS/EDUCATION, AS WELL AS RELEVANT TREATMENT AND PREVENTION PROGRAMMING RELATIVE TO SUBSTANCE MISUSE VIA SOCIAL MEDIA AND TRADITIONAL MEDIA PLATFORMS (THIS CAMPAIGN CAPTURES ANY MENTIONS ABOUT MENTAL HEALTH/SUBSTANCE MISUSE PROGRAMS/EVENTS/WORKSHOPS, ETC.)- WALK SAFE WITH A DOC ARE COMMUNITY WALKING EVENTS THAT COMBINE PEDESTRIAN SAFETY EDUCATION WITH CHRONIC DISEASE EDUCATION ALL WHILE WALKING. THE LIHC MAINTAINS AN ACTIVE WALK WITH A DOC CHAPTER FOR THE REGION.- TALK WITH A DOC ARE ZOOM-DELIVERED EDUCATIONAL PROGRAMS LED BY PHYSICIANS FROM THE REGION'S HOSPITALS COVERING A VARIETY OF CHRONIC DISEASES.
PART VI, LINE 3:	PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY BY APPROPRIATE SIGNAGE IN THE REGISTRATION AND INTAKE AREAS; INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE; AND RESPONSES TO DIRECT INQUIRIES. ALL HOSPITAL BILLS AND STATEMENTS WILL INCLUDE A STATEMENT THAT IF THE PATIENT WAS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, GREEK, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN, AND SPANISH, AND TRANSLATION SERVICES WILL BE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
PART VI, LINE 4:	SUFFOLK COUNTY IS 2,373 SQUARE MILES AND IS THE SECOND LARGEST COUNTY IN NEW YORK. LONG ISLAND COMMUNITY HOSPITAL SERVICES THIS EASTERNMOST COUNTY IN NEW YOK STATE. THE COUNTY IS DIVIDED INTO 10 TOWNS: BABYLON, HUNTINGTON, ISLIP, SMITHTOWN, BROOKHAVEN, SOUTHAMPTON, RIVERHEAD, EAST HAMPTON, SHELTER ISLAND AND SOUTHOLD. SUFFOLK COUNTY IS AN AREA OF GROWING DIVERSITY, CULTURES, AND POPULATION CHARACTERISTICS.SUFFOLK COUNTY'S TOTAL POPULATION AS OF 2020 IS 1,481,362 (47.2% MALE; 50.8% FEMALE). THOSE AGES 15-44 REPRESENT 35.4% OF FEMALES; 36.7% OF MALES; AGES 60 PLUS REPRESENT 23.7% OF MALES AND 25.6% OF FEMALES; THOSE 18 YEARS AND OLDER REPRESENT 78.8% OF MALES AND 79.8% FEMALES. THE REGION IS PREDOMINATELY WHITE AT 65.3% WITH 7.7% BLACK/AFRICAN AMERICAN AND 4.4% ASIAN. HISPANIC OR LATINO REPRESENT 22.4% OF THE POPULATION, ABOUT A FOUR PERCENT INCREASE FROM THE LAST REPORT.IN TERMS OF HOUSEHOLD INCOME, 35.2% OF THE POPULATION EARN LESS THAN $74, 999 WITH 15% OF THAT GROUP EARNING LESS THAN $34,999 ANNUALLY. OF THE POPULATION, 8% OF THOSE UNDER 18 YEARS OF AGE LIVE IN POVERTY, WHILE 6% OF THOSE AGES 18 TO 64 LIVE IN POVERTY AND FOR THOSE AGES 18-34, 6.7% LIVE IN POVERTY. THE PERCENTAGE OF THE POPULATION (5 YEARS AND OVER) THAT SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME IS 30.3%, WITH SPANISH THE DOMINANT OTHER LANGUAGE SPOKEN 14.7% FOLLOWED BY OTHER INDO/EUROPEAN LANGUAGES 8.7% AND ASIAN LANGUAGES 5.1%. IN TERMS OF EDUCATION, FOR THOSE AGE 25 AND OVER, 89.4% ARE HIGH SCHOOL GRADUATES OR HIGHER, 31.9% HOLD A BACHELOR'S DEGREE OR HIGHER. THE PERCENT OF THE TOTAL POPULATION UNINSURED IS 4.2%. OF THAT PERCENT, NON-CITIZENS REPRESENT 32% OF THE UNINSURED. HISPANIC/LATINO REPRESENT 42.1% OF THE UNINSURED FOLLOWED BY BLACK/AFRICAN AMERICAN 10%, WHITE 63.9%, ASIAN 6.5%. OF THE UNINSURED, 37.6% EARN LESS THAN $74,999 HOUSEHOLD INCOME AND 9.1% EARN UNDER $25,000 HOUSEHOLD INCOME. APPROXIMATELY 9.6% OF THE TOTAL NON-INSTITUTIONALIZED POPULATION IS DISABLED. BY RACE/ETHNICITY, 10.6% OF THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION IS DISABLED, 13.6% OF THE AMERICAN INDIAN/ALASKA NATIVE POPULATION IS DISABLED, 10% OF THE WHITE POPULATION IS DISABLED, 9.6% OF THE BLACK/AFRICAN AMERICAN POPULATION IS DISABLED, AND 7.2% HISPANIC/LATINO POPULATION IS DISABLED. INTERESTINGLY, NATIVE AMERICAN/PACIFIC ISLANDERS ACCOUNT FOR LESS THAN ONE PERCENT OF THE COUNTY'S POPULATION. INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES INDIVIDUALS FROM LOW-INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED) OR CARE AT ALL IF THEY ARE UNINSURED. THE INABILITY TO AFFORD CO-PAYS AND DEDUCTIBLES CONSISTENTLY RISES TO THE TOP AS A BARRIER TO HEALTHCARE ON LIHC'S COMMUNITY HEALTH ASSESSMENT SURVEY YEAR AND AFTER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS BY RACE IS $107,422 (WHITE), $85,840 (BLACK), $91,711 (HISPANIC/LATINO). MEAN INCOME IN THE PAST 12MONTHS, PER CAPITA BY RACE IS $50,352, $33,170 AND $28,414, RESPECTIVELY. ACCORDING TO RESEARCH CONDUCTED BY THE UNITED WAY OF NEW YORK'S ALICE REPORT, LONG ISLAND RESIDENTS ARE EARNING WAGES THAT DO NOT COVER LIFE'S BASIC COSTS. AS OF 2020, 31.5% OF LONG ISLAND HOUSEHOLDS FALL BELOW THE SET INCOME THRESHOLD NEEDED TO LIVE AND WORK, WHICH EQUATES TO 171,921 HOUSEHOLDS IN SUFFOLK COUNTY AND 130,599 HOUSEHOLDS IN NASSAU COUNTY AND THAT ARE STRUGGLING TO AFFORD THESE BASIC NEEDS.THROUGHOUT SUFFOLK COUNTY, THERE ARE 17 IDENTIFIED COMMUNITIES IN WHICH A VARIETY OF SOCIOECONOMIC FACTORS LEAD TO VAST HEALTH DISPARITIES. THESE IDENTIFIED COMMUNITIES WERE DETERMINED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WITH CONCURRENCE FROM HOSPITAL PARTNERS. THESE COMMUNITIES ARE: WYANDANCH, CENTRAL ISLIP, BRENTWOOD, RIVERHEAD, BAY SHORE, COPIAGUE, MASTIC, MASTIC BEACH, BELLPORT, AMITYVILLE, CALVERTON, PATCHOGUE, SHIRLEY, GREENPORT, LINDENHURST, WEST BABYLON, AND RIDGE.
PART VI, LINE 5:	LICH HAS ESTABLISHED A LEADERSHIP POSITION IN HEALTH PROMOTION, PREVENTION AND EDUCATION THROUGHOUT THE COMMUNITY. REGIONAL HEALTH PLANNING IS ACCOMPLISHED THROUGH A NUMBER OF AGENCY CONTACTS INCLUDING THE SUFFOLK COUNTY DEPARTMENT OF HEALTH, MENTAL HEALTH AGENCIES AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION, THE HOSPITAL WORKS CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LICH IS DEDICATED TO COMMUNICATING WITH KEY STAFF AND COMMUNITY MEMBERS, AS THE HOSPITAL PREPARES TO PLAN FOR THE FUTURE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE. FOCUS GROUPS ARE HELD PERIODICALLY, WHICH INCLUDE MEETING WITH THE MEDICAL STAFF, MEMBERS OF THE BOARD OF DIRECTORS, COMMUNITY MEMBERS, THE WEST ISLIP BREAST CANCER COALITION, THE SOUTHAMPTON BREAST CANCER COALITION, HOSPITAL ADVISORY COUNCIL, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. THESE CONSTITUENTS HAVE THE ABILITY TO COLLECT INFORMATION FROM VARIED PERSPECTIVES. THE HOSPITAL'S ABILITY TO COLLECT INFORMATION FROM THESE GROUPS AND TRANSLATE THE DIALOG INTO A NEEDS ASSESSMENT IS A VALUABLE RESOURCE TO THE HOSPITAL AS WELL AS THECOMMUNITY.LICH PROVIDES CARE THROUGH A 306-BED ACUTE-CARE HOSPITAL THAT IS PART OF AMULTIDISCIPLINARY, MULTI-CAMPUS, STATE-OF-THE-ART HEALTH CARE COMPLEX,DESIGNED TO MEET THE EVOLVING NEEDS OF THE 28 SUFFOLK COUNTY COMMUNITIESSERVED. LICH IS IN THE PROCESS OPENING A STATE-OF-THE-ART CARDIAC CARECENTER (KNAPP CARDIAC CARE CENTER) THAT WILL FURTHER ENHANCE THE SERVICESAND MEET THE NEEDS OF OUR COMMUNITY.WHILE MUCH HAS CHANGED SINCE LICH FIRST OPENED ITS DOORS TO THE COMMUNITYIN 1956, THE PATIENT-CENTERED APPROACH TO HEALTHCARE REMAINS AS STRONG ASEVER. TODAY, LICH IS HOME TO SOME OF THE FINEST CENTERS FOR SPECIALIZEDCARE ALONG WITH A LEVEL III TRAUMA CENTER/EMERGENCY ROOM, A COMMUNITYCHEMICAL DEPENDENCY HEALTH CENTER IN COOPERATION WITH HUDSON RIVER HEALTH, AND MORE. THE MEDICAL CENTER ALSO WAS THE FIRST IN THE COUNTY TO ESTABLISH A CERTIFIED HOME HEALTH CARE DEPARTMENT, A HOSPICE AND AN OUTPATIENT HEMODIALYSIS UNIT AND IS A LEADER IN HEALTH EDUCATION THROUGHOUT THE COMMUNITY.LICH WAS FOUNDED BY A COMMUNITY FOCUSED BOARD OF DIRECTORS AND CONTINUES WITH 16 MEMBERS FROM THE COMMUNITY WHO SERVE ON THE GOVERNING BOARD. ADDITIONALLY, THE HOSPITAL ESTABLISHED A COMMUNITY OUTREACH COMMITTEE TO RECEIVE FURTHER INPUT TO THE NEEDS OF THE COMMUNITY'S RESIDENTS. THERE ARE 16 MEMBERS ON THE COMMUNITY OUTREACH COMMITTEE. MEMBERS ARE TYPICALLY ACTIVE IN OTHER AREAS OF THE COMMUNITY AND INCLUDING: CIVIC LEADERS, SCHOOL REPRESENTATIVES, PUBLIC HEALTH ADVOCATES, BUSINESS LEADERS AND SERVICE CLUB MEMBERS.IN 2013, LICH ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING QUARTERLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS.IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED: 1. PREVENT CHRONIC DISEASE FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT DURING THE PERIOD, LICH CONDUCTED CHRONIC DISEASE SELF-MANAGEMENT EDUCATION PROGRAMS TO INCREASE THE PERCENTAGE OF ADULTS WITH CHRONIC CONDUCTIONS THAT HAVE TAKEN A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. PROGRAM TOPICS SEEK TO PROVIDE PREVENTION / MANAGEMENT GUIDANCE WITH RESPECT TO DIABETES AND CONGESTIVE HEART FAILURE.2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DURING THE PERIOD, LICH DISTRIBUTED KITS AND CONDUCTED PROGRAMS FOR AT RISK PATIENTS AND FAMILY MEMBERS TO COMBAT OVERDOSE DEATHS AND SUBSTANCE ABUSE ISSUES IN THE COMMUNITY. REDUCING CHRONIC DISEASES AND MENTAL HEALTH ILLNESS/SUBSTANCE MISUSE HAVE BEEN IDENTIFIED AS THE TOP TWO PRIORITIES IN OUR COMMUNITIES. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE WAS A MEMBER OF THE 2022 CHNA WORKGROUP CONVENED BY THE LONG ISLAND HEALTH COLLABORATIVE. THE PREVAILING HEALTH/SOCIAL SUPPORT NEEDS UNCOVERED THROUGH PRIMARY AND SECONDARY DATA RESEARCH WERE DISCUSSED WITH OTHER WORKGROUP MEMBERS, ONE OF WHOM WAS A LOCAL COUNTY HEALTH DEPARTMENT EXECUTIVE, AS PART OF THE NINE-MONTH CHNA PROCESS. MEMBERS OF THE WORKGROUP BROUGHT INSIGHT LEARNED FROM THE PREVIOUS CHNA REPORT CYCLE TO THE TABLE, INCLUDING RELEVANT COMMENTS FROM COMMUNITY MEMBERS. WE THEN CONFIDENTLY AND UNANIMOUSLY SELECTED THE PRIORITIES NOTED. EMBEDDED WITHIN THESE PRIORITIES ARE AREAS OF NEED, AS REVEALED BY THE PRIMARY AND SECONDARY RESEARCH.THE FOLLOWING ENTITIES CONTINUE TO COLLABORATE WITH LICH TO ASSIST WITH ATTAINMENT OF GOALS AND OBJECTIVES OF THE PUBLIC HEALTH PRIORITIES:COMMUNITY-BASED PATIENT ADVISORY COUNCIL:LICH REALIZES THE TREMENDOUS VALUE OF HAVING A COMMUNITY-BASED PATIENT ADVISORY COUNCIL (PAC). IN 2014, LICH SELECTED A DIVERSE GROUP OF COMMUNITY MEMBERS WHO CAN PROVIDE US INFORMATION AND FEEDBACK ABOUT THE PROGRAMS AND SERVICES OFFERED.LICH BREAST CANCER SURVIVORSHIP COALITION:LICH RECOGNIZES THE IMPACT THAT BREAST CANCER CAN HAVE ON NOT JUST THE PATIENT BUT THE FAMILY AND IS WORKING WITH COMMUNITY MEMBERS TO SUPPORTTHOSE IN NEED AND TO EDUCATE THE PUBLIC ON THE IMPACT AND ISSUES OF BREAST CANCER.OTHER PROGRAMS:ANNUALLY, LICH OFFERS A FREE OF CHARGE WELLNESSEVENT FOR THE COMMUNITY. THIS YEAR LICH COLLABORATED WITH THE PATCHOGUE YMCA AND THE BOYS & GIRLS CLUB OF BELLPORT TO PROVIDE MORE THAN 300 PEOPLE AN INTERACTIVE EXPERIENCE. UTILIZING EDUCATIONAL GAMES AND CREATIVE STATIONS INCLUDING CPR AND AED DEMONSTRATIONS WE WERE ABLE TO EDUCATE AND INFORM THE COMMUNITY ABOUT HEALTHY LIFESTYLE CHOICES. ALSO INCLUDED WERE PHYSICAL ACTIVITIES FOR ADULTS AND CHILDREN INCLUDING BOUNCE HOUSES AND OBSTACLE COURSES ALONG WITH ZUMBA INSTRUCTION, ALL PROMOTING MOVEMENT TO IMPROVE HEALTH. LICH OFFERS A VARIETY OF MEDICAL LECTURES THROUGH, BREAST CANCER SURVIVORSHIP COALITION AND DIABETES WELLNESS CENTER ON A MONTHLY BASIS. TOPICS HAVE INCLUDED HEALTHY LIFESTYLES, COOKING DEMONSTRATIONS WITH HEALTHY RECIPES PROVIDED, DEPRESSION SCREENING AND TREATMENT, DIABETES WELLNESS AND PREVENTION OF DIABETES, TO NAME A FEW. MOST OF THE PRESENTERS ARE MEMBERS OF THE LICH MEDICAL STAFF, OR CLOSELY AFFILIATED WITH IT. ADDITIONAL RESOURCES ABOUT ALL LICHPROGRAMS, SUPPORT GROUPS AND COMMUNITY EVENTS ARE ALWAYS MADE AVAILABLETO THE COMMUNITY AT THE SAME TIME. THE LECTURES ARE FREE TO THE PUBLIC.ADDITIONAL COMMUNITY HEALTH PROGRAMS:IN ADDITION TO THE MANY PROGRAMS AND SERVICES OFFERED BY LICH, THERE AREMANY OTHER COMMUNITY PROGRAMS TO HELP ACHIEVE BETTER HEALTH. SOMEORGANIZATIONS THAT WE CURRENTLY WORK WITH ARE:- BOYS & GIRLS CLUB OF BELLPORT- THE DIABETES RESOURCE COALITION OF LONG ISLAND- YMCA OF PATCHOGUE- BOCES- CORNELL UNIVERSITY COOPERATIVE EXTENSION OF SUFFOLK COUNTY- ST. JOSEPH COLLEGE- BELLPORT AND PATCHOGUE HEAD START- HUDSON RIVER HEALTH CENTER PATCHOGUE AND SHIRLEY- BELLPORT HAGERMAN EAST PATCHOGUE ALLIANCE- SCHOOL DISTRICTS- SERVICE CLUBS- HOUSE OF WORSHIP- LOCAL LIBRARIES- NPF ORGANIZATIONS- MENTAL HEALTH AGENCIES- SUBSTANCE ABUSE AGENCIES- NURSING HOMES AND ASSISTED LIVINGLICH ALSO PARTNERS WITH THE LIHC, LOCAL HEALTH DEPARTMENT PERSONNEL,REPRESENTATIVES FROM SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTHSPECIALISTS FROM COLLEGES, AND OTHERS WHO FORM THE CORE OF HEALTH ANDHUMAN SERVICE FOR ALL LONG ISLANDERS. IN ADDITION, WE ARE WORKING WITHTHE SUFFOLK CARE COLLABORATIVE TO IMPACT POPULATION HEALTH.
PART VI, LINE 6:	NYU LANGONE HEALTH SYSTEM (THE "HEALTH SYSTEM") IS THE SOLE CORPORATE MEMBER LICH AND NYULH. NYULH IS A QUATERNARY TEACHING HOSPITAL THAT OPERATES FIVE INPATIENT ACUTE CARE FACILITIES AND OVER 40 ARTICLE 28-LICENSED FACILITIES IN MANHATTAN, BROOKLYN, QUEENS AND LONG ISLAND. THE MANHATTAN 813-BED INPATIENT FACILITIES ARE COMPRISED OF THE KIMMEL PAVILION (WHICH ALSO HOUSES THE HASSENFELD CHILDREN'S HOSPITAL) AND TISCH HOSPITAL. NYU LANGONE ORTHOPEDIC HOSPITAL ("NYU ORTHOPEDICS"), ALSO LOCATED IN MANHATTAN, IS A 225-BED FACILITY SPECIALIZING IN ORTHOPEDIC, NEUROLOGIC, AND RHEUMATOLOGIC SERVICES. NYU LANGONE HOSPITAL-BROOKLYN ("NYU BROOKLYN") IS A 444-BED FACILITY IN THE SUNSET PARK SECTION OF BROOKLYN; AND NYU LANGONE - LONG ISLAND ("NYU LONG ISLAND") IS A 591-BED FACILITY LOCATED IN MINEOLA, NEW YORK. AMBULATORY FACILITIES INCLUDE THE LAURA AND ISAAC PERLMUTTER CANCER CENTER ("CANCER CENTER"), A COMPREHENSIVE CANCER AND AMBULATORY CARE CENTER, THE JOSEPH S. AND DIANE H. STEINBERG AMBULATORY CARE CENTER, IN THE COBBLE HILL NEIGHBORHOOD OF BROOKLYN, WHICH INCLUDES A FREE-STANDING EMERGENCY DEPARTMENT, AMONGST OTHERS.NYU BROOKLYN HAD AN EXISTING AFFILIATION AGREEMENT WITH SUNSET PARK HEALTH COUNCIL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, D/B/A FAMILY HEALTH CENTER AT NYU LANGONE ("FHC"). FHC IS A DESIGNATED LEVEL 3 MEDICAL HOME AND A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") WHICH WAS ESTABLISHED AS A "CO-OPERATOR" WITH BROOKLYN. A NEW AFFILIATION AGREEMENT WAS EXECUTED IN FISCAL YEAR 2017 BETWEEN NYULH AND FHC WHICH WILL REMAIN IN EFFECT FOR AS LONG AS NYULH REMAINS A CO-OPERATOR OF THE FQHC.ON MARCH 1, 2025, LICH MERGED WITH AN INTO NYULH AND HAS SINCE BEEN OPERATING AS NYU LANGONE - SUFFOLK.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule H (Form 990) 2023

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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

2023

Open to Public
Inspection

Name of the organization
LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number
11-1704595

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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) NEW YORK UNIVERSITY - GROSSMAN SCHOOL OF MEDICINE 105 EAST 17TH STREET 2ND FL NEW YORK,NY10003	13-5562308	501(C)(3)	29,605,678	0			SUPPORT CLINICAL, EDUCATIONAL, AND RESEARCH ACTIVITIES OF NYU GROSSMAN SCHOOL OF MEDICINE.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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

PART I, LINE 2:

ORGANIZATION'S PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS TO OTHER 501(C)(3) ORGANIZATIONS IN THE UNITED STATES: THE GRANTEE ORGANIZATION IS A 501(C)(3) ENTITY THAT IS RELATED TO THE REPORTING ORGANIZATION AND PROVIDES PERIODIC REPORTING OF ITS PROGRAMMATIC ACTIVITIES AND FINANCIAL NEEDS. NYU GROSSMAN SCHOOL OF MEDICINE ("SOM") IS AN ADMINISTRATIVE UNIT OF NEW YORK UNIVERSITY WHICH IS THE SOLE MEMBER OF NYULHS WHICH IN TURN IS THE SOLE MEMBER OF LICH.

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ANDREW W BROTMAN MD TRUSTEE	(i) (ii)	0 ------------- 2,034,333	0 ------------- 6,000,000	0 ------------- 22,725	0 ------------- 1,654,219	0 ------------- 6,279	0 ------------- 9,717,556	0 ------------- 1,716,796
2VICKI MATCH SUNA AIA TRUSTEE	(i) (ii)	0 ------------- 1,125,061	0 ------------- 4,250,000	0 ------------- 29,082	0 ------------- 696,784	0 ------------- 19,757	0 ------------- 6,120,684	0 ------------- 702,484
3JOSEPH J LHOTA TRUSTEE	(i) (ii)	0 ------------- 1,431,792	0 ------------- 2,750,000	0 ------------- 22,878	0 ------------- 968,698	0 ------------- 33,888	0 ------------- 5,207,256	0 ------------- 990,253
4JOSEPH GRECO MD TRUSTEE	(i) (ii)	0 ------------- 1,060,354	0 ------------- 3,000,000	0 ------------- 13,112	0 ------------- 443,368	0 ------------- 18,291	0 ------------- 4,535,125	0 ------------- 434,544
5MARC S ADLER MD MBA SVP / CHIEF OF HOSPITAL OPERATIONS	(i) (ii)	0 ------------- 768,993	0 ------------- 900,000	0 ------------- 4,547	0 ------------- 33,000	0 ------------- 14,856	0 ------------- 1,721,396	0 ------------- 0
6GARY KALKUT MD TRUSTEE	(i) (ii)	0 ------------- 953,009	0 ------------- 500,000	0 ------------- 20,521	0 ------------- 33,000	0 ------------- 45,609	0 ------------- 1,552,139	0 ------------- 0
7RICHARD T MARGULIS FRMR PRESIDENT & CEO (UNTIL 7/1/23)	(i) (ii)	509,546 ------------- 0	0 ------------- 0	422,307 ------------- 0	0 ------------- 0	2,501 ------------- 0	934,354 ------------- 0	0 ------------- 0
8WEHBEH WEHBEH MD VP, CHIEF QUALITY MEDICAL OFFICER	(i) (ii)	492,733 ------------- 0	0 ------------- 0	2,322 ------------- 0	0 ------------- 0	3,807 ------------- 0	498,862 ------------- 0	0 ------------- 0
9MATTHEW B PEDDIE VP, CHIEF OPERATING OFFICER	(i) (ii)	397,691 ------------- 0	0 ------------- 0	1,242 ------------- 0	0 ------------- 0	4,336 ------------- 0	403,269 ------------- 0	0 ------------- 0
10DEBRA GRIMM VP, CHIEF NURSING OFFICER	(i) (ii)	361,453 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	137 ------------- 0	361,590 ------------- 0	0 ------------- 0
11RAVI GUPTA MD CHIEF MEDICAL OFFICER	(i) (ii)	340,585 ------------- 0	0 ------------- 0	230 ------------- 0	0 ------------- 0	9,978 ------------- 0	350,793 ------------- 0	0 ------------- 0
12KATHRYN LANG DNP RN NE-BC MEDICAL DIR, PALLIATIVE CA	(i) (ii)	317,681 ------------- 0	0 ------------- 0	2,924 ------------- 0	0 ------------- 0	949 ------------- 0	321,554 ------------- 0	0 ------------- 0
13EDWARD KORMYLO DPM SECRETARY	(i) (ii)	312,479 ------------- 0	0 ------------- 0	6,096 ------------- 0	0 ------------- 0	0 ------------- 0	318,575 ------------- 0	0 ------------- 0
14RACHEL SCHNABL SENIOR DIR DEVELOPMENT, LI REGION	(i) (ii)	274,067 ------------- 0	0 ------------- 0	810 ------------- 0	0 ------------- 0	0 ------------- 0	274,877 ------------- 0	0 ------------- 0
15THALIA L ANTHONY DIRECTOR, HUMAN RESOURCES	(i) (ii)	228,880 ------------- 0	43,750 ------------- 0	1,032 ------------- 0	0 ------------- 0	214 ------------- 0	273,876 ------------- 0	0 ------------- 0
16VERONICA AGBIMSON REGISTERED NURSE	(i) (ii)	241,182 ------------- 0	5,822 ------------- 0	594 ------------- 0	0 ------------- 0	2,480 ------------- 0	250,078 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND SELECTED MEMBERS OF THE BOARD OF DIRECTORS. AN EXECUTIVE COMPENSATION CONSULTANT IS INVITED TO PRESENT DATA AND TRENDS TO THIS COMMITTEE EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH AS COMPARED TO OTHER LIKE ORGANIZATIONS. IN SETTING COMPENSATION LEVELS FOR EACH EXECUTIVE, THE COMMITTEE COMPARES EACH BASE SALARY AND TOTAL CASH COMPENSATION LEVEL TO MARKET COMPARISON DATA (BASED ON HEALTHCARE SYSTEMS WITH COMPARABLY SIZED OPERATIONAL BUDGETS), ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS. THE CEO, WILL BE EXCUSED FROM THE MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE, FOR A REVIEW OF THE CEO'S COMPENSATION. AGAIN, THE COMMITTEE WILL USE INDUSTRY STANDARDS FROM COMPARABLY SIZED OPERATIONAL BUDGETS, ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS, TO ESTABLISH THE CEO'S COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS.
PART I, LINES 4A-B	PART I, LINE 4A: RICHARD T. MARGULIS, FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER RECEIVED A SEVERANCE PAYMENT OF $422,307 UPON HIS RETIREMENT ON JULY 1, 2023. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP DURING CALENDAR YEAR 2023. THE AMOUNTS LISTED BELOW REPRESENT THE EMPLOYER CONTRIBUTIONS TO THESE PLANS FOR CALENDAR YEAR 2023. THESE AMOUNTS ARE REPORTED AS SHARED COSTS BETWEEN NYU LANGONE HOSPITALS ("NYULH") AND NYU GROSSMAN SCHOOL OF MEDICINE ("SOM"). ANDREW W. BROTMAN, MD - $1,621,219; JOSEPH J. GRECO, MD - $410,368; JOSEPH J. LHOTA - $935,698; AND VICKI MATCH SUNA, AIA - $663,784. THE SERP CONTRIBUTIONS WERE MADE PURSUANT TO NEGOTIATED AGREEMENTS WITH THE LISTED INDIVIDUALS.
FORM 990, SCHEDULE J, PART II, COL. (F)	THE FOLLOWING INDIVIDUALS' OTHER REPORTABLE COMPENSATION (COL. (B)(II)) INCLUDES A TAXABLE SERP DURING CALENDAR YEAR 2023. THIS AMOUNT INCLUDES SERP CONTRIBUTIONS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION. THIS AMOUNT IS REPORTED AS A SHARED COST BETWEEN NYULH AND SOM. ANDREW W. BROTMAN, MD - $1,716,796; JOSEPH J. LHOTA - $990,253; VICKI MATCH SUNA, AIA - $702,484; AND JOSEPH J. GRECO, MD - $434,544.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number
11-1704595

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATION	27-2768182	113168BG2	10-29-2020	64,520,669	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	65,239,383
4 Gross proceeds in reserve funds .............	4,091,397
5 Capitalized interest from proceeds .............	610,005
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,150,076
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,719,787
11 Other spent proceeds .............	38,668,118
12 Other unspent proceeds .............
13 Year of substantial completion .............	2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........	X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

PART I, LINE B, COLUMN (F):

1) REFUND PRIOR ISSUES (3/27/14, 8/4/17, 6/1/18, 9/26/18, 10/1/18, 2/9/17, 5/16/18, 11/14/19); 2) PURCHASE EQUIPMENT INCLUDING: PYXIS (PHARMACY); BEDS, STRETCHERS, CHAIRS; LABORATORY AND CHEMISTRY EQUIPMENT; BLOOD BANK SYSTEMS; RESPIRATORY VENTILATORS; AIR PURIFICATION SYSTEMS; CENTRAL STERILIZERS; AND BLOOD BANK SYSTEM; 3) FACILITY MAINTENANCE INCLUDING: HVAC; COOLING TOWER REPLACEMENT; ELECTRICAL; GENERATOR; SICU NURSE CALL SYSTEM REPLACEMENT; SEWAGE TREATMENT PLANT; CHILLER; BOILER PLANT; AND FLOORING; 4) CONSTRUCTION OF PHARMACY FOR CHEMO REQUIREMENTS; 5) RENOVATIONS TO PATIENT ROOMS AND KITCHEN; 6) MODERNIZE: INFORMATION TECHNOLOGY AND ENTERPRISE IMAGING NEEDS.

PART II, LINE 3

THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) LAURA BETH MCDOWELL	FAMILY MEMBER OF TRUSTEE	131,358	EMPLOYEE COMPENSATIONLAURA BETH MCDOWELL HAS A FAMILY RELATIONSHIP WITH ROBERT W. SCHWARZ, TRUSTEE, AND IS AN EMPLOYEE OF THE ORGANIZATION.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

Return Reference	Explanation
FORM 990, PAGE 1, WEBSITE ADDRESS	LICH WEBSITE: PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S WEBSITE WAS WWW.LICOMMUNITYHOSPITAL.ORG. AS OF MARCH 1, 2025 THE WEBSITE IS: HTTPS://NYULANGONE.ORG/LOCATIONS/NYU-LANGONE-HOSPITAL-SUFFOLK
FORM 990, PART VI, SECTION A, LINE 6	NYULHS IS THE SOLE MEMBER OF LICH.
FORM 990, PART VI, SECTION A, LINE 7A	NYULHS (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; AND (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	WITH RESPECT TO THE DECISIONS OF THE BOARD OF TRUSTEES OF THE HOSPITAL, NYULHS (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS; (D) AMENDING OR REPEALING THE BYLAWS OR ADOPTING NEW BYLAWS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (E) APPROVING THE CORPORATION'S MERGER OR CONSOLIDATION WITH ANOTHER ENTITY, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; PROVIDED THAT WITH RESPECT TO THE MERGER OF THE CORPORATION WITH AND INTO NYULH, THE APPROVAL OF THE CORPORATION'S BOARD OF DIRECTORS SHALL BE LIMITED SOLELY TO THOSE ACTIONS REQUIRED BY THE NPCL; (F) APPROVING THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (G) REVIEWING THE VISION, MISSION AND STRATEGIC AND FINANCIAL PLANS OF THE CORPORATION; (H) APPROVING THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (I) APPROVING THE INCURRENCE OF ANY INDEBTEDNESS OF $5 MILLION OR MORE IN ANY GIVEN FISCAL YEAR, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (J) APPROVING ANY TRANSACTION HAVING A VALUE OF $25 MILLION OR MORE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (K) APPROVING THE CREATION, ACQUISITION AND/OR DISSOLUTION OF AN ENTITY IN WHICH THE CORPORATION IS PROPOSED TO BE, OR IS, THE CONTROLLING MEMBER, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (L) APPROVING ANY CHANGES IN USE OF RESTRICTED FUNDS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; AND (M) THE EXERCISE OF ANY POWERS BY THE CORPORATION ACTING IN ITS CAPACITY AS DIRECT OR INDIRECT MEMBER, SHAREHOLDER OR PARTNER OF ANY AFFILIATE, SUBSIDIARY OR JOINT VENTURE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS. THE ABOVE-REFERENCED POWERS (OTHER THAN THOSE PROHIBITED TO A PASSIVE PARENT UNDER ARTICLE 28 OF THE NEW YORK PUBLIC HEALTH LAW) ARE SUBJECT TO REACH-THROUGH APPROVAL RIGHTS IN FAVOR OF NEW YORK UNIVERSITY AS SOLE CORPORATE MEMBER OF THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. NYU LANGONE HEALTH'S ("HEALTH") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULE BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS REVIEWED BY THE SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. 3. THE REVIEWED DRAFT IS PRESENTED TO HEALTH'S BOARD OF TRUSTEES' AUDIT COMMITTEE AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 4. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	LICH HAS FORMALLY ADOPTED THE CONFLICTS OF INTEREST POLICY OF ITS SOLE MEMBER, NYULHS. THIS POLICY IS MONITORED ON AN ANNUAL BASIS AND REQUIRES OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE ANY CONFLICTS OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY NYULHS ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND SELECTED MEMBERS OF THE BOARD OF DIRECTORS. AN EXECUTIVE COMPENSATION CONSULTANT IS INVITED TO PRESENT DATA AND TRENDS TO THIS COMMITTEE EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH AS COMPARED TO OTHER LIKE ORGANIZATIONS. IN SETTING COMPENSATION LEVELS FOR EACH EXECUTIVE, THE COMMITTEE COMPARES EACH BASE SALARY AND TOTAL CASH COMPENSATION LEVEL TO MARKET COMPARISON DATA (BASED ON HEALTHCARE SYSTEMS WITH COMPARABLY SIZED OPERATIONAL BUDGETS), ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS. THE CEO, WILL BE EXCUSED FROM THE MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE, FOR A REVIEW OF THE CEO'S COMPENSATION. AGAIN, THE COMMITTEE WILL USE INDUSTRY STANDARDS FROM COMPARABLY SIZED OPERATIONAL BUDGETS, ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS, TO ESTABLISH THE CEO'S COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE NYU LANGONE HEALTH SYSTEM OFFICE OF GENERAL COUNSEL MAINTAINS COPIES OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES MAY BE OBTAINED BY CONTACTING: NYU LANGONE HEALTH SYSTEM OFFICE OF THE GENERAL COUNSEL 550 FIRST AVENUE NEW YORK, NEW YORK 10016 TELEPHONE NUMBER: (212) 263-7300
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,349,954. MANAGEMENT AND GENERAL EXPENSES 3,131,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,481,534. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 25,238,728. MANAGEMENT AND GENERAL EXPENSES 3,691,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,930,225. CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,731,389. MANAGEMENT AND GENERAL EXPENSES 1,423,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,154,733.
FORM 990, PART XI, LINE 9:	GAIN ON DISPOSAL OF ASSETS 2,650,877.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LONG ISLAND COMMUNITY HOSPITAL AT
NYU LANGONE HEALTH

Employer identification number

11-1704595

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)NEW YORK UNIVERSITY 105 EAST 17TH STREET 4TH FL NEW YORK,NY10003 13-5562308	UNIVERSITY	NY	501(C)(3)	LINE 2	N/A		No
(2)NYU LANGONE HEALTH SYSTEM 550 FIRST AVENUE MSB 153 NEW YORK,NY10016 47-2613531	SUPPORTING ORG.	NY	501(C)(3)	LINE 12B, II	NEW YORK UNIVERSITY	Yes
(3)34TH STREET CANCER CENTER INC C/O NYULH 550 FIRST AVENUE NEW YORK,NY10016 30-0262470	CANCER CARE	NY	501(C)(3)	LINE 12C, III-FI	NYU LANGONE HEALTH SYSTEM	Yes
(4)SIR HAROLD ACTON CHARITABLE TRUST 105 EAST 17TH STREET 4TH FL NEW YORK,NY10003 13-7050560	SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY	Yes
(5)HORTENSE ACTON CHARITABLE TRUST PO BOX 1802 PROVIDENCE,RI02901 36-7110976	SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY	IL	501(C)(3)	PF	NEW YORK UNIVERSITY	Yes
(6)KJC (REY JUAN CARLOS I DE ESPANA DE LA UNIVERSIDAD DE NUEVA YORK) CALLE SEGRE 8 MADRID 28002 SP	SUPPORT NYU'S PROGRAM IN SPAIN	SP			NEW YORK UNIVERSITY	Yes
(7)NATIONAL CENTER ON PHILANTHROPY AND THE LAW 139 MACDOUGAL STREET 1ST FL NEW YORK,NY10012 13-3954405	STUDY, RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY SCHOOL OF LAW FOUNDATION	Yes
(8)NYU IN ABU DHABI CORP 105 EAST 17TH STREET 4TH FL NEW YORK,NY10003 26-2652713	SUPPORT NYU'S CAMPUS IN ABU DHABI	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY	Yes
(9)NYU IMAGING INC 545 FIRST AVENUE NEW YORK,NY10016 13-4000622	SUPPORT NYU SCHOOL OF MEDICINE	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY	Yes
(10)NEW YORK UNVERSITY SCHOOL OF LAW FOUNDATION 110 WEST 3RD ST 2ND FL NEW YORK,NY10012 13-6161036	SUPPORT NYU'S SCHOOL OF LAW	NY	501(C)(3)	LINE 10	NEW YORK UNIVERSITY	Yes
(11)WASHINGTON SQUARE LEGAL SERVICES INC 110 WEST 3RD ST 4TH FL NEW YORK,NY10012 23-7392120	CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY	Yes
(12)NYU IN LONDON 6 BEDFORD SQUARE LONDON WC1B 3RA UK 98-1074101	SUPPORT NYU'S PROGRAM IN LONDON	UK			NEW YORK UNIVERSITY	Yes
(13)NYU HONG KONG FOUNDATION LTD RM 804 THE TESBURY CENTRE 28 QUEE WAN CHAI HK	SUPPORT NYU'S PROGRAM IN HONG KONG	HK			NEW YORK UNIVERSITY	Yes
(14)NYU IN TEL-AVIV LTD TUVAL 13 RAMAT GAN 52522 IS 98-1058326	SUPPORT NYU'S PROGRAM IN TEL-AVIV	IS			NEW YORK UNIVERSITY	Yes
(15)NEW YORK UNIVERSITY IN FRANCE 56 RUE DE PASSY PARIS 75016 FR 98-1058568	SUPPORT NYU'S PROGRAM IN FRANCE	FR			NEW YORK UNIVERSITY	Yes
(16)NEW YORK UNIVERSITY IN AFGHANISTAN 150 MASJID E HAJI ABDURRAHIM ST CHA KABUL AF	SUPPORT NYU'S ACTIVITIES IN AFGHANISTAN	AF			NEW YORK UNIVERSITY	Yes
(17)NYU LANGONE IPA INC 550 FIRST AVENUE NEW YORK,NY10016 36-4841069	IPA OPERATING A MEDICAID SHARED SAVINGS PROGRAM	NY	501(C)(3)	LINE 12A, I	NYU LANGONE HEALTH SYSTEM	Yes
(18)NYU LANGONE HOSPITALS 550 FIRST AVENUE NEW YORK,NY10016 13-3971298	HOSPITAL	NY	501(C)(3)	LINE 3	NYU LANGONE HEALTH SYSTEM	Yes
(19)NYU LANGONE MSO INC 550 FIRST AVENUE NEW YORK,NY10016 82-4528600	CONTRACT FOR DELIVERY/PROVISION OF HEALTH SERVICES	NY	501(C)(3)	LINE 12A, I	NEW YORK UNIVERSITY	Yes
(20)BROOKHAVEN HEALTH CARE SERVICES CORPORATION 101 HOSPITAL ROAD PATCHOGUE,NY11772 11-2950196	SUPPORT LONG ISLAND COMMUNITY HOSPITAL	NY	501(C)(3)	LINE 7	NYU LANGONE HEALTH SYSTEM	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) NYU LANGONE DIAGNOSTICS LLC 550 FIRST AVENUE NEW YORK,NY10016 30-1001205	OUTREACH TESTING	NY	N/A				No			No

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?
(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	Yes	No
(1) CCC 550 INSURANCE SCC 550 FIRST AVENUE NEW YORK,NY10016	SELF-INSURANCE	BB	N/A	C					No
(2) LA PIETRA SRL VIA BOLOGNESE 120 FIRENZE 50139 IT	HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS	IT	N/A	C					No
(3) NIU DA ED INFOR CONSULTING CO LTD 1555 CENTURY AVENUE ROOM 1063 PUDONG NEW AREA,SHANGHAI200062 CH	SUPPORT NYU'S PROGRAM IN CHINA	CH	N/A	C					No
(4) NYU PLUS PARIS 57 BD SAINT GERMAIN PARIS,75005 FR	CONTINUING AND EXECUTIVE EDUCATION	FR	N/A	C					No
(5) SHORE HILL HOUSING ASSOCIATES GP INC 550 FIRST AVENUE HCC 15 NEW YORK,NY10016 26-2243695	HOUSING	NY	N/A	C					No
(6) BROOKHAVEN PHYSICIAN SERVICES PC (THROUGH 122023) 100 HOSPITAL ROAD PATCHOGUE,NY11772 26-0628913	HEALTHCARE	NY	N/A	C					No
(7) BROOKHAVEN SURGICAL SERVICES PC (THROUGH 122023) 100 HOSPITAL ROAD PATCHOGUE,NY11772 26-0885844	HEALTHCARE	NY	N/A	C					No

Schedule R (Form 990) 2023

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) ............................

Yes

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

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

Yes

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

Yes

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) .......................

Yes

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) .................

Yes

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

Yes

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

Yes

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

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

Yes

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) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH (D/B/A LONG ISLAND COMMUNITY HOSPITAL) ("LICH"), WAS ESTABLISHED TO DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. EFFECTIVE MARCH 1, 2025, LICH MERGED WITH AND INTO NYU LANGONE HOSPITALS ("NYULH") PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT") ENTERED INTO ON MARCH 1, 2022 WHEREBY NYU LANGONE HEALTH SYSTEM ("NYULHS") FORMALLY ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF LICH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	1,959
6	Total number of volunteers (estimate if necessary) .............	6	41
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	702,628	2,407,730
9	Program service revenue (Part VIII, line 2g) .........	265,040,168	360,234,224
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,135,996	1,691,578
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,440,664	5,675,269
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	273,319,456	370,008,801
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,824,606	29,605,678
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	157,256,958	180,211,477
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	156,579,125	177,990,225
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	320,660,689	387,807,380
19	Revenue less expenses. Subtract line 18 from line 12.......	-47,341,233	-17,798,579
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	359,977,566	398,146,880
21	Total liabilities (Part X, line 26).............	334,741,647	387,960,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	25,235,919	10,186,880

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 338,323,158 including grants of $ 29,605,678 ) (Revenue $ 365,659,942 )
	LICH, LOCATED IN PATCHOGUE, NEW YORK, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LICENSED TO OPERATE 306 BEDS. LICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES PRIMARILY TO RESIDENTS OF SUFFOLK COUNTY. DURING THE 12-MONTH PERIOD ENDED AUGUST 2024, LICH HAD 9,842 DISCHARGES (INCLUDING PSYCHIATRIC DISCHARGES) RESULTING IN 42,338 PATIENT DAYS AND PROVIDED 105,557 OUTPATIENT VISITS (EMERGENCY ROOM VISITS - 37,737, 6,131 OUTPATIENT SURGERY PROCEDURES AND 2,944 PRIMARY CARE VISITS).

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses338,323,158

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	3,963,426	24,886,407	3,992,151

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	2,264,486

f	All other contributions, gifts, grants, and similar amounts not included above		1f	143,244

g	Noncash contributions included in lines 1a - 1f:$		1g	8,000

h Total. Add lines 1a-1f.......		2,407,730

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	360,234,224	360,234,224
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		360,234,224

3 Investment income (including dividends, interest, and othersimilar amounts) ......			971,458			971,458
4 Income from investment of tax-exempt bond proceeds			207,419			207,419
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	249,551
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	249,551
d	Net rental income or (loss).......			249,551			249,551
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	3,158,879
b	Less: cost or other basis and sales expenses	7b	2,646,178
c	Gain or (loss)	7c	512,701
d	Net gain or (loss).........			512,701			512,701
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	DISASTER RECOVERY		900099	4,451,634	4,451,634
b	CAFETERIA REVENUE		722514	353,861	353,861
c	AUXILIARY SERVICES		621990	153,591	153,591
d	All other revenue ....			466,632	466,632
e	Total. Add lines 11a–11d ......			5,425,718
12	Total revenue. See instructions.....			370,008,801	365,659,942	0	1,941,129

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	29,605,678	29,605,678
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	726,991	634,227	92,764
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	915,424	798,616	116,808
7	Other salaries and wages........	130,441,257	113,796,953	16,644,304
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,461,307	4,764,444	696,863
9	Other employee benefits .......	32,733,784	28,556,953	4,176,831
10	Payroll taxes ...........	9,932,714	8,665,300	1,267,414
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,220,701	1,937,340	283,361
c	Accounting ...........	108,910		108,910
d	Lobbying ...........	137,395		137,395
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	35,317		35,317
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	65,566,492	57,320,071	8,246,421
12	Advertising and promotion ....	203,104	177,188	25,916
13	Office expenses .......	4,604,020	189,136	4,414,884
14	Information technology ......	2,196,055	1,915,838	280,217
15	Royalties ..
16	Occupancy ...........	11,338,547	9,891,748	1,446,799
17	Travel ............	43,478	37,930	5,548
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	25,265	22,041	3,224
20	Interest ...........	3,849,623	3,358,411	491,212
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,067,077	21,868,518	3,198,559
23	Insurance ...	5,322,317	4,643,189	679,128
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	55,147,251	48,110,462	7,036,789
b	SUB-AWARDS	1,271,330	1,271,330
c	TAXES & FEES	456,790	398,504	58,286
d	TRAINEES & STUDENTS	104,455	104,455
e	All other expenses	292,098	254,826	37,272
25	Total functional expenses. Add lines 1 through 24e	387,807,380	338,323,158	49,484,222	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			24,270,590	1	9,141,498
2	Savings and temporary cash investments .........			6,059,500	2	12,373,875
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			31,144,750	4	55,799,748
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			7,683,256	8	9,059,455
9	Prepaid expenses and deferred charges ......			330,238	9	451,864
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	462,484,061
b	Less: accumulated depreciation	10b	241,728,297	221,240,580	10c	220,755,764
11	Investments—publicly traded securities .			3,566,078	11	24,309,464
12	Investments—other securities. See Part IV, line 11 .....			25,032,805	12	25,032,805
13	Investments—program-related. See Part IV, line 11 ..			2,100,000	13	2,100,000
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			38,549,769	15	39,122,407
16	Total assets. Add lines 1 through 15 (must equal line 33)...			359,977,566	16	398,146,880

17	Accounts payable and accrued expenses .....	63,843,073	17	69,140,032
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	66,253,896	20	65,991,851
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	29,442,360	23	27,188,005
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	175,202,318	25	225,640,112
26	Total liabilities. Add lines 17 through 25..	334,741,647	26	387,960,000

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	21,333,560	27	5,843,147
28	Net assets with donor restrictions ...........	3,902,359	28	4,343,733
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	25,235,919	32	10,186,880
33	Total liabilities and net assets/fund balances ........	359,977,566	33	398,146,880