Extraordinary people, extraordinary times

2019 Annual Report Dear friends,

This is truly an extraordinary time. While this report focuses on Northwell Health’s efforts and achievements throughout 2019, no document created at this moment can ignore the defining event of our era. The coronavirus pandemic is reshaping the world and health care — and the people of Northwell have responded with heroism, ingenuity, sacrifice and love. During the surge, we cared for more COVID-19 patients than any other health system in the nation, saving lives, developing solutions to critical treatment shortages and advancing scientific understanding of the new pathogen. The seeds of these accomplishments were sown long ago, as was made clear by the successes of 2019. Our commitment to clinical excellence was celebrated by US News and World Report, which recognized five of Northwell’s acute-care hospitals with 23 top-50 rankings in adult medical specialties as well as nine of 10 pediatric specialties for which Cohen Children’s Medical Center distinguished itself. In addition, academic and professional associations recognized our achievements, including the Society of Thoracic Surgeons, which lauded the Sandra Atlas Bass Heart Hospital as one of just three cardiac programs in North America to achieve its highest performance rating. Our tradition of supporting and stimulating innovation was evident in advances like the rollout of PurpleSun’s ultraviolet disinfecting technology, which eliminates 97.7 percent of operating room pathogens in seconds. At the same time, scientists at the Feinstein Institutes for Medical Research continued to lay the groundwork for improvements in treatment for disorders that impact millions, such as sepsis and hemorrhagic shock. Equally meaningful were the recognitions Northwell received as a workplace where people can thrive. The health system was named to Fortune’s Best Places to Work list for 2020 and was also acknowledged as one of Fortune’s 100 Best Places to Work for Diversity. We are honored that Northwell’s employees play a tremendous role in the success of our $1 billion Outpacing the Impossible campaign, which raised more than $130 million in 2019. To date, more than 8,800 colleagues have contributed gifts totaling more than $13 million — which includes support of our COVID-19 Fund. Crisis reveals character; that is always true in health care, but never more than during a disaster. As we look back at 2019 and gaze toward the future, we are proud to share with you these stories of the skill, commitment, courage and compassion that define Northwell.

Michael J. Dowling Michael Epstein President & CEO Chairman

On the cover: This impactful image, proudly displayed at our corporate offices, celebrates the many individual contributions that helped Northwell meet the COVID-19 threat head-on. Michael A. Epstein, Chair of Northwell Health’s Board of Trustees, left, and Michael J. Dowling, President & CEO of the health system.

Northwell Health | 20192017 Annual Report 3 SPECIAL SECTION: COVID-19

At North Shore University Hospital, celebrating the facility’s 1,000th discharge of a COVID-19 patient. Extraordinary people, extraordinary times When the World Health Organization (WHO) declared that a new virus ravaging the city of Wuhan, China, constituted a global public health emergency, Northwell Health was in the midst of a seasonal flu that was already straining hospital emergency departments and inpatient capacity. Though the risk of an outbreak in the US was then seen as minimal, on January 22 the health system took the precaution of elevating its level of vigilance.

4 Northwell Health | 2019 Annual Report In a move that would prove critically important as supply chains tightened and broke, Northwell also began investing more than $5 million in the purchase of PPE, ventilators, lab equipment and supplies, and other essential material.

By mid-February, China had approximately 80,000 cases of the disease caused by the coronavirus: COVID-19. New York State’s first case was confirmed on March 1, and Northwell saw its first patient on March 8, at a Westchester urgent care center. As cases spiked in the New Rochelle area, Northwell assisted the state Department of Health (DOH) in establishing a drive- through satellite testing facility. Northwell would later help the DOH establish numerous other testing sites throughout its catchment area, and would also set up testing for pregnant women with a scheduled delivery date at any of the health system’s hospitals. Meanwhile, to supplement the work of DOH’s Wadsworth Center in Albany, then the sole lab performing tests for coronavirus, Northwell Labs began manual testing of samples on March 8, a feat recognized in a visit by Governor Cuomo. The lab transitioned to a fully automated process within weeks, allowing throughput of thousands of tests daily.

Early action in ordering supplies helped Northwell stay ahead of shortages (top). Swabbing for infection at one of Northwell’s drive-through testing sites (middle). New York Governor Andrew Cuomo consults with Michael Dowling at Javits Convention Center, where Northwell provided operational oversight of a field hospital that treated more than 1,000 COVID-19 patients during the height of the pandemic.

Northwell Health | 2019 Annual Report 5 SPECIAL SECTION: COVID-19

Above: Northwell converted the Rust Auditorium at North Shore University Hospital into a dedicated COVID-19 unit. Right: Lobby space at LIJ’s Katz Women’s Hospital was converted into a makeshift triage area.

New York reported its first two deaths on emergency medical technicians (EMTs) and paramedics March 14, beginning a period of explosive growth from Northwell’s Center for Emergency Medical in hospitalizations and mortality. At Northwell, Services. From March 21 to April 17, they transported hospitalizations went from 49 on March 16 to a 810 COVID-19 patients from overrun hospitals like LIJ peak of 3,425 on April 7. Forest Hills and Valley Stream to facilities with more capacity. This “load balancing” was a decisive benefit of Emergency departments and urgent care centers Northwell’s status as an integrated health system. were being overrun. Moving fast, the health system added nearly 2,000 beds, finding space in lobbies All the while, there continued to be a severe shortage and auditoriums, as well as operating rooms, of swabbing kits needed to perform COVID-19 testing, catheterization labs and other procedure rooms, which frustrating patients and doctors alike. To help ease the were largely sitting empty after Northwell cancelled scarcity, Northwell Health’s 3D Design and Innovation elective surgeries and other procedures on March 16. Center in late March teamed with the University of At the request of the Governor, Northwell also took South Florida to test, design and manufacture nasal responsibility for overseeing clinical operations at a swabs using 3D printers from Somerville, MA-based 1,000-bed field hospital staffed by Army clinicians Formlabs Inc. Around the same time, intense pressure within the Javits Convention Center in Manhattan, as on the supply of mechanical ventilators prompted well as the USNS Comfort, the 1,000-bed Navy hospital Northwell to begin 3D-printing parts to allow bi-level ship that docked at Pier 90 in Manhattan. positive airway pressure (BiPAP) machines to do the job. Thanks to this innovation, more than 300 BiPAP All Northwell hospitals were hit hard by the pandemic, machines were converted into ventilators, heading off a but volume was especially staggering at some. Among need to ration the availability of life support. the many unsung heroes throughout the crisis were

6 Northwell Health | 2019 Annual Report Intense pressure on the supply of mechanical ventilators prompted Northwell to begin 3D-printing parts to allow bi-level positive airway pressure (BiPAP) machines to do the job.

Above: From left, Stanley John, director of respiratory therapy at NSUH; Hugh Cassiere, MD, medical director for respiratory therapy at the hospital; and Todd Goldstein, PhD, director of 3D Design and Innovation at Northwell, found a way for the common BIPAP breathing machine to work as a ventilator. Below: Collaborating with the University of South Florida Health and the 3D printing company Formlabs, Northwell 3D-printed its way out of a nasal swab shortage.

Northwell Health | 2019 Annual Report 7 SPECIAL SECTION: COVID-19

Similarly displaying remarkable speed, open avenues for care without the risk agility and creativity under pressure, the of exposure, Northwell exponentially Feinstein Institutes for Medical Research expanded its telehealth offerings. From formed a COVID-19 Clinical Trial Unit to March 1 through April 30, Northwell spearhead clinical trials throughout the conducted more than 112,000 telehealth health system. Such studies typically take visits throughout the health system. A months to organize, but the first three critical advance: making more than 6,200 trials with Gilead Sciences and Regeneron clinicians available via its AmWell platform, Clockwise from left: Exhaustion and Pharmaceuticals went from preliminary up from just 200 practitioners before the gratitude as a recovered COVID patient is discussions to enrolling patients within 72 outbreak began. discharged. hours. Altogether, the Feinstein Institutes Throughout the crisis, skilled-nursing Scientists at Northwell’s Feinstein instituted seven COVID-19 treatment facilities, home care nurses, palliative care Institutes for Medical Research focused on clinical trials that enrolled more than and hospice professionals played critical understanding a cascade of reactions. 1,000 patients. roles. One of the biggest challenges was Expanding remote monitoring capabilities As the virus spread, finding ways to care ensuring that patients were discharged reduced clinicians’ potential exposure for patients with non-COVID medical safely; because of their vulnerable to infection. problems became a pressing concern. To condition, many could not go directly home.

8 Northwell Health | 2019 Annual Report “I always knew we had great people at Northwell Health, but the crucible of COVID-19 has demonstrated it in countless ways that have left me speechless.”

– Michael J. Dowling

An outpouring of gratitude from the community — and clinicians joining the fight from around the country — helped keep frontline workers strong.

Northwell Health | 2019 Annual Report 9 SPECIAL SECTION: COVID-19

A grateful patient is discharged from a temporary obstetrical unit, relocated to make room for COVID patients.

Approximately 23 percent of Clearly, the true heroes who enabled Northwell to Throughout the COVID patients leaving the hold the line during this unprecedented time were the hospital required post-acute front-line caregivers and support staff in hospitals, surge, Northwell services. The Stern and Orzac skilled-nursing facilities and patients’ homes who put centers for rehabilitation played themselves at risk every day to provide care. Their treated more critical roles in that effort, as did courage, compassion and commitment enabled the Northwell at Home. health system to persevere during the worst pandemic since AIDS. COVID-19 patients With the risk of contagion prompting restrictions on As the case volume declined, the focus turned to trying than any other visitation, team members in to get an estimate of how many New Yorkers — and Northwell’s hospitals used iPads Northwell team members — had contracted the health system in and other tablets to facilitate virus. The health system started offering antibody virtual visits. Palliative care testing to all employees. In addition, because of the the US. clinicians and social workers disproportionate impact of COVID-19 on African- conducted hundreds of “goals Americans and Latinos, Northwell began working with of care” conversations with Governor Cuomo’s office and the DOH to offer antibody families of severely ill patients. Many families, seeing and diagnostic testing to those communities. The their loved ones for the first time in weeks, said their health system also provided testing to first responders final goodbyes as they were removed from life support. such as the New York Police Department and the Fire Department of New York, and transit workers with the The heartbreak of lost lives was tempered by the Metropolitan Transportation Authority. “clap-outs” celebrated when patients who had been on ventilators for days or weeks were wheeled out of the Only by expanding antibody and diagnostic testing hospitals and embraced by relieved family members. capacity will public health officials be able to determine As of early June, 15,000 patients had been successfully when it is safe to resume a semi-normal way of life. discharged from Northwell hospitals. Throughout the surge, Northwell treated more COVID-19 patients than any other health system in the US — more than 50,000, including inpatients and outpatients.

10 Northwell Health | 2019 Annual Report Clearly, the true heroes who enabled Northwell to hold the line during this unprecedented time were the front-line caregivers and support personnel in hospitals, skilled-nursing facilities and patients’ homes who put themselves at risk every day to provide care.

Northwell Health | 2019 Annual Report 11 12 Northwell Health | 2019 Annual Report Shaping the future

Ever wonder what medical care will look like in 10 years? In 20? We have some ideas. Innovators across Northwell Health are busy creating that world of tomorrow — improving our understanding of disease, finding new treatments, honing procedures and refining devices. At the same time, the health system’s capital investments and endowments from dedicated philanthropists plant seeds that will continue to bear fruit for years to come. Take a peek at the best of today, and the promise of tomorrow.

Northwell Health | 2019 Annual Report 13 SHAPING THE FUTURE

Expanding the fight against cancer

Northwell marked a milestone in 2019, when clinicians at the Northwell Health Cancer Institute performed more than 100 adult stem cell transplants between January 1 and December 31. Just after Christmas, 62-year-old Teresa O’Halloran, affectionately called “No. 100” on North Shore University Hospital’s Don Monti Bone Marrow Transplant Unit, received the critical treatment for her adult acute myeloid leukemia (AML), a cancer of the blood and bone marrow. According to Ruthee Lu-Bayer, MD, chief, bone marrow transplantation, more than 2,500 patients have benefited from Northwell’s stem cell transplantation program since it began in 1987. It was a year of advances against cancer at the health system. Northwell Health Cancer Institute announced the opening of the Pancreatic Cancer Center, where surgical, medical and radiation oncologists, gastroenterologists, interventional Ruthee Lu-Bayer, MD, chief of the Don Monti Bone Marrow Transplantation Unit, radiologists, pathologists, endocrinologists, with patient No. 100, Teresa O’Halloran. genetic counselors, social workers, nutritionists and pain management and Staten Islanders to access comprehensive, Northwell’s Pancreatic Cancer palliative care specialists collaborate in cutting-edge care close to home. Center is working to reduce the treating one of the most challenging Northwell continued to forge a greater lethality of pancreatic cancer, diseases in oncology. “We’ve brought understanding of cancer through work together a team of world-class specialists at the Feinstein Institutes for Medical which has one of the highest to defeat this deadly disease,” said Richard Research. The Institute of Cancer Research mortality rates of any type of Barakat, MD, director of the Northwell at the Feinstein was one of just 32 malignancy. Health Cancer Institute, who recently institutions nationally to receive a grant was named the Edward and Carol Miller from the National Cancer Institute’s Distinguished Chair in Cancer. Community Oncology Research Program. The health system also broke ground for The five-year, $4.6 million grant will support the state-of-the-art Florina Cancer Center the institute in increasing the diversity of on Staten Island, where the cancer rate is the populations represented in its clinical higher than in any other borough of the trials, a critical element in Northwell’s city. The $45 million project, slated to open efforts to support health equity. summer of 2021, will make it possible for

14 Northwell Health | 2019 Annual Report Long Island’s first liver transplant, and a second chance at life

It was a long haul for 42-year-old Carlos The new program addresses a critical With the ability to perform liver Rosales. He spent three months on a need in New York. Of the more than transplantation, Northwell extends its waiting list for a liver; by the end, he scored 10,000 patients currently awaiting an world-class transplant service. The health 39 out of a possible 40 on the algorithm organ transplant across New York State system has been providing exceptional used to calculate the severity of liver — including 1,100 in need of a liver — care in kidney transplantation for more disease. But the married father of two got nearly half live in Northwell Health’s than a decade, and has a pediatric kidney a new chance at life thanks to Long Island’s catchment area. transplantation service as well. In 2018, it began performing heart transplants at first liver transplant. “Long Islanders affected by liver disease North Shore University Hospital’s Sandra “I honestly believe Mr. Rosales would now have a choice for their care,” said Atlas Bass Heart Hospital. An expansion not have survived the week without this Dr. Bernstein. “Northwell’s liver transplant into lung transplants is expected soon. incredible gift,” said Lewis Teperman, MD, program provides a crucial increase in the director of organ transplantation at capacity of livers to be transplanted in the Northwell Health and vice chair of surgery New York Metro region.” at North Shore University Hospital, who performed the 11-hour operation. “Now, I fully expect 15-year-old Jalynn and 11-year- old Brandon to have their father around for many years to come.” Northwell received approval in June 2019 from the state Department of Health to open Long Island’s first adult liver transplant program. Pre- and post-liver transplant services are provided through the Sandra Atlas Bass Center for Liver Diseases, led by David Bernstein, MD, Northwell’s chief of hepatology and head of the health system’s liver sub-specialty service line.

Carlos Rosales, who received Long Island’s first liver transplant, with daughter Jalynn.

Northwell Health | 2019 Annual Report 15 SHAPING THE FUTURE Offering new hope for women with postpartum depression

Nearly one in nine women experience symptoms of postpartum depression, according to the US Centers for Disease Control and Prevention, and if it’s not effectively treated, it can last for months or years. In addition to causing intense feelings of anxiety, sadness and despair, it can interfere with the mother-child bond and affect infant development. Before the approval of brexanolone, women suffering from postpartum depression were typically prescribed traditional antidepressants, but these can take weeks to have an effect and may not provide adequate relief. The new drug is a synthetic version of the natural steroid allopregnanolone, which is produced as the sex hormone progesterone breaks down in the body. Fluctuations in levels of Work by Kristina Deligiannidis, MD, paved the way for a new treatment for postpartum depression. allopregnanolone after pregnancy may play a role in the development of postpartum depression, Dr. Deligiannidis said. Postpartum depression is not just the and a leader in the investigations into the Infusions of the drug can have a striking “baby blues” — at its most severe, it can cause of the disorder. Now, thanks in large effect. “Brexanolone acts quickly in be life-threatening, causing new mothers part to her work, the US Food and Drug reversing symptoms,” Dr. Deligiannidis to consider harming themselves or their Administration has approved brexanolone said. “For a woman in the grip of severe child. But until recently, doctors had limited (Zulresso), the first treatment specifically postpartum depression, it can be options for treatment, said Kristina M. for postpartum depression. transformative.” Deligiannidis, MD, associate professor at the “This is a game-changer for women,” Feinstein Institutes for Medical Research Dr. Deligiannidis said.

“Brexanolone acts quickly in reversing symptoms. For a woman in the grip of severe postpartum depression, it can be transformative.” – Kristina Deligiannidis, MD

16 Northwell Health | 2019 Annual Report An interpreter responds quickly when Northwell Health paramedic Danielle Conigliaro calls up the LanguageLine service.

Speaking the language of care

Diagnosing and treating someone when Northwell continues to expand its Over the years, Northwell’s clinicians you can’t communicate in their language language access services. Its most recent have taken the lead in advocating for is a little like placing an intravenous line innovation: bringing a video remote language access services, Dr. McCulloch with your eyes closed: There’s plenty of interpreting (VRI) service to its fleet of said. “They know having our language opportunity for disaster. “Communicating ambulances to help first responders access services is the only way they can with patients and patients’ families in the communicate seamlessly with non- effectively communicate and do right by language they speak is the cornerstone English speakers, the deaf or hard-of- their patients.” of care,” said Elizabeth McCulloch, PhD, hearing. In 2019, Northwell’s ambulances associate vice president of diversity and became the first in New York State to use health equity, who oversees Northwell the technology, which provides faster Northwell serves one of Health’s language access services. “It can access to interpretive services than the the most diverse patient be a matter of life and death.” older method of telephonic interpreting. populations of any health Available by way of app-enabled iPads, Tearing down language barriers is VRI allows patients to speak face-to-face system in the United States — particularly important for Northwell, with their interpreter, setting a warmer, given its patient population — half of the more than 170 languages are more human tone and reducing the health system’s patients speak English spoken in Queens alone. possibility of misunderstanding. as a second language or don’t speak it at all. That’s why Northwell provides Northwell’s language access services interpretation services in more than 200 became part of the Center for Equity of languages, with assistance available 24 Care in 2012, because, said Dr. McCulloch, hours a day, 365 days a year. “You can’t begin to address disparities in care if you can’t communicate with the “People can connect with a qualified patient in the language they speak.” The medical interpreter who speaks their service fields more than 300,000 calls a language within 20 seconds or less,” year from patients and providers across Dr. McCulloch said. the system.

Northwell Health | 2019 Annual Report 17 SHAPING THE FUTURE A gift that supports care today — and fuels advances for tomorrow

A ceremony in October 2019 marked a major milestone in creating the future of health care, when seven of Northwell Health’s most esteemed researchers and clinicians were inducted as new endowed chairs and professors. The inaugural Celebration of Excellence brought together the health system’s elite physicians, scientists and academic leaders with many of Northwell’s most passionate benefactors, whose steady philanthropic support enables progress in academic medicine. An endowed chair or professorship, in which a gift provides funding for a position and associated research in perpetuity, is unique in the magnitude and long-lasting nature of its impact, said Brian Lally, From left: Drs. Varinder Singh, Karina Davidson, Jeffrey Lipton, Louis Potters, senior vice president and Northwell’s chief Stacey Rosen, Kevin Tracey and Nicholas Chiorazzi. development officer. Not only do these gifts support current treatment, they guarantee funding into the future, fueling the studies that foster innovation and the development and Barry Rubenstein Professor in Cancer of therapies and novel approaches. Research; Jeffrey M. Lipton, MD, PhD, “An endowment gift creates the future,” the Frances and Thomas Gambino “An endowment gift Mr. Lally said. “It is a very powerful Professor of Hematology/Oncology; statement of belief in Northwell, in our Varinder P. Singh, MD, the Paul and creates the future. mission and in the people delivering Diane Guenther Chair in Cardiology; It is a very powerful that mission.” Karina W. Davidson, PhD, MASc, the Donald The gifts bring the number of endowed and Barbara Zucker Professor in Health statement of belief chairs and professorships at Northwell to Outcomes; and Stacey E. Rosen, MD, the 28. The leaders who were recognized that Partners Council Professor of Women’s in Northwell, in our evening include Nicholas Chiorazzi, MD, Health. A short time after the celebration, the Kanti R. Rai, MD, Professor in Cancer Richard R. Barakat, MD, was named the mission and in the Research; Kevin J. Tracey, MD, the Karches Edward and Carol Miller Distinguished Chair Family Distinguished Chair in Medical in Cancer. people delivering Research; Louis Potters, MD, the Marilyn that mission.” – Brian Lally

18 Northwell Health | 2019 Annual Report From left: Kanti R. Rai, MD; Nicholas Chiorazzi, MD; Paul Guenther; Varinder P. Singh, MD; Diane Guenther. Susan Karches; Kevin J. Tracey, MD.

Louis Potters, MD; Marilyn Rubenstein; Barry Rubenstein; Brian Lally. Barbara Hrbek Zucker; Karina W. Davidson, MD, MASc; Donald Zucker.

Thomas Gambino; Frances Gambino; Jeffrey M. Lipton, MD, PhD. Marilyn Rubenstein; Dayle Katz; Iris Katz; Stacey E. Rosen, MD; Harriet Rosen; Ruthie Slade; Merry Slone.

Northwell Health | 2019 Annual Report 19 SHAPING THE FUTURE

Electrophysiologists grow their footprint and shrink their devices

Robert Adell was no stranger to heartbeat abnormalities. The facility, which Varinder Singh, MD, the Paul and Diane pacemakers. The 74-year-old resident of includes a new procedural laboratory, will Guenther Chair in Cardiology at LHH. Queens had gotten two in the past, but offer patients a state-of-the-art program For Northwell’s electrophysiologists, various problems, including infection, led to delivering advanced electrophysiology progress is visible in an expanding footprint their removal — and he was experiencing procedures. “As one of the nation’s and shrinking devices. But the advances shortness of breath and difficulty with leaders in cardiac care, our team of all reflect the same approach to care, normal tasks. So when he heard that a new, nationally recognized electrophysiology Dr. Epstein said. “We are committed to tiny pacemaker was available at Northwell specialists uses the latest techniques staying at the forefront of new cardiology Health, the smallest ever made that can and devices to help monitor, control technologies to improve our patients’ lives.” coordinate the pacing of the ventricle and and maintain a healthy heartbeat,” said atrium without implanted leads, he said, “Sign me up.” “The new Micra AV is a real game-changer,” said Laurence M. Epstein, MD, system director of electrophysiology at Northwell, who performed the procedure on Mr. Adell at the Sandra Atlas Bass Heart Hospital (SABHH) at North Shore University Hospital. He and his team were among the first in the country to implant the leadless device, which holds the promise of fewer complications. “After the procedure there is no scar or protrusion under the skin,” he said, “so patients are not reminded that a device was implanted in their chest.” While Dr. Epstein explored the benefits of going small at SABHH, Lenox Hill Hospital (LHH) was expanding its electrophysiology capabilities, unveiling a new Heart Rhythm Center dedicated to the treatment of Laurence Epstein, MD, with the Micra AV.

Leading the way in cardiac care Northwell’s commitment to excellence in cardiology was recognized by New York State’s Department of Health (DOH). Robert Kalimi, MD, and Harold Fernandez, MD, of Southside Hospital’s Heart & Lung program were among the state’s top-performing cardiothoracic surgeons, according to a DOH report on risk-adjusted outcomes for adult cardiac surgery. Other groups have also recognized Northwell for its leadership in cardiovascular care. US News & World Report ranked North Shore University Hospital 20th in the country for cardiology and heart surgery; the hospital’s Sandra Atlas Bass Heart Hospital achieved the top cardiology and heart surgery rankings of any Long Island hospital. Lenox Hill Hospital tied for 44th best in the nation in cardiology and heart surgery.

20 Northwell Health | 2019 Annual Report Treating a baby and supporting a family

Zoe Carino was a baby when her father 8,000 kids treated by Cohen Children’s Charles Schleien, MD, senior vice president found a lump on her shoulder while bathing surgeons each year. and the Philip Lanzkowsky, MD, Chair of Pediatrics. “Everything we do is with a child her. Her mother remembers what the The new ORs will house multiple 50-inch, in mind.” pediatrician said: “He told us to go to Cohen 4K screens and will be wired for future 8K Children’s Medical Center immediately.” technology advancements. In addition, The encouragement and advanced care At 14 months, Zoe had neuroblastoma, a adjustable screens, sounds and lighting will Zoe received buoyed her family through a rare cancer. appeal to young patients, allowing them difficult time. After surgery, participation It was a heartbreaking diagnosis, but Zoe’s to enter a room filled with their favorite in a clinical trial, chemotherapy and years care was made easier because Cohen characters, calming lights and music. Once of follow-up testing, the Carinos got the Children’s Medical Center is designed the child goes to sleep for the surgery, longed-for news: Zoe was cancer-free. to address the needs of children. A new a push of a button will customize the These days, Zoe has her black belt in Pediatric Surgical Operating Complex, surroundings according to the preferences Taekwondo and dreams of being a movie in the Blumenfeld Family Pavilion, is the of the surgical team. star. “I feel like I have so much power in latest expression of that dedication. “The technology will optimize the care me,” she said. “I can do this.” When construction is complete, eight new of the hospital’s smallest patients operating rooms will reduce waiting times while keeping them comfortable,” said and transform care for the more than

Northwell Health | 2019 Annual Report 21 SHAPING THE FUTURE

Nicole Noyes, MD, center, with her team at REI; the center’s assisted reproductive technology laboratory. New help on the journey toward parenthood

There are many paths to becoming a the embryo’s viability without ever having The new center builds upon Northwell parent. For New Yorkers who need a little to disturb it. Other areas of the ART lab, Health Fertility’s presence on Long Island. help along the way, Northwell’s new as well as two adjacent egg-retrieval and “Northwell Health Fertility treats more than Reproductive, Endocrinology and Infertility embryo transfer rooms, are meticulously 1,700 patients each year throughout the (REI) Center within the Manhattan Eye, Ear designed to ensure gametes and embryos metropolitan area, and the REI Center will & Throat Hospital (MEETH) is a not-to-be- encounter conditions that mimic those in provide help to even more,” said Michael missed stop. the body. Nimaroff, MD, Northwell Health’s senior vice president and executive director of REI offers a welcoming clinical space, as well Every piece of equipment at REI was obstetrics and gynecology services. “Giving as a 900-square-foot assisted reproductive selected for the edge it provides patients birth is a blessing, a human experience like technology (ART) laboratory for in vitro in achieving a live birth, either in the near no other. This center will provide happiness fertilization (IVF), egg and tissue freezing term (with fresh in vitro fertilization) or and excitement to countless families.” and embryo banking services. Among its at some point in the future (with oocyte, state-of-the-art equipment are two video- ovarian tissue or embryo banking). The recording “embryoscopes.” Incubators for atmosphere is designed to provide a fertilized eggs destined for IVF, they capture sense of calm and relaxation at each step Northwell Health’s fertility images of the developing embryo over days; of the journey, said Nicole Noyes, MD, an embryologist can view movies created chief of reproductive endocrinology and services have a rich history. from the sequential images, assessing infertility for Northwell Health and a world- New York State’s first IVF minute-by-minute changes and evaluating renowned fertility preservationist. program was established in 1983 at North Shore University Hospital.

22 Northwell Health | 2019 Annual Report Bringing world-class care to the East End

When Peconic Bay Medical Center (PBMC) joined Northwell Health in 2016, the health system made a promise: It would provide East End residents a broad array of life-saving services close to home. In the years since, Northwell has ramped up the clinical offerings in the region, beginning with the hospital’s first cardiac catheterization lab in 2017. The opening of the Corey Critical Care Pavilion and the Kanas Regional Heart Center at PBMC fulfilled the pledge to bring world-class services to central and eastern Suffolk County. Named in honor of longtime supporters Emilie and Michael Corey, the Corey Critical Care Pavilion features a 16-bed intensive and cardiac care unit and a rooftop helipad. It is the new, expanded home of the Kanas Regional Heart Center, which includes two cardiac catheterization labs, an electrophysiology suite and recovery rooms. The Kanas Center was named in honor of a gift from the John and Elaine Kanas Family Foundation. Northwell is growing its network “When you are dealing with someone’s heart, every second matters,” said Stanley Katz, MD, chair of cardiology at PBMC of cardiac cath labs, with and Lorinda and Vincent de Roulet Professor of Medicine. “Having these high-quality resources and top-notch care Mather, Plainview and Northern available is making a major difference for our community.” Westchester hospitals, along with It’s not just cardiac and critical care that’s being broadened. The medical center recently expanded its ambulatory network Lenox Health Greenwich Village, into Cutchogue, and soon will do the same in Greenport. And to ensure that it has adequate space to address the needs of receiving state approval to open. the community, it purchased property formerly occupied by Bishop McGann-Mercy High School in Riverhead. PBMC will work with the Town of Riverhead and the community at large to determine the best way to use the property, said Andrew Mitchell, president and CEO of the hospital. “Our priority is to be responsive,” he said. “We’re committed to meeting the health care needs of the East End.”

Northwell Health | 2019 Annual Report 23 SHAPING THE FUTURE

Newly minted nurse practitioners from the first graduating class of the School of Nursing and Physician Assistant Studies, in 2018.

Preparing a nursing workforce for the 21st century

Northwell took an important step toward practice nursing, nurse scientist or health school. Further emphasizing the centrality easing a looming shortage of skilled care administration. of these programs, Hofstra will build a $60 million, 70,000-square-foot Science nurses with the announcement of a new “Registered nurses are a critical part and Innovation Center to house the School undergraduate nursing program. The of the health care workforce, whether of Nursing and Physician Assistant Studies, program, leading to a Bachelor of Science they’re taking care of patients in the opening in Fall 2022. The first class of in nursing, will be part of the Hofstra emergency department, operating room undergraduates will enter the nursing Northwell School of Nursing and Physician or ambulatory clinic or creating a pipeline program in Fall 2021. Assistant Studies. It’s the latest expansion for advanced practice nurses, nurse faculty, of a Hofstra Northwell partnership nurse leaders and nurse scientists,” said committed to preparing future generations Kathleen Gallo, RN, PhD, founding dean of registered nurses to meet the needs of of the School of Nursing and Physician Nursing professionals 21st-century health care. Assistant Studies. “We’ve designed our new account for about a quarter With baby boomers aging, the need for program from scratch to provide the best of Northwell’s 70,000-plus medical care is increasing — yet a million possible grounding for the next generation registered nurses are expected to retire of RNs and prepare them to respond employees. over the next decade. At the same time, to the changing needs of our nation’s younger nurses are spending fewer years transforming health care delivery system.” delivering care at the bedside than ever The four-year program adds to an already before, instead moving on relatively extensive set of offerings at the nursing quickly to other roles, such as advanced

24 Northwell Health | 2019 Annual Report Answering when history calls

“We need doctors. We need nurses,” announced Governor Andrew Cuomo on April 4 as COVID-19 cases surged in metropolitan New York. With that, he signed an executive order allowing fourth- year medical students throughout the state to graduate early and join frontline providers in caring for people with COVID-19, including many of the 50,000- plus treated at Northwell Health. Less than a week later, the 102 members of the Zucker School of Medicine’s class of 2020 graduated — a month ahead of schedule and in the nick of time. Alison Laxer, MD, was one of the 40-plus new doctors who volunteered. Deployed to North Shore University Hospital, she was thrust into obtaining patient consent for clinical trials. It was a challenging experience but a rewarding one, she said. “It was scary the first time I went into a room with someone who had COVID,” said Dr. Laxer, who volunteered for six weeks, Drs. Alexander Smith and Alison Laxer found reassurance in Northwell’s preparedness. then self-quarantined for two more so she could safely visit her family before starting her pediatrics residency at Cohen Children’s Leaving medical school to head into the Medical Center. “But the experience 100 eye of a viral hurricane will shape the Through its teaching institutions, percent confirmed that I went into the right new doctors for the rest of their careers, field. I feel very fortunate that I was able Dr. Smith said. “Working at the bedside Northwell Health is one of the to help.” of people with COVID-19 has given them largest centers of clinical medical The volunteers followed in the footsteps an education in empathy and humility, education in the United States, of previous generations of young doctors which are at the foundation of healing,” who put themselves at risk to help save he said. “It has also opened their eyes to with more than 1,800 residents lives, said Lawrence Smith, MD, MACP, the the importance of social determinants of and fellows. medical school’s founding dean. In 1918, health, which will empower them to care countless medical students graduated early more effectively in the future. to care for people with Spanish flu, which “I am grateful for these students for their took more than 50 million lives around the dedication and eagerness to help. And I’ll world. In the 1980s, doctors-in-training always remain inspired by the knowledge were thrown into the battle against AIDS, that this baptism by fire will make them at a time when the risk to caregivers was better and more powerful healers.” still unclear.

Northwell Health | 2019 Annual Report 25 26 Northwell Health | 2019 Annual Report Improving the health of our communities

Medical care can produce miracles, but the most powerful determinants of health can be found in the environment — in the food people eat, the quality of their housing, the safety of their streets. Northwell understands that the best way to promote wellness is by helping people thrive in the communities where they live and work.

Northwell Health | 2019 Annual Report 27 IMPROVING COMMUNITY HEALTH

Nurturing health a new, old-fashioned way

Access to nutritious food may not seem as exciting as advanced medical technology or pharmaceuticals, but it’s critical to good health. “If you can’t afford nutritious food, or if all you can find is fast food, it’s going to be harder for you to stay healthy, even with the best medical care in the world,” said Sabina Zak, Northwell’s vice president of community health and health services research. Northwell took a major step in expanding its Food as Health initiative with the launch of a second site at Southside Hospital; a site at Long Island Jewish Valley Stream opened in 2018. The program is the first New York State hospital-based initiative to comprehensively address food insecurity in patients. A collaboration with Island Harvest Food Bank, Long Island Cares Inc., God’s Love We Deliver, US Foods and Baldor, the program tackles the full range of factors Northwell Health’s Jillian Shotwell and Food as Health dietitian Sarah Frampton with Southside Hospital that can lead to food insecurity, including patient Charles Howson. affordability issues, a lack of nutritional awareness, transportation/mobility problems and difficulty in preparing meals. their homes. Those with more extensive For 1.3 million people At the Food as Health sites, patients mobility issues can receive pre-made, on eligible units are screened for food home-delivered meals from God’s Love in the New York insecurity. Those who also have a diagnosis We Deliver. impacted by nutrition receive a nutrition “Over the next few years, we’ll bring these metropolitan area, food consultation and are referred to local ‘food pharmacies’ to more of our hospitals,” food resources. At discharge, they’re said Ms. Zak. “Providing our patients with a insecurity increases given a supply of nourishing food and a solid nutritional foundation is an essential “prescription” for two refills. If they have step toward making a lasting difference in the risk of chronic transportation or mobility issues, LI Cares their health.” will deliver emergency food supplies to disease, lengthens hospital stays and raises the likelihood of readmission.

28 Northwell Health | 2019 Annual Report Tailored care for students in crisis

The college years are vulnerable ones for To prevent issues like these, Northwell special location at each school where young people: Academic pressures, the partners with 93 New York colleges and students in crisis can be picked up discreetly stress of leaving home and the challenge of universities to provide evidence-based and respectfully. Lines of communication building an adult identity can precipitate treatment tailored to the specific needs are kept open with the school counseling a meltdown or unmask an underlying of students in crisis and help them get center. And a special college-student psychiatric illness. Unfortunately, if the back to their lives. In the ten years since unit at ZHH provides an unintimidating issues require a higher level of assessment, its launch, the Behavioral Health College environment that feels almost dorm-like. Partnership (BHCP) has become a model a college or university counseling The BHCP offers a more welcoming avenue for the delivery of psychiatric treatment center may have no option but to call to care for young people in dire need, for college students affected by acute 911. That can lead to gaps in care and Dr. Braider said. In fact, students from mental health issues. cause unnecessary trauma. “Sometimes schools across the country are sometimes students are brought out in front of The program’s special protocols address brought to the program by their parents. their peers to an emergency vehicle multiple aspects of care, said Dr. Braider, “Most of our patients go on to live happy, with the siren going and lights flashing,” director of the partnership. Northwell’s productive lives,” Dr. Braider said. “I just said psychologist Laura Braider, PhD, at emergency services have identified a heard from a student who was suicidal Zucker Hillside Hospital (ZHH). when she came to us a few years ago. Now she’s a school psychologist, and she’s getting married this year.”

More than 800 students are admitted to Zucker Hillside Hospital each year through the BHCP, with another 450 in outpatient care.

Northwell Health | 2019 Annual Report 29 IMPROVING COMMUNITY HEALTH

Left: Activists and mass shooting survivors Marisol Martinez and Payton Francis. Right: Lonnie and Sandy Phillips, whose daughter was killed in the Aurora, CO, mass shooting, with Northwell’s Sven Gierlinger. Aiming providers’ firepower at a public health emergency

It was a sober message, delivered to an director of trauma and critical care services At the meeting, Mr. Dowling pledged audience of leading health care executives, at NYC Health + Hospitals’ Jacobi Medical $1 million to help mobilize health care physicians, researchers and policy experts. Center, and a long-time advocate for providers to combat gun violence as a “I have been frustrated by the inability assault-weapon bans and other gun reform national public health crisis. The health of many health system CEOs to stand up legislation. “The sound of screaming babies system has also launched the Northwell and talk about the issue of gun violence,” [wounded by gunshots] in my trauma Center for Gun Violence Prevention, said Northwell Health President and center continues to haunt me,” he said. “My to develop a blueprint that can help CEO Michael J. Dowling, speaking to the voice was not loud enough to bring about providers reduce gun violence and promote more than 170 attendees at Northwell’s change, but the health care community as a gun safety. inaugural Gun Violence Prevention Forum, whole has broad shoulders.” “I firmly believe that health care leaders in December 2019. “CEOs can’t be silent The conference drew representatives from have a responsibility to try to stop the anymore, not on an issue this big.” more than 100 health systems and medical mindless bloodshed caused by firearms- The conference brought together speakers and health trade organizations across the related violence in this country,” who have investigated gun violence country. Northwell will be working with Mr. Dowling said. “It is clearly a public professionally and those who were thrust attendees to organize work groups on health emergency.” into the issue by tragedy. Marisol Martinez education, prevention, advocacy, research is a survivor of the mass shooting at and other areas, and plans a Marjory Stoneman Douglas High School follow-up conference. in Parkland, FL. Sheldon Teperman, MD, is

30 Northwell Health | 2019 Annual Report Answering a cry for help from kids and teens

Madison Gamberg was just a sophomore at In the innovative arrangement facilitated It typically takes parents up to Southside High School on Long Island when by Senator Kaminsky, Rockville Centre, six weeks or more to arrange an she learned that her best friend had taken Hewlett-Woodmere, Freeport, East her own life. “She was the sweetest person Rockaway and Oceanside school districts appointment for their child with you could ever meet,” Maddie said. committed funds to cover 80 percent a mental health provider. The of the costs of the pilot year. Fee-for- Less than a year later, Maddie helped new center offers same-day care. service will also help cover expenses. celebrate the opening of Northwell’s Northwell will not turn away students behavioral health center in Rockville Centre, from participating schools who are without launched to provide help for children and insurance coverage. adolescents in mental and emotional distress. Made possible by a collaboration “I want everyone to know that this clinic between Cohen Children’s Medical Center, is here,” Maddie Gamberg said. “You don’t five Long Island school districts and state have to cope alone.” Senator Todd Kaminsky, the center fills a gap in mental health care that has left many families struggling to find timely help for their children. One out of five young people today suffers from mental health issues. Pressure from social media, bullying and other factors all take a toll; suicide is the second-leading cause of death for adolescents and children as young as age 10. Yet it typically takes parents four to six weeks or more to arrange an appointment with a mental health provider. In contrast, the center provides same-day attention for students and a seamless hand-off to ongoing treatment. A child psychiatrist and licensed mental health counselor are available five days a week to provide assessment, initial treatment and navigation to follow-up care by providers in the community. “This new center can make an enormous difference by offering urgently needed care in a welcoming, non-intimidating setting,” Northwell President and CEO Michael J. Dowling said.

Madison Gamberg, who started a suicide awareness club at her Rockville Centre high school.

Northwell Health | 2019 Annual Report 31 IMPROVING COMMUNITY HEALTH

Veteran William Beckenhaupt, with his wife, Gayle, and daughters. Helping a vet and his family heal

When William Beckenhaupt returned from “Everything else was just a Band-aid,” “When members of the military serve, they a tour of duty in Iraq, he tried to pick up said William. “The center and the don’t serve alone — the family serves, as his life with his wife, Gayle, and two young communication there healed the wound.” well,” said psychologist Mayer Bellehsen, PhD, UBHC’s director. “And in many cases, daughters. He didn’t want to confront American veterans can get care from the the family needs care to recover.” the trauma he’d experienced in his time US Department of Veterans Affairs (VA), with the Army’s 82 Airborne division, but the families of these courageous men Couples counseling and William’s PTSD from concussions suffered in military and women often need specialized services, program at the VA provided a lifeline for parachuting, and from mortar and rocket as well. The UBHC is a first-of-its-kind the Beckenhaupt’s marriage. They not only attacks. And he was tough enough to bury collaborative effort between Northwell stayed together but welcomed a third it all, until post-traumatic stress disorder and the Northport Veterans Administration daughter, McKenna. “Now I have a reason and flashbacks caused two car accidents. to provide coordinated treatment for not just to survive,” William said, “but to “I tried to bury my thoughts and fears and veterans and their families: The VA cares really live.” refused to get help,” William said. for the veteran, while the UBHC provides behavioral health support for spouses Finally, he began counseling, but by then he and children. and Gayle were struggling in their marriage. Their lives changed when they came to Northwell Health’s Unified Behavioral Health Center for Military Veterans and “When members of the military serve, they their Families (UBHC) in Bay Shore. don’t serve alone — the family serves, as well. And in many cases, the family needs care to recover.” – Mayer Bellehsen, PhD

32 Northwell Health | 2019 Annual Report Standing side by side with veterans and their families

Helping a vet and his family heal

During Memorial Day Weekend in amphibious prosthetic leg, named one of Liaison Services. Northwell remains 2019, Rockefeller Center was filled with TIME magazine’s 2018 Best Inventions. They committed to recruiting and assisting newly thousands of veterans, active military and also listened as Navy veteran Dustin Kirby returned veterans trying to find jobs and their families for Northwell’s Side By Side: told his story of a catastrophic battlefield acclimate to civilian life. “It’s not merely an A Celebration of Service. The event was the injury, and watched the moving onstage obligation to be there for our veterans,” he pinnacle of NYC Fleet Week 2019. reunion with surgeons from Northwell’s said. “It is a great honor.” Lenox Hill Hospital who literally gave him “Northwell was honored to stand The 2020 Side By Side: A Celebration of his smile back by reconstructing his jaw. with those who have given so much of Service featured a Memorial Day television themselves to this great nation, which That evening, hundreds of service members special honoring health care and military was especially fitting over Memorial and their families enjoyed a special heroes who served on the frontlines of Day weekend,” said Michael J. Dowling, performance by the GRAMMY Award- the COVID-19 pandemic in New York. president and CEO of Northwell Health. winning band Imagine Dragons, thanks to Each Monday in May leading up to the free tickets provided by Northwell. special, Northwell amplified the 7pm The celebration started with daytime appreciation of essential workers with a events that were free and open to the “It is our privilege and responsibility to #HealthcareHeroes Concert Series featuring public. Attendees watched performances continue our support to veterans and their The Roots drummer/bandleader Questlove by Boyz II Men, Gavin DeGraw, Alex Boyé, families, including both medical care and and superstars Gavin DeGraw and Meghan Rock Star Karaoke, The US Navy Band, and behavioral health treatment for those Trainor. The series included conversations cast members from Jersey Boys and Wicked, struggling with PTSD,” said Mr. Dowling, with Northwell medical professionals and were able to see a special presentation who more than a decade ago created who were at the forefront in responding of “The Fin” — Northwell’s 3D-printed Northwell’s Office of Military and Veterans to COVID-19.

Northwell Health | 2019 Annual Report 33 34 Northwell Health | 2019 Annual Report Developing the workforce of tomorrow

What defines the perfect health care workforce? Empathy, energy, adaptablity and diversity — and, more than anything, a deep commitment to Northwell’s mission. Our people are the core of who we are. That’s why we work to recruit the best, develop talent from within, and embrace the unique contributions of each of our team members.

Northwell Health | 2019 Annual Report 35 EMPLOYEE ENGAGEMENT

Joining an exclusive list

For people in health care, work doesn’t Also important was Northwell’s focus on “This recognition is a great achievement just mean a paycheck — it’s a source of innovation, which plays out in myriad ways. and a gratifying reflection of the success meaning. The commitment goes both ways. In 2019’s “Ideas at Northwell,” employees Northwell has had in progressing toward Northwell’s support of its employees helps submitted more than 400 ideas for ways our goals as an organization,” said explain why the health system was named the organization can improve; seven are Michael J. Dowling, the health system’s one of Fortune’s “100 Best Companies to in development. Other initiatives that president and CEO. “Even more important, Work For®,” its first appearance on the impressed Fortune included Northwell’s it’s a spur to us to continue to pursue prestigious annual list. Team Lavender, which provides emotional, excellence. We are a great organization, and physical and spiritual support to staff that’s what great organizations do.” Businesses are judged on numerous factors, challenged by the care of seriously ill including what employees report about patients, and its Human Trafficking their ability to reach their full potential Response Program. within the organization, their experience of their company’s values, their ability to contribute new ideas and the effectiveness of their leaders. Feedback from Northwell’s 1,300 team members responding to Fortune’s Best Companies to Work For® survey revealed a workforce that overwhelmingly (91 percent) feels good about the ways the organization contributes to the community. A strong majority says they make a difference in their jobs. Reinforcing these results were the more than 50,000 team members who responded to the health system’s Annual Engagement Survey, a level of engagement surpassing that shown by almost three- quarters of health care organizations. Team members in both surveys reported significant pride in the organization, and 94 percent highlighted the availability of career development opportunities.

Fortune’s top 100 list is based on results from America’s largest ongoing annual workforce study, representing more than 4.1 million employees this year alone.

From left, registered nurses Kimberly Maione and Corinne Goode, at Peconic Bay Medical Center.

36 Northwell Health | 2019 Annual Report Building a culture of inclusion

Ten years ago, Northwell set out to become languages, and it takes just a few minutes Dr. Mieres said. “Their input has been a more inclusive institution, launching to connect patients with a qualified medical critical in helping us expand our health care what’s now called the Center for Equity interpreter who speaks their language.” delivery portfolio of services. of Care. Today, the health system is seen How that matters: A pilot study at one “Our approach is holistic and as a leader in operationalizing the tenets Northwell hospital showed that, given the comprehensive,” Dr. Mieres said. “That’s of diversity, health literacy and cultural same diagnosis code in the emergency what it will take to improve health competency to empower employees, department, a patient speaking Russian or outcomes for the chronic diseases of 21st- improve patient outcomes and eliminate Spanish had a two-hour delay in discharge century medicine.” health disparities. compared to an English-speaking patient. Strategic changes have affected every After introducing video remote interpreting Starting in 2013, Northwell aspect of the health system, said Jennifer and educating the workforce on the has been named among the Mieres, MD, senior vice president and importance of collecting patients’ preferred country’s top 10 hospitals and chief diversity and inclusion officer. Take language, that disparity has been cut by the attention paid to the many different more than 70 percent. health systems every year by languages spoken in the communities Another key effort has been the DiversityInc. Northwell serves. development of Business Employee “When we started, our hospitals were Resource Groups. The BERGs, such as presenting everything in English, even VALOR (Veterans and Allies: Liaisons of though close to 50 percent of our patients Reintegration) and EXPRESSIONS (consisting have a different preferred language,” Dr. of employees who identify as LGBTQIA+ and Mieres said. “Now, all of our important their allies), have provided insight into the health documents are available in 22 needs and priorities of their communities,

Northwell Health | 2019 Annual Report 37 EMPLOYEE ENGAGEMENT

Rich in the currency of caring

Belief in Northwell’s mission is one of the elements that make its workforce powerful. That commitment can be seen in the way those in every kind of role and at every facility and unit of the health system go above and beyond what’s required. It’s evident as well in the employee giving program: To date, more than 8,800 colleagues have donated, with gifts totaling $13 million, and many more gave before the program formally launched. But Northwell employees contribute to the health system and the community in countless other ways, too. In the currency of caring, no one is more generous.

Every year, thousands of employees across the health system support Cohen Children’s Medical Center by wearing jeans for a day or two in exchange for a donation of a few dollars — small change that adds up to big results.

More than 6,000 walkers and donors at the 2019 Northwell Health Walk raised a record total of $1 million. At Jones Beach, Kathleen and husband Mark shared their story, expressing gratitude for the care daughter Clementine received at Cohen Children’s when she needed open heart surgery and other advanced care.

38 Northwell Health | 2019 Annual Report Michael Goldberg, MBA, MS, executive director of Long Island Jewish Medical Center, made his debut marathon run at the TCS New York City Marathon, powering through the miles in support of Northwell. “I’ve had the opportunity to grow from an intern in the finance department to now serving as LIJ’s executive director, and for that I am forever grateful,” he said. “I can’t think of a better organization to give back to.”

Another first-time marathoner, Colby Povill, MSN, RN, nurse manager at South Oaks Hospital, raised money for patient activities. “Working at South Oaks as a psychiatric nurse has given me such a sense of pride and fulfillment,” she said. “It has been my privilege to work here for the past eleven years, and I am honored to be able to give back.”

After Marianne DiStefano, head nurse in labor and delivery at Staten Island University Hospital, passed away in 2018, her colleague Linda Spadafina set a team goal of raising $25,000 at Staten Island’s Northwell Health Walk in order to name a labor-and-delivery room in her honor. The team easily surpassed that goal. “It’s a labor of love,” said Linda. “I love raising funds for this hospital and the community it supports.”

Northwell Health | 2019 Annual Report 39 EMPLOYEE ENGAGEMENT

From left, David Langer, MD, Mirtha Macri, DO, John Boockvar, MD, and Amanda Little-Richardson, MD. Witnessing the beating heart of medicine

A new series developed for Netflix fascinating and emotional world of gives an intimate look at the lives of medicine, as lived by the four doctors: four doctors — two brain surgeons, an David Langer, MD, chair of neurosurgery emergency physician and a chief resident at Lenox Hill and vice president of in obstetrics and gynecology — as they neurosurgery for Northwell’s western navigate the highs and lows of working at region; John Boockvar, MD, the hospital’s Lenox Hill Hospital in New York City. With vice chair of neurosurgery and director extraordinary access and an unflinching of its Brain Tumor and Pituitary/ eye, “Lenox Hill” shows the physicians’ Neuroendocrine Center; emergency struggle to balance their personal and physician Mirtha Macri, DO; and Amanda professional lives, and delves into the Little-Richardson, MD, who was an OB-GYN personal journeys of their patients. chief resident. The series, which debuted in June 2020, was directed and produced by From birth to brain surgery, each case Adi Barash and Ruthie Shatz. offers a rare inside look at the complex,

40 Northwell Health | 2019 Annual Report The year in review Year in Review 2019 Highlights

North Shore University Lenox Hill Hospital Long Island Jewish Hospital Medical Center

Huntington Hospital Staten Island University Cohen Children’s Hospital Medical Center Quality

– Six Northwell Health hospitals earn neurosurgery (31), gastroenterology in six medical specialties: ear, nose 32 national rankings in two separate and GI surgery (33), geriatrics (35), and throat (18), gynecology (21), 2019-20 surveys conducted by US News urology (38) and nephrology (46). orthopedics (24), urology (31), diabetes and endocrinology (33), and & World Report. Five Northwell hospitals • Ranked by US News as one of the nephrology (35). receive a record 23 top-50 national nation’s best children’s hospitals ratings in adult medical specialties in for 13 consecutive years, Cohen • Huntington Hospital: Top-12 ranking US News’ survey of 4,500 medical centers Children’s Medical Center received in the state and 14th in the metro area, nationwide: North Shore University top-50 national recognition in and national ranking in orthopedics Hospital, Lenox Hill Hospital, Long Island nine pediatric specialties: pediatric (48). Jewish Medical Center, Huntington neurology and neurosurgery (17), Hospital and Staten Island University • Staten Island University Hospital: Top- pediatric neonatology (24), pediatric 22 ranking in the state and metro area, Hospital. In addition, Cohen Children’s cancer (27), pediatric diabetes and Medical Center receives top-50 national and national ranking in nephrology endocrinology (28), pulmonology (30), (44). rankings in nine pediatric specialties in a orthopedics (32), nephrology (36), separate US News survey of the nation’s gastroenterology/GI surgery (39) and – A report from the New York State best children’s hospitals. Among the urology (39). Department of Health (DOH) shows highlights: Lenox Hill Hospital and LIJ Medical • North Shore University Hospital • Lenox Hill Hospital: Top-five ranking Center as having among the state’s best (NSUH): The highest-rated Long Island in the state and metro area, and top- outcomes for certain types of open heart hospital, earning a top-four ranking in 50 national rankings in six medical surgery. Based on the DOH’s statistical the state and New York metropolitan specialties: diabetes and endocrinology analysis of risk-adjusted outcomes for area, as well as national rankings in (9), ear, nose and throat (24), urology adult cardiac surgery in 2016, Lenox Hill nine adult specialties: (32), nephrology (38), cardiology and is the only hospital in the state with orthopedics (11), diabetes and heart surgery (44), and geriatrics (49). a significantly higher success rate for endocrinology (15), cardiology and • Long Island Jewish Medical Center: isolated coronary artery bypass grafting heart surgery (20), pulmonology and Top-eight ranking in the state and (CABG), with no deaths in 2016 — the lung surgery (21), neurology and metro area, and national rankings average risk-adjusted mortality rate

Northwell Health | 2019 Annual Report 41 statewide was 1.67 percent. During the full three-year reporting period (2014- 2016) analyzed, LIJ’s cardiothoracic team have among the state’s best More than survival rates for patients undergoing surgeries for isolated CABG, the repair or replacement of heart valves and for those in need of surgeries for both valve and CABG surgery. (Note: The cardiovascular 38,454 teams at LIJ Medical Center and North Shore University Hospital (NSUH) live births* combined their expertise in 2016 to form the highly specialized Sandra *Includes Maimonides Medical Center Atlas Bass Heart Hospital at NSUH.) LIJ is among four hospitals to earn the – In recognition of excellence in care for Person-centered health care prioritizes DOH’s prestigious double asterisk for older patients, Northwell’s 17 emergency the active participation of patients and outcomes that were significantly better departments (ED) across Long Island, their families throughout the health care than the statewide average — the eighth New York City and Westchester are process with an emphasis on partnership, consecutive year that it has achieved recognized by the American College of compassion, transparency, inclusion superior performance. Emergency Physicians for expertise in and quality. – The Sandra Atlas Bass Heart Hospital at caring for geriatric patients. Northwell is – Lenox Hill Hospital receives an NSUH achieves three-star overall quality the first health system in the nation to “America’s 100 Best Hospitals Award” ratings — the highest possible ranking have every ED in its network accredited. from Healthgrades for the third — in all five cardiac surgical categories – The lesbian, gay, bisexual, transgender consecutive year for providing the highest analyzed by the Society of Thoracic and queer watchdog organization Human quality of care and consistently achieving Surgeons (STS). Of approximately 992 Rights Campaign (HRC) Foundation ranks superior clinical outcomes across the cardiothoracic surgical programs that Northwell as the No. 3 health system majority of common inpatient conditions submitted their data to STS from the US in the nation and first in New York and procedures. This distinction places and Canada, NSUH is one of only three State, based on the number of facilities Lenox Hill, the only hospital to receive cardiac programs in the US and the only designated a Leader in LGBTQ Healthcare this honor in New York City, in the top one in New York State to receive the Equality, according to its 2019 Healthcare two percent of more than 4,500 hospitals society’s highest performance rating. Equality Index (HEI). Twenty Northwell assessed nationwide. In addition, – For the fifth consecutive year, Northwell Health hospitals — 25 facilities in all — Health’s House Calls program is earn the designation. The HEI is a national Inpatient origin* recognized by the US Centers for benchmarking tool that evaluates health Medicare and Medicaid Services (CMS) care facilities by examining patient, for its success in caring for chronically ill, visitation and employment policies to frail seniors through home-based primary measure inclusiveness of the lesbian, 19% Nassau care as part of a federal demonstration gay, bisexual, transgender and queer project called Independence at Home. In community at large. addition to improving health outcomes – Northern Westchester Hospital receives in older patients with complex health Gold Certification for Excellence in needs, Northwell’s clinicians reduced Person-Centered Care by Planetree 27% Queens costs during the program’s fifth year by International, recognizing the hospital’s $14,051 per patient per year, representing achievement and innovation in the 30.2 percent total cost of care reduction, delivery of person-centered care. for an overall saving to Medicare of Northern Westchester is one of only 90 more than $4.1 million. Northwell has health care organizations worldwide 23% Suffolk the highest savings performance among to receive the Person-Centered Care the 14 demonstration sites nationwide. Gold Certification since the program’s After accounting for Medicare withholds, launch in 2007, and the only organization Northwell earned more than $1.8 million to earn the award five times. Gold 12% Richmond in incentive payments — the only Certification for Excellence in Person- 5% Manhattan program in New York State to receive Centered Care represents the highest 5% Westchester these CMS incentive payments. level of achievement in person-centered 9% Other care, based on evidence and standards. *Includes Mather Hospital

42 Northwell Health | 2019 Annual Report kidney after one year. The SRTR receives Revenues kidney, heart, lung and liver transplant (amounts in billions) data collected by government agencies and other organizations, manages and analyzes the information, and supplies 2017 $10.8 $8.7 data, summary reports and analyses to the transplant community. 2018 $11.5 – A total of 186 Northwell physicians are 2019 $12.5 named in New York Magazine’s 2019 Best Doctors list. Of the doctors listed, 67 were from Lenox Hill Hospital and (2018 and 2019 include Mather Hospital) 16 from Manhattan Eye, Ear and Throat Hospital. Northern Westchester Hospital placed 30 physicians, while Northwell affiliate Maimonides Medical Center in Brooklyn placed 26 physicians and Cohen Children’s Medical Center landed Lenox Hill also receives Healthgrades’ rankings, including one of six nonprofit 13 pediatric experts on the list. Staten “America’s 250 Best Hospitals Award” for health care providers. Honorees span 21 Island University Hospital North and the sixth straight year. countries and 50 industries. North Shore University Hospital had 12 – Newsweek’s Best Nursing Homes’ 2020 – The American Hospital Association’s and 11 physicians on the list, respectively, report ranks the Stern Family Center for (AHA) Institute for Diversity and Health and Long Island Jewish Medical Center Rehabilitation in Manhasset among the Equity names Northwell as an honoree had seven experts recognized. Two nation’s best. New data rates Stern as of the AHA’s Carolyn Boone Lewis Equity physicians from Zucker Hillside Hospital, one of the top 406 facilities out of 15,000 of Care award. The award recognizes one physician from both Phelps and nursing homes nationwide to make the hospitals and health systems for their Huntington hospitals were also on list, which places it among the top three efforts to reduce health care inequities, the list. percent of skilled nursing facilities in and advance diversity and inclusion. – IBM Watson Health names Southside the country. Northwell is among three health systems Hospital one of the nation’s 50 Top – The Stern Family Center for nationally to be honored. The AHA Cardiovascular Hospitals. Southside is Rehabilitation and Orzac Center for recognizes Northwell for addressing recognized based on performance in Rehabilitation in Valley Stream earn the health disparities that exist in several key patient metrics, including risk- high-performing ratings for their short- populations it serves throughout Long adjusted mortality and complications, term rehabilitation programs in US News Island, New York City and Westchester 30-day readmission rates, and wage-and & World Report’s Best Nursing Homes County. More than half of Northwell’s severity-adjusted average cost per case. 2019-2020 report. US News’ evaluation workforce is ethnically and racially For the 50 Top Cardiovascular Hospitals of nursing homes is based on data from diverse, reflecting the composition study, Watson Health™ analyzed one Nursing Home Compare, a consumer of communities served. For example, of the largest US inpatient, all-payer website run by the US Centers for women represent 72 percent of databases of its kind, containing more Medicare & Medicaid Services (CMS). Northwell’s workforce, and more than than 23 million all-payer discharges Facilities earn an overall rating between half that number serve in executive annually. The rankings are based on data one to five stars based health inspections, leadership roles. from approximately 5,000 hospitals, nurse staffing and quality of care. For – The Scientific Registry of Transplant representing over 65 percent of all 10 consecutive years, Stern and Orzac Recipients (SRTR) recognizes North Shore discharges from short-term, general, centers have been recognized by US University Hospital’s (NSUH) kidney nonfederal hospitals in the US. News for their expertise in short-term transplant program with a tier-five rating – Lenox Hill Hospital’s Critical Care rehabilitation and skilled nursing. in the one-year survivability of transplant Step-Down unit, which houses patients – For the fifth straight year, Northwell recipients — one of three hospitals in in need of less-intensive care and is chosen as one of the World’s Most New York State to earn the highest rating. monitoring, receives an American Ethical Companies by the Ethisphere SRTR examined the outcomes of patients Association of Critical Care Nurses’ Institute, a global leader in defining who underwent transplants over a 2 (AACCN) gold-level Beacon Award for and advancing the standards of ethical ½-year period and found that NSUH had Excellence. The national award, which business practices. Northwell is among a 98.3 percent survivability rating for offers gold, silver and bronze distinctions, 128 companies recognized in the 2019 transplant recipients with a functioning recognizes teams that consistently deliver

Northwell Health | 2019 Annual Report 43 University, Plainview, Staten Island University, Southside, Glen Cove and Syosset hospitals are recognized for using information technology such as smartphones, telehealth and remote monitoring as tools to help promote patient health and safety. – Northwell Health Imaging at Smithtown is named a 2018 Press Ganey Guardian of Excellence Award winner for achieving top patient experience scores — given to health care facilities that patients rank among the top five percent in patient satisfaction. The facility was the only one on Long Island and one of just a handful exceptional care, optimize outcomes and 2018, where The Joint Commission in the New York metropolitan area to be maintain healthy work environments. The experts evaluated compliance with honored. AACCN also recognizes the Critical Care national, disease-specific care standards – Lenox Hill Hospital and Staten Island Unit at Long Island Jewish Valley Stream as well as heart failure condition-specific University Hospital receive the highest with a bronze Beacon Award. The awards requirements. Clinical practice guidelines designation of Electrodiagnostic (EDX) recognize individual units that distinguish and performance measures also were Laboratory Accreditation with Exemplary themselves by improving every facet assessed. Status given by the American Association of patient care and achieving optimal – Fifteen Northwell Health hospitals of Neuromuscular & Electrodiagnostic outcomes. To be eligible for the Beacon earn the American Heart Association/ Medicine (AANEM). EDX Laboratory Award, the critical care unit had to meet American Stroke Association’s Get Accreditation acknowledges laboratories specific criteria in the areas of: leadership, With The Guidelines® – Stroke Gold for maintaining the highest level of staffing and staff engagement, Plus Quality Achievement Award. The quality, performance and integrity based effective communication, knowledge designation recognizes each health on AANEM’s professional standards. management, learning development, care facility for its commitment to These standards evaluate diagnostic evidence-based practice and processes, ensuring stroke patients receive the services and clinical operations essential and outcome measurements. most appropriate treatment according to providing quality patient care, such as – Northwell’s Neuromuscular Center, to nationally recognized, research- clinical staff qualifications and continuing which works closely with amyotrophic based guidelines. To receive the Gold education; physical facilities, EDX lateral sclerosis (ALS) patients, is the Plus Quality Achievement Award, each equipment, protocols for performing first in Nassau County to be designated hospital met specific quality achievement EDX studies, patient reports, and policies as an affiliated ALS Association Greater measures for the diagnosis and treatment for ensuring the health and safety of New York (ALS-GNY) clinic program. of stroke patients at a set level for a patients. The multidisciplinary team offers designated period. These measures – Lenox Hill Hospital uses a new custom comprehensive care all in one location include evaluation of the proper use of lighting solution for patients and care at 611 Northern Boulevard in Great medications and other stroke treatments providers while maximizing energy Neck. The multidisciplinary care model aligned with the most up-to-date, efficiency. Brightcore Energy, an LED brings together a team of health care evidence-based guidelines with the lighting solutions company, upgrades the professionals specifically trained to goal of speeding patients’ recovery, and hospital’s cardiac unit from fluorescent address the needs of people living with reducing death and disability. Before lighting fixtures to new integrated LED ALS, allowing them to receive care from discharge, patients should also receive fixtures that use on average 60 percent each discipline during a single visit. education on managing their health, get less electricity and are expected to be – Northwell Health at Home, the health a follow-up visit scheduled, as well as maintenance-free for 10-plus years. In system’s home care agency, earns The other care transition interventions. addition to the energy and maintenance Joint Commission’s Gold Seal of Approval – Eleven Northwell hospitals receive savings, the new LED fixtures will for Heart Failure Certification — one of Most Wired awards from the College of improve the quality of the light with less only a handful of organizations in New Healthcare Information Management flicker, more uniform lighting and color York State to achieve this distinction. Executives. LIJ Medical Center, LIJ temperature, and overall better visibility. Northwell Health at Home underwent a Forest Hills, LIJ Valley Stream, and – The Long Island/Queens Chapter of rigorous, on-site review in late December Lenox Hill, Huntington, North Shore the Oncology Nursing Society (ONS)

44 Northwell Health | 2019 Annual Report bestows nurses at Northwell’s Monter Myocardial Infarction (STEMI) – a heart Revenue by source Cancer Center in Lake Success with its attack that can be fatal without swift 2019 Employer Recognition Award. intervention – to the hospital’s cardiac The honor is given annually to a cancer catheterization lab where blood flow facility with outstanding initiatives that can be restored. The national guideline promote professional development for door-to-artery unblockage time is 90 and educational opportunities for its minutes, but Southside’s average time is oncology nurses. 60 minutes. – The Wound Care and Hyperbaric – The Katz Women’s Hospital at Long 51% Medicine Center of Northern Island Jewish Medical Center is Inpatient Westchester Hospital receives The Robert recognized as a Baby-Friendly hospital, A. Warriner III, MD, Center of Excellence achieving the quality standard for award from Healogics, the nation’s best-possible breastfeeding support for largest provider of advanced wound care mothers and infants in the maternity services. The award — named for the unit. Katz Women’s offers new mothers pioneer in wound care and former chief the information, confidence and skills medical officer of Healogics — recognizes they need to succeed in breastfeeding 44% facilities that achieve patient satisfaction and caring for their babies. Of the Outpatient rates higher than 92 percent and a estimated 6,000 hospitals and birthing healing rate of at least 91 percent in less centers in the US, only 500 are Baby- than 30 median days, for a minimum of Friendly. The Baby-Friendly Hospital two consecutive years. Initiative is a global program created in – The National Athletic Trainers 1991 by the World Health Organization Association (NATA) recognizes Northwell and the United Nations Children’s Fund. 5% Health’s STARS Rehabilitation athletic The initiative’s aim is to assist hospitals Other operating trainers at four high schools with its Safe in educating and supporting new Sports School Award. Certified athletic mothers about the health benefits of revenue trainers at just 22 schools across New breastfeeding their newborns. York State received NATA honors. – The Emergency Department (ED) at – The Katz Women’s Hospital at North Northern Westchester Hospital receives Shore University Hospital is designated the Emergency Nurses Association’s a center of excellence by the Society for 2019 Lantern Award for demonstrating Obstetric Anesthesia and Perinatology. exceptional and innovative performance Expense by category Only 39 hospitals worldwide have in leadership, practice, education, received this distinction and NSUH is the advocacy and research. Northern sole facility on Long Island to be honored. Westchester is among 28 EDs across the NSUH met requirements demonstrating US and the first hospital in New York to excellence in obstetric anesthesia receive the annual award. care. The criteria analyzed included: – The Infectious Diseases Society of anesthesia protocols, preparedness during America (IDSA) designates Huntington emergencies for high risk pregnancies, Hospital as an Antimicrobial Stewardship 64% medical team collaboration and Center of Excellence. The community Salary and mobilization of a back-up system within hospital is one of only 35 hospitals benefits a designated time frame. Cesarean nationwide to receive this recognition, delivery management and labor practices which recognizes institutions that have were also factored into receiving the created stewardship programs led by recognition. infectious disease (ID) physicians and ID- 31% – Southside Hospital is recognized by trained pharmacists who have achieved Supplies and the American Heart Association for standards established by the US Centers expenses its high-quality care of patients who for Disease Control and Prevention. suffered severe heart attacks with the – The American Association of Mission: Lifeline gold award — the first Cardiovascular and Pulmonary and only Long Island facility to achieve Rehabilitation issues a national gold status and one of 11 hospitals in certification to the Sandra Atlas 4% New York State to earn gold in 2019. Bass Heart Hospital’s cardiovascular Depreciation The hospital achieves this distinction for rehabilitation program in Great Neck, the third straight year by consistently demonstrating the health system’s 1% getting patients suffering an ST Elevation commitment to improving patients’ Interest

Northwell Health | 2019 Annual Report 45 quality of life by enhancing standards of care through measured outcomes. The Heart Hospital’s outpatient cardiac rehabilitation program is designed for patients who have undergone coronary artery stenting, heart surgeries such as bypass, valve surgery or heart transplant, or carry a diagnosis of heart attack, stable angina or chronic systolic heart failure. – The Katz Women’s Hospital at NSUH is designated a center of excellence by the Society for Obstetric Anesthesia and Perinatology. Only 39 hospitals worldwide have received this distinction and NSUH is the sole facility on Long Island to be honored for its excellence in obstetric anesthesia care. The criteria analyzed included: anesthesia protocols, oncology, one of only 14 pharmacies to for President Theodore Roosevelt, who preparedness during emergencies for receive this distinction in the country. introduced the first significant piece high-risk pregnancies, medical team – The Dolan Family Health Center is of workers’ compensation legislation collaboration and mobilization of a redesignated a New York State Patient- in 1908. It is one of the most coveted back-up system within a designated time Centered Medical Home (PCMH) for the awards in the workers’ compensation frame. Cesarean delivery management fourth time by the National Committee industry. and labor practices were also factored for Quality Assurance (NCQA) based – Peconic Bay Medical Center (PBMC) into receiving the recognition. on the most recent 2019 standards. receives prestigious five-star ratings in – During the Core Lab’s CAP inspection, NCQA sets specific criteria for primary multiple medical and surgical services, as Northwell Health Labs is recognized for care practices to use in organizing care well as recognition for excellence in total excellence in the following areas: people, around patients, working in teams, and joint replacement surgery, according to innovation, equipment, Core lab facilities, coordinating and tracking care over time. the Healthgrades’ 2020 Report to the quality and point of core programs and PCMH-designated practices emphasize Nation. The report cited PBMC for five- Pathologist involvement and expertise. the use of health information technology star distinction — Healthgrades’ highest – Northwell Health Cancer Institute and after-hours access to improve overall rating — in total knee replacement, locations at Monter Cancer Center in Lake access to care when and where patients hip replacement, bariatric surgery, Success, Huntington and Phelps hospitals, need it. gallbladder removal surgery and stroke and the Imbert Cancer Center in Bay – Six Northwell hospitals — North Shore treatment. It was the second consecutive Shore each receive certification from University Hospital, Mather Hospital, year of five-star recognition for PBMC’s the Quality Oncology Practice Initiative Cohen Children’s, Long Island Jewish bariatric surgery services (2019-2020) and Program, LLC (QOPI), an affiliate of the Medical Center, Huntington Hospital the third consecutive year of recognition American Society of Clinical Oncology, and Northern Westchester — continue for its gallbladder removal surgery Inc. The QOPI certification is valid for to maintain Magnet status, considered services (2018-2020). three years and signifies that Northwell’s the gold standard for nursing. As of – For the second year in a row, Huntington oncology practices meet nationally December 2019, there are only 502 Hospital is named a star performer by recognized standards for quality cancer current Magnet facilities across the US the American Orthopaedic Association’s care. QOPI is a voluntary self-assessment and 28 in New York State. Northwell “Own the Bone” program for its top- and improvement program to help also remains above the national Magnet notch care of patients with fragility hematology-oncology and medical average of certified clinical registered fractures. Fragility fractures are caused oncology practices assess the quality of nurses and nurses with a BSN degree by osteoporosis, metabolic bone disease the care they provide to patients. About or higher: Northwell’s rate of nurses or other bone density weaknesses. 300 practices nationwide are currently with a BSN or higher was 87.1 percent Huntington helps ensure people do not certified. (Magnet mean as of October 2018 was experience these fractures or re-injure – Vivo Health Specialty Pharmacy and Vivo 73.96 percent); Northwell’s clinical themselves by educating patients about Health Pharmacy at Northwell’s Center nurse certification rate was 43.4 percent the importance of fall prevention tactics, for Advanced Medicine (CFAM) receive (Magnet hospital rate was 36.04 percent). regular physical activity, along with a diet accreditation from the Accreditation – Northwell’s Workforce Safety rich in calcium and vitamin D. Commission for Health Care (ACHC) by department receives Risk & Insurance demonstrating compliance to national magazine’s Theodore Roosevelt standards. Vivo Health Pharmacy at Workers’ Compensation & Disability CFAM also receives ACHC’s distinction in Management Award (Teddy Award). A first for Northwell, the award is named

46 Northwell Health | 2019 Annual Report Patient Experience

– Lenox Hill Hospital announces a comprehensive renewal plan aimed at ensuring the future success of the storied acute-care facility on Manhattan’s Upper East Side. The project seeks to create a new purpose-built Lenox Hill Hospital that will feature all single- bedded patient rooms, an expanded emergency department, new surgical suites and other larger clinical spaces. Plans also call for a new outpatient care center on Third Avenue between 76th and 77th Streets, improvements to the Manhattan Eye, Ear and Throat Hospital on E. 64th Street, and other ambulatory expansions in Manhattan. As Northwell Health’s flagship hospital in Manhattan, Lenox Hill Hospital has delivered world- class clinical care since its founding in 1857 and currently treats more than 163,000 patients annually. However, several of its 10 buildings were erected more than a century ago, and although Northwell Health has invested more than $200 million in capital improvements $26 million and more than doubles the – In a move that further elevates its since Lenox Hill Hospital joined the footprint of the former ICU to 13,000 growing reputation as a destination health system in 2010 and continues to square feet. of choice for advanced orthopedic make upgrades, the buildings are not – Staten Island University Hospital care, Long Island Jewish (LIJ) Valley configured to deliver care efficiently and (SIUH) receives approval from the Stream opens The Orthopedic Hospital, it’s becoming increasingly expensive to New York State Department of Public a 9,761-foot facility located on the maintain the aging facility. Health’s (DOH) Public Health and Health hospital’s second floor. The $13.5 – North Shore University Hospital (NSUH) Planning Council to construct a new million investment includes 18 private performs Long Island’s first liver 40,000-square-foot cancer center at patient rooms, technologically advanced transplant — about 20 months after its North Site to care for the borough’s operating rooms, a physical therapy unit performing Long Island’s first heart growing adult and pediatric population. and dedicated clinical staff specializing in transplant. The liver transplant program The borough sees the highest rates of general orthopedics, surgery, fractures, opens access to critically ill patients in cancer in New York City, with 524.9 cases sports medicine, foot and ankle, hand, an underserved area that stretches from per 100,000 compared with the city’s total joint replacement and spine Suffolk and Nassau counties to Queens, average of 453.4 per 100,000, according surgery. The Orthopedic Hospital has Brooklyn and Staten Island. Of the more to the DOH’s Cancer Registry. The new received the highest rating from The than 1,100 state residents currently center will help serve the needs of this Joint Commission’s Healthcare Quality awaiting a liver transplant, nearly half live growing community, close to home. The Certification in knee and hip replacement in Northwell Health’s catchment area. new $35 million center will bring all adult, surgery. – To pave the way for NSUH’s new liver pediatric and radiation oncology patients – With approximately 60,000 new transplant program, the hospital opens to a centralized facility to help streamline pancreatic cancer cases diagnosed a new Surgical and Transplant Intensive care, and improve patient experience. each year in the US and less than Care Unit (ICU). The new unit costs nearly 10 percent surviving, the Northwell

Northwell Health | 2019 Annual Report 47 Health Cancer Institute opens the technology experts and administrators – In a medical first on Long Island, comprehensive Pancreatic Cancer Center. with the goal of ultimately deploying neurosurgeons at North Shore University The program offers a multidisciplinary it systemwide. Chicago, IL-based Hospital (NSUH) remove a glioblastoma team of surgical, medical and radiation Allscripts, which specializes in connecting brain tumor using a new imaging tool oncologists, gastroenterologists, consumers with health care providers that transforms the way diseased cells are interventional radiologists, pathologists, and payment solutions, will provide the targeted. Gleolan is an optical imaging endocrinologists, genetic counselors, development and systems integration agent — or dye — that illuminates social workers, nutritionists, and pain expertise to build the new and improved a tumor as bright pink hue against a management and palliation specialists. EHR. The product will optimize the user blue background of healthy brain cells. – Northwell Health Labs launches LabFly, experience and enhance the delivery “Glowing” cancer cells makes it easier for a mobile app that allows patients to of care to improve the experience for neurosurgeons to remove as much of the schedule blood draws in the privacy of clinicians and patients alike. tumor as possible without affecting the their home or workplace. This “concierge – Harnessing its expertise in cardiac and normal brain tissue. health care” app is the first of its kind lung care, Northwell mobilizes a team of – Cohen Children’s Medical Center is the in the nation to be released by a health medical specialists to use the life-saving first on Long Island to use the ROSA system. It offers patients a convenient extracorporeal membrane oxygenation Brain robot to detect seizures in the and private alternative to having their (ECMO) machine on patients who are so brain. ROSA is a surgical navigation blood taken at a traditional patient critically ill they cannot be moved. With and positioning system using robotic service center. The LabFly app is available a mortality rate of about 50 percent in technology that allows surgeons to place for download via Apple’s iTunes store and critically ill patients needing ECMO, the electrodes without having to open a Google Play for Android users. Users can mobile team concept grew out of an patient’s skull. enter their demographic information, established acute-lung injury program at – At Southside Hospital, the Institute for take a photo of their insurance card Long Island Jewish Medical Center and Joint Replacement opens a renovated and paper prescription, then choose a the heart transplant program at the post-surgical unit where patients can day and time slot to schedule a home Sandra Atlas Bass Heart Hospital at North recover in their own private room after or private office visit from one of more Shore University Hospital. The ECMO- hip and knee replacement surgery. The than 150 Northwell Health’s lab experts. TO-GO program, the only one of its kind unit consists entirely of private rooms Caregivers can also schedule a blood offered on Long Island, is dispatched for patients with joint replacements draw for someone they are caring for. On to hospitals within and outside the to recover in a tranquil environment. A the day of the appointment, a patient Northwell network. family waiting room is fully equipped can view the location of the lab expert – Lenox Hill Hospital establishes a new with a television, microwave, refrigerator in similar fashion to popular ride-sharing Heart Rhythm Center dedicated to the and charging stations for mobile devices. apps. Patients can securely access their treatment of heartbeat abnormalities. – The Katz Women’s Hospital at North test results through the app within The facility includes a new procedural Shore University Hospital opens a new approximately four days. laboratory and offers a state-of- patient recovery area and operating – In addition, Northwell Health the-art program delivering cutting- room in its labor and delivery unit. The Labs provides patients with a edge electrophysiology procedures, $8.5 million upgrade to the women’s convenient way of booking their including complex ablations, minimally hospital’s third floor adds 5,000 square lab testing appointments at its invasive pacemaker and defibrillator feet to an eight-bed, post-anesthesia patient service centers through an implantations, and structural recovery unit and a new labor and delivery online tool. Patients can search on interventions. The space also includes a operating room containing three infant northwell.edu/labswaittimes and view newly renovated reception area and a resuscitation bays, which helps reduce current wait times and available time comfortable, tranquil waiting room for the time to transport newborns to the slots, as well as book appointments at patients’ families and friends. hospital’s neonatal intensive care unit any of Northwell Labs’ 28 locations. – Staten Island University Hospital begins (NICU). Opened in 2011, the three-story – Northwell and Allscripts sign an construction on the first phase of a new Katz Women’s Hospital at NSUH features innovative agreement to create the pediatric emergency unit. The new 73 single-bed rooms, postpartum and next-generation electronic health record space will have five patient treatment high-risk antepartum units for prolonged (EHR). The cloud-based, voice-enabled, areas, a patient care station and its own hospitals stays, a 51-bed NICU and artificial intelligence-based EHR will dedicated entrance to keep children away nursery. be designed and tested using input from the sights and sounds of an active from Northwell clinicians, information adult emergency department.

48 Northwell Health | 2019 Annual Report – Northwell opens the Gerald J. Friedman Center for Breast and Lymphatic Surgery to help women with breast cancer or who have a genetic predisposition for 303,729 the disease. The 4,600-square-foot outpatient center in Great Neck is inpatient discharges equipped with 12 exam rooms used for post-operative appointments and office procedures. The center specializes – Northwell opens a new Emergency in breast and lymphatic reconstruction Telepsychiatry Center at Lenox Health and was made possible thanks to the Greenwich Village (LHGV) to serve as generosity of the Friedman Foundation, the epicenter of remote psychiatric which donated more than $6.5 million, services. Located in the Mack Pavilion, the including $5 million to operate the new hub features nine video-equipped program, $1.5 million for building costs workstations and is staffed around-the- and tens of thousands to purchase clock by members of a 35-employee original artwork for the site. team that includes 23 attending – North Shore University Hospital is the psychiatrists and nine master’s-level first hospital on Long Island to offer behavioral health clinicians. Phase two genital gender confirmation surgery will expand the center to 770 square for members of the transgender/gender feet. Emergency Telepsychiatry sees non-conforming/non-binary community. approximately 300 consults a month The surgical team performs vaginoplasty across 19 facilities, reducing the average for transgender women, surgically wait time to consult by 91 percent. constructing female genitalia out of the Since the inception of the emergency patients’ own tissue. Plans are underway telepsychiatry program several years ago, to offer metoidioplasty and phalloplasty the health system has performed nearly to create male genitalia for transgender 13,492 ED telepsychiatry consultations, men. The new surgical capabilities extend including 3,000 in 2018 — the most the comprehensive suite of services among regional health care providers. that Northwell offers to the gender The program is estimating 3,374 diverse community at Long Island’s consultations in 2019. Center for Transgender Care and at the Gerald J. Friedman Transgender Program for Health and Wellness at Lenox Hill Hospital in Manhattan. – Four Northwell Health hospitals on Long Island — Long Island Jewish (LIJ) Medical Center, LIJ Valley Stream, North Shore University Hospital and Peconic Bay Medical Center — offer robotic-assisted technology for total joint replacement surgeries. The Mako device, manufactured by Stryker, is a robotic arm used interactively by surgeons during orthopedic joint replacement surgery. The benefits of this type of surgery include shorter hospital stays, faster recovery times, as well as less pain and lower risk of infection. The Mako robot can be used to perform total knee and partial knee replacements. – Northwell launches a personalized chatbot for patients with colonoscopy

Northwell Health | 2019 Annual Report 49 atrial fibrillation (A-fib) and other cardiac participate in Biosense Webster Inc.’s abnormalities. One of the nation’s most clinical trial evaluating the safety and common heart arrhythmias, A-fib occurs effectiveness of a new device designed when the heart’s electrical impulses to reduce stroke risk in atrial fibrillation misfire, causing a fast rhythm or flutter patients. The WaveCrest Investigational that can result in poor blood flow and Device Exemption (IDE) Trial is evaluating increase the risk for stroke and other the effectiveness of the WaveCrest Left complications. Atrial Appendage Occlusion (LAAO) – The Northwell Orthopaedic Institute System in closing off a small sack of tissue begins offering total hip replacement on the muscle wall — called the left atrial surgery on an outpatient basis at appendage — where most stroke-causing North Shore University Hospital’s blood clots form. Patients treated with Schwartz Ambulatory Surgery Center. the WaveCrest device are not required Until recently, most patients needed to continue taking anticoagulants or to have this complex procedure blood thinners after the procedure, a key performed in a hospital, but the national benefit to people who cannot tolerate trend has pushed this orthopedic these medications. appointments at Long Island Jewish (LIJ) surgery to ambulatory settings. The – Northwell deploys a remote video Medical Center or Southside Hospital. Schwartz Center offers patients a interpreting service through app-enabled The text- or email-based program is safe, highly advanced surgery and iPads to its fleet of ambulances to help designed to reduce the “no-show” rate optimal pain management before and first responders communicate in real for the procedure, which can protect after the procedure. time with non-English speakers, the people from colorectal cancer, the – Northern Westchester Hospital opens deaf and hard of hearing. The Center nation’s second-leading cancer killer a new Chesed 24/7 Kosher Hospitality for Emergency Medical Services (CEMS), among men and women combined. Room, which is open around the clock in collaboration with California-based Northwell’s Colonoscopy Health Chat and offers kosher food and respite for LanguageLine Solutions, uses artificial intelligence to address those of the Orthodox Jewish faith is the first ambulance service in New York misunderstandings and concerns about who are visiting a loved one. Northern State to use the technology. the exam, delivering information in a Westchester is the 21st hospital to enter – Northwell unveils the Pathways to responsive, conversational way over a partnership with Chesed 24/7, which Recovery program to more effectively email or text. Different “chats” educate has Kosher Hospitality rooms at Columbia treat individuals with opioid use disorder. patients on the benefits of the test and Medical Center, Mount Sinai, Memorial Featured in emergency departments what to expect before, during and after Sloan Kettering, Hospital for Special (ED), clinicians can go beyond reviving, the procedure. The program also provides Surgery and Lenox Hill Hospital. stabilizing and discharging people date and location reminders as a patient’s – Lenox Hill Hospital establishes a new who come in because of an overdose, appointment draws near. The chats are amenity program to ensure each patient allowing them to provide a set of critical available in English and Spanish. feels pampered throughout their hospital interventions that can put patients – Long Island Jewish Forest Hills unveils a stay. Nearly 30,000 patients are expected on the road to recovery from opioid meditation room and interfaith chapel, to benefit from the program each use disorder. Providing services in EDs an $80,000, 12-seat room that includes year. Enhancements range from luxury to those struggling with substance a sink to accommodate the role water amenity kits packed with coveted brands use disorder is the latest initiative in plays in many faith-based practices, and to upgraded room service and meal Northwell’s robust campaign to address a plaque along a paneled wall with the options by a Michelin star executive chef. the opioid epidemic. words “facing east” in English and Braille With patient experience a top priority, – A neurosurgeon at North Shore for those of the Muslim faith. Located just Lenox Hill partners with Naturally Serious, University Hospital was the first in New a few feet from the lobby elevator bank, the cleanly and ethically developed York to perform deep brain stimulation the room is open around the clock and skincare line headlining the amenity kit (DBS) to treat refractory epilepsy since accessible to staff by scanning a hospital- with bath and body products developed FDA approval of the minimally invasive issued ID badge. Visitors and patients exclusively for this program. The kit procedure. The two-part DBS procedure may gain access by asking a member of will also include other essentials, such targets the anterior nucleus of the the hospital’s security team for entry. as a tube of Colgate toothpaste and thalamus (ANT), placing tiny stimulation – Staten Island University Hospital (SIUH) toothbrush, mouthwash and an eye electrodes into deep areas of the brain. is the nation’s first cardiac center to use mask. Medtronic’s Activa PC neurostimulator the next generation of cryoballoon from – Southside Hospital is the only medical — a dual-channel device capable of Medtronic, called the Artic Front Advance center on Long Island selected to delivering bilateral stimulation with a Pro, which uses cold energy to treat

50 Northwell Health | 2019 Annual Report single device — is later implanted during a follow-up procedure. – Northwell implements a social determinants of health screening tool that will help newly discharged hospital patients get the support they 865,260 need to recover successfully and avoid readmission. The tool includes a 15-item emergency visits and questionnaire that provides care teams with information about social factors that may be preventing or making it admissions harder for patients to get healthy. A social determinants such as a lack of program. The average length of stay is 7 patient who screens positive for one or access to transportation as well as food to 10 days. more social determinants is connected to and housing insecurity. During the initial – Lenox Hill Hospital is the first in the tri- resources that can address those needs, phase of implementation, Northwell is state area to implant the only artificial helping to improve health outcomes. targeting readmissions and avoidable cervical disc available in the US designed – Northwell forms an alliance with admissions within its managed care to restore motion to the spinal column by software platform NowPow to empower population. mimicking the spine’s natural structure patients to get help in overcoming social – Approximately 8,600 employees and movement. Approved by the FDA in determinants that make it difficult participate in a web-based health literacy February 2019, the M6-C disc was created for them to get or stay healthy. To module that provides the fundamental as an innovative option for patients launch the alliance, Northwell provides skills and resources to enhance the requiring artificial disc replacement as an NowPow’s services to approximately patient experience, strengthen effective alternative to spinal fusion. 1,200 Medicaid patients who are part patient-provider communication and – The Sandra Atlas Bass Heart Hospital of Northwell’s Health Home, a care promote patient-centered care. The becomes the first hospital in Nassau coordination program that provides module reviews the impact of low health- County to perform a transcatheter aortic supportive services for people with literacy skills on patient outcomes and valve replacement (TAVR) on a low-risk significant behavioral health needs. the importance of using plain language surgical patient. TAVR procedures replace Drawing on diagnostic codes in health in both oral and written communication, narrowed aortic valves that fail to open records, NowPow identifies patients’ and offers suggestions on how to properly, interfering with blood flow most urgent, non-medical needs (such improve communication with patients by from the heart and forcing it to work as mold-remediation for those with incorporating the “teach-back” method harder to supply blood to the rest of the asthma or lack of access to healthy as well as other helpful resources. body. Traditionally, TAVR has been offered food for those with diabetes), and use – Northwell partners with the Nassau to patients considered to be at higher risk matching logic and evidence-based County District Attorney, Nassau for traditional open heart surgery. The proprietary algorithms to recommend University Medical Center (NUMC) and Heart Hospital’s milestone surgery comes community organizations that can help. Maryhaven’s New Hope Crisis Center to after the FDA approved it in August In coordinating assistance, NowPow also further close the deadly treatment gap 2019 for a larger population of patients, takes into account patients’ geographic by providing overdose patients with including those who tend to be younger location, their eligibility for services, immediate transportation and admission and more active, to undergo languages spoken and other factors. into residential treatment from the the procedure. NowPow’s community resource team emergency department. As part of the – A neurosurgeon at Staten Island validates community organizations agreement, the New Hope Stabilization/ University Hospital performs the first before including them in the directory. Crisis Center is on call to respond directly Wada Test in New York City. Wada testing – To help drive down patient readmissions to the hospital emergency department is commonly performed as a pre-surgical and enhance care, Northwell integrates at LIJ Medical Center and NUMC to work procedure for patients being evaluated predictive artificial intelligence (AI) with hospital staff to counsel patients for epilepsy, tumors or abnormal vascular software from Jvion’s Cognitive Machine and immediately transport them to New concerns to determine whether brain into the health system’s electronic Hope to begin treatment. New Hope staff surgery may be performed without medical records (EMR) at 15 hospitals. assists the patient with any necessary affecting language and memory skills. Georgia-based Jvion and its AI solution insurance, Medicare or Medicaid – LIJ Medical Center, NSUH, Maimonides is used to identify at-risk patients and paperwork, and they remain at New Medical Center, and Lenox Hill, Staten other metrics that contribute to an Hope until there is availability in the next Island University and Southside hospitals individual’s increased risk. This includes are among 11 hospitals to be chosen

Northwell Health | 2019 Annual Report 51 signals. Intracept takes approximately 60-90 minutes and does not involve an implant or change the structure of the spine. Intracept is indicated for patients who have experienced chronic low-back pain for at least six months and have not responded to at least six months of conservative care. – The Caregivers Center at Peconic Bay Medical Center, the first hospital-based program on Long Island, is modeled after the pioneering Ken Hamilton Caregiver Center at Northern Westchester Hospital. PBMC’s serves as hub for caregivers, providing them with a comforting and by the New York State Department of women manage the symptoms of breast relaxing atmosphere. The center is Health’s Wadsworth Center to recruit cancer and the side effects of treatment. overseen by a licensed social worker, has families to screen 100,000 babies for – Peconic Bay Medical Center adds four 13 caregiver coaches and has served more Duchenne muscular dystrophy (DMD). new members to its women’s health than 1,000 caregivers with more than The initiative is a pilot program launched team — an obstetrician/gynecologist, 2,000 team interactions. in partnership with Parent Project two midwives and a women’s health – Northwell collaborates with Sharsheret, Muscular Dystrophy, which is providing nurse practitioner. the only national nonprofit organization $2.5 million in funding. – As part of New York Governor Andrew dedicated to addressing the needs – NSUH launches a comprehensive Cuomo’s ReCharge NY initiative, of women and families of all Jewish inpatient chronic pain consultation Northwell installs 24 dual port electric backgrounds facing breast cancer and service to ensure that patients with vehicle charging stations at five of its ovarian cancer. The initiative provides complex pain conditions are provided facilities. The health system is a longtime a wealth of resources for New York the highest quality of care. The ReCharge NY customer, with 25 facilities State’s largest health system, its breast multidisciplinary team of specialists receiving low-cost power allocations and ovarian cancer patients, as well is specifically trained to diagnose and that support the creation or retention of as leverage Sharsheret’s expertise in manage chronic pain patients who more than 46,000 jobs and $1.4 billion psychosocial support. Sharsheret offers undergo surgical procedures or have in capital investment commitments. free “best face forward” kits (makeup kits chronic pain caused by underlying More than 31,000 of those jobs and $1 addressing the side effects of treatment), medical conditions such as cancer, billion in capital investments are tied to “busy boxes” (resources and personalized musculoskeletal and neurological commitments from Northwell facilities boxes of toys and games for parents disorders. NSUH’s chronic pain on Long Island. facing breast or ovarian cancer while consultation service will also work – Lenox Hill and Mather hospitals are the raising young children), “Thriving Again” collaboratively with Northwell Health’s first in New York City and Long Island, survivorship kits and newly diagnosed Patient & Family Centered Care team, respectively, to offer the Intracept resource packets to Northwell’s breast which offers many complementary procedure, a minimally invasive, and ovarian cancer patients. therapies, including Reiki therapy, outpatient surgery that provides relief – Northwell Health Labs uses a mobile aromatherapy, pet therapy, meditation for debilitating, chronic low-back pain. phlebotomy van at close proximity to and guided imagery. Clinically proven to offer pain relief as physician offices that do not have a – Northwell’s Center for Wellness and opposed to the more invasive spinal phlebotomist onsite. Integrative Medicine establishes The fusion, Intracept targets a nerve located – STARS hosts patient engagement, Healthy Living program, a new initiative in the bones of the spine, or vertebrae. appreciation and fun-themed weeks specifically created for women living During the procedure, the physician throughout the year to help build staff with breast cancer who are cared for advances a specialized probe into the and patient morale. by Northwell doctors. The seven-week vertebrae and uses radiofrequency integrative program is designed to help energy (heat) to disable the nerve, rendering it unable to transmit pain

52 Northwell Health | 2019 Annual Report Market growth

– Northwell Health Labs opens two Manhattan Eye, Ear and Throat Hospital gastroenterology and hepatology, new facilities: a $47.7 million, (MEETH). The $25 million, 11,421-square- gynecology and urogynecology, allergy, 36,000-square-foot, centralized lab foot facility includes a 900-square-foot asthma and immunology, and podiatry. in Little Neck, Queens, and a $59.6 assisted reproductive technology (ART) The addition of Concorde further expands million, 101,000-square-foot Core Lab laboratory that provides patients with Northwell’s presence in Manhattan, at the Center for Advanced Medicine. in-vitro fertilization (IVF), egg and which already includes about 90 Both projects are part of the Clinical tissue freezing, and embryo banking outpatient facilities, as well as Lenox Hill Laboratory of New York (CLNY) Alliance capabilities. The laboratory contains Hospital, Manhattan Eye, Ear and Throat formed in 2014 by Northwell and NYC two video-recording “embryoscopes” Hospital and Lenox Health Greenwich Health + Hospitals. The Little Neck that sequentially capture images of Village. facility is a LEED Silver-certified infectious the developing embryo over days. The – Northwell opens a $7 million, disease testing center that performs facility also houses a sperm collection 8,500-square-foot ambulatory care microbiology tests, including molecular and andrology processing suite, as well center in Glen Oaks, Queens. Northwell diagnostics, from local hospitals, clinics as a five-bed recovery unit designed Health Medicine Specialties is located and physician offices. The new shared, for the highest level of patient safety less than a mile from LIJ Medical centralized lab is the nation’s largest and comfort. On a separate floor is a Center and houses the hospital’s nonprofit, hospital-operated lab and 4,400-square-foot, dedicated clinical area primary care clinical services, as well houses approximately 175 employees. where patients are seen and evaluated. as a comprehensive range of medical It features the latest state-of-the-art The office features four physician services: internal medicine, dermatology, robotic equipment — and is the largest offices, exam spaces, five ultrasound nephrology, gastroenterology, Kiestra Micro-automated line in the US rooms, private phlebotomy stations, endocrinology, rheumatology and and one of the biggest in the world. The administrative offices, and patient sickle cell disease. The practice is what’s new Core Lab accommodates laboratory counseling and surgical scheduling known as a Patient Centered Medical medicine, anatomic pathology and lab spaces. For patient convenience, the Home (PCMH), a National Committee administration. The facility houses the facility includes a dedicated, street-level for Quality Assurance designation that largest Roche-automated line of its kind entrance adjacent to MEETH’s recognizes primary care practices with a in North America and one of the largest main entrance on East 64th Street. team-based health care delivery model to in the world. With a 5,000-tubes-per- – The Concorde Medical Group, a provide comprehensive care to patients, hour capacity that can process 55 million multispecialty physician practice in with a focus on continuous quality tests each year, the Roche system almost Manhattan, joins Northwell Health. improvement for health outcomes. quadruples the Core Lab’s previous The medical group has more than 75 – Northwell Health Physician Partners testing volume at its previous home at 10 staff members, including 23 physicians, (NHPP) opens two practices in southern Nevada Drive in Lake Success. across seven locations in Manhattan, Nassau County. The first — a $4.45 – Northwell Health Fertility opens its with clinical expertise in internal million, multispecialty practice in new Reproductive, Endocrinology medicine, arthritis and rheumatic Bellmore — is a 16,640-square-foot and Infertility (REI) Center within the diseases, cardiology, dermatology, facility that includes primary care, rheumatology, pulmonology and neurology services, and will be adding gastroenterology in 2020. NHPP also Inpatients treated, excluding nursery opened a $4.5 million, 11,090 square- foot facility in Merrick that includes cardiology and numerous Department of Medicine specialties, including primary 2017 287,214 care, endocrinology and sessional endocrine surgery. The facilities are two 2018 301,608 of nearly 800 outpatient facilities that 2019 303,729 Northwell operates throughout the metropolitan area.

(2018 and 2019 include Mather Hospital)

Northwell Health | 2019 Annual Report 53 – Huntington Hospital’s midwifery team begins offering services at Northwell Health Obstetrics and Gynecology in Smithtown. Patients can take advantage of these services each Friday at the practice located at 222 Middle Country Road, or on Thursdays in Commack at 777 Larkfield Road. – Northwell Heath Labs on-boards 64 additional ambulatory care sites — a growth rate of 21 percent from 2018. – Northwell Health Labs adds several new test systems: Syphilis Health Check, a rapid treponemal antibody test; CLOtest, which detects the presence of Helicobacter pylori in gastric biopsies; a 12-panel urine drug screen; Discover Multi-Panel Drug Test Cup; and two additional rapid HIV antibody tests. – Northwell fields advanced health care practitioners at two clinics on Fire Island – Northwell signs a clinical affiliation with precise identification in situations like during the summer. The Fire Island CareMount Medical, a physician-owned, abduction, lost baby or natural disaster. Immediate Care Centers are located in multispecialty medical practice with – Ultraviolent (UV) technology developed the villages of Cherry Grove and Ocean 45 locations throughout the Hudson by PurpleSun is introduced at Northern Beach, and offer visitors and locals Valley and Manhattan. The agreement Westchester and Staten Island University an option for fast treatment of minor seeks to enhance and expand services hospitals to disinfect operating rooms injuries or to coordinate a higher level of in the region. CareMount is the largest (ORs). The UV technology has been shown care if needed. Various health lectures are independent medical group in New to reduce the risk of hospital-acquired held at these locations throughout the York State, with over 600 physicians and infections, eliminating up to 97.7 summer and a women’s cancer support advanced practice providers in more than percent of pathogens in ORs in seconds. group was organized at the Cherry Grove 40 specialties. In addition, CareMount Northwell Holdings and Ventures is location. In addition, HIV and Hepatitis C owns and operates urgent care centers, investing in PurpleSun. testing was made available at the clinical laboratories and radiology – Building upon its existing health and Cherry Grove clinic. services, as well as endoscopy suites and wellness initiatives, Northwell Health – Orlin & Cohen Orthopedic Group infusion suites. CareMount has had a signs a strategic alliance with Canyon purchases Long Island Bone & Joint long-standing relationship with Northern Ranch, the premiere integrative wellness LLP, an independent practice offering Westchester Hospital with many brand. Aligned in a common goal of state-of-the-art, top-quality care with CareMount physicians serving in clinical enhancing the lives and wellbeing of their offices in Port Jefferson, Riverhead and leadership roles there. clients, both mission-based organizations Southampton. Long Island Bone & Joint – The Sandra Atlas Bass Heart Hospital embark on this collaborative partnership specializes in advanced foot and ankle at NSUH opens the first lipid center on to expand the reach of wellness, ensuring reconstruction, new bone retaining Long Island, which is focused on cardiac opportunities for individuals to live hip replacements, hip arthroscopy and disease prevention and cholesterol younger longer. computer assisted knee reconstructions, management. Lipids are fatty substances in the blood that can lead to blockages in heart arteries. Located at 1010 Northern Boulevard in Great Neck, the center is led more than by two distinguished cardiologists who are experts in identifying cardiovascular risk and managing cholesterol disorders. – The Katz Women’s Hospital at North Shore University Hospital (NSUH) is the first hospital on Long Island to use 1 million CertaScan Technologies to capture high- resolution newborn footprints used for home health visits

54 Northwell Health | 2019 Annual Report shoulder care from arthroscopic sports injuries to reverse total shoulder replacements, and a full range of spine surgery. – The Orlin & Cohen Orthopedic Group acquires Max Effort Sports Physical 221,580 Therapy as a key step in expanding its Suffolk County Sports Medicine program. ambulatory surgeries – Northwell enters a joint collaboration with the Integrated Oncology Network, – The Orlin & Cohen Orthopedic Group disease and collaboration with specialty LLC (ION) to operate a radiation oncology enters a partnership with Long Island care. Beginning in 2020, Northwell is center in Forest Hills — the health University (LIU) to become an building upon ACPNY’s current suite system’s first radiation therapy center in official partner and orthopedic group of of services by offering gynecology, Queens. The Queens Radiation Center is LIU athletics, which includes 460 athletes urogynecology, gynecologic oncology, staffed by Northwell-affiliated doctors participating in 17 NCAA Division I gynecologic surgery, obstetrics, maternal- and incorporates the health system’s teams. The group will provide orthopedic fetal medicine, fertility and labor and extensive clinical protocols, providing sideline, game and event medical delivery services to ACPNY patients. residents of central Queens with the coverage across the Brookville Campus, Northwell physicians, physician assistants latest radiation therapy services. The as well as player physicals and overall and midwives assigned to ACPNY will 3,000-square-foot facility is equipped player health. be based in Manhattan, Staten Island with an external-beam linear accelerator – Northwell signs a clinical affiliation with and Suffolk County, with most of the that treats about 75-80 percent of AdvantageCare Physicians (ACPNY), inpatient care delivered at Lenox Hill cancers, including breast, lung, prostate, one of New York’s largest primary and Hospital, Staten Island University brain, and head and neck. specialty care practices. The agreement Hospital and Southside Hospital. – Northwell selects StrawberryFrog to that creates a new model for women’s handle its branding, marketing and health in the New York area. Under the advertising account. The New York-based agreement, ACPNY’s focus on primary movement marketing, advertising and care and care coordination are being transformation company was chosen integrated with Northwell’s facilities and following a thorough review and vetting technology, bringing patients a holistic process conducted by Northwell with approach to women’s health designed assistance from Accenture consultants. specially to care for them in every life – Northwell Health Labs opens a Patient stage. ACPNY’s unique care model offers Service Center in Long Beach, NY, the everything from wellness and preventive only lab testing facility of its kind in the care to management of chronic community. The 800-square-foot office, located at 303 East Park Avenue, will handle the collection process for a variety diagnostic medical testing, including blood draws and urinalysis. The office will be staffed by two phlebotomists. – Eleven patient service centers are rebranded as Northwell Health Labs, including 10 on Staten Island and one in Brooklyn.

Northwell Health | 2019 Annual Report 55 Community benefit

– Northwell Health contributes $1.4 billion bound students. Ten years following the program helps school nurses stay up to in charity care and community benefit inception of the school’s highly successful date on changes in the rapidly evolving (12.3 percent of operating expenses) Medical Scholars Pipeline Program for field of health care, empowering them by participating in more than 13,000 high school students, the newly launched to more effectively care for students in community health programs and training program focuses on helping college their charge. The new program meets a 32,000 health professionals. freshmen prepare for medical school or demonstrated need. Unlike a number of – As Northwell continues to serve active other careers as medical professionals. other states, New York does not require military, veterans and their families, – Northwell expands the annual SPARK! nurses to participate in continuing the health system extends its outreach Challenge to 82 sites and nearly 1,100 education to maintain their licenses; efforts by hosting thousands during students from 47 school districts across additionally, there are limited resources Side by Side: a Celebration of Service at metro New York. The event is a yearlong available to school nurses who are Rockefeller Center. The two-part event career initiative providing high school interested in ongoing clinical education during Fleet Week, features musical students the opportunity to learn about and skills practice as well as professional performances, military exhibits, and careers requiring science, technology, development. inspirational talks from veterans and engineering and math (STEM) skills. The – Northwell partners with NYC Pride to their families who have benefited program was created by Northwell’s serve as a principal sponsor of events from Northwell’s clinical services and Workforce Readiness team within tied to WorldPride 2019 and celebrate employee engagement. Human Resources. the 50th anniversary of the Stonewall – Eight rising college sophomores from – Seeking to improve the health of uprising. With the sponsorship and the close to home and beyond continue their children in its communities, Northwell guidance and volunteerism of the health quest for science and medical knowledge launches the School Nurse Professional system’s EXPRESSIONS BERG, Northwell as the first graduating class of the Development Program, which provides hosts, participates in and sponsors Pride Donald and Barbara Zucker School of education and clinical skills training for parades, festivals, street fairs and other Medicine Pipeline Program for college- these health care professionals. The events in Westchester, Manhattan,

56 Northwell Health | 2019 Annual Report medical residents and fellows from three programs. Various professions are represented, including medical students, law students, pharmacy students, psychology students and staffers who are practitioners at various levels of 5.5 million+ Northwell and the Hofstra University Law School. – Staten Island University Hospital, Peconic patient encounters annually Bay Medical Center and Long Island Jewish Medical Center partner with the Queens, Long Island and Fire Island New York State Department of Health throughout June in honor of LGBTQIA+ Cancer Services Program to provide Pride Month, culminating in the NYC breast, cervical and colorectal cancer Pride March and PrideFest. The efforts screenings and diagnostic services at amplify the health system’s commitment no charge to uninsured or underinsured to providing LGBTQIA+ services and women and men. Bilingual outreach and employment opportunities. education is also performed. LIJ’s Cancer – Northwell partners with the American Community Connection Program works College of Surgeons to support the to remove barriers to screening and Stop the Bleed program, which trains, treating African American and Hispanic equips and empowers bystanders to stop women in Queens and Nassau County active, life-threatening bleeding prior through the Susan G. Komen Foundation. to emergency medical services arrival. – Northwell launches an interactive Bleeding control training programs prescription drug safety course for are offered free of charge throughout students in grades nine through 12 in Northwell communities. Suffolk County. The course, Prescription – Southside Hospital donates three Drug Safety, is made available at no bleeding control stations to Long Island cost through Northwell’s collaboration MacArthur Airport in Ronkonkoma with social-impact technology innovator for emergency use. Bleeding control EVERFI, Inc. Prescription Drug Safety is stations contain gauze and tourniquets designed to provide high school students that can be applied to an open wound to with the knowledge and tools to make stop bleeding before emergency medical healthy, informed decisions when it services personnel arrive. The bleeding comes to prescription medications. control kits or “Stop the Bleed” tools are According to the US Centers for Disease stored in wall stations, similar to the Control & Prevention, one in five high way public-access Automated External school seniors report having misused Defibrillators are stored. prescription drugs at least once. – In conjunction with the Hofstra – Northwell Health Labs participates in Northwell Medical Legal Partnership, 14 career awareness and STEM events the health system’s Office of Academic that touch more than 5,000 students Affairs sponsors Northwell’s first spanning grades kindergarten through Community Action Poverty Simulation 12. Activities include onsite lab tours experience. Developed by the Missouri and hands-on activities in the Labs’ new Community Action Network, the poverty state-of-the-art facilities. simulation experience is an interactive, – As part of its sponsorship of the 2019 inter-professional, scholarship activity PGA Championship at Bethpage State that promotes awareness, increases Park, Northwell’s sports medicine understanding, and inspires change specialists partner with the health in how learners and practitioners system’s emergency medicine physicians can best serve our communities. The and EMS workers to provide medical simulation involves learners across coverage for all attendees, including multiple disciplines, including graduate

Northwell Health | 2019 Annual Report 57 golfers, their support teams and – Northwell sponsors the American programs and activities on the part spectators. Heart Association’s (AHA) Go Red for of persons who have limited English – For the eighth consecutive year, Women celebration. Northwell and the proficiency. More than 175 different Northwell offers an evidence-based AHA collaborate to empower women languages are spoken in Northwell’s program called “Stepping On” that to take charge of their heart health by service area. As one of the most diverse empowers independent, older adults to knowing their risk for heart disease and regions in the country, Northwell Health develop specific knowledge and skills to taking action to reduce their personal made more than 400,000 telephonic prevent falls. Among older adults, falls risk. In addition, the Katz Institute for interpretation calls. are the number one cause of fractures, Women’s Health is a founding member – More than 2,000 cancer survivors and hospital admissions for trauma, loss of the National Hospital Alliance of their loved ones gather to celebrate the of independence and injury deaths. To WomenHeart. The National Coalition 14th annual Don Monti Cancer Survivors’ date, more than 1,200 older adults have for Women with Heart Disease is the Day, held outside the Northwell Health participated in 86 Northwell programs, nation’s only patient organization Cancer Institute’s headquarters in and the Katz Institute for Women’s supporting women living with or at risk Lake Success. The day of celebration, Health has partnered with 37 community for heart disease. made possible through the generosity organizations, including libraries, senior – Nearly 10,000 hours of training of the Don Monti Memorial Research centers, naturally occurring retirement are delivered to more than 11,900 Foundation, featured keynote speaker communities (NORCs), houses of worship, individuals in over 3,730 programs Nancy Borowick, an award-winning YMCAs, ambulance services and adult through Northwell’s designation as an photojournalist who chronicled her living communities. Classes are highly American Heart Association Training family’s cancer journey in the book, The participative, where mutual support Center. The initiative provides basic life Family Imprint — A Daughter’s Portrait and success build the participants’ support, pediatric advanced life support of Love and Loss. Another featured confidence in their ability to manage their and advanced cardiac life support. speaker, Frank Danza, a finance executive health behaviors, helping them reduce – Northwell’s Center for Equity of Care at Northwell, spoke of his spiritual the risk of falls and maintain active, develops a Language Access Plan to and personal journey in dealing with fulfilling lives. define the actions to be taken to ensure both kidney and brain cancer, which is meaningful access to health care services,

58 Northwell Health | 2019 Annual Report chronicled in his book, Now I Know I Am Not Alone. – For the seventh straight year, Northwell hosts the Les Nelkin Pediatric Cancer $1.4 Survivors Day. The event celebrates life for the more than 700 patients in Cohen Children’s Medical Center’s “Survivors Facing Forward” clinic, as well as all billion patients that have completed cancer treatment. in charity care and – Nearly 500 school nurses are trained through the health system’s Screening, Brief Intervention, and Referral to community benefit Treatment (SBIRT) program. The programmed, called “Recovery, Resilience – Northwell dentists, hygienists and other better manage their nutrition-related and Hope: Addressing the Opioid medical professionals participate in the conditions. Food as Health provides Epidemic,” is a collaboration involving Nassau Dental Society’s 16th annual nutrition counseling, healthy food and Cohen’s Children Medical Center, Zucker Give Kids a Smile Day, which hosts a community connections to food insecure Hillside and South Oaks Hospitals. The record 1,200 underserved and special- patients with nutrition-related diagnoses. program is broken into three parts: needs children who receive free dental A collaboration between Northwell and Understanding the problem – prevalence screenings and oral hygiene instruction. a numerous local community-based and stigma; Building resiliency, More than five million children have been and food service organizations, Food as identifying warning signs, talking to served nationwide — including about Health is free for eligible patients, who students and the landscape of addiction 16,000 locally — since the event began in can visit up to three times for food and treatment; and Opioid overdose 2003 as part of National Children’s Dental nutrition counseling. The program also prevention, recognition, response and Health Month. offers connections to medically tailored naloxone rescue. – The Katz Institute for Women’s Health meal and home delivery food programs – As the lead organization for New York partners with Woman’s Day magazine for patients with limited mobility. The State, Nassau and Queens Safe Kids for its sixth Annual Live Longer and program is currently offered at LIJ Valley Coalitions, the Katz Institute for Women’s Stronger Challenge, which follows five Stream Hospital, with plans to expand to Health offers 32 pediatric safety/injury women from across the country over the three additional Northwell hospitals in prevention programs to more than 3,253 course of eight months to transform their 2020. primary grade students within Nassau eating and exercise habits. With guidance – In less than two years, Northwell’s From and Queens counties. from medical experts from Northwell, the Community, For the Community – For the second year, Northwell’s Office of these women turn their health around, program trains five cohorts totaling Academic Affairs offers the ENgaging in losing nearly 150 pounds collectively 52 graduates, 47 of whom are placed Health Advocacy through Neighborhood and lowering their blood pressure and in jobs immediately after graduation. Collaboratives and Education (ENHANCE) cholesterol. From the Community, For the Track, a joint two-year track for medical – The Northwell Health Cancer Institute Community is a health care workforce residents in family medicine, internal serves as the presenting sponsor for five development program that recruits and medicine and pediatrics interested in Lustgarten Pancreatic Cancer Research trains underemployed or unemployed learning how to improve the health of Walks in the New York metropolitan individuals from communities with a underserved populations. The track area. The walks increase awareness of high prevalence of health disparities allows residents to partner with a the disease and promote early detection, and connects them with entry-level community-based organization (The treatment advances and innovative health care and social service positions Interfaith Nutrition Network or The Child research. More than 56,000 people will like community health worker. These Center of New York) for a longitudinal, be diagnosed with the disease this year positions provide opportunities for career community-based, participatory research nationally and almost 46,000 will people advancement and offer low-income (CPBR) project. The track builds the skills will die from it. families a pathway toward long-term of trainees in population health, social – More than 70 percent of Food as economic dignity and security while determinants of health, research and Health participants report increased addressing the social determinants of community engagement, preparing them food security on follow-up visits to the those living in the community. for leadership roles in primary care. program. Thanks to the program, 100 – Northwell organizes and participates percent of them report that they can in a variety of breast cancer awareness

Northwell Health | 2019 Annual Report 59 consists of South Oaks administrators, physicians, nurses and social workers. – Northwell neurologists are among a team of physicians to perform 12 surgeries in children ages 4-15 during a five-day Panama Epilepsy Surgery Mission at the Hospital de Ninos de Panama. The medical mission seeks to treat children with intractable epilepsy who otherwise never would have the possibility of receiving surgery. – Northern Westchester Hospital launches a food rescue operation to benefit the Community Center of Northern Westchester (CCNW), a hub of emergency resources that serves area residents, efforts, including the first “Pink by the communities throughout the borough one in five of whom suffers from food Bay” program, a month-long effort on how they can respond to the opioid insecurity. To start, Northern Westchester that promotes breast cancer awareness epidemic. Forty-eight naloxone kits are provides approximately 60 meals a while benefiting local breast cancer distributed and participants learn how to week to CCNW’s food pantry, picked up coalitions. Pink by the Bay encourages administer the overdose-reversing drug. by volunteers four days a week. CCNW businesses on Main Street from East Islip – To alleviate the pain and suffering serves almost 2,000 families in more than through Babylon to light and decorate of India’s poorest residents, a team 38 Northern Westchester communities, their storefronts pink, as well as offer comprised of 11 Northwell physicians, two-thirds from Mt. Kisco and Ossining. customers educational literature about one university professor and two public – Staff at Cohen Children’s Medical Center breast cancer prevention and detection. health students participate in a medical present more than 1,000 pounds of food This program is organized by Northwell mission to the Shanti Bhavan school, for pick-up to representatives of Island Health’s Imbert Cancer Center, Southside chronicled in the Netflix series Daughters Harvest. The partnership with Island Hospital and Northwell Imaging at Great of Destiny. The mission, organized by Harvest is the hospital’s latest approach South Bay. Northwell’s Center for Global Health, to its Kohl’s Keeping Kids Healthy – In partnership with the health system’s includes representatives from Long Island Program that works to reduce childhood Workforce Readiness program, Northwell Jewish Medical Center and Staten Island obesity risk factors by addressing the Health Labs hosts three University, Southside and Zucker Hillside connection between food insecurity and onsite events — one targeted at high hospitals. childhood obesity. school seniors and college freshman, – The Northwell Health Cancer Institute – NSUH volunteers harvest vegetables and the other with Farmingdale State sponsors the distribution of more than help clean up a farm run by the nonprofit College, which includes onsite lab tours 150 free sunscreen dispensers across Island Harvest Food Bank. The Island and presentations to stimulate career the five boroughs and throughout Long Harvest Food Bank farm offers nutritious interest in the clinical laboratory science Island. There are 75 dispensers with options for its network of approximately profession. SPF 30 sunscreen available at all New 400 Long Island-based food pantries, – Working with Hempstead Town York City aquatic centers; 51 at beaches soup kitchens and other nonprofit Supervisor Laura Gillen, Northwell throughout the five boroughs, including organizations that offer feeding services unveils deposit boxes for the safe Rockaway Beach, Coney Island, Staten for people struggling with hunger and disposal of needles and syringes in Island, Orchard Beach and Manhattan food insecurity across Nassau and Suffolk Hempstead Town Hall. Hempstead Town Beach; one at Central Park; and 40 in counties. employees had reported finding and various parks and recreational centers – As part of the Fourth Annual GME handling multiple discarded needles and across Long Island, including three at Educational Retreat in October, syringes. In response, the 30 boxes in Jones Beach State Park and two at Robert Northwell’s Office of Academic Affairs total will be installed inside. Moses State Park. and Graduate Medical Education – Northwell and Long Island Jewish – South Oaks Hospital employees join Committee aligns a social justice activity Forest Hills work with the Beth Gavriel Habitat for Humanity to build a new with consultation with the N-ABLE Berg, Bukharian Congregation as part of an home for a single mother of two teenage including a spoken word presentation ongoing series offered by the hospital’s boys in Central Islip. The South Oaks team from an employee with behavioral/ emergency department to educate mental health disability. In addition, the

60 Northwell Health | 2019 Annual Report event collects approximately 1,000 fidget gadgets to donate to two organizations More than that support neuro-diverse adults. – For the second straight year, Northwell sponsors the Achiezer Jewish Health Conference and Expo, which was established in 2008 at the behest of local rabbinic and community leaders 5,000 to create one master organization that would completely remove the burden of volunteers crisis management from the shoulders of shocked and distressed victims. As In addition, the GreenBERG increases system initiatives in the areas of women’s part of the sponsorship, Northwell hosts the user rate in the 511 NY RideShare health, including new programs and a wellness pavilion, offering valuable program by 139 percent and partners services, education, research and other information on Northwell resources and with Northwell Human Resources to set innovative endeavors. programs. aside designated parking spaces at the – Center for AIDS Research and Treatment – To increase cancer prevention and health system’s Center for Advanced receives a state grant to provide HIV, early detection education, Northwell Medicine in Lake Success. The Expressions STI and Hepatitis C prevention and participates with the American Cancer BERG partners with Northwell’s Center related services for women and young Society in five “Making Strides Against for Transgender Care to recruit more than women within communities of color. The Breast Cancer” walks and 15 “Relay for 50 members as site champions to provide program seeks to reduce new infections Life” events across Long Island, Staten education to front-line employees at of HIV and sexually transmitted diseases, Island, Manhattan and Westchester. more than 500 ambulatory facilities. The decrease risky behaviors among women – Northwell’s Center for Tobacco Control newest BERG, Women in Healthcare, living with HIV or at-risk for HIV, and in Great Neck and Southside Hospital welcomes a dynamic consultant from facilitate the delivery of preventive provide tobacco cessation programs to the Boston Consulting Group to share health care services, partner services and nearly 700 participants who were treated research around the importance of treatment. The grant also allows for the for dependence in group programs or implementing women’s initiatives center to host events that create a safe individual sessions. Phone or telehealth across organizations. space for women of color to empower services are also available. Northwell also – Twelve grants totaling $170,000 themselves to take control of their educates about 5,000 employees about are issued during the Katz Institute sexual health. the benefits of quitting and the available for Women’s Health’s fifth annual – The Center for AIDS Research and services. More than 4,000 health care Innovation Grants Program, which Treatment also forms partnerships to providers and students are also educated. provides seed funding to support health provide free and confidential HIV testing – Northwell’s Center for Equity of Care increases membership in business employee resource groups (BERGs) by more than 50 percent. BERGs enhance engagement, spark innovation, contribute to the attraction, development and retention of a diverse talent pipeline and promote an inclusive culture to deliver culturally sensitive patient care. The Bridges BERG partners with talent acquisition specialists within Northwell Human Resources to host a LinkedIn Professional Branding Workshop. The VALOR BERG also establishes a partnership with talent acquisition to increase opportunities for attracting, recruiting and developing candidates from military backgrounds. The N-Able BERG launches a Disability Etiquette training series that reaches more than 50 team members within the first month.

Northwell Health | 2019 Annual Report 61 provide pre-game stretching for NY Lizards players and dancers, as well as market and promote sports medicine services in the NY Lizards fan zone area. – For the 20th year, Northwell serves as a health partner for Aging in Place Programs in the region. Northwell Health at Home provides services to older adults in collaboration with the Town of North Hempstead and the Mid-Island Y JCC in Plainview. Registered nurses provide health and wellness services, including and Hepatitis C screenings at a variety HIV-prevention. By partnering with local falls prevention campaigns, blood of locations, such as substance use community-based organizations, the pressure screenings at senior centers and treatment centers, soup kitchens, Nassau center has become a trusted resource for clubs, and immunization for influenza and County Parole Division, halfway houses, the LGBTQ community overall in Queens, pneumonia. bars, clubs, libraries and events located testing more than 250 individuals and – Professionals from the Northwell Health in areas where New York State and Long linking 50 to PrEP/PEP services. at Home Referral Center field more Island data has shown higher rates of – Physicians, physical therapists and than 600 calls a year from community HIV. CART also partners with select CVS athletic trainers host the free, hands- members and caregivers of older adults and Walgreens stores to provide HIV and on Northwell Health Sports Medicine needing advice with navigating the Hepatitis C screening. Workshop for coaches, school nurses, complex maze of services for frail and – Through one-day workshops and four- athletic directors and sports medicine chronically ill older adults. A senior day sessions called Popular Opinion professionals. The workshop showcases navigator provides this free information Leader (POL), the Center for AIDS current treatment techniques utilized by and refers callers to community agencies, Research and Treatment continues sports medicine professionals and how and offers assistance with hiring personal to provide education on a variety of to provide athletes with the best possible care aides and finding caregiver support. topics to increase their knowledge of clinical outcomes. – Northwell’s Smith Institute for Urology HIV and sexually transmitted infection – Northwell’s Center for Emergency provides ongoing community lectures prevention and treatment. POL trains Medical Services’ Explorers Program and partners with the Pelvic Pain influential and popular community completes its eighth year of providing Symposium. Also, STARS provides pelvic members in HIV, STI, prevention, condom first aid and medical training to high floor therapy at six locations. use, harm reduction and sexual health school students in Hempstead Village – More than 1,317 new mothers and education, who are then tasked with and now Manhattan. Each year, the their partners attend 92 childbirth relaying the messages to their friends and program averages about 30 students, preparation, breastfeeding, baby people who trust them. who participate in drills, learn ambulance care basics and parenting classes – Northwell’s Center for Young Adult operations, and attend special events offered through the nonprofit Center Adolescent and Pediatric HIV receives a and social activities. Of the program’s for Parenting Education, which is state funding to provide pre-exposure graduates, two attain their Eagle Scout coordinated by the Katz Institute for prophylaxis (PrEP) for HIV prevention rank, many enroll in college and three join Women’s Health. The center offers a to prevent infection in those who do the military. variety of classes for expectant mothers not have HIV but are at substantial risk, – Athletic trainers from the Northwell and families to help plan and prepare for as well as post-exposure prophylaxis Health Sports Medicine Program attend childbirth and the care of a new baby. (PEP) for HIV prevention to stop the various high school career days to – More than 60 individuals complete the spread of the disease in those who have demonstrate their skill sets in athletic Katz Institute for Women’s Health’s experienced a high-risk event. care and discuss how they became Heart Smart program, a six-week – The Center for Young Adult, Adolescent athletic trainers. interactive educational workshop and Pediatric HIV partners with the – Northwell’s Sports Medicine Program and designed to bring heart and healthy Charles Evans Center in Nassau County STARS physical therapists and athletic lifestyle education that addresses the to help build the capacity to do rapid HIV trainers provide pre- and post-race high prevalence of hypertension in high- testing and PrEP services at their sites. stretching for all runners participating risk communities. This effort has increased identification of in the Rangerstown 5K, Tri By the Bay, – The Katz Institute for Women’s Health PrEP candidates. Long Island Marathon and Huntington partners with the Girl Scouts of Nassau – The Center for Young Adult, Adolescent Triathlon. County and the American Heart and Pediatric HIV’s Jackson Heights clinic – For the fourth straight year, Northwell’s Association to increase awareness of the offers free, rapid HIV testing and PrEP for Sports Medicine physical therapists dangers of heart disease in women. A

62 Northwell Health | 2019 Annual Report “Red Dress” patch is created for which the events, including self-care and integrative and Health Equity Leadership Summit in scouts complete a workshop designed to therapies. October, entitled “Reigniting Humanism teach the signs and symptoms of a heart – The Katz Institute for Women’s Health in Healthcare through Inclusion, Dignity attack in women. continues to expand its partnership and Respect.” Stewart Friedman, MD, – The Katz Institute for Women’s Health with faith-based organizations to create practice professor emeritus and director and the Girl Scouts of Nassau County co- “Bridging Communities of Faith and of the Wharton Work/Life Integration sponsor an educational program entitled, Health,” a roundtable discussion with Project, delivers the keynote address. “The Natural Way to Everyday Good clergy from varied denominations in – Birth sex and gender identity data is Health.” More than 60 girls participate in Queens, Nassau County and Brooklyn. aligned under the “We Ask Because workshops led by Northwell experts to Presentations on various Northwell We Care Campaign,” at all Northwell learn about the principles and benefits Health resources and services have been ambulatory facilities. An e-learning of holistic health and how girls can presented at the meetings, covering such module was deployed to all registrants acquire skills to be the best versions of presentations as: Including Minorities in and frontline staff to provide training on themselves. Clinical Trials, Community Health Worker the LGBTQIA+ population. – The Katz Institute for Women’s Health Program, Home Health Aide Program – Northwell participates in the Abilities distributes more than 30,000 copies of its and The Opioid Crisis. The clergy have Expo, promoting the health system’s Passport to Women’s Health, a guidebook also had the opportunity to participate in Rehabilitation Network that services that provides information and tools several trainings, including Unconscious a large population suffering from such women need to make educated health Bias, Opioid Overdose Reversal and CPR/ neurological conditions as multiple choices at every stage of life, how to stay AED, bringing their new skillset back to sclerosis, Parkinson’s disease, brain injury, healthy at every age, how to make the their churches and communities. concussion, vestibular injuries and stroke. most out of a doctor’s visit, preventive – In partnership with the Bernard David – Northwell hosts its second annual Long health screenings, health tips and Grant at Huntington Hospital, two Island Transgender, Non-Conforming, signs and symptoms of serious health automated external defibrillators are Non-Binary Conference at Hofstra problems. donated to churches in Queens and University. Intended to highlight – The Katz Institute for Women’s Health Nassau County, with church members Northwell’s efforts to serve an often- partners with Korean Community receiving training in CPR and First Aid. overlooked, underserved community, the Services of Metropolitan NY to bring – For the sixth straight year, Southside conference featured sessions on how to women’s health educational programs Hospital employees work alongside be an ally, legal issues, the best approach to the Korean community. The two Keep Islip Clean and local business and to “coming out” and panel discussions events include “Get Heart Smart — A community volunteers to pick up debris involving Northwell providers. Conversation about Heart Disease” and in an area near the Southern State – Northwell also hosts a CME/CE conference “Understanding the Brain — What You Parkway in Islip to commemorate Earth focused on a multidisciplinary approach Need to Know.” Day. to transgender care. Attendees discuss – The Katz Institute for Women’s Health – The Katz Institute for Women’s Health transgender care, endocrinology, primary Resource Center fields approximately offers seven wellness events, featuring care and prevention, fertility, plastic 10,000 calls in which specialists help therapists who lecture about various surgery and urology. navigate members of the community women’s health related topics and – STARS partners with Cohen Children’s through Northwell’s vast services demonstrate stretches/exercises to Medical Center to host four community network. various groups. events, which feature obstacle courses – The Katz Institute for Women’s Health – Northwell partners with Be More, an and fun interactive activities for kids. sponsors the film, Hot Flash Havoc, at the organization focused on educating – STARS partners with plastic surgery and Gold Coast International Film Festival in health care professionals on unconscious the Northwell Health Cancer Institute to Great Neck. Northwell experts serve on a bias through an online program called deliver four breast cancer-related events. panel to discuss menopause, behavioral Breaking Bias® in Healthcare. The program The rehab unit provides lymphedema and health and overall women’s health. uses adult learning methodologies to breast cancer rehab services. – The Katz Institute for Women’s Health provide an easy-to-access and interactive – STARS participates in health fairs at (KIWH) partners with MOMMA’S House, learning experience where health care Adelphi University and Bayside High a nonprofit that provides housing and professionals can begin to reduce bias for School, educating students, staff and support services to young mothers and themselves and their organizations. More families about the rehab unit’s services their babies. KIWH works with MOMMA’s than 200 employees, including physicians, and injury prevention. House to deliver parenting classes (baby residents and administrators, in three – Northwell offers the Dermatology care basics, preparation for childbirth, Northwell emergency departments Sun protection game for elementary infant/child CPR, breastfeeding, etc.), complete the program. students, where kids spin a wheel to ensure a safe home environment for – More than 200 Northwell senior leaders collect different sun protective items. The baby/child and host programs and attend the Annual Diversity, Inclusion items are used to dress a bear and help

Northwell Health | 2019 Annual Report 63 – More than 500 people at various community groups, including senior centers, libraries, school personnel and students, are educated about depression and anxiety. – Northwell’s Prom Program prepares and educates high school seniors and their parents about the temptations of prom night as well as consent, safe sex practices, distracted decisions, and drug and alcohol use. – Prep for Success continues to bring students from low-performing school districts to Northwell for a morning of resume building, networking skills and interview tips. – The Youth Leadership Program brings leadership groups to Cohen Children’s Medical Center to be immersed in education. The program provides insight into unique health care topics, discusses health care trends and teaches hands-on skills such as CPR and bleeding control. – Educating the Community to Lead him stay protected from harmful sun about donation and transplantation at Healthy Successful Lives provides damage. high schools, hospitals, places of worship wellness education to students, staff and – Northwell continues to expand the and community centers. parents. Educational topics span injury Medical Career Day Program, touching – Northwell sponsors the Lupus Research prevention, nutrition, bullying, social nearly 20 school districts and expanding Alliance’s Walk with Us to Cure Lupus, media, gender and sexuality and more. into the health system’s Western Region. a powerful fundraising program where – In response to the vaping epidemic, The program provides an opportunity friends, family and colleagues come Northwell’s Center for Tobacco Control for high school students to learn about together in cities across the country offers a vaping education program for the various career paths available within for a 5K walkathon to raise awareness middle and high school students and health care. and funds for lupus research. The school staff that highlights the marketing – Close to 2,000 people raise more than Feinstein Institutes for Medical Research, tactics geared to the younger population. $500,000 during the Northwell Cancer Rheumatology Services and a large walk The program aligns what is known about Institute and Pancreatic Cancer Action team participate in the event, co-chaired smoking and what isn’t known about Network’s (PanCAN) PurpleStride New by Northwell President and CEO Michael vaping. York City. Aimed at ending pancreatic Dowling. – The Trauma Center at Cohen Children’s cancer, PurpleStride supports critical – Northwell serves as the presenting offers educational workshops for parents pancreatic cancer research, as well as sponsor for the National Ovarian Cancer and grandparents in community centers, PanCAN’s clinical initiatives and patient Society’s Together in TEAL Run/Walk schools and religious organizations. services, including Know Your Tumor, on Long Island and in Manhattan. The During these workshops, parents and Precision PromiseSM, Clinical Trial Finder partnership allows the health system caregivers learn the basics of proper and the Patient Registry. to educate communities and increase car seat selection and use. The trauma – Northwell continues to partner with awareness about the symptoms of center offers car seat check events once LiveOnNY, a nonprofit, federally ovarian cancer. a month at the children’s hospital from designated organ procurement – Northwell works with the Faithnet March through November. These events organization (OPO) dedicated to committee of the National Alliance on are an educational service with a goal of saving lives, providing comfort and Mental Illness (NAMI) to provide mental teaching parents how to install their car strengthening legacies through organ, health education. NAMI is a grass roots seat in their own vehicle. eye and tissue donation. Through the organization offering support, education – Cohen Children’s Medical Center is partnership, Northwell educates the and advocacy to family and friends of the NYC/Long Island Chapter for the public and health care professionals those challenged by mental illness. Think First Foundation, an educational

64 Northwell Health | 2019 Annual Report program aimed at reducing injury among that may occur to the track’s backstretch Northwell hospitals, the Katz Institute for children, teens and young adults. The workers, as well the signs and symptoms Women’s Health and several service lines. Think First curriculum is geared toward that may assist in diagnosis and recovery. Plainview’s and Syosset’s women’s health students in kindergarten through 12th – LIJ Medical Center and North Shore programs also expand to Mid-Island Y grade at schools across Queens, Nassau University Hospital participate in the JCC and Capital One Bank’s Women’s and Suffolk counties. Cohen Children’s first Community Day for the Village of Network in Melville. covers a variety of age-appropriate safety New Hyde Park, where dozens of clinical – Plainview Hospital participates in the topics, including bike safety education service lines provide education. The 2019 India Day Parade and Diwali Mela and helmet fittings. Additionally, the hospitals’ contingent also offers blood Festival in Hicksville, and collaborates more than 6,000 parents, teens and pressure screenings. with the Guru Gobind Sikh Center to host children use Cohen Children’s hospital- – In partnership with Nassau County a children’s wellness event and women’s based helmet program, where patients Parks Department, Northwell commits health lecture. who come to the emergency department to provide health education to various – Plainview also participates in A after sustaining an injury due to a bicycle age groups at the Northwell Health Ice Celebration of Diversity at Plainview- accident are provided with education and Center located in Eisenhower Park in Old Bethpage Middle School, which a new helmet to prevent another injury. East Meadow. Topics include Heartsaver welcomes new minority families to the – The Long Island Jewish Medical Center CPR/AED Certification; Concussion community. Family Planning Program provides Recognition and Referral for Parents and – Glen Cove Hospital partners with the City sexual and reproductive health care to Coaches; Competing for Good Nutrition; of Glen Cove and the First Baptist Church underserved women and the hospital’s Stress Management; Body Image and to launch a day shelter for homeless men. prenatal care assistance program Social Media. The men receive screenings and flu pods, provides comprehensive perinatal – Cohen Children’s continues to support and hospital representatives work with services to uninsured and undocumented the Kohl’s Keeping Kids Healthy program, the city to fund snacks, water and any women. collecting about 1,000 pounds of food for other needs that may arise. – For the second straight year, Long Island Harvest — a partnership aimed at – Glen Cove Hospital works with the Island Jewish Forest Hills participates reducing childhood obesity risk factors by Glen Cove Boys & Girls Club, which in the Hong Kong Dragon Boat Race addressing the connection between food expresses a need for ongoing staff at Community Board 8 Cunningham insecurity and childhood obesity. Cohen education, especially in the areas of Park. LIJ Forest Hills also sponsored the Children’s also partners with Island bullying prevention, opioid treatment multicultural event, including a table, Harvest to implement the Kids Weekend and identifying various challenges related mobile unit and CEMS coverage. Backpack Feeding Program, which to children, such as measles and food – LIJ Forest Hills volunteers at the Project provides weekend snacks and meals to allergies. Hope coat drive and community children in food insecure communities – South Oaks Hospital leadership health fair. Project Hope is a nonprofit across Long Island. participates in leadership give back organization that has served low-income – The North Shore University Hospital days every quarter, including Habitat for and impoverished communities since Emergency Department’s “Saving Humanity Build, Earth Day clean up with 2007. In addition to having weekly food Lives” event teaches members of the the Town of Babylon, Long Island Cares pantry and clothing distributions, Project community about using naloxone nasal and volunteering at the Mary Brennan Hope offers counseling and mentoring spray, CPR, AED and Stop the Bleed. Inn. services, education and vocational With these guided demonstrations, the – For five consecutive years, South training, and health education for their community members learn how to use Oaks Hospital hosts Superintendents community members. each device or technique to help people Day Workshops, where education – Northwell and LIJ Forest Hills attend in emergency situations. professionals from Nassau and Suffolk the Community Board 8 Health Fair, – Plainview and Syosset hospitals counties learn about topics such as providing blood pressure screenings and introduce a series of targeted women’s “Understanding LGBT in a School other information about the hospital and health programs to address the needs Environment” and “Anxiety in Teens.” home care. of women of all ages. The largest effort – South Oaks Hospital conducts several – Representatives from LIJ Forest Hills is Women’s Health — It’s More than heroin and opiates presentations march in the Forest Hills Memorial Day Taking a Multivitamin. Held during along with narcan trainings, providing Parade in unison with the Kiwanis Club National Women’s Health Week, the participants with narcan kit to take and the American Legion. event educated 78 attendees about home. – Northwell provides concussion education pelvic health, weight management – Southside Hospital launches a new for 15 staff members at the FQHC clinic and bone health. The event also series of events for working women in onsite at the Belmont Park backstretch, includes an interactive component with surrounding communities. The events, including the types of concussion injuries representation and resources from called Ladies Night Out, offer women

Northwell Health | 2019 Annual Report 65 access to free wellness and stress relief resume building, interview styles and members with processing the loss, and activities and a healthy spread of food. networking. offer exposure to advocacy opportunities To date, Southside has partnered with – Southside partners with the LGBT and community events. Huntington Islip, West Islip and Deer Park, and has Network Lectures in Hauppauge to also establishes a new support group pitched the idea to Peconic Bay Medical provide health education lectures. for community members suffering from Center and Mather Hospital, which – The Southside Hospital Community deep vein thrombosis and pulmonary have partnered with Riverhead and Health Ambassador program’s 96 emboli, as well as the Family Caregiver Comsewogue libraries, respectively. clinical and nonclinical staff provide Support Program, which helps caregivers – Southside partners with the Bay Shore health services at no cost in medically who provide for a loved one confronted YMCA to provide a series of wellness underserved communities. with an illness. workshops. Topics include heart health, – Mather Hospital expands Women’s Heart – The Huntington YMCA opens the new men’s and women’s health, chair yoga Health Month activities to include two Healthy Living Center, where Huntington and meditation, stroke education, educational events at the Comsewogue Hospital and Northwell provide various aromatherapy, foods that fight fatigue, Public Library (Port Jefferson Station) educational programs, including teaching cancer prevention and Tai Chi. and Port Jefferson Free Library — kitchens and women’s health programs. – Southside also partners with local communities with a high prevalence of – In partnership with the American emergency medical services workers by cardiovascular disease that also have Cancer Society, the Northwell Health offering a free, monthly lecture series on significant health disparities. In addition, HPV taskforce creates an action plan such topics as heat-related emergencies the hospital provides blood pressure around vaccination adherence and the and drowning, sepsis, acute coronary screenings to 40 people. importance of the HPV vaccine. Taskforce syndrome and the LifeNet Program, – Since 2014, Mather has hosted the members present to the Suffolk County stroke recognition, trauma resuscitation, HealthyU seminar series and health fair. Legislature and gain support of the pediatric emergency response and Initially an annual event, this program has Health and Wellness Committee. delivering babies outside the hospital. grown to become a twice-yearly event, – The Northwell Health Human Trafficking – Southside offers free, onsite monthly which offers nine seminars on various Response Program continues to train teaching kitchens with the hospital’s health-related topics, including physical, employees and hosts the second annual chef and chief dietician. Topics include emotional and financial well-being. The informational symposium. plant-based, high-fiber diets, eating the event also includes an interactive health – For nearly two decades, Lenox Hill right comfort foods and environmentally fair where health screenings such as Hospital’s Center for Attention and conscious eating. blood pressure, BMI and glucose levels Learning provides comprehensive – Southside’s Baby Café presents free are provided. neuropsychological evaluations for educational resources for pregnant or – Mather receives a grant to install Project nearly 750 children and adolescents. breastfeeding women and a place for Fit America equipment and curriculum in Through a partnership with the Robin those women to share their experiences 10 elementary schools on Long Island’s Hood Foundation, the center works with other moms. The Baby Café East End. with charter schools, after-school and celebration was done in partnership with – In conjunction with the Suffolk County mentoring programs, and educational the Long Island Ducks’ QuakerJack mascot Department of Health, Peconic Bay lawyers and advocates, and refers and the YMCA provided “mommy and Medical Center (PBMC) develops a students who are struggling in school me” workouts. year-long diabetes prevention program and in need of increased services and/or – Northwell employees deliver more to help those in the pre-diabetes stage appropriate educational placements. than 60,000 peanut butter and jelly change their lifestyles and combat the – Manhattan Eye, Ear and Throat Hospital sandwiches for those in need during disease. (MEETH) offers Accessibility Resources Jammin’ for the Community. – PBMC also offers “Are you fitter than a for People with Visual Impairments. – Southside Hospital community health 5th grader?” where participants work out This series provides an overview ambassadors offer workshops for on a weighted hula hoop and of the information and resources community members who are victims a yoga mat, pursuing fitness activities available that empower people with of domestic violence. Workshops are that an average fifth grader can do (30 visual impairments to utilize built-in focused on boosting self-esteem, yoga jumping jacks, 20 hula hoops and 15 accessibility functions in the technology. and makeover tutorials. push-ups). Participants learn about large text and – Southside Hospital and Cohen Children’s – The Huntington Hospital bereavement high-contrast displays, magnifiers and Medical Center partner to deliver “Prep and support group for fetal and infant zoom, text to speech, dictation, apps, for Success,” which provides students loss expands and holds its second smart speakers and intelligent assistants. with the foundation to build their annual evening of remembrance. The – MEETH also offers vision screenings careers. The three-hour program walks group provides support, education and throughout the year at the hospital each student through goal-setting, resources to families and assist family or various health fairs throughout

66 Northwell Health | 2019 Annual Report Manhattan, as well as a Runners Clinic — a free, one-on-one running injury screening from a physical therapist. The screenings involve a biomechanic assessment and tips to improve experience, as well as pre-/post-care. – More than 110 participants attend MEETH’s Manhattan Glaucoma Symposium, a meeting focusing on updates to glaucoma diagnostics, therapeutics and research. The scientific program is assembled in collaboration with the glaucoma fellowship programs in the New York tri-state area. – Nearly 70 people attend MEETH’s Ophthalmologic Features of Parkinson’s Disease-Examining Standards of Diagnosis & Management conference. organization that provides backbone and supportive housing centers. The The conference reviews the numerous support to public health initiatives and lectures tell attendees what information ophthalmological complaints and focuses on the integration of behavioral is needed when going to an ED and what ocular manifestations of patients with and physical health across systems. events lead to calling an ambulance. Parkinson’s, along with their implications – Phelps Hospital offers Vitality, a robust – Northern Westchester Hospital’s on patient quality of life. program for seniors that includes Community Care Team meets monthly – MEETH hosts the Journal Club for multiple options, such as a Breakfast with more than 20 providers of housing, Certified Hand Therapists, occupational Club, where seniors gather in the employment, food, law enforcement and therapists and physical therapists hospital cafeteria for a healthy breakfast, mental health to discuss various patient to discuss current research and the socializing and mind game programs. needs. The locally based, multidisciplinary implications of evidence-based clinical Phelps also hosts an elder law education team is responsible for managing practice. series, Medicare educational series and patients’ complex illnesses across – Staten Island University Hospital Tai Chi. providers, settings and systems of care. continues to train local communities in – Phelps works with several nonprofit – Northern Westchester also provides naloxone utilization to help combat the organizations that serve high-need the Congestive Heart Failure Patient borough’s high rate of opiate overdoses. communities, providing education and Family Education Class, specifically Trainers begin on the north side of the about various health topics, including the pathophysiology, signs and island at the hospital’s Regina McGinn high blood pressure, coronary disease, symptoms, diagnosis and treatment of Education Center and expand to include nutrition, how to use the emergency heart failure. Attendees are patients community fairs, schools, PTO meetings, department (ED) and administering free discharged from Northern Westchester Fort Wadsworth Army base and many flu shots. within the last year for decompensated other sites. The initiative also touches – Phelps also collaborates with the heart failure and/or their caregivers. Staten Island’s public schools, training organization Say Ah! to provide The class stresses the importance of principals, counselors and teachers at six lectures at senior centers, programs continued consultations with primary schools. for individuals with visual impairments care physicians and/or cardiologists, – Through the Partnership to Improve Community Health grant, a three-year initiative that supports implementation of evidence-based strategies to improve the health of communities and reduce More than the prevalence of chronic disease, the Staten Island Partnership for Community Wellness focuses on tobacco use and exposure, poor nutrition, physical inactivity and expanding access 14,200 for chronic disease prevention. The partnership is a community-based credentialed physicians

Northwell Health | 2019 Annual Report 67 nutritional restrictions, daily weights, prevention and balance program and Westchester County 4th of July Fireworks, physical exercise and general precautions. exercise classes. Westchester Sprint and Kids Triathlon. – More than 100 people attend Northern – Phelps offers an Osteoporosis Education – Phelps’ Hoch Center for Emergency Westchester’s panel discussion and and Support Program for people Education provides numerous courses interactive sessions called This Night’s concerned about bone loss and fractures. to the community, including advanced for You: Celebrating Women’s Health. Physicians, therapists and dietitians meet medical education (ACLS, PALS), basic Offered in collaboration with Phelps with participants to discuss risk factors, and advanced EMS certification, camp Hospital, the Katz Institute for Women’s causes, proper body mechanics and medical programs, community, family Health and Pace University, the event is medication options. and friends CPR, first aid, hazardous focused on wellbeing for women, holistic – Phelps offers the Alzheimer’s Caregiver materials medical response training, cardiac care and breast health. Support Group, Parkinson’s Disease Heartsaver, simulation training, and – Northern Westchester launches a food Support Group and Bereavement specialty emergency medical education. rescue operation to benefit the Community Support, where members receive the – Phelps Hospital presents the Westchester Center of Northern Westchester, a hub of emotional, educational and social County Concussion Symposium, where emergency resources that serves area support needed to successfully manage more than 100 guests learn about residents, one in five of whom suffers these respective issues. concussion awareness and prevention. from food insecurity. – Phelps’ Demystifying Medicare assists – Phelps hosts its annual free skin cancer – Northern Westchester provides a new people trying to navigate through the screening for 72 community members health education program, Reframe Your Medicare system, outlining Medicare’s in the Northwell Health Mobile Medical Perspective: Reflect, Respect Rekindle various parts costs associated with the Unit. This screening has been a continued Your Relationships, to more than 775 medical and drug insurance provided by success and provides access to patients students in nine school districts across the government and private companies. who do not have access to or cannot 36 schools. The program builds skills – More than 80 people attend Phelps’ afford health care. to help students strengthen familial, Autumn Games for Seasoned Adults, – In an effort to limit food waste, Phelps romantic, peer-to-peer and community a day of free activities and athletic Hospital partners with the Tarrytown relationships. Students also learn how challenges for adults over age 55. Community Opportunity Center, to develop empathy, communication Activities range from pickleball and bocce a local food pantry, to distribute excess strategies and conflict resolution tactics. ball to exercise classes and other food from the hospital cafeteria. Trays of – With studies showing that one in fun activities. food are provided weekly to the center at three high school students are vaping, – Phelps Functional Medicine Program no cost to help feed those in need. Northern Westchester educates more offers a holistic, patient-centered – Partnering with radio station WHUD, than 5,000 participants through a approach to preventing, treating Phelps distributes free backpacks to program called We Can Resist: Know and reversing chronic disease by Westchester County families and children the Facts. Participants learn about the identifying and understanding the root preparing for the new school year. health effects of vaping, debunk common causes of the individual’s symptoms – In an effort to address food insecurities, myths and develop strategies to resist and conditions, including genetic three community gardens in Phelps’ Food the targeted marketing employed by predispositions, environmental Pharmacy Program help provide needy Big Tobacco. contributors and lifestyle factors. Using patients with a supply of fresh fruits and – Northern Westchester’s Center for this model, monthly lectures focus on vegetables to take home upon discharge. Healthy Living continues to offer free how individuals can manage and treat – Staten Island University Hospital (SIUH) health care navigation services, education pain through non-medicine and non- continues to partner with City Harvest on classes and workshops, including a interventional methods. Each lecture is a mobile market that provides access to healthy grocery tour. immediately followed by an exercise or healthy food (free fruits and vegetables). – More than 90 people participate in Phelps an introduction to alternative medicine The hospital offers health information Hospital’s Fall Prevention Program, a affiliated with pain management. and programs on healthy living and seven-week series of workshops that – Phelps hosts more than 80 guests during eating on a monthly basis at both its teaches practical strategies to reduce its annual Cancer Survivors Day at the North and South sites. Information on falls, and the lecture, What can you do James House. behavioral health, smoking cessation, to prevent falls? The fall prevention – Phelps’ Emergency Life Support Program cancer services cholesterol, diabetes, program covers falls and risk, strength provides medical tent coverage at stroke, blood pressure and asthma, and and balance exercises, safe footwear numerous events, including Glenn D offers health screenings each month. and walking, vision and falls, home and Locks Memorial Track and Field Event, – SIUH partners with the New York City community safety, medication review Light the Night, Rockwood Ramble, Housing Authority (NYCHA) to provide and management, bone health, and Rocky’s 5K, Sleepy Hollow Half Marathon, information on nutrition and healthy coping after a fall. The lecture serves as Sleepy Hollow Halloween 10K, Sleepy lifestyles at four NYCHA family fun days. an introduction to the Stepping On fall Hollow Sprint, Toughman Triathlon, Attendees learn about cancer, behavioral

68 Northwell Health | 2019 Annual Report health programs, cholesterol, diabetes, stroke, blood pressure, healthy aging and body mass index (BMI). The tertiary hospital also provides this information to members of the Coles Senior Center and UMAE Church each month. – A longtime partner with the Staten Island Economic Develement Corporation, SIUH attends monthly meetings and hosts events such as the Health and Wellness EXPO, a day-long showcase that includes seminars, exhibitors, medical screenings, fitness and health food demonstrations. SIUH also participates in the SIEDC Business Conference, which featured solutions. The program is for individuals – Lenox Hill hosts an interactive lunchtime all-day vending along with educational age 18 and older who qualify after a seminar focused on the prevention of seminars, keynote panel and mixers. prescreening with dietitians. The “core” women’s cancers, including ovarian, – SIUH’s trauma team provides education four pillars of the program are energy, cervical, uterine and breast. The free on safety, child care, first aid and rescue, exercise, eating and education. event covers such topics as Fighting as well as life and business skills for Safe – In recognition of American Heart Month, Cancer with Your Fork, Gynecologic & Sitter. Lenox Hill hosts a Go Red Heart Health Breast Cancer Screening & Prevention, – Lenox Health Greenwich Village Fair that provides free health screenings Common HPV Misconceptions and partners with the LGBT Center Recovery and demonstrations. The event Genetic Counseling for Hereditary and Health Program to provide naloxone offers free blood pressure screenings, Cancer Risk. training to employees. The center offers cholesterol/glucose screenings, – Lenox Hill provides free blood pressure the only outpatient substance use body mass index screening, vascular screenings and counseling at three large treatment program specifically designed screening, flu shots and hands-only senior health fairs organized by New for the LGBT community that is licensed CPR demonstrations. It also features York City Councilman Keith Powers, by the state Office of Alcohol and specialists in cardiology, pulmonary, state Assemblyman Dan Quart and state Substance Abuse Services (OASAS). This vascular surgery, sleep medicine, physical Senator Liz Krueger. medically supervised, intensive program therapy, pharmacy, nutrition, – Lenox Hill Hospital continues to partner for substance use and dependence EMS and psychiatry. with Harlem Grown, a nonprofit incorporates an abstinence-based model – The New York Head and Neck Institute organization whose mission is to inspire and a range of holistic services. at Lenox Hill Hospital provides free youth to lead healthy and ambitious – Lenox Hill Hospital provides a free head and neck cancer screenings to 30 lives through mentorship and hands- educational series called Building Bridges community members. on education in urban farming, to the Community — Heart Health – More than 35 rabbis attend a special sustainability and nutrition. A group Lecture Series to address optimal heart event with two rabbinical organizations of 20 Lenox Hill leaders volunteer at health, the link between sleep/insomnia at Lenox Hill Hospital. Harlem Grown’s urban farm in Harlem, and cardiovascular health, the gut – Lenox Hill House Calls performs 64 completing various farm tasks such as microbiome and more. blood pressure screenings during the building a chicken coop and weeding/ – Lenox Hill Hospital partners with Neighborhood House’s First watering vegetables. Also, Lenox Hill EMS ThriveNYC to host eight-hour Avenue Festival. provides hands-only CPR demonstrations certification courses (four throughout – Representatives from multiple Lenox while members of Northwell’s the year) that teach individuals how Hill clinical departments join staff from community relations team convey the to listen and respond to someone in MEETH, Northwell Health at Home and importance of staying hydrated and distress. After successfully completing the health system’s talent acquisition distribute sunscreen (SPF 30), water the course, individuals receive a three- team to offer health education, free bottles and healthy recipes. year certification in mental health first screenings and counseling at the 3rd – Lenox Hill employees collect school aid. Avenue Community Benefit Festival. supplies that were donated to children in – The Core4 by Sodexo Weight Loss More than 1,000 free bike helmets are need at PS 197. Program at Lenox Hill Hospital provides given out, as well as 266 blood pressure the knowledge and tools needed to screenings, 132 vision tests and 38 find successful weight management spirometry breathing tests.

Northwell Health | 2019 Annual Report 69 Research and education

– Ninety-six medical students are a part North Shore University Hospital and LIJ activities include regularly scheduled of the Donald and Barbara Zucker School Medical Center; and independent clinical series, conferences, simulation/ of Medicine at Hofstra/Northwell’s fifth fellowships in cerebrovascular neurology performance improvement activities and graduating class. The class includes three and in neurosurgical oncology at NSUH online materials. MD/PhD candidates, the school’s first and LIJ. Other independent clinical – Twenty Northwell emergency nurses two MD/MPH candidates and the first fellowships include ENT/head and neck were certified as sexual assault nurse two graduates of Hofstra’s 4+4 BS/BA- surgical oncology, preventive cardiology examiners (SANE), becoming the first MD program, which allows students to and microvascular and reconstructive class to graduate from the Hofstra earn their bachelor’s degree at Hofstra surgery at Lenox Hill Hospital. Northwell School of Graduate Nursing before transitioning into the medical – Northwell continues to be a premier and Physician Assistant Studies’ SANE school. All of the students are matched provider of continuing medical education program. The training spanned six to their respective residencies, spanning (CME) and professional education, months and included mastering the skills 17 different states and 21 specialty areas. placing a high value on team-based needed to provide emotional support and The school also issues its first honorary learning and education. The health medical treatment to victims of rape and degree to Jordan J. Cohen, MD, president system has achieved joint accreditation sexual assault while also collecting vital emeritus of the Association of American from the three global leaders in health forensic evidence. Medical Colleges. care continuing education accreditation: – Northwell Health Labs increases clinical – The Hofstra Northwell School of Accreditation Council for Continuing laboratory technologist rotations to Graduate Nursing and Physician Medical Education (ACCME), American more than 100 students throughout Assistant Studies celebrates its second Nurses Credentialing Center (ANCC) and the health system. It also expands class of advanced practice nurses — 52 the Accreditation Council for Pharmacy academic affiliation agreements to students who earned graduate degrees Education (ACPE), and are among the include three new laboratory disciplines or advanced certificates. Among the leaders in the development of team- — histotechnician, cytotechnology graduates, 43 earned master of science based interprofessional continuing and pathologist assistant —from SUNY degrees to become nurse practitioners education (IPCE). Broome Community College, and CUNY in either family nursing or adult- – Northwell offers 225 CME programs, Hunter, with Memorial Sloan Kettering gerontology acute care. Another nine providing more than 5,500 hours of CME Cancer Center and Quinnipiac University, students, including faculty and members instruction to more than 9,000 physicians respectively. of the first graduating class, earned and 6,000 health care professionals. CME advanced certificates in family nurse practitioner or registered nurse first assistant programs that were recently introduced at the school. – Approximately 1,896 residents and fellows participate in 166 programs offered by Nearly Northwell’s Office of Academic Affairs, elevating the health system’s standing as one of the nation’s largest graduate medical education programs. 1,900 New programs in 2019 include: addiction psychiatry at Staten residents and fellows Island University Hospital; hematology and oncology at Mather Hospital; pain medicine and pediatric anesthesiology at

70 Northwell Health | 2019 Annual Report – A Feinstein Institutes for Medical Research scientist discovers that hemophagocytes, a newly identified population of phagocytes, may have a direct impact on patients with a variety of autoimmune diseases. – With leading scientists across Canada, Europe and Asia, a Feinstein Institutes researcher and executive discover the critical role the chemical acetylcholine plays in combating chronic viral infection. – A group of more than 60 leading international neuroscientists, including a Feinstein researcher, publish an article asking for balance when reporting on sports-related injury chronic traumatic encephalopathy. – An associate Feinstein professor collaborates with a global team of engineers, surgeons and medical for erythropoietic disorders, including whether prior infections change how the researchers on a hearing improvement Diamond Blackfan anemia. body responds to sepsis. study funded by a $9.7 million grant – The US Department of Health and – The Zucker School of Medicine takes from the National Institutes of Health’s Human Services’ Health Resources and health education to the airwaves with (NIH) Brain Research through Advancing Services Administration awards the the launch of a new weekly, half-hour, Innovative Neurotechnologies® (BRAIN) Hofstra Northwell School of Graduate radio show, Well Said with Dr. Ira Nash, Initiative. Nursing and Physician Assistant Studies on Hofstra radio station WRHU-FM. Each – A Feinstein Institutes professor and a $2.7 million grant to create a nursing Monday at 4 p.m., listeners learn about associate professor receive a five-year, pipeline for underserved communities. issues related to health and wellness. $7.3 million NIH grant to support their The grant, Creating an Integrative Family The program also highlights the wealth research in improved schizophrenia Nurse Practitioner Value Based Student of knowledge, expertise, and resources treatment. The grant – the largest to Practice Model, supports the graduate available in the local area. awarded to Northwell in 2019 – nursing program’s innovative academic- – A Feinstein professor demonstrates the supports their study entitled “Early-phase practice partnership to prepare primary safety and improved efficacy of increased Schizophrenia: Practice-based Research to care/advanced practice nurses to work in dosage of radiation when treating Improve Treatment Outcomes.” rural and underserved settings. Through prostate cancer. – The Feinstein Institutes’ Institute of an inter-professional learning model, the – Along with GE Research, Feinstein Cancer Research is awarded a five-year, nursing school graduates family nurse researchers find that ultrasound can $4.6 million National Cancer Institute practitioners, adult gerontology-acute regulate dysfunction in the body’s (NCI) Community Oncology Research care nurse practitioners, psychiatric- metabolic or inflammatory control Program (NCORP) grant. The Feinstein is mental health nursing practitioners, systems. one of only 32 institutions nationwide registered nurse first assistants and – At the 13th World Congress on Brain to receive funding from this prestigious sexual assault forensic examiner nurses. Injury in Toronto, a Feinstein professor program – and Northwell’s Cancer – The US Department of Health & Human presents results of a study on elite Institute was the only cancer center in the Services Agency for Healthcare Research female youth ice hockey players and their tri-state area to participate. and Quality (AHRQ) awards a Feinstein knowledge about concussions, including – A Feinstein professor receives a five-year, professor a three-year, $1.14 million how their behavior is influenced by their $2.9 million NIH grant to support his grant for a clinical decision support awareness. research in developing a way to delay or system that reduces frontline providers’ – A Feinstein professor is appointed vice prevent negative effects of a common complications and frustrations. chair of the US Preventive Services Task treatment in those with Parkinson’s – A Feinstein professor is awarded a five- Force. disease. year, $850,000 NIH grant to support her – A Feinstein Institutes assistant – A Feinstein Institutes associate professor work in creating tools that help doctors investigator reports that stimulation receives a five-year, $2.5 million NIH make evidence-based clinical decisions. of the trigeminal nerve can reverse grant to study improved treatment – The NIH awards a Feinstein instructor a hemorrhagic shock due to acute blood four-year, $781,920 grant to determine loss, helping to improve survival.

Northwell Health | 2019 Annual Report 71 – An associate professor at the Feinstein – Feinstein Academy of Scholars hosts – A Feinstein assistant professor and his Institutes is the first on Long Island to its annual symposium. The academy is collaborators discover how the vagus enroll patients suffering from epilepsy an integrated network of researchers nerve relays signals from the periphery into a clinical trial testing if they can be and scholars who share a passion to to the brain to help regulate glucose, treated with laser ablation. revolutionize translational research. The potentially uncovering a new way to – A Feinstein investigator and professor are event features keynote speeches from measure blood glucose levels. elected to the council of the Association leading scientists in the areas of health – A Feinstein Institutes professor earns of American Physicians, a 134-year-old equity in medicine, health outcomes, the Shock Society Distinguished Service society of the nation’s leading physician- cancer treatment, trauma immunology, Award for his years of service and scientists. sepsis and stem cell-based approaches commitment to the Society. – A Feinstein professor collaborates to metabolic disease. Members of – Feinstein professors are co-authors of with the Academic Medical Center at the academy include recipients of an an anthology, Bioelectronic Medicine: University of Amsterdam on studies honorary doctoral degree from the A Subject Collection From Cold Spring showing that non-invasive stimulation Elmezzi Graduate School of Molecular Harbor Perspectives in Medicine, at the external ear improves disease Medicine, Marsh and Match visiting published by Cold Spring Harbor symptoms in patients with rheumatoid lecturers and recipients of its Cerami, Laboratory Press. arthritis. Ross or Advancing Women in Science and – A Feinstein professor and his team – A Feinstein member is honored by the Medicine (AWSM) prizes. publish findings that the use of direct Society of Critical Care Medicine (SCCM) – The Feinstein Institutes hosts its sixth oral anticoagulants in atrial fibrillation with its Star Research Achievement annual Brain Tumor Biotech Summit patients undergoing surgery leads to Award for pinpointing specific molecules at Lenox Hill Hospital, where leaders in improved outcomes. that can reduce inflammation during neurosurgery, neuroscience, oncology – A Feinstein professor combines brain sepsis. and industry professionals from across and heart therapies into an “advanced – A Northwell executive on clinical strategy the country gather to exchange ideas of resuscitation bundle” to be used in the publishes new data about how sepsis new therapies in the treatment of brain emergency department. The first involves outcomes and fatalities in hospitals can tumor and other central nervous system the use of an extracorporeal membrane be reduced. (CNS) diseases. oxygenation machine (ECMO) — an – The American Association of – A Feinstein professor publishes findings artificial heart-lung machine. The second Immunologists (AAI) names a Feinstein that provide new insight into the part delivers a “drug cocktail” to protect Institutes professor to its inaugural class immune cell landscape of the kidneys of the brain. The revival team brings back of distinguished fellows. patients with lupus. three out of six patients. – The Feinstein Institutes select Daniel – The Feinstein Institutes hosts a Match – A Feinstein Institutes professor and his Kastner, MD, PhD, scientific director Lecture by 2014 Nobel Laureate in colleagues are the first to publish results at the NIH’s National Human Genome Physiology or Medicine John O’Keefe, of a clinical trial that investigates a Research Institutes, as the seventh MA, PhD, who discussed the idea that the non-invasive medical device for treating awardee of the Ross Prize in Molecular hippocampus is a cognitive map. spasticity in patients having experienced Medicine. a stroke. – A Feinstein professor is appointed vice president of the International Society for Autonomic Neuroscience in recognition of his work in bioelectronic medicine. – Feinstein professors publish reviews of clinical practices for social determinants of health screening and referrals. – The Public Library of Science Magazine, known as PLOS Biology, notes 26 Feinstein Institutes researchers in a paper assessing the impact of published research from the top 100,000 scientists in the world. – The Feinstein Institutes hosts a Marsh Lecture by Susan J. Harkema, PhD, a University of Louisville professor of neurological surgery and associate director at Kentucky Spinal Cord Injury Research Center. Dr. Harkema discusses 72 Northwell Health | 2019 Annual Report how epidural stimulation can improve 2019 Kidney Week. The study finds downstream events that lead to tau fibril recovery after a spinal cord injury. that patients undergoing hemodialysis formation. – A Feinstein professor and her colleagues who had moderate-to-severe pruritus – Through research conducted at the reveal new insight into pro-inflammatory experience a significant reduction in itch Feinstein Institutes, scientists link macrophages and their relation to intensity and an increase in quality of life memory impairment in mammals autoimmune diseases, in a paper after they received the drug difelikefalin with the expression of endogenous published in the journal Proceedings of (CR845). retroviruses (ERVs) within an organism’s the National Academy of Sciences of the – A Feinstein professor publishes and genome for the first time. The research is US (PNAS). presents data describing the clinical published in Proceedings of the National – In collaboration with the Center for benefit of anifrolumab for patients with Academy of Sciences (PNAS). ERVs are Information and Study on Clinical lupus in Lancet Rheumatology and at viral genomic elements that are present Research Participation (CISCRP), the the American College of Rheumatology’s in the native DNA sequence of every Feinstein Institutes hosts a free Annual Scientific Meeting. mammalian organism, including mice public education event, AWARE for – A Feinstein professor and colleagues and humans. Once thought insignificant, All at Hofstra University. The program discover a new way to reduce sepsis recent research suggests that ERVs may provides community members with the inflammation by identifying a protein impact health and disease. The findings opportunity to learn more about clinical called extracellular cold-inducible RNA- hint that ERVs are recognized by an research, other health-related resources binding protein (eCIRP), which elevates organism’s antiviral immune defense. available within their area, the chance to inflammatory cytokines and chemokines In humans, ERV activation has been meet with health care professionals and causing severe inflammation and tissue observed in immunological conditions, patients enrolled in clinical trials, as well damage. This discovery was published in including HIV, autoimmune disorders, and as free health screenings. EMBO Reports. anti-tumor immunity in cancer. – A Feinstein professor finds that – The Feinstein Institutes for Medical – Neuroscientists at the Institute for systematic depression screening for Research hosts a Marsh Lecture given by Neurology and Neurosurgery and survivors of acute coronary syndromes George Georgiou, PhD, of the University Feinstein Institutes participate in a did not demonstrate patient benefit. The of Texas at Austin, to discuss human multi-centered, randomized, Phase 3 findings run counter to recommendations antibody repertoire and the development research study entitled “Brain Oxygen from professional societies and is based of protein therapeutics to help treat Optimization in Severe Traumatic Brain on results from a randomized clinical trial cancer, viral infection and autoimmune Injury (TBI),” also referred to as the that included 1,500 survivors of acute disorders. BOOST-3 trial. The NIH study is being coronary syndromes. – A Feinstein professor is honored for conducted at North Shore University – A study conducted through the Feinstein lifelong achievements in diabetes Hospital and seeks to identify if either Institutes and led by the chief of research at the ninth D-Cure Symposium of two strategies for monitoring and developmental and behavioral pediatrics at the Daniel Hotel Herzliya, Israel. treating patients with severe TBI in the at Cohen Children’s Medical Center finds D-Cure is an organization whose mission intensive care unit is more likely to help that pharmacies nationwide need to is to advance diabetes research in Israel them recover. improve access to the drug naloxone, and to translate discoveries into state- – A Feinstein Institutes assistant especially for teenagers who use opioids of-the-art patient care for people with professor publishes an overview of how and are at risk of overdose or are in diabetes and related disorders. bioelectronic medicine may be used to contact with someone at risk of an opioid – Oligomerix, Inc., a privately held treat pulmonary arterial hypertension overdose. company pioneering the development (PAH) in the Springer Nature journal – Feinstein Institutes researchers publish a of tau oligomer inhibitors for Bioelectronic Medicine. PAH, a disease review of a bioelectronic medicine strategy Alzheimer’s disease (AD) and related of the pulmonary vessels that causes to treat hemorrhagic shock (HS). neurodegenerative disorders, and heart failure and death, is a form of a – A Feinstein professor and his team find the Feinstein Institutes announce broader condition known as pulmonary new closed-loop neurostimulation the publication of preclinical data hypertension or high blood pressure methods and textile-based electrodes to demonstrating that an oral small in the vessels of the lungs. It is caused facilitate individual finger movement and molecule drug inhibits the formation by narrowing of the arteries that carry grasp force regulation in individuals with of neurotoxic tau oligomers in an blood from the heart to the lungs for quadriplegia. animal model of tau aggregation most oxygenation and often leads to heart – The results of a study performed by relevant to AD. The study shows that the failure and death. Northwell’s chief of kidney disease compound blocked tau self-association, – In collaboration with The Hebrew and hypertension are presented at which is the earliest step in the toxic tau University of Jerusalem, a Feinstein the American Society of Nephrology aggregation cascade, and inhibited the professor evaluates the probability of

Northwell Health | 2019 Annual Report 73 using contemporary genetic technology to the researchers. The findings appear – Northwell hosts more than 1,900 to select human embryos on the basis of in the Journal of Hospital Medicine, the participants who attend 13 full-day complex traits, such as intelligence and official peer-reviewed journal of the nursing conferences, including new height. The researchers concluded that Society of Hospital Medicine. interprofessional conference on Safe embryo screening and selection for such – The Northwell Health Institute for Patient Handling. features, which are shaped by the action Nursing awards more than 27,000 – More than 500 nurses participate in one of hundreds or even thousands of genes, nursing continuing education units of Northwell’s new specialty nursing are not plausible for the foreseeable through 140 programs. classes, which include cardiac devices, future. – The Northwell Institute for Nursing core concepts of mechanical ventilation, – In a study published in Critical Care establishes a Nursing Mentor–Mentee and basic and advanced neurology and Medicine, scientists at the Feinstein program with more than 500 mentors stroke care. Institutes and the department of and mentees participating in either – More than 200 are enrolled in the MSN neurosurgery at the Zucker School of the new nurse program or new nursing Leadership program, a partnership Medicine describe their discovery that leader program at their site. This program between Northwell’s Institute for stimulation of the trigeminal nerve — partners new RNs with a mentor to focus Nursing and Stony Brook University. the nerve which supplies feeling to the on professional and personal growth and – About 222 frontline registered nurses, face — can reverse hemorrhagic shock responsibilities as a new nurse. advanced practice nurses, nurses, due to acute blood loss and improve – Since April 2018, 59 RNs join Northwell’s faculty, clinical educators and nurse survival in an animal model. This Office of Academic Affairs’ Oncology administrators attend the 25th Annual therapeutic approach could potentially Fellowship, which has a 59 percent Nursing Research and EBP Conference. represent a paradigm shift in the way retention rate. The program continues – The Institute for Nursing provides that this deadly condition is managed in to offer fellowships in critical care, TeamSTEPPS Master Training to more the future. emergency medicine, pediatrics and than 75 of Northwell’s leaders. To – A Northwell physician collaborates perioperative services. date, more than 2,600 individuals with investigators from the Icahn – More than 550 nurse residents take have become master trainers, serve as School of Medicine at Mount Sinai and advantage of the Institute for Nursing’s coaches to other employees and deliver the Zucker School of Medicine on a yearlong, system-wide Nurse Residency TeamSTEPPS training on-site. Northwell- new study assessing the differences Program. All new graduate RNs with six wide, more than 45,000 employees have between hospital-presenting sepsis months or less experience are enrolled received TeamSTEPPS training. and emergency department-presenting in this dynamic program designed to – More than 17,600 patient care services sepsis, which are historically not well support an effective transition into the staff across all inpatient and outpatient delineated in both settings, according professional practice environment. settings are trained in the Expressions in Humanism program, which has helped improve nursing patient experience scores.

74 Northwell Health | 2019 Annual Report Employee investment

– Northwell is one of three health team members. More than 90 percent – Northwell is named one of the nation’s systems in the US to receive Press of 1,300 team members responding to top health systems for diversity, Ganey’s Pinnacle of Excellence for the survey said they felt good about the ranking second nationally and number employee engagement. The achievement ways the organization contributes to the one in New York State, according to commemorates Northwell’s employee community, while 90 percent were proud DiversityInc’s top Hospitals & Health surveys from January 2017 through to tell others they work at Northwell. Systems for Diversity list. New York January 2019, in which Northwell Eighty-nine percent of respondents State’s largest health system and garnered a 90 percent response rate said they have a sense of pride for the employer, Northwell makes the list for from its more than 70,000 employees — organization’s accomplishments, while 86 the seventh straight year, climbing the ranking in the top 25 percent. percent agree that their work has special rankings from number five a year ago. – In its latest Workforce Engagement meaning. The same percentage agreed DiversityInc’s extensive annual survey Survey conducted in the fall of 2019, that they feel like they make a difference yields an empirically driven ranking Northwell’s overall engagement working for the health system, while over based on talent results in the workforce score ranked in the 74th percentile 95 percent of respondents feel as if they and management, senior leadership nationally – 4.23 out of 5, compared are treated fairly. accountability, talent programs, to 4.28 in 2018, with a response rate – Fortune names Northwell one of the workplace practices, philanthropy and of nearly 90 percent. In its Physician most diverse companies in the US — the supplier diversity. Engagement Survey, completed by only New York health care organization – The veterans’ advocacy group Military more than 70 percent of respondents, to make the 2018 list — citing Friendly ranks Northwell as the nation’s Northwell’s engagement score increased employee surveys as part of its criteria. eighth best employer significantly from 4.09 to 4.18, putting Northwell ranks 80th on the annual nationally. The health system has the health system in the 61st percentile 100 Best Workplaces for Diversity list, a consistently hired hundreds of veterans nationally. partnership between Fortune and Great each year and continuously supports – For the third year in a row, Northwell Place to Work that measures how well veterans, active military and their is recognized as a certified Great Place organizations create inclusive cultures families via critical health care services, to Work® and Best Workplaces for for women, different cultural and ethnic including behavioral health, as well Diversity. The health system is lauded communities, the LGBTQIA+ community, as career services. for its strong sense of mission and older employees and workers with camaraderie among its more than 70,000 disabilities.

More than 72,000 employees — the largest private employer in New York State

Northwell Health | 2019 Annual Report 75 – Northwell celebrates the 12th Annual • President’s Award for Exceptional • Truly Mentorship Award: Yves President’s Awards, recognizing team Patient/Customer Experience: Adrian Duroseau, MD, emergency medicine members in several categories. This year’s Mazur, chaplain, Cohen Children’s • Truly Road Traveled Award: Julissa winners were: Medical Center. Jurado, MD, cardiothoracic surgery • Physician of the Year: Carmen – Northwell establishes the Truly Awards Rodriguez, MD, voluntary physician, – Ideas at Northwell taps into staff to celebrate the impact that clinicians members’ intrinsic motivation to obstetrics and gynecology, LIJ within Northwell Health Physician Medical Center. drive innovation and create workplace Partners (NHPP) have on the lives solutions. Each idea was hosted in the • Nurse of the Year: Alexa Damone, RN, of patients and colleagues. All team Idea Lab web platform, which automated Medical Surgical Unit, Glen Cove members from across the organization voting, review and prioritization while Hospital, and Jeffrey Rosa, RN, Surgical nominated a physician or dentist and leveraging crowdsourcing for feedback. Intensive Care Unit, Long Island Jewish voted on the finalists in each category. The initiative’s Idea Lab collected Medical Center Employees submitted 641 nominations, nearly 750 idea submissions and more including 461 individual physicians and • Leader of the Year: Ryan Guda, RN, than 40,000 team member votes and dentists, which equates to 14 percent of nurse manager, LIJ Medical Center’s comments. The top ideas were recognized the NHPP’s members. More than 13,660 Satellite Dialysis Center. and assigned executive sponsors. They votes were received from 3,762 voters. include “Smart Vital Signs Check,” “Pre- • President’s Award for Innovation: Winners included: Hospital (EMS) Telemedicine To Reduce EDCAP aza-Peptide Building Blocks for • Truly Caring Touch Award: Mansoor Door to TPA and Door to Balloon Time(s),” Preferred Drug Characteristics (Yousef Beg, MD, surgery “Vital Sign Documentation,” “Clipboard Al-Abed, PhD, professor and head, • Truly Rising Star Award: Kristina Nightmare,” “Pharmacy Communication,” Institute of Bioelectronic Medicine, Deligiannidis, MD, behavioral health “Barcoded new patient packets Feinstein Institutes for Medical eliminating manual scanning for Soarian Research); and Real Time Actionable • Truly Leadership Award: Peter users” and “Eliminate The Minimum.” Data (Eric Cruzen, MD, chair, Emergency Finamore, MD, urogynecology Department, Lenox Health Greenwich Village and chief medical informatics officer, Emergency Medicine Services, and John D’Angelo, MD, senior vice More than president and executive director, Emergency Medicine Services). • President’s Award for Teamwork: ECMO-TO-GO, a multidisciplinary team from North Shore University Hospital 17,000 and LIJ Medical Center. nurses 76 Northwell Health | 2019 Annual Report – Northwell welcomes select team – Northwell is named a top-three finalist members to Wellgate, the finale of in the 5,000-plus employee size category the Walk to Rome 2019 wellness for the 2019 Healthiest Employers of challenge, which awards four teams with New York City — and the only health care trips to the Italian city. About 20,000 organization to make the list compiled by participants register for the annual the Sequoia Consulting Group. Finalists walking competition, surpassing the are recognized for their commitment number of participants for The Walk to employee health and exceptional to Dublin. Forty team members win corporate wellness programming. Using trips to Rome, Italy after successfully an online assessment tool to measure completing the Walk to Rome Challenge wellness programming, Sequoia scored and winning a raffle. Winners include the organizations on their wellness programs’ No Nu’s (Southside Hospital), the Pacers culture and leadership commitment, (Huntington Hospital), 3 North Squad foundational components, strategic (Phelps Memorial Hospital) and Andiamo planning, communication and marketing, (Huntington Hospital). programming and interventions, and – Focusing on the health and financial reporting and analysis. wellness of its workforce, Northwell – Northwell awards its first $7,500 provides team members with more than STEM scholarships to college-bound $1 billion dollars in fringe benefits. dependents of Northwell employees. The – Northwell provides employees with program supports high school seniors more than $20 million in tuition pursuing degrees in science, technology, reimbursement, encouraging skill and engineering, math (STEM) and health career development. care-related fields. – Northwell’s Center for Learning and – Northwell continues to work with Innovation (CLI) provides more than i360medical to help identify, evaluate 367,000 learner hours of training in more and bring internal medical innovations than 106,000 student encounters, 14,000 to market. Three physician-led ideas — of which are dedicated to developing Dr. Stanley Asnis’ twist-lock interface leadership at all administrative and screw, Dr. Ernesto Molmenti’s surgical clinical levels. introducer and Dr. Louis Kavoussi’s – CLI also provides 6,000 student Urethra Anastomotic Device — receive encounters (16,000 hours) to students multi-million dollar funding and have at the Zucker School of Medicine, as prototypes being tested. well as 380 physician assistant student – Northwell partners with Xybion encounters and more than 1,250 Corporation to strengthen workforce graduate nursing student encounters. safety at its hospitals and outpatient – CLI’s Patient Safety Institute provides facilities. Northwell will be using Xybion’s 9,800 student encounters (50,000 hours) Emidence™ Cloud Platform to digitize the for Northwell’s clinical team members workforce safety operations to improve and fellowship programs. employee experience, compliance and – Northwell’s Emergency Medical Institute risk prediction. provides more than 58,000 student – Northwell issues 19 employees a encounters (totaling more than 176,000 combined total of $95,000 as part of hours) within their instructor-led and the health system’s housing assistance online courses. The institute offers EMT program for first-time home buyers. and paramedic courses to employees and – Northwell hires more than 10,000 new community members. team members.

Northwell Health | 2019 Annual Report 77 – Northwell’s Institute for Nursing on- patient as a person beyond their illness and participates in the Disability Pride boards more than 3,000 clinical staff, and to reveal them as a person with a Parade among other activities via a including over 1,700 RNs, LPNs, NPs, story. partnership with the NYC Mayor’s Office for People with Disabilities. PAs and midwives, as well as over • A Medical Education Online Journal – Eight Adelphi University students intern 1,300 nursing assistants, medical office Club occurs monthly and is offered at Northwell through the school’s Bridges assistants, behavioral health assistants, virtually to all faculty across to Adelphi program, which benefits perioperative assistants, transporters Northwell Health. and technicians. In addition, over 200 students with autism spectrum disorder. agency and per diem clinical staff join the – Over the past year, the newly formed – The Katz Institute for Women’s Health health system. GME Committee for Physician Well- reaches 657 employees during five – As part of Northwell’s ongoing Being — comprised of faculty, residents worksite wellness program events commitment to nurturing an inclusive, and fellows across the health system with community partners. Programs diverse, fair, trusting and safe workplace, — develops and executes the HEARTS provide education, health screenings and the health system signs a pledge with Curriculum (Housestaff Education immunizations throughout the the TIME’S UP Healthcare, which for Adaptability, Resiliency, and New York City and Long Island. is committed to preventing sexual Transformation of Systems). This half- – More than 29,000 employees download harassment and gender inequity in health day program is delivered to more than the myNorthwell employee mobile care. The program continues Northwell’s 500 new resident physicians during application. effort to increase awareness and provide Northwell house staff orientation and – With nearly 12,000 followers, the enhanced training when new team centers on maintaining well-being during Northwell Life Facebook group members are hired, and annually, for residency and the self-care resources encourages team member interaction. our strict policy and complaint process available at Northwell. The Northwell – Northwell launches a new website for prohibiting discrimination, harassment GME Committee for Physician Well- Diversity, which exceeds 17,000 page and sexual harassment, as well as related Being continues to work on identifying views in the first few months. topics including our Professional Behavior modifiable drivers of stress and burnout – FlexStaff, Northwell’s for-profit temp Policy and Aggression, Hostility, and in the workplace, destigmatizing self- agency, provides more than 1.3 million Violence in the Workplace Policy. care, and increasing the quantity and hours of temporary staffing to 850 – Northwell’s Office of Academic quality of mental health resources for departments throughout Northwell. Affairs continues to support faculty Northwell residents and fellows. More than 350 FlexStaff temp development to provide in-depth skills – Three individuals receive a combined employees are hired into permanent development for the GME and CME total of $12,450 in grants as part of positions each year. community of learners. Programming Northwell’s adoption assistance program – The myWellness online platform engages includes a Continuation of Mentoring for the adoption of a child. 48,000 employees, encouraging healthy and Professionalism in Training program – Northwell advances the concierge lifestyles that incorporate good nutrition at three levels: Clinical (Year 6; 140 program to help new leaders and and physical activity. participants), Corporate (Year 3; 50 physicians integrate into the health – Northwell continues to grow its wellness participants) and Feinstein (Year 3 with system and provide personalized work- liaison network with 185 liaisons who anticipated 8-10 participants). New for life support. The concierge also offers promote healthy living through various 2019 were: retirement assistance to help leaders and workshops and fitness challenges. • Just in Time Teaching Tips across eight physicians plan for their future. – More than 150 teaching kitchens — clinical departments to improve the – The N-ABLE Berg hosts multiple collaborations of chefs and registered clinical learning environment for educational seminars, including Medicaid dieticians across Northwell’s hospitals all students and trainees Benefits, Autism Doesn’t Define Me, — provide team members with nutrition Inclusion Wellness, and more. The BERG education and healthy choice recipe • Tell Me More, an Arnold P. Gold also launches a round-the-clock hotline demonstrations. Foundation project to address the

More than

$20in tuition reimbursementmillion for employees

78 Northwell Health | 2019 Annual Report Payor mix

44% Medicare

21% Medicaid

30% Commercial/ managed care

5% Self-pay and other

– More than 228 guided meditations Technology, a semi-annual event the clock for nurses to relax and unwind and Reiki sessions for stress reduction that develops human resources during 15-minute breaks. The quiet are delivered. professionals and creates an opportunity wellness room is equipped with an – Northwell’s Advice and Counsel to network with like-minded, electric massage chair, calming music, Center (ACC) continues to expand, motivated individuals. audiobooks on mindfulness practice, all providing employee and labor relations – Human Resources Technology partners in a serene and peaceful atmosphere. support across sites, service lines and with Total Rewards to generate revenue – Northwell hosts four employee departments within shared services. by allowing Northwell partners to health fairs that include ergonomic – More than 277 million points (equating advertise on mySelfService. The screenings, back pain, and injury to $1.3 million) are redeemed on the revenue supports Northwell’s Employee prevention education. myRecognition platform. Also more than Assistance Program fund. 5,000 Blood Donation awards are issued – In close partnership with its Center for to 3,218 unique donors. Equity of Care, Northwell establishes – More than 1,820 team members are a Fair Employment Practices team, recognized for 20-plus years of service at dedicated to the continuous evolution of Northwell Health. workforce equity, diversity/inclusion and – Northwell continues to build a private fair employment practices — fostering a YouTube channel to promote a culture trusting and safe work environment. of self-paced technology training. In – Glen Cove Hospital opens a new private just 16 months, the channel generated space for nurses and staff to recharge. more than 38,000 views and over 82,000 Known as the Watson Room, the former minutes watched with 40 videos created. patient room located on the hospital’s – Northwell launches the Efficiency third floor has been transformed into a Catalyst Conference: Powered by HR quiet healing area and is open around

Northwell Health | 2019 Annual Report 79 Financial performance

– Thanks to the generosity of more than 95,000 access to critical and primary care services and to donors, Northwell’s Outpacing the Impossible enhance medical and surgical services. campaign has raised more than $620 million toward – Three rating agencies reaffirm Northwell’s A-/A3/A- its $1 billion goal, including $120 million in 2019. credit ratings when the health system issues $650 Publicly launched in October 2018, the campaign million in taxable and tax-exempt bonds to support includes all funds given by individual donors, capital projects. corporations and foundations since the campaign’s – Northwell increases its inpatient market share to 30 inception in January 2016. percent — more than double its nearest competitor. – Since the beginning of the Outpacing the Impossible – Northwell generates operating income of campaign, more than 8,800 employees have approximately $188 million – a 1.5 percent participated in Northwell’s What matters most operating margin compared to 1.2 percent for 2018. – The health system’s total operating revenue grows nearly $1 billion in 2019 to $12.5 billion. – Northwell finishes the year with $3.3 billion in unrestricted cash and investments on the balance sheet and 103 days of cash on hand. – Northwell recognizes the Blumenfeld family for their lifetime giving to Cohen Children’s Medical Center by unveiling the new Blumenfeld Family Pavilion, which opened in 2013 and houses the Rudolph Pediatric Emergency Center, Long Island’s only dedicated pediatric emergency department and home of the children’s hospital’s level 1 pediatric trauma center. The pavilion is also home to the Children’s Medical Fund Center for Diagnostic Studies, the only pediatric- dedicated MRI unit on Long Island, and is the future home of the Pediatric Surgical Operating Complex. – Northwell endows seven new chairs and professorships during the health system’s employee giving program, contributing more than inaugural Celebration of Excellence event. $13 million to support critical initiatives across the Endowment support is an integral part of Northwell’s health system. $1 billion Outpacing the Impossible campaign. – The Elmezzi Graduate School of Molecular Medicine To date, $116 million has been raised to support at Northwell Health’s Feinstein Institutes for Medical endowments across the health system. Research receives a new $10 million endowed – American singer-songwriter Usher headlines the gift from the Thomas and Jeanne Elmezzi Private Feinstein Institutes’ 14th annual summer concert, Foundation. The gift provides students with salary raising more than $3.4 million to support medical stipends and helps attract and recruit renowned innovations. Since its inception, the event has raised talent to the school. The Elmezzi Foundation more than $25 million to drive research innovation previously supported the school with an initial $15 and growth. million donation, which named it in 2007. – More than $3 million was raised at Northwell – Emilie and Michael Corey present Peconic Bay Health’s Constellation Gala, a signature event that Medical Center with a $10 million gift at the celebrates philanthropic support as the driving hospital’s annual “Benefit in Black & White” force of innovations throughout Northwell Health celebration. It is the largest gift that the hospital has ­— particularly at its 90 Manhattan care locations. received in its history and will be used to improve Proceeds provide Manhattan communities with

80 Northwell Health | 2019 Annual Report greater access to high-quality care for Women’s Health and Cohen Children’s hospital’s neonatal intensive care unit by helping to advance services and Medical Center. The Staten Island walk (NICU). programs and upgrade facilities at supported the Gruppuso Family Women – The Joseph Maffeo Foundation presented Lenox Hill Hospital, Manhattan Eye, Ear and Newborn Center at Staten Island a $250,000 check in support of the and Throat Hospital and Lenox Health University Hospital and the East End walk new Joseph Maffeo Neonatal Intensive Greenwich Village. supported cardiac services and women’s Care Unit (NICU), part of the Gruppuso – Northwell Health and the Americana wellness initiatives at Peconic Bay Family Women and Newborn Center at Manhasset raise more than $750,000 for Medical Center. Staten Island University Hospital. This women’s health at the 27th Annual Katz – More than 350 golfers participate in the new facility will expand maternal/child Institute for Women’s Health Luncheon Huntington Hospital Golf Classic to raise care on Staten Island and bring labor and Fashion Event presented by the a record $600,000, which will go toward and delivery, maternity and NICU under Partners Council for Women’s Health. capital improvements of the hospital’s one roof to streamline care and expand The event was attended by more than nationally rated orthopaedic unit and service. The foundation was created after 500 supporters, patients and clinicians support investments in specialized the heroic death of New York City Fire and supports critical women’s health equipment for advanced surgical Fighter Joseph Maffeo, in the terrorist programming at the Katz Institute for oncology. attacks of September 11th. Women’s Health and the Center for – American singer-songwriter Alexa – Glen Cove Hospital established the Cancer, Pregnancy and Reproduction. Ray Joel performs at Northwell’s $200,000 Barbara J. Hoover Endowment To date, the Katz Institute Luncheon first Summer Hamptons Evening for Innovative Community Outreach and Fashion Event has raised nearly $11 (SHE) benefitting the Katz Institute Services to develop programs to send million in support of women’s health for Women’s Health. More than 300 health care practitioners to homebound initiatives. supporters attend, donating $575,000 local residents. Mrs. Hoover, an Oyster – Female scientists at the Feinstein to help Northwell pioneer solutions that Bay resident, was a founding member Institutes for Medical Research receive address women’s specific health needs of the volunteer Glen Cove Hospital more than $455,000 in awards during through individualized, integrated care at Advisory Council, serving as its chair from its eighth annual Advancing Women in locations across the metropolitan area. 2011 to 2018 until the time of her passing Science and Medicine (AWSM) luncheon – More than 200 guests raise more than in October. to celebrate and support excellence and $525,000 at the Cohen Children’s Circle – The inaugural Philip Messina Memorial achievements of women in science. Since Annual Golf Classic. The funds will Golf Tournament raises $140,000 its inception, the program has raised support the Pediatric Surgical Operating to benefit the Huntington Hospital nearly $1.5 million to support female Complex, child life, pediatric research and Department of Neurosurgery to further scientists. clinical care programs at the children’s brain cancer treatment and research. – More than 6,000 patients, families, hospital. The event was organized by the family community members and employees – More than 200 golfers and guests of the late Philip Messina, of Northport, walked to help raise a record $1 million raise $400,000 at the 41st North Shore who passed away in February 2018 after across three Northwell Health Walk University Hospital Auxiliary Golf Classic battling brain cancer. locations — Jones Beach, East End Long — nearly double the previous year’s total. – Pink Aid Long Island donates $105,000 Island and Staten Island. Funds raised at Proceeds support the renovation of the to Northwell Health to help women who Jones Beach benefitted the Katz Institute could not otherwise afford or receive

Northwell Health | 2019 Annual Report 81 breast cancer screenings and support service to the all-volunteer organization, An avid hockey player, Mr. Zacchino services. The funds are used to help as well as the hospital’s senior associate was diagnosed with a brain tumor in patients in need at three facilities: the executive director, Elaine J. Rosenblum, September 2018, which spurred him, his Dolan Family Health Center in Greenlawn RN for her stewardship. Proceeds friends and family to launch the “Stick it ($45,000), Center for Advanced Medicine benefit Northwell’s Lenox Hill Hospital, to Cancer” fundraiser. ($30,000) and Peconic Bay Medical Center Manhattan Eye, Ear and Throat Hospital – Charles Reichert, owner of IGA ($30,000). and Lenox Health Greenwich Village, as supermarkets, donates proceeds from – Approximately 1,000 walkers helped well as continuing education courses for plastic bag fees from his Fort Salonga raise $100,000 during Long Island’s 11th nurses and staff, a summer internship and East Northport stores to Huntington annual Brain Aneurysm Awareness program for high school students, Hospital. The $17,810 donation helps Walk at Jones Beach State Park. Hosted recognition awards for exceptional bolster Huntington Hospital’s newly by Northwell’s Brain Aneurysm Center hospital personnel, medical research opened Center for Mothers and Babies, at NSUH and the Brain Aneurysm projects, community events and various which includes 19 private rooms for Foundation, the event has raised nearly art initiatives. mothers and their babies complete with $800,000 since its inception. Proceeds – Huntington Subaru donates $35,000 — sleeper sofas for a significant other. from the walk will support essential proceeds from its Share the Love program – Two’s Company donates $12,500 — the research at the two organizations. — to Huntington Hospital’s Neurosurgery proceeds of its annual warehouse sale — – More than 450 people attend Northern Department. Subaru’s Share the Love to Northern Westchester Hospital. Westchester Hospital’s first-ever Night program involves Subaru of America, on of Comedy at the Chappaqua Performing behalf of Huntington Subaru, donating up Arts Center, raising $80,000 for the to $250 for every vehicle leased or sold hospital’s school-based education at the Huntington dealership between programs. November 15, 2018 and January 3, 2019. – The Auxiliary of Lenox Hill Hospital – Cohen Children’s Medical Center raises more than $75,000 at its annual receives $21,016 for pediatric cancer benefit. The event — Working Hand in research, thanks to Bethpage resident Hand — honors members of the Auxiliary and ice hockey player, Derek Zacchino, who have devoted 40 or more years of and his friends, coaches and teachers.

82 Northwell Health | 2019 Annual Report 2019 statistical and financial highlights

Patient care statistics Operating performance (1) Totals %chg (amounts in thousands)

(1) Inpatient discharges 303,729 0.7% 2019 (1) Patient days 1,732,932 0.6% Total patient revenue $11,593,335 (2) Average length of stay (days) 5.33 (0.2%) Other operating revenue 894,744 (2) Occupancy (staffed beds) 85% 0.0% Total operating revenue 12,488,079

Live births 38,454* (1.9%) Salaries and benefits 7,857,168 Supplies and other 3,779,440 Inpatient surgical procedures 71,204 (1.0%) Depreciation and interest 663,097 Ambulatory surgical procedures 221,580 0.7% Total operating expenses 12,299,705 Excess of operating revenue over operating expenses $188,374 Emergency department visits 669,635 (0.5%) Emergency department admits 195,625 0.1%

Home care visits 1,059,366 5.6% Hospice days 283,854 3.4% Ambulance transports 124,372 7.7% SkyHealth transports 497 4.0% (1) Source: 2019 Audited Consolidated Financial Statements and Core lab tests (3) 15,841,433 12.2% excludes non-operating gains and losses. (1) Includes Long-Term Care, excludes Newborn (2) Acute Facilities only, excludes Long-Term Care and Newborn (3) Excluding hospital “stat lab” tests performed internally Services for people in need *Includes Maimonides Medical Center Year ended December 31, 2019 (amounts in thousands)

2019 Unpaid costs of Medicaid (estimated cost) $467,000 Uncompensated Care (estimated cost) 357,000 Total $824,000

Northwell Health | 2019 Annual Report 83 Administration and facilities

Kevin Tracey, MD Michele Cusack Northwell President & CEO, Senior Vice President & Feinstein Institutes for Medical Research Chief Financial Officer Professor & President, Health Senior Martin Doerfler, MD Elmezzi Graduate School of Senior Vice President, Molecular Medicine Leadership Clinical Strategy and Development & Karches Family Distinguished Chair in Associate Chief Medical Officer Michael J. Dowling Medical Research President & CEO Donna Drummond Maureen White, RN Senior Vice President & Ralph A. Nappi, JD Executive Vice President & Chief Expense Officer Executive Vice Chair, Board of Trustees Chief Nurse Executive Dorothy Feldman Kathleen Gallo, RN, PhD Lisa Alvarenga Senior Vice President & Chief Risk Officer Executive Vice President & Senior Vice President, Chief Learning Officer Ambulatory Operations Sven Gierlinger Dean and Professor Senior Vice President & Hofstra Northwell School of Nursing and David Battinelli, MD Chief Experience Officer Physician Assistant Studies Senior Vice President & Chief Medical Officer Mark Gloade, JD Howard Gold Betsey Cushing Whitney Senior Vice President & Executive Vice President & Chief Managed Professor of Medicine Deputy General Counsel Care & Business Development Officer Adam Boll Mark Jarrett, MD Jeffrey Kraut Executive Director, Joint Venture Operations Senior Vice President & Chief Quality Officer Executive Vice President, & Deputy Chief Medical Officer Strategy & Analytics John Bosco Senior Vice President & Laurence Kraemer, JD Richard Miller Chief Information Officer Senior Vice President & Executive Vice President & Chief Business Chief General Counsel Strategy Officer Gerry Brogan, MD Senior Vice President & Brian Lally Deborah Schiff Chief Revenue Officer Senior Vice President & Executive Vice President, Ambulatory Chief Development Officer Strategy and Business Development Kevin Connolly Senior Vice President, Property Terry Lynam Lawrence G. Smith, MD, MACP Management, Design Construction Senior Vice President & Executive Vice President & Chief Public Relations Officer Physician-in-Chief Konstantine “Gus” Costalas Dean, Zucker School of Medicine at Senior Vice President, Managed Care Phyllis McCready Hofstra/Northwell Vice President & Chief Procurement Officer William Cunningham Mark J. Solazzo Vice President, Government & Thomas McGinn, MD Executive Vice President & Community Affairs Senior Vice President & Deputy Physician- Chief Operating Officer in-Chief David J. Greene Professor of Medicine

84 Northwell Health | 2019 Annual Report John P. McGovern Elaine Brennan Senior Vice President, Financial Planning Office of Network of Vice President, International

Jennifer Mieres, MD Independent Practice Marc Paradis Senior Vice President, Vice President, Data Strategy Center for Equity of Care Association (IPA) Milind Parate Chief Diversity & Inclusion Officer Sandy Balwan, MD Vice President, Corporate Development Vice President, Executive Director & Chief Joseph Moscola, PA Medical Officer, Northwell Health IPA Senior Vice President & Chief People Officer Anthony Persaud Vice President, Joint Venture Operations Ira Nash, MD Strategic Alliances Senior Vice President & Executive Director, Ven Raju Northwell Health Physician Partners Kevin McGeachy Vice President, Technology Ventures Senior Vice President Michael Odlum Senior Vice President, Treasury Mark Schiffer, MD Regional Vice President Greg Radinsky, JD administration Senior Vice President & Chief Corporate Compliance Officer Ambulatory and hospitals Debbie Salas-Lopez, MD Strategy & Business Senior Vice President, Community & Central Region Population Health Development Jason Naidich, MD Ramon Soto Deborah Schiff Senior Vice President & Regional Executive Senior Vice President & Chief Marketing Executive Vice President, Ambulatory Director and Communications Officer Strategy & Business Development Frank Rizzo Eugene Tangney Eric Jordan Senior Vice President & Regional Chief Senior Vice President & Chief Deputy Executive Director, Ambulatory Financial Officer Administrative Officer Strategy & Business Development Jonathan Scheidt Dennis Whalen Jason Horowitz Senior Vice President, Ambulatory Services Vice President, State Government Affairs Vice President, Business Development & Clinical Joint Ventures Adam Auerbach, MD Andrew Yacht, MD Senior Vice President & Regional Senior Vice President, Academic Affairs William O’Connell Ambulatory Physician Executive & Chief Academic Officer, Designated Regional Business Development Officer, Institutional Officer Central Region Cohen Children’s Jessica Tehan Health Solutions Regional Business Development Officer, Medical Center*** Eastern Region Joseph Schulman Charles Schleien, MD Senior Vice President, Keith Vuono Senior Vice President, Executive Director & Northwell Health Solutions Regional Business Development Officer, Chair, Pediatric Services, Northwell Health Western Region Philip Lanzkowsky, MD, Chair of Pediatrics Zenobia Brown, MD Medical Director & Vice President, Carolyn Quinn, RN Northwell Health Solutions Northwell Holdings Executive Director

and Ventures Peter Silver, MD Medical Director Richard Mulry Interim President & CEO

Northwell Health | 2019 Annual Report 85 Margaret Duffy, RN, PhD Zucker Hillside Hospital*** Mather Hospital** Associate Executive Director, Patient Care Services & Chief Nursing Officer Carolyn Sweetapple, RN, PhD Executive Director Kenneth Roberts Chief Executive Officer LIJ Medical Center* Howard Linder, MD Acting Medical Director Joan Faro, MD Michael Goldberg Chief Medical Officer Executive Director Marybeth McManus, RN Associate Executive Director, Patient Care Marie Mulligan, RN Richard Schwarz, MD Services & Chief Nursing Officer Chief Nursing Officer Medical Director Peconic Bay Medical Margaret Murphy, RN Eastern Region Associate Executive Director, Patient Care Center** Services & Chief Nursing Officer Stephen Bello, PA Regional Executive Director Andrew Mitchell Long Island Jewish President and CEO Jay Enden, MD Forest Hills** Regional Medical Director Jean Cacciabaudo, MD Medical Director Susan Browning Michele Frankel Executive Director Regional Chief Financial Officer Christine Kippley, RN Vice President and Chief Nursing Officer Mitchel Jacobs, MD Joseph Lamantia Medical Director Senior Vice President, Ambulatory Services Plainview Hospital** Mary Curran, EdD, RN Benjamin Schwartz, MD Associate Executive Director, Patient Care Senior Vice President & Regional Michael Fener Services & Chief Nursing Officer Ambulatory Physician Executive Executive Director Long Island Jewish Alan Mensch, MD Glen Cove Hospital** Senior Vice President, Medical Affairs & Valley Stream** Medical Director Kerri Scanlon, RN David Seligman Executive Director Marianna Vazquez, RN Executive Director Associate Executive Director, Patient Care Bradley Sherman, MD Services & Chief Nursing Officer Joseph Marino, MD Medical Director Medical Director Doreen O’Grady, RN Southside Hospital* Terry Pando, RN Associate Executive Director, Patient Care Services & Chief Nursing Officer Donna Moravick, RN, NP Associate Executive Director, Patient Care Executive Director Services & Chief Nursing Officer Huntington Hospital** Jay Enden, MD North Shore University Medical Director Nick Fitterman, MD Hospital* Executive Director Ralph Civello, RN Associate Executive Director, Patient Jon Sendach Michael Grosso, MD Services & Chief Nursing Officer Deputy Executive Director Medical Director

Michael Gitman, MD Susan Knoepffler, RN South Oaks Hospital*** Medical Director Vice President & Chief Nursing Officer Carolyn Sweetapple, RN, PhD Tara Laumenede, RN Executive Director Acting Associate Executive Director, Patient Care Services & Chief Nurse Executive

86 Northwell Health | 2019 Annual Report Youssef Hassoun, MD Warren Licht, MD Myrna Capabianco, RN Medical Director Medical Director Associate Executive Director, Patient Care Services & Chief Nursing Officer Joanne Benson, RN, DNP Irene Macyk, RN Associate Executive Director & Chief Associate Executive Director, Patient Care Nursing Officer Services & Chief Nursing Officer Brooklyn Region

Rita Mercieca, RN Syosset Hospital** Manhattan Eye, Ear & Senior Vice President Regional Executive Director Michael Fener Throat Hospital*** Executive Director Joseph Manopella Post-Acute Services Randolph DiLorenzo, MD Executive Director Medical Director Merryl Siegel Daniel Baker, MD Senior Vice President & Regional Executive Medical Director Marianna Vazquez, RN Director, Post-Acute Services Associate Executive Director, Patient Care Irene Macyk, RN Services & Chief Nursing Officer Maria Torroella Carney, MD Associate Executive Director, Patient Care Medical Director, Post-Acute Services & Services & Chief Nursing Officer Chief, Geriatric and Palliative Medicine, Western Region Northwell Health Northern Westchester Kevin Beiner Senior Vice President & Regional Executive Hospital** Northwell Health At Home Director Derek Anderson Merryl Siegel Sharon Joy Executive Director Senior Vice President & Regional Executive Regional Chief Financial Officer Director, Post-Acute Services Marla Koroly, MD Emily Kao, RPh Chief Medical Officer Irina Mitzner, RN Senior Vice President, Ambulatory Services Vice President, Clinical Operations & Catherine Manley-Cullen, RN Nurse Executive Mark Schiffer, MD Associate Executive Director, Patient Care Senior Vice President & Regional Services & Chief Nursing Officer Hospice Care Network Ambulatory Physician Executive Phelps Hospital** Maureen Hinkelman Lenox Hill Hospital* President & CEO Eileen Egan, RN, Esq Jill Kalman, MD Executive DIrector Lori Ann Attivissimo, MD Executive Director Senior Medical Director Tobe Banc, MD Daniel Baker, MD Senior Vice President & Medical Director Medical Director Mary McDermott, RN Irene Macyk, RN Senior Vice President, Patient Care Services Associate Executive Director, Patient Care & Chief Nursing Officer Services & Chief Nursing Officer Staten Island University * Tertiary ** Community *** Specialty

Lenox Health Greenwich 1 Hospital* Affiliate organizations are not Village*** corporately related to Northwell Brahim Ardolic, MD Health and are excluded from its Alexander Hellinger, DPT Executive Director combined financial statements. Executive Director Theodore Maniatis, MD Medical Director

Northwell Health | 2019 Annual Report 87 Orzac Center for Strategic Affiliations Clinical Joint Ventures Rehabilitation Epworth Hospital Access Clinical Partners Richmond, Australia Michael Scarpelli (GoHealth) Executive Director Karolinska Institute DaVita Kidney Care Barbara Tommasulo, MD Solna, Sweden Medical Director Denver, CO

Ellen Pokorny, RN Lifebridge Health Optum 360 Associate Executive Director, Nursing Baltimore, MD Eden Prairie, Minnesota

Peconic Bay Skilled Nursing One Brooklyn Health Rothman Orthopaedic and Rehabilitation Center System Institute Brooklyn, NY Philadelphia, PA Andrew J. Mitchell President & CEO OPKO Health BioReference Synergy Health True North Anna Law, RN Laboratories LLC (Central Sterile) Vice President, Skilled Nursing & Elmwood Park, NJ New Hyde Park, NY Rehabilitation Yale New Haven Health April Sunshine Caperna, DO Western Connecticut Medical Director (Sky Health) Health System (part of New Haven, CT Stern Family Center for Nuvance Health) Danbury, CT Rehabilitation

Gerard Kaiser Executive Director

Howard Guzik, MD Medical Director

Barbara Geraghty, RN Associate Executive Director, Nursing

88 Northwell Health | 2019 Annual Report Research Affiliations Industry Affiliations Affiliate Organizations Biomedical Research Canyon Ranch Adults and Children Alliance of New York Tucson, AZ with Learning and New Hyde Park, NY Enterprise Ireland Developmental Disabilities Cold Spring Harbor Dublin, Ireland (ACLD) Bethpage, NY Laboratory High Value Healthcare Cold Spring Harbor, NY Collaborative AHRC Nassau Brookville, NY New York Genome Center Hanover, NH/Portland, ME New York, NY Israeli Innovation Alliance Brookville Center for The Center for Discovery (part of Israel Innovation Children’s Services Brookville, NY Harris, NY Authority) Jerusalem, Israel

* Tertiary ** Community *** Specialty

1 Affiliate organizations are not corporately related to Northwell Health and are excluded from its combined financial statements.

Northwell Health | 2019 Annual Report 89 2019 Honor Roll

Northwell Health is grateful for the continued support of so many friends. We Angels on the Bay, Inc. u wish to thank all of our donors whose generosity and ongoing partnership Louise B. Angiuli Family Trust enable us to reimagine the world of health care and help us to take care of the The Anikstein Family u communities we serve. Anonymous We make every effort to be accurate and complete in this donor listing. If you Anonymous  have any questions with regard to how your name and/or organization appears, Anonymous l please contact the Northwell Health Foundation at (516) 321-6300. Anonymous u The names listed below represent donors, corporations and foundations that have made cumulative gifts of $5,000 or more in 2019. Symbols appearing next to listings reflect lifetime giving. Anthem, Inc. l Note: the data presented in this section does not capture financial information from Phelps Memorial Mrs. Elizabeth Apelian Hospital, Northern Westchester Hospital or Peconic Bay Medical Center. APEX Rehab Care Center Appel Charitable Fund 9300 Realty Dr. Patti and Mr. Brian Amarin Pharma, Inc. Appliance World of Adelman and Family  Lorraine S. Aaron u Amazon Huntington Mr. Paul R. Ades u The Richard and Terez Marianne and Paulson Dr. Brahim Ardolic   Abatecola Foundation The Adikes Family Ambookan Mr. and Mrs. Alex L. Arker Foundation u Mr. Steven Abbass The American Association of Mr. and Mrs. Peter A. Aron n u l Adria Infrastructure, LLC Immunologists Abbott Laboratories Mr. Adam Aronson Aetna Foundation, Inc. u American Cancer Society l Abbott Vascular Mr. and Mrs. Carlos A. AFCO Insurance Finance American Geriatrics Society, AbbVie Foundation Arredondo Inc. Mr. Greg A. Agran u Mr. Arthur A. Abeles Elena I. Arredondo Foundation American Mortgage Ainslie Foundation Abiomed, Inc. Consultants, Inc. Arthritis National Research Airline Vending Services, Inc. Foundation u Mr. and Mrs. Michael Aboff u American Securities u Aboff’s, Inc. Airweld, Inc. Foundation u ASCAP u Abrams, Fensterman, Akerman, LLP The American Society of Mr. and Mrs. George Asch Fensterman, Eisman, Formato, Mr. and Mrs. Wayne Albinder Hematology s Mr. and Mrs. Michael L. Ferrara, Wolf & Carone, LLP Ashner l ALC Steel Corporation Dr. and Mrs. John W. Ames  Louis and Anne Abrons Association of University Mr. and Mrs. Michael W. AMGEN u Foundation, Inc. Radiologists u Alderman u Amherst Pierpoint Securities, Ace American Insurance  u LLC Drs. Donna and Mark Astiz Company Allergan u Amster, Rothstein & Ebenstein, AstraZeneca, LP The Achelis and Bodman Ms. Jenna Alley LLP Atalaya Capital Management Foundations Allscripts u Mr. and Mrs. Arthur A. Dr. Lori Ann Attivissimo  Mr. and Mrs. William Alston & Bird, LLP Anderman s Achenbaum l Au Bon Pain Altice USA Andersen Windows and Doors Acker Family Charitable Fund u Mr. and Mrs. Jeffrey C. Altman Foundation u Mr. and Mrs. Jay I. Anderson Dr. and Mrs. Angelo Aurigema Jack & Sylvia Altman Acquista u  Andrews Foundation, Inc. Auxiliary of North Shore Foundation H Ad-Tech Anesthesia Management University Hospital The Alvarenga Family  Services, LLC Axogen Corporation

90 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

B-Sharp Musical Productions, Mr. Kevin S. Beiner  Mr. and Mrs. Roger A. Mr. and Mrs. Fred Inc. Blumencranz l Brettschneider u Bel Air Securities, LLC u Mr. and Mrs. Matthew Mr. and Mrs. Marc J. Bright Horizons Dr. and Mrs. Steven Beldner  Blumencranz u Bacchioni Trust of Louis Briller l Stephen and Kim Bello  Mr. Eric S. Blumencranz s Dr. Sandy Balwan and Mr. Paul Dr. Derek Brinster   Dr. and Mrs. Alessandro G. Balwan NFP BWD Group LLC Bellucci  The Bristal Assisted Living s Banfi Vintners Foundation Mr. and Mrs. Marc J. The Frances & Benjamin Brock Solutions Bank of America s Blumencranz u Benenson Foundation Mr. and Mrs. Bert E. Brodsky s Mr. and Mrs. Vincent C. Mr. and Mrs. Roger A. Mr. Lawrence B. Benenson u Alzheimer’s Foundation of u Blumencranz l Banker America The Benjamin Family u NFP BWD Group LLC Jeanine and Merrill Banks Mr. and Mrs. David Brody  Dr. Nancy Beran  Mr. and Mrs. Edward Lloyd Staffing Dr. Judith P. Brody and Dr. Mr. and Mrs. Barry Berg u Blumenfeld and Family n BankUnited Bruce F. Farber  Dr. Gayle R. Berg u Mr. and Mrs. Neil M. Blumstein Mr. Michael Bapis Dr. and Mrs. Gerard X. Brogan, Dr. and Mrs. Richard Berg Dr. and Mrs. Richard S. Boas l Jr.  Barbash Family Fund, Inc. l Mrs. Cathy Barbash Mr. and Mrs. Alexander Berley Bohlsen Family Foundation H The Robert & Nancy Brooks Mrs. Lillian Barbash Foundation The Berlin Family Mr. and Mrs. Geoffrey T. Mr. Shep Barbash Foundation u Boisi s Estate of Florence Brooks Mrs. Susan Barbash Kressin l Dr. and Mrs. Melvin Berlin  Mr. and Mrs. Al Bolivar  Estate of Mary Louise Barber Mr. Dayton T. Brown, Jr. l Mr. and Mrs. Sidney Berman u Adam and Christina Boll  Mr. and Mrs. Christopher J. Mr. Martin W. Bernard u Dr. Zenobia Brown  Barber u Dr. Vincent R. Bonagura  Dr. David Bernstein and Dr. Ms. Susan Browning Mr. and Mrs. Anthony F. Mr. and Mrs. Joseph Bongiorno Helen Kim u  Boubour  Barbiero ADJO Contracting Corporation Jill and Jay Bernstein Family Mr. and Mrs. Bryan Brownyard Barclays Capital Estate of Selma Borenstein Foundation u Mr. and Mrs. Gary Dr. Agnes and Mr. Thomas Mr. Jim Bosco  Mr. and Mrs. Frank J. Broxmeyer s Barden  Mr. and Mrs. John L. Bosco  Besignano u Mr. and Mrs. Michael Dr. Stephen Barone  Boston Scientific Bethpage Federal Credit Broxmeyer u Corporation s Barrie-Getz Family Charitable Union s Doris Bry Trust l Fund Chris Boukas, MBA, RN  Bethpage High School UFSD Bryan Cave, LLP Mr. and Mrs. Manuel H. Mr. and Mrs. Frank Boulton u Ms. Jennifer L. Bickhardt u BTG Pharmaceuticals Barron n The Boulton Family Charitable Biocompatibles, Inc. Mr. Stanley F. Barshay u Fund Ronald Burakoff, DMD and Biotronik, Inc. Arlene Bregman, DRPH  Mr. and Mrs. Bernard Bartley Carol and Steven Boyer  Dr. and Mrs. Adam Mr. and Mrs. Bernard Burkhoff Mrs. Jean Baruch l BP Mechanical Corporation Bitterman  Agatha and John Burns &  BPW Property Management, Dr. Joseph Basile Family u Dr. Victoria B. Bjorklund and LLC H Mrs. Sandra Atlas Bass Mr. Hank Bjorklund Mr. William Burns Brain and Behavior Research Mr. Ned H. Bassen Mr. Gregory D. Blake Foundation s William J. Burns Foundation,  Inc. Dr. David L. Battinelli Bruce A. Blakeman, Esq. The Brain Aneurysm Mr. David W. Baum u Mr. and Mrs. Adam S. Blank u Foundation u Burns & McDonnell The Bernard and Muriel Engineering Company, Inc. Mr. Nelson Blitz, Jr. Mr. E. Steve Braun H Lauren Foundation Mr. and Mrs. Declan Butvick Bloomingdale’s s Dr. and Mrs. Richard E. Mr. and Mrs. Peter J. Baum l Braunstein u  C&H Agency Blue Sky Real Estate Services & BDO USA, LLP Development Drs. Linda and Stephen Breskin Cablevision-Lightpath s Dr. Lance Becker 

Northwell Health | 2019 Annual Report 91 Dr. Jean M. Cacciabaudo and Mr. and Mrs. Jay Chazanoff Dr. Joseph Conigliaro and Mr. and Mrs. Roderick H.   Cushman s Dr. William A. Maiorino Mr. and Mrs. Edward A. Dr. Rosemarie Conigliaro Community Foundation of Calamos Advisors LLC Chernoff l Connecticut Cancer Jackson Hole MARS Foundation, Inc. Caldera Medical, Inc. Cushman & Wakefield Dr. Francis A. Chervenak s  Connolly Music Mr. and Mrs. William J. Drs. Patricia and Fred Cushner  Candee, III CHIESI USA, Inc. Mr. and Mrs. Kevin B. Connolly  Custom Computer Specialists, Mr. and Mrs. Peter Cannell u Children’s Medical Fund of New Inc. York H Mr. and Mrs. Michael P. Contillo Jonathan S. Canno and Pierce Mr. Robert Cuzzi Canno Roberts s Children’s Miracle Network Mr. Thomas M. Conwell H Cystic Fibrosis Foundation  The Capitano Foundation Hospitals Dr. Gene F. Coppa  u Mr. and Mrs. James D’Addario Vera Capovilla Living Trust CHIPS Technology Group, LLC Corgan Associates Architects, PC Drs. Catherine A. D’Agostino- Cardoza Plumbing Corporation Mr. and Mrs. Warren A. Cornerstone Biopharma, Inc. Christie u Barakat and Richard R. Mr. and Mrs. Michael G. Caridi l Corporate Loss Prevention Barakat u  The Vincent Gruppuso Mr. and Mrs. Joseph G. Ciampa Association   Dr. and Mrs. John K. D’Angelo Foundation, Inc. Donna and Antonio Cice Mr. and Mrs. John Corrado Mr. and Mrs. Joseph F. Mr. Joseph F. Carillo, Sr. Dina E. Cicillini, RN, CPEN  Suffolk Transportation Service, D’Angelo u Carillon Nursing & Inc. Cigna Health and Life Insurance Rehabilitation Center DAL Global Services, LLC Company Mr. and Mrs. Konstantine Dr. Maria Torroella Carney and Costalas  Jillian E. Daly Foundation u Dr. Eric Cioe Pena   Mr. Joseph M. Carney Dr. and Mrs. Peter D. Damaghi Families l Citigroup s Maxine and Hugh Carrington  Costantino  Farahnaz and Babak Damaghi City Practice Group of New Bonnie Cashin Fund Mr. and Mrs. Bernard Costelli Haleh and Kambiz Damaghi York, LLC Ms. Kathryn Cashin  Ms. Eileen V. Costello Mitra and Nader Damaghi RJ and Christos Mr. and Mrs. Frank Castagna l Civello-Bakolias  Dr. and Mrs. James M. Shahnaz and Nasser Damaghi Fifth Avenue of L.I. Realty Crawford u  Mr. and Mrs. Mark L. Claster n Mrs. Laura Danforth l Associates Carl Marks Foundation, Inc. Credit Suisse Daniel Gale Associates, Inc. of Robert, Carol and Caroline Ms. Patti A. Clement Credit Union Miracle Day, Inc. u East Norwich Castano u  CLL Global Research Irma L. & Abram S. Croll Daniel Gale Sotheby’s Castlerock Asset Management Foundation u Charitable Trust n International Realty u Mr. and Mrs. Robert B. Catell l Ms. Kerry Clyne-Ivkovic  Mr. and Mrs. Brad W. Cronin u Frank and April Danza  Mr. Neil Cavuto Cohen Children’s Circle H Ms. Margaret M. Crotty and Mr. Morris & Rose Danzig Charitable Century Elevator Maintenance Rory B. Riggs s Trust u Mr. and Mrs. Michael S. Cohen Corporation Ellen and Daniel Crown n Dr. Karina W. Davidson  Ms. Sharon J. Cohen l Cerner Corporation The Crown Family Mr. Daniel Davies  Mr. and Mrs. Steven A. Cohen H Certainteed Crown Castle Mrs. Katherine M. Davis u Mr. and Mrs. Steven M. Cohen u Certilman Balin Adler & Hyman, Eric Cruzen, MD and Christian Davis Vision Visionworks l u Ms. Robin L. Cohen LLP  Sipaco Mr. and Mrs. Jack Dayan u Clifford Chance US, LLP Estate of Milton S. Cohn l Mr. Maurice Cummins Mr. Peter Daytz  The Charles Cohn Foundation, Ms. Lorraine Chambers Lewis Mr. Richard T. Cunniff, Jr. Inc. u Dean Foundation, Inc. u Dr. Lucy Chang Mr. and Mrs. William J. Mr. and Mrs. John K. Colgate, Marcella and Gianluigi De Mr. and Mrs. Robert W. Cunningham, III  Jr. s Geronimo  l Chasanoff Mr. F. Allan Curran Simon & Eve Colin Foundation, Peter & Jeri Dejana Family Judith Chase Foundation Inc. l Michele and James Cusack  Foundation u The Elizabeth and Frank Chau Colon Cancer Challenge Mr. and Mrs. Frank J. DellaFera Family Foundation Foundation

92 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

Deloitte Services, LP s Mr. Joshua Eastery Evercore Partners Services East, Mr. and Mrs. Daniel Fisher s L.L.C. Delta Air Lines, Inc. s The EBB Point Foundation Martin M. Fisher, MD  Eze Castle Integration, Inc Mr. and Mrs. Scott L. DeMatteis Mr. and Mrs. Michael Eble Dr. and Mrs. Nick Fitterman  Furniture Consultants, Inc Faegre Baker Daniels, LLP Mr. and Mrs. Manfred E. Dr. and Mrs. Adiel Fleischer  u Dr. and Mrs. Martin P. Mr. and Mrs. Peter M. Fahey u Demenus Florence Corporation Edelstein u   Fairview-Licht Company, LLC Dr. Barbara A. DeVoe Mr. and Mrs. Edward C. Forst u Edrington Americas Michael David Falk Mr. and Mrs. Thomas E. Mr. and Mrs. Robert Fortunoff u Dewey, Jr. s The Einbinder Family “32” u Foundation n Foundation for Surgical Mr. and Mrs. Saul Eisenberg u Mr. and Mrs. David Fanning S. Sydney DeYoung Fellowships u u The Charles L. Read Foundation Foundation Farber, Rosen & Kaufman, PC The Michael J. Fox Foundation Mr. and Mrs. Warren Diamond Blackfan Anemia Farrell Fritz, P.C. u for Parkinson’s Research s Foundation Eisenberg s Ms. Patricia M. Farrell  Mr. Michael Franco Michael Diefenbach, PhD  Mr. and Mrs. Adam Elberg u Fay Servicing Dr. and Mrs. Paul Jarrod Frank Rich and Debra Diem  Electric Essentials Corporation Mr. Peter Feilbogen Abraham B. & Sarah Frank Mr. and Mrs. Dwayne R. Diesu Mr. and Mrs. Christopher Eler s Mr. and Mrs. Marc A. Feinberg Fund Dr. Randolph and Mrs. Melissa Mr. Martin Elias l u Douglas K. Frank, MD, FACS  DiLorenzo  Ike, Molly & Steven Elias Ms. Amy Feinstein Foundation Mr. and Mrs. Adam Frankel  Mr. and Mrs. Joseph Mr. and Mrs. Jeffrey L. u l DiMartino u Dr. David Elkowitz Feinstein Fresh Meadow Country Club Mr. Gordon Dipaolo Thomas and Jeanne Elmezzi Mr. and Mrs. Leonard Mrs. Carolyn W. Fried Private Foundation H Feinstein H Distribution International Fried, Frank, Harris, Shriver & Empire General Contracting Mr. and Mrs. Richard S. Jacobson, LLP u Mr. Robert A. Dixon Feinstein u Mr. and Mrs. L. Keith Friedlander  EnCap Investments, L.P. Dr. and Mrs. Yosef D. Dlugacz Dory and Rich Feldman  enCourage Kids Foundation s Claire Friedlander Family Martin E. Doerfler, MD and Mr. and Mrs. Michael E. Foundation u   Kristin R. Huckshorn Jay B. Enden, MD Feldman u Mr. and Mrs. Cliff Friedman u Doherty Breads, LLC Engage Therapeutics, Inc. Nicole and P.J. Felix  Dr. Karen A. Friedman  u Donaldson Interiors, Inc. Mr. and Mrs. Peter Engel Ms. Barbara A. Felker  Dr. and Mrs. Richard A.  John W. Engeman Theater at Ms. Kathleen A. Donovan Michael C. Fener  Friedman  Northport u Mr. and Mrs. Thomas E. Mr. and Mrs. Larry Fenster The Russell Friedman Law Dooley n Ennead Architects, LLP Fera Pharmaceuticals, LLC Group, LLP Doppelt Family Foundation Estate of Robert Entenmann H The Ferriday Fund Charitable The Gerald J. and Dorothy Barbara Dorsch Foundation Environmental Contractors Trust R. Friedman New York

u Association Foundation H Douglas Elliman Real Estate Mr. and Mrs. Sal Ferro Mr. Michael A. Epstein l Andrea Dowd and Steven Alure Home Improvements Friends and Angels: The Tracy  u Vicere Foundation, Inc. Ceely Mr. and Mrs. Scott Erlich Dr. and Mrs. David H. Fields u  FTI Consulting Mr. and Mrs. Michael J. The Boomer Esiason Dr. and Mrs. Noah S. Finkel  Dowling u  Foundation l Jay and Victoria Furman Joel Finkelstein Cancer Foundation u Robert N. and Nancy A. Esperion Therapeutics Foundation H l Downey The Estee Lauder Companies, G. Fuel, LLC. Fire Island Ferries, Inc. Donna and Robert Inc. s G.A. Fleet Association  Fireman’s Association of the Drummond Estreich & Company, Inc. State of New York s G2 Secure Staff Mr. Michael D. Dude Mr. and Mrs. Bernard Ettinger u  Dr. Steven Fishbane  Dominick and Nina Gadaleta Dystonia Medical Research Maryann Evans and Edwin G. u Mr. and Mrs. Michael G. Fisch l Mr. and Mrs. Thomas J. Gahan Foundation Roos l Dr. and Mrs. Barry G. Fisher Mr. Eugene K. Galbraith

Northwell Health | 2019 Annual Report 93 Mr. and Mrs. Gregory G. Galdi u Glen Oaks Club, Inc. s Mr. and Mrs. Richard M. Alan R. Hartman, MD u  Greene u Daniel Gale MacCrate Real Mr. and Mrs. Mark A. Gloade  Mr. Martin Hauser Blaine and Jayne Greenwald  Estate, Inc. Global Elite Group, Inc. Ms. Sheryl Haut  Greenwich Biosciences Dr. Rober Galler Mr. and Mrs. Ralph Glogower u Mr. and Mrs. John P. Havens u Mr. and Mrs. Kenneth S. Dr. Kathleen Gallo and Mr. Roy Henry Glover Memorial Mr. Walter H. Haydock  Grossman Leonard L. Gallo Trust l Mr. and Mrs. Stuart M. Hayim u Mr. Matthew S. Grossman u Gambino Medical & Science Go With Courage, Inc. H Mr. and Mrs. Ira Hazan l Foundation, Inc. Dr. and Mrs. Michael B. Mr. and Mrs. Robert Goebert Mr. and Mrs. Thomas F. Grosso  Head for the Cure Gambino, Sr. GoHealth Healthfirst, Inc. u Mr. and Mrs. Leif Arntzen The Stanley & Kathleen Mr. Howard B. Gold  Mr. and Mrs. Carl Gambino Grumbacher Foundation, Inc. Dr. and Mrs. William A. Mr. and Mrs. Thomas Mr. and Mrs. Arthur H. Gucci America, Inc. Healy, III  Gambino, Jr. Goldberg s Paul and Diane Guenther l The William Randolph Hearst Mr. and Mrs. Andrew Rotondi Michael H. and Alyson Foundations, Inc. l Guggenheim Securities, LLC Goldberg  Amit and Alpa Garg  Hearts for Russ Housman, Inc. Mr. and Mrs. Frank Gulden u Mr. and Mrs. Robert M. Mr. and Mrs. Peter E. Gaslow The Hecht-Levi Foundation Goldberg n Mrs. Louise F. Gunderson Empire Office Equipment Heidell, Pittoni, Murphy & Bach, The Fay J. Lindner Foundation Ms. Nina L. Gunderson George A. Gaston Charitable LLP u Goldman Sachs l s Dr. Leo A. Guthart u Trust Benjamin J. Heitner, C.P.A., Mr. and Mrs. Lloyd M. Mr. and Mrs. Eugene L. Gazza u Patricia and Edward Gutman l P.C. u Goldman H u Mr. Michael J. Geiger The Joyce and Irving Goldman Estate of Michael G. Mr. and Mrs. John C. R. Hele Guttenberg u Genentech u Family Foundation Mr. and Mrs. Jonathan N. The Marc Haas Foundation s Helfat s General Insulation The Sol Goldman Charitable l Company, Inc. Trust Mr. and Mrs. Adam Haber Mr. and Mrs. Andrew H. Heller Mr. and Mrs. Robert Genser Mr. and Mrs. Richard D. Ms. Linda G. Haft Alex and Yve Hellinger  Goldstein l Ms. Gladys George and The Hagedorn Foundation The Hellman Foundation u s Ms. Samantha B. Gordon Dr. Stuart Orsher  Mr. and Mrs. Kyle Hall u Mr. Robert Hemsing u Mr. Lawrence Gottesman s Mr. and Mrs. Gary M. Geresi Halo Branded Solutions Henry Schein Cares Lawrence Scott Events, Ltd. l Richard S. Gershman & Mr. Jon L. Halpern Foundation Mr. and Mrs. Ronald A. Associates, P.C. Dr. and Mrs. Elliott B. Gottlieb u Mr. and Mrs. Stephen L. u  Mr. and Mrs. Fredric B. Gershon Hammerman s Hershman Mr. George E. Gottridge l The Gershwind Family Mr. and Mrs. Douglas W. Mr. and Mrs. Jerry Herz l Dr. JoAnne Gottridge-Patrizi and Foundation Hammond l DuBose & Dorothy Heyward Mr. Lester J. Patrizi u  The Gershwind Foundation u NFP Corporation Memorial Fund Mr. and Mrs. Fredric H. Gould s Mr. and Mrs. Christopher C. Milton and Miriam Handler Mr. Stephen Hess u The Gould-Shenfeld Family Giamo u Foundation s Foundation Mr. and Mrs. William Hickey Dr. and Mrs. Gary Giangola  Mr. Bernard Hann l Dr. and Mrs. Albert L. Granger u Judith and William Hiltz l Jeri Finesilver Cancer Mr. and Mrs. Gregory Gibbons Dr. Harly E. Greenberg  Foundation Mr. and Mrs. Randall S. Gil-Bar Industries, Inc. Hinden u Mr. and Mrs. Martin B. Mrs. Souzan Hanna and Gilead Sciences, Inc. l Greenberg l Dr. Nader Hanna  Dr. and Mrs. Jerrold E. Hirsch  The Clark Gillies Foundation l Mr. Neil Greenblatt Mr. Gregory Harlow Mr. and Mrs. Gary C. Hisiger u Drs. Michael and Cindy Mr. and Mrs. Alan I. Greene H Dr. Yael Tobi Harris  Margaret Mellon Hitchcock Gitman  Foundation u The David and Alan Greene Mortimer J. Harrison Trust u Mrs. Jeri L. Glaser Family Foundation, Inc. Mr. and Mrs. Randall S. Estate of Walter D. Harrod Hinden u

94 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

Mr. and Mrs. Peter J. Hoffman u J.P. Morgan Chase & Mrs. Lisa A. Kaufman l Mrs. Marion Kleinkramer u Company l Mr. and Mrs. Steven R. Mr. and Mrs. Steven Kaufman u KLS Martin, L.P. Hoffman u June Jacobs and Rochelle Silpe Ms. Tara M. Kazak and Mr. Fan Knapp Family Foundation l Jacobs  Helen Hoffritz Charitable Tao Knockout Pest Control u Trust s Mr. Mark Jacobson l The Kazickas Family Foundation, Ms. Susan Knoepffler, RN  Hofstra University Mr. and Mrs. Mitchell L. Inc. u Jacobson l Mr. and Mrs. David M. Knott u Mr. and Mrs. Ronald P. Mr. and Mrs. John C. Kean, III u n Hohmann Janssen Biotech, Inc. Kean Development Company, Kohl’s Cares l Mr. and Mrs. Robert G. Holden Dr. and Mrs. Mark P. Jarrett u  Inc. Stephanie Kollar u Christine and Andrew R. JDP Mechanical, Inc. W.M. Keck Foundation Susan G. Komen Greater New  York City s Hong Mr. and Mrs. Matthew Jelavic  Allan and Margaret Keene u Charitable Fund u Karen M. Kostroff, MD and Jon Mr. James B. Hoover Jewish Community Foundation R. Cohen, MD u  Hope for Histiocytosis u of Greater Hartford, Inc. Mr. John P. Kelly Estate of Elsie Kovner Mr. and Mrs. Richard A. JFK International Air Terminal, Mr. Stephen Kelly Horowitz u LLC u Mr. and Mrs. Jeffrey E. Kelter u Anastasios and Laura Kozaitis  Mr. Samuel T. Horowitz  JMK Consulting 2018, LLC Mr. and Mrs. Marc Kemp u Mr. and Mrs. Laurence A. Kraemer  Mr. and Mrs. Stuart J. Horowitz Mr. Dakis S. Joannou Donald M. Kendall Sr. and Sigrid u Kramer Levin Naftalis & Frankel, Johnson & Johnson u R.V.C. Kendall Foundation Mr. and Mrs. Randolph G. LLP u  Howard, Jr. Mr. and Mrs. Hoyle C. Jones Ms. Krystal Kennedy Mr. Christopher Kraus   Ms. Kathryn A. Howell Mr. and Mrs. Robert E. Jordan  Mr. Charles Kenney Jeffrey and Ellen Kraut  Yaoqing & Shouying Huang u KeshCo Enterprises, Inc. Jorge Family Foundation Trust l Family Foundation Mr. and Mrs. Cary A. Kravet Mr. and Mrs. Elliott Joseph u Mr. Frank F. Keshtgar Kravet, Inc. H. M. Hughes Company, Inc.  Sharon and Michael Joy  Mr. and Mrs. Michael I. Khan Ms. Francine Kreuter n Hugoton Foundation  Ann G. Jurdem Dr. Michael Kim Mr. Barry Kringstein u Huntington Hospital Medical Edward and Marjorie The David Kimmel Staff s Mr. and Mrs. Ralph M. Kube  Goldberger Foundation Foundation u Mr. and Mrs. M. Allan Hyman u The Kupferberg Foundation  Drs. Lisa and Robert Kalimi  Mr. John J. King u Jack & Dorothy Kupferberg ICU Medical, Inc. Dr. Jill Kalman and Mr. Bruce Drs. Yashodhara and Sanjay Family Foundation l Mr. and Mrs. Richard C. Blank  Kirtane  l Imbert l Mr. and Mrs. Seth Kupferberg Mr. and Mrs. Eric Kaltman s Mr. and Mrs. William H. Kissam Kushner Companies Charitable Indus Valley Partners Mr. and Mrs. Fred Kamel Pyramid Air Conditioning, Inc. Foundation Mr. and Mrs. Francis J. John Kane, MD  Mrs. Virginia Mariani-Kitt and Ingrassia u Mr. Errol Kitt u Susan Kwiatek  Emily W. Kao  Insulation Contractors Kiwanis Pediatric Trauma Center Everett La Forge Trust Dr. Barry M. Kaplan  Association of NYC Foundation l Mr. Robert LaForte The Karches Foundation H International Asbestos Removal, Mr. and Mrs. David Klaristenfeld Lahr, Dillon, Manzulli, Kelley & Inc. u Dr. Corey Karlin-Zysman and Mr. Mr. Howard Kleet Penett, P.C.  Investors Foundation, Inc Warren Zysman Kleet Lumber Company, Inc. Lakeville Pace Mechanical, Inc.  Dr. Tochi I. Iroku-Malize  Mr. and Mrs. Mitchell B. Kase Mr. and Mrs. Warren Kleet Mr. and Mrs. Frank Lalezarian l Mr. Chander S. Iyer s Kasowitz Benson Torres, LLP Kleet Lumber Company, Inc. Granite Building 2, LLC Marcus Park, LLC u Kat’s Ribbon of Hope, Inc. u Mr. Thomas Klein Mr. Anthony T. Izzo Mony at Lake Success, LLC Benefits Planning Corporation Mr. and Mrs. Michael Katz l Dr. Victor R. Klein and Kathleen u M. Csillag  Mr. and Mrs. Brian T. Lally  J. Petrocelli Contracting, Inc. Mrs. Phyllis Katz u Mr. and Mrs. Richard P. Ms. Efrat Y. LaMandre J.C. Steel Erectors Corporation Mr. and Mrs. Saul B. Katz H Kleinknecht s

Northwell Health | 2019 Annual Report 95 Mr. and Mrs. Michael T. Mr. and Mrs. Martin Lifton l M & J Talent, LLC Mr. and Mrs. Steven H. Marvin Lamoretti Lilling Family Fund for Neonatal M&T Charitable Foundation The Page & Otto Marx u s The Robert E. Landreth and Research Steve and Sharron MacDonald Foundation s Donna Landreth Family Fund Mr. and Mrs. Mark S. Lilling Family Foundation Gertie F. Marx Private Mr. and Mrs. Adam S. Lilling Mr. and Mrs. Jerry Landsberg u l Foundation s Mr. and Mrs. Matthew S. Lilling Mrs. Lorraine R. Machiz Mr. and Mrs. Clifford P. Lane n n Mr. and Mrs. Frank P. Marzano u Mr. and Mrs. Andrew S. Mr. and Mrs. David S. Mack l Mr. and Mrs. Jeffrey B. Lane Linder s Mr. and Mrs. William L. Mack H Mr. Michael Mastriano Mr. Robert E. Lane  Mr. Harold Matzner u Dr. Sarah K. Linkie-Gorenstein  Winnie and Bill Mack  The Langeshaw Family Fund Mr. and Mrs. Jeffrey S. Maurer u Mr. and Mrs. Richard A. Lippe Irene Macyk, PhD, RN, u Allison and Jed Laskowitz Mr. and Mrs. Seth B. Lipsay s NEA-BC  Mr. Adam May u Mr. and Mrs. Andrew E. Laufer Jeffrey and Linda Lipton  The Joseph Maffeo Mayer Brown, LLP u Foundation s Mr. and Mrs. Mark Lauria Mr. and Mrs. Michael Litman Mr. and Mrs. Jerome Mazursky Mr. Edward A. Mafoud u The Alice Lawrence The Litwin Foundation, Inc. H Mr. and Mrs. James McCahill Foundation Inc. Mr. David S. Magrone James and Tara McCahill Family Lizardos Engineering Associates Foundation Dr. and Mrs. Richard S. P.C. u Mary E. Mahoney  u u Lazzaro  l Mr. and Mrs. F. J. McCarthy Local Union No.361 of The Diane and Darryl Mallah Ms. Maureen J. Lawrence, RN, Mr. and Mrs. Fred P. McCready, IAOBSO Mr. Michael Mancusi BSN, CNML  Jr.  Lodging Solutions, LLC Maximum Security Mr. Bruce B. Lederman Mrs. Marianne McDermott Long Beach Film Institute, Inc. Mr. and Mrs. Philip Mancuso, Jr. Sol and Mildred Lederman The McDowell Foundation Mr. and Mrs. Keith Manfredi s u Long Island Community Supporting Foundation Mr. and Mrs. Kevin McGeachy  Foundation u Manhasset Women’s Coalition Dr. and Mrs. Paul Lee  s Long Island Hearing & Speech Against Breast Cancer The McGinn Family  Leeseberg Trust Society l Dr. Theodore Maniatis  John P. McGovern  Dr. and Mrs. Lyle S. Long Island Jewish Medical Ms. Pamela Manice The Virginia A. McGuire u  Leipziger Center - Medical Staff Society s Foundation Mr. and Mrs. Alan J. Mann u Mr. Barry Leistner Long Island Spine Specialists, Mrs. J. Stewart McLaughlin u Teri Manno and Stacey Amato  P.C. u Mr. and Mrs. Robert S. Lemle Victoria and Mark Mr. and Mrs. Joseph S. Lenox Hill Medical The Longhill Charitable McLaughlin  Manopella  s Foundation, Inc. u Anesthesiology, PLLC Ms. Renee McLeod-Sordjan  Mr. and Mrs. Ben Manu  Mr. Howard Lorber u Mr. Evan Leonard Mrs. Marybeth C. McManus  Patricia C. Marcin, Esq.  Mr. Glenn S. Lostritto The Lerner Family The McMillan Family  Steel O-II LLC Dr. and Mrs. Joseph Marino  Mr. and Mrs. Marc Lessner Mr. Matt McMillan Mr. and Mrs. James J. Mr. and Mrs. Morris Mark u Mr. and Mrs. John A. Levin Estate of Annie McNab u Loughlin, Jr. u Mr. and Mrs. George R. Marks n Mr. and Mrs. Arthur S. Levine LM & Co Medtronic, Inc. s Mrs. Nancy A. Marks H u Mr. and Mrs. Stuart R. Levine Dr. William M. Lowe  Dr. and Mrs. Daniel Megna The Nancy Lurie Marks Family The Leviton Foundation, Inc. l Mr. and Mrs. Lawrence B. Foundation s Mr. Jeffrey Melamed Mr. and Mrs. Mark L. Levitt Ludwig Mr. Lawrence Marolda Mr. and Mrs. Bruce G. Meltzer u Estate of Leo J. Levy u Eileen Ludwig Greenland Triangle Building Products Marron Foundation Foundation l Corporation Shaul & Meir Levy Partnership Dr. and Mrs. Bradley J. Marsh s Lupus Foundation of America Mr. and Mrs. Lewis S. Meltzer u Yali Li, PhD  JemCap, LLC Lupus Research Alliance u Dr. and Mrs. Alan R. Mensch  The Lichtenstein Family Fund Mr. and Mrs. Peter J. Marsh u Terry Lynam  Dr. and Mrs. Andrew W. Lifestyles For The Disabled, Inc. JemCap, LLC Mr. and Mrs. Patrick J. Lyons l Menzin  Lifetime Brands, Inc. Ms. Lisa Martin Ms. Rita Mercieca 

96 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

Merck Company Foundation u The Don Monti Memorial Neil M. Parsoff & Associates, PC Oceanic Heritage Foundation u Research Foundation, Inc. H Meridian Capital Group, LLC Mr. and Mrs. James L. Mr. and Mrs. Robert E. O’Connell Erin and Richard D. Monti Neisloss s Amelia and Spencer J. Mr. and Mrs. William Caroline and Arthur Saladino Conyngham Foundation Merinoff u O’Connell  Mr. and Mrs. Timothy E. Mooney Agency Mrs. Susan L. Merinoff H Mr. Kenneth O’Connor Mr. and Mrs. Patrick Moravick  The Nelkin Foundation H Merkle, Inc. Nancy and Peter O’Connor  Morgan Stanley u Dr. Mindy B. Nelkin Mr. Daniel Meyerson Michael and Pamela Odlum  Moritt Hock & Hamroff, LLP Mrs. Ruth T. Nelkin n Michael Kors (USA), Inc. Ms. Doreen M. O’Grady  Joe and Melissa Moscola  Nelligan Family Gift Fund Mr. and Mrs. James Michaels s Mr. and Mrs. Hugh J. Sara Moss and Michael Gould s Dr. Suzanne Ravitz-Nemshin O’Kane, Jr. u Drs. Michael F. and Mary Ann Mr. and Mrs. Shahzad Mossanen and Mr. Jeff Nemshin Michelis u  The Winifred & William O’Reilly Neuberger Berman, LLC Mother Cabrini Health Foundation Dr. Jennifer H. Mieres  Foundation u Mr. and Mrs. Gregg J. Nevola  The Olin Family Foundation Milbank Foundation MRA Engineering, PC New York Community Bank Inc.  Estate of Bernard Milch u MSG Sports and Entertainment, The New York Community Estate of Frank J. Ollari l Millenium Health LLC s Trust l Mr. R. Scott Ornstein Foundation, Inc. Dr. Pinaki Mukherji  The New York Mets Foundation, Marianne L. Oross, RN, MBA  Mr. and Mrs. Edward D. Miller n l Mr. and Mrs. Paul Mullins s Inc. Dr. Viola Ortiz and Dr. James F. Dr. and Mrs. Larry S. Miller  Mr. David Newton Dr. Kevin Mullins Kenny u  Mr. and Mrs. Richard T. Miller  NextGenFace, Inc. Mr. Richard Mulry  Mr. Daniel Ostersehlte Mr. and Mrs. Steven Millstein Henry Nias Foundation, Inc. l Susan Munro and Doug OTG Charities, Inc Mr. and Mrs. Thomas Milone Borheck  Dr. Jeffrey Nicastro  Mr. and Mrs. Jonathan B. Otto u Rockwell Industries Mr. and Mrs. Robert J. Jamie Nicholls & Fran Biondi International Corporation Oxford Airport Technical Murphy  Charitable Trust Services Dr. Bushra Mina  Mr. and Mrs. Robert Murray u Mr. Ryan Nickel Richard and Lois Pace Charitable The David Minkin Foundation u Morris and Gertrude Furman Nicolette’s Dream, Inc. u and Cultural Fund u The Mission Hospital Foundation Carole and Dr. Michael Mr. and Mrs. John Padden n Mr. Vincent P. Murray MITCHELLS of Huntington Nimaroff  Mr. and Mrs. Xavier A. Palacios Mr. and Mrs. Alvin Murstein u Dr. and Mrs. Mark A. North American Partners in Mr. and Mrs. Dennis L. Palmgren Mittler u  Mr. and Mrs. Stanley H. Muss u Anesthesia, LLP n Wrightson Ramsing Foundation Hyman and Ruth Muss Mittlock Holdings, LLC Northfield Bank Golf Classic u Foundation, Inc. Ms. Nancy Palumbo  Mr. and Mrs. Jonathan C. Mixter Northwestern Mutual Mr. and Mrs. Robert J. Myers u Pamina Fund of the New York Foundation MJR Foundation, LLC Community Trust Dr. Jason J. Naidich  Northwestern Mutual Wealth Modern Sprinkler Corporation PAN Long Island Challenge Dr. Souhel Najjar  Management Company Mr. and Mrs. Gregory Mogil Inc. u Mr. and Mrs. Ralph A. Norwood Foundation, Inc. u Jacqueline Moline, MD, MSC  Dr. and Mrs. Joseph L. Pando  Nappi u  Nouveau Elevator Estate of John P. Monaghan Mr. and Mrs. Jason M. Pantzer Drs. Tina and Raj K. Narayan  Mr. and Mrs. Edward M. Novick The Ambrose Monell Mr. James A. Pappas u Mr. and Mrs. Lenny Nartowicz  Foundation l Ms. Penny Novick u P.J. Mechanical Corporation Nash Family Foundation H Estate of Alexander Monroe Darcy and Andrew Nussbaum Mr. and Mrs. John D. Pappas s  Hays Drs. Beth and Ira Nash NYBKW Charitable Mr. and Mrs. Peter J. Monsignor Farrell High School Mr. and Mrs. Raffiq Nathoo u Foundation u Pappas, Jr. s 135 West 18th Street Realty Monster’s Kids s National Financial Services, LLC Francesca Stanfill Nye and Richard B. Nye l Corporation NATUS Medical, Inc. P.J. Mechanical Corporation

Northwell Health | 2019 Annual Report 97 Paragon Group, LLC Play for RA Dr. Ramanathan Raju  Ride 4 Life: Carving for a Cure Mr. Nikunj S. Parekh Plumbers Local Union No. 200 Rampart Benefit Planning, Inc. Mr. and Mrs. Dennis Riese l The Parkinson Alliance Plumbing Contractors Rampart Insurance Dr. and Mrs. Terry P. Rifkin  Association of LI, Inc. Parkinson’s Foundation u Ramsay Realtors Mr. and Mrs. James P. Riley PMT Corporation Mr. and Mrs. A. Richard The Randolph Foundation The Irene Ritter Foundation u Parkoff l PNC Institutional Asset Mr. and Mrs. Lewis S. Ranieri l Dr. and Mrs. David E. Management Moses L. Parshelsky Rivadeneira  Michael and Paula Rantz Foundation u Estate of Marilyn Polite u Foundation Mr. and Mrs. Frank P. Rizzo  Mr. and Mrs. Douglas Partrick Mr. and Mrs. Warner Posen  Raphael Goldberg Nikpour Dr. David M. Roane  Dovedale Sales Corporation Mr. and Mrs. Paul F. Posillico Cohen & Sullivan CPA’s, PLLC Mr. and Mrs. Joseph Roberto u Mr. James Pascale Drs. Lenore and Louis Drs. George Raptis and Irene The Robin Hood Foundation l Mr. and Mrs. Frank P. Patafio Potters u  Draga  Mr. and Mrs. Allan Rodolitz u Sulabha and Nirav Patel, MD  Ms. Tatiana B. Pouschine Mr. and Mrs. George Raptis u Roland’s Electric, Inc. The Paul Foundation Practicing Excellence RBC Capital Markets, LLC Mr. and Mrs. Hilary P. Rolih Paul Hastings, LLP Dr. Purna Prasad and Veena Mr. and Mrs. Thomas Reca  u Vijayendra  Dr. James N. Romanelli  PAX Assist, Inc. Mr. and Mrs. Bennett L. Presidio Networked s Mr. John J. Romanelli Pedestals Floral Decorators Rechler Solutions, Inc. s Dr. Paul P. Romanello and Nicholas Pedone Foundation Mr. and Mrs. Donald Rechler The Louis & Harold Price Dr. Jamie A. Fortunoff  Mr. and Mrs. Scott Rechler l Mr. and Mrs. Arthur Penn Foundation, Inc. u The Umberto Romano and Mr. and Mrs. Michael D. Rees Penn Toyota, Ltd. Price Waterhouse Clorinda Romano Foundation, l Inc. Mr. and Mrs. Arnold S. Penner u Coopers, LLP u Mr. and Mrs. Charles Reichert u Mr. Robert Rosario Performance Trust Capital Project to Cure l Ms. Patricia Reimerdes Partners Donna Proske  Dr. Carl D. Reimers  Mrs. Donna Rosen and Mr. Glen Wolther Mr. and Mrs. Bruce D. Phyllis L. Pullman u Relypsa, Inc. Pergament s Jeannette and Jonathan Renaissance Charitable PURE Insurance Rosen l Ms. Nora C. Perry  Foundation, Inc. Pyramid Foundation, Inc. l The Abner Rosen Foundation Mrs. Sandra S. Pershing u Ms. Marie Renoux The Quinn Family  Admiral and Mrs. Robert A. Mr. and Mrs. Jeffrey Persky Drs. Maria S. and Angelo D. Rosen l Quest Diagnostics Incorporated Reppucci  Ms. Yahaira Pesante Stacey E. Rosen, MD and Mark K. Questus Capital, LLC Mr. and Mrs. Attilio F. The Research Foundation For Silverman, MD  Mr. and Mrs. Nicholas Racanelli Mental Hygiene, Inc. u Petrocelli H Dr. David Rosenberg  Racanelli Construction Mr. and Mrs. Richard M. Thomas Petrone, Ph.D. Company, Inc. Dr. and Mrs. Richard F. Restifo  Rosenberg u Michael J. Pettei, MD, PhD  Mr. Richard M. Racanelli u Mr. Ronald Rettner The Pfizer Foundation, Inc. l Racanelli Construction Mr. and Mrs. Stanley Rosenberg Company, Inc. Ms. Brenda R. Rezak PGA Tour, Inc. u Katten Muchin Rosenman Race Awesome, Inc. Dr. Charlotte A. Rhee  Foundation, Inc. The Phelan Foundation u Charna Radbell Private Dr. and Mrs. Richard Rho  Mr. and Mrs. Robert D. Jason Philip  Foundation Walter and Judith Rhulen Family Rosenthal l Mr. and Mrs. John P. Picone l Mr. Greg Radinsky  Foundation Rosewood Realty Group Sharon and Rubin Pikus u Mr. and Mrs. John V. Raggio u Grace Jones Richardson Dr. and Mrs. Bernard M. Pink Aid Foundation u Testamentary Trust u Rosof u  Mr. and Mrs. Frederic L. Ragucci Pitts Family Giving Fund Richmond County Savings Mr. and Mrs. George H. Ross l Dr. Carolyn Raia and Dr. Douglas Foundation l Mr. and Mrs. Stephen F. Pizzitola Decorato  Robin and Jack Ross l  Dr. and Mrs. James J. Richter s

98 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

Mr. and Mrs. Laurence Roth l Mr. and Mrs. Lawrence Saper Joseph and Janice Schulman  Francis Shook Trust Dr. and Mrs. Philip Roth  Dr. and Mrs. Homayoun Robin and Eric R. Schuss u Mr. and Mrs. Jeffrey Siegel u Sasson  Marcia and Philip Rothblum Mr. and Mrs. Alan Schwalberg  Ms. Merryl Siegel  Anita & Julian Saul Foundation, Inc. Mr. and Mrs. Benjamin L. Siemens Medical Solutions l u Foundation, Inc. Trust of Louise Rothschild Schwartz Mr. and Mrs. Steven C. Silva u Dr. Marie A. Savard and Mr. and Mrs. Richard J. Rouse u Schwartz Fund Dr. Bradley Fenton Dr. and Mrs. Peter Silver  Royal Waste Services, Inc. The Donna & Marvin Schwartz u Mr. and Mrs. David L. Savin Mr. and Mrs. Angelo J. Silveri Foundation Mr. and Mrs. Brian Ruane Kerri and Kevin Scanlon  Mr. and Mrs. Lawrence T. The Lorraine and Richard Mr. and Mrs. Barry Silvestro u H Dr. Robert F. Scanlon  Schwarz Family Foundation Rubenstein Mr. and Mrs. Don Simon  u u Scaran Oil Service Co., Inc. Richard B. Schwarz, MD  Herbert Rubin, Esq. William E. Simon Mr. and Mrs. Dominick Mr. Tom Sclafani  Rubin Paterniti Gonzalez Foundation, Inc. Scaringella  Kaufman, LLC Mr. Robert M. Scoskie, II Mr. Richard Simone Mr. Michael Scarpelli  Mr. and Mrs. Michael Rubinberg Mr. and Mrs. Gordon L. Simone Healthcare Heather and Andy Schachter  Seaman, Jr. u Rudd Family Charitable Fund Development Realty, LLC The Schaefer Agency, Inc. Ms. Martha G. Segura The Louis and Rachel Rudin Mr. and Mrs. Richard Sims H u Mary and Richard Schanler  SEJ Properties L.P. Foundation Mr. Gurvinder Singh u Mrs. Linda N. Schapiro u Mr. and Mrs. David Seligman  Mrs. Marilyn Rush Dr. Varinder P. Singh u  Eric P. & Evelyn E. Newman Russo’s on the Bay u Mr. and Mrs. Scott Seltzer Foundation SK Life Science RXR Co Property Mr. Jon Sendach  Mr. and Mrs. Norman A. Nicholas Skipitaris, MD, MBA, Management, LLC Schefer n Mr. and Mrs. Stewart Senter u FACC, FHRS  u Mr. Arthur F. Ryan The Fay J. Lindner Foundation Mrs. Vivian Serota Mr. and Mrs. Michael C. Slade l Ryan Family Foundation Mr. Jonathan P. Scheidt  Mr. Joshua Setton u Mr. and Mrs. Richard A. Slone l S.I. Board of Realtors, Inc. Henry Schein Cares Mr. and Mrs. Robert C. Setton s Mr. and Mrs. Steven J. Smith Mr. and Mrs. Michael P. Sabanos Foundation u Seventh District Association, Mr. and Mrs. Michael S. Smith s Mr. and Mrs. Alan Sackman Mr. Marvin H. Schein l Inc. u Dr. Kristofer L. Smith  s Mr. and Mrs. Edward S. Sacks Cindy and S. Jacob Scheinerman, SFA Agency, LLC Dr. Lawrence G. Smith  l MD u  Edmond J. Safra Foundation Dr. Nicholas Sgaglione  Dr. Mark L. Smith  Mr. and Mrs. Bernhard R. Mr. and Mrs. Michael H. Sahn u u Shaare Zedek Medical Center s Sahn Ward Coschignano, PLLC Schiel u Mr. and Mrs. Michael S. Smith u Estate of Thelma Shafran u Mr. and Mrs. Mohammed Mrs. Deborah Schiff and Dr. Snowlift, LLC Mr. and Mrs. John M. Shall Saleh u Russell Schiff  Sodexo Healthcare Services s u Mr. and Mrs. Steven L. Shapiro Dr. Jennifer M. Saleta and Mr. David M. Schiffer Soho Dragon, Inc. Mr. David Saleta  u Shaub, Ahmuty, Citrin & Spratt, Dr. Mark B. Schiffer  Mr. and Mrs. Mark J. LLP u Michael Salvo Family Irrevocable Mr. Norman R. Schlanger and Solazzo u  Trust l Mrs. Nancy S. Shea Ms. Judith L. Kay Solidifi Jack and Rene Salzman u u Mr. and Mrs. Steven Shenfeld u Mrs. Jill Schlanger-Kalogeras Mr. Lloyd Solomon Fan Fox and Leslie R. Samuels The Gould-Shenfeld Family Dr. John A. Schlechter Soros Fund Charitable Foundation, Inc. l Foundation Dr. Charles L. Schleien  Foundation - Matching Gift Walter and Marilyn Joy Samuels Dr. Bradley Sherman  Dr. and Mrs. Steven J. Mr. Ramon Soto  Charitable Foundation s u Mr. Claude Sherman Schneider  Sottile & Megna, MD P.C. u Ms. Rachel M. Sands Mr. Weitzner Shih Brooke and Steven B. Sound Point Capital Drs. Maria and Guillermo l Shock Society u Schonfeld Management Santiago  Shona Mechanical, Inc. Mr. and Mrs. Ronald Schubert SouthWest Airlines Company

Northwell Health | 2019 Annual Report 99 Ms. Linda M. Spadafina  Mr. Jack Stievelman s The Tepper Family United Healthcare Services, Inc. Foundation u Spectranetics Mrs. Nancy Stile United Hospital Fund of New TG Nickel & Associates York l Jerry I. Speyer and Katherine G. The Donna and Alan Stillman Farley u Charity Fund The Rite Aid Foundation u United Methodist Church of Huntington-Cold Spring Mr. and Mrs. Charles H. Joan K. Stout, RN l Alisa Thorne, MD and Charles Harbor u l Thorne, MD u  Spielman Dr. and Mrs. Theodore United States-Israel Binational Mr. Harold M. Spielman u Strange u  Mr. and Mrs. Peter Tilles l Science Foundation u Mr. and Mrs. Robert A. Spielman Edward K. Straus Fund u Ms. Mary M. Tingle United Way of Long Island s SSP America Mr. and Mrs. George Edward R. Tinker Charitable Unitex/A&P Coat, Apron & Strausman l Trust u St. Baldrick’s Foundation l Linen Supply Inc. u Lauri Strauss Leukemia Mr. and Mrs. Andrew H. Tisch St. George Theatre Upper East Side Rehabilitation Foundation s Restoration, Inc. The Roy and Niuta Titus and Nursing Center Mr. and Mrs. Edward H. Foundation Grant Account St. George’s University Limited l USI Insurance Services, LLC Streim Mr. and Mrs. Jules L. Toch St. John’s University Dr. Jeffrey Vacirca  Mr. Carl Studer and Mr. and Mrs. Steven L. Tomback New York Cancer & Blood Mr. Robert O. Stallone  Mrs. Michele Miroff Top Notch Home Design Specialists Staples Promotional Products Subaru of America, Inc u The Townwide Fund of Ms. Lisa Valentine State Capital Title & Abstract Suffolk Maintenance Service Huntington u Horace and Amy Hagedorn Company Corporation Fund Toyota Dealer Match Program u Staten Island Advance Dr. Erinmarie Sullivan  Dr. Andrea Vambutas  TPG Sixth Street Partners The Staten Island Foundation l Sunovion Van Deusen & Associates Mrs. Michelle Tracey Staten Island Pulmonary Super Shuttle Mr. Vinson K. Varghese  Associates P.C. u Trane Company Superior Acoustics, Inc. Varnum-DeRose Charitable Staten Island University Transamerica Life Insurance Supernus Pharmaceuticals, Inc. Remainder Annuity Trust Hospital - Medical & Dental Company n Marianna Vazquez, RN  Staff Mr. and Mrs. Fred Transdev Sweetapple, Jr.  Veejay Foundation u Renee F. Stave and Howard D. The Treiber Family Foundation, u u Stave Swim Across America Inc. s Mr. Robert Venero  u Future Tech Enterprise, Inc. Mr. Onisis Stefas Syracuse University Alexandra Trinkoff and Jeffrey Dr. Adam B. Stein and Dr. Fran R. Taffner Family Charitable Schor, MD  Vicom Computer Services, Inc  l Wallach-Stein Trust Triump Electrical Supply Dr. Phillip J. Vigneri Jane and Frances Stein Takeda Pharmaceuticals Dr. Paula G. Tropello and Mr. Vigorito, Barker, Patterson, H Foundation Mr. and Mrs. Edward S. Tam Samuel Tropello Nichols & Porter, LLP n Mrs. Rebecca Steindecker Mr. and Mrs. Eugene S. Mr. and Mrs. Charles M. Trunz u Violette’s Cellar, LLC u  Mr. and Mrs. Bertram Tangney Mr. and Mrs. Peter K. Tully u ViOptix, Inc. Steinman s Drs. Monica and Neil Tanna u  Tully Construction Co., Inc. Visiting Nurse Association Step-by-Step Charitable Mr. Jim Tarica Turner Construction Health Care Services, Inc. u Foundation Inc Company u Mr. and Mrs. Laurence Tarica l Vista Equity Partners Sterling Equities, Inc. Twine Architectural Studio, P.C. Management LLC u Ms. Felicia Tashkovich and Mr. Sterling National Bank Seymour Jacobs Mr. and Mrs. Howard Tytel l Vital Projects Fund, Inc. s l Mr. and Mrs. Russell N. Stern Mrs. David S. Taylor u U.S. Bancorp Fund Services, LLC Ms. Carolyn M. Vivaldi  Mr. and Mrs. Steven S. Stern TD Ameritrade Clearing UBS Financial Services Inc. s Mr. and Mrs. Donald G. Vogel Nassau Flyers Mr. and Mrs. Martin TD Bank l UCB, Inc. Sternberg u Vormittag Associates, Inc. Dr. and Mrs. Myron Dr. Ira Udell  Mrs. Sybil Sternlieb u s Mr. and Mrs. Alex Wagman u Teitelbaum UJA-Federation of New York l

100 Northwell Health | 2019 Annual Report Lifetime Giving: H $10,000,000+ n $5,000,000 l $1,000,000 s $500,000 u $100,000 |  Northwell Employee

Dr. and Mrs. John R. Maureen T. White  Wagner u  Widows Sons Cornerstone of Wagner, Doman, Leto & Di NYC Leo, P.C. Mrs. Susan Wiener l Dr. Tina J. Walch and Rab Wilkinson Foundation u Dr. Mitchell Shuwall  Mr. and Mrs. Robert B. Ira Waldbaum Family Willumstad l Foundation u Mr. and Mrs. Fred Wilpon n Mr. and Mrs. Emmett F. Walker, Jr. u Wilson, Elser, Moskowitz, Edelman & Dicker, LLP u Ellen M. Walker, Esq. and The Honorable Paul Creditor Ann and Tony Wimpfheimer l Mr. and Mrs. Emmett F. Mr. John G. Winchester Walker, Jr. u Dr. and Mrs. Nathaniel Wisch  Mr. and Mrs. Bruce Waller s Mr. and Mrs. M. Kenneth Roberta Schaefer Family Witover u Foundation Mr. and Mrs. Arnold Mr. and Mrs. Stuart A. Walton Wolowitz s Dr. Jason Wang and Ms. Bei Mrs. Dina B. Wong  Sheng  World of Women S.I., Inc. Ping Wang and Family  Peter J. Worth u Mr. and Mrs. John A. Ward, III u Alliant Insurance Services Mr. and Mrs. Sean Ward Michael P. Wright and Peter J. Waterfall Asset Newman  Management, LLC l Mr. and Mrs. Henry T. Wu Mr. Michael Weber Ms. Natalie Wu Mr. and Mrs. Bradford G. John Xikis Foundation, Inc. Weekes u Dr. Andrew C. Yacht  Weil, Gotshal & Manges, LLP u Mr. Charles M. Yassky Theodore & Renee Weiler Dr. Mary Ann Yatsinko Foundation, Inc. u Dr. Benson Yeh  Weir Welding YourCause, LLC Mrs. Pepi Weis u M.B. & Edna Zale Foundation u Mr. and Mrs. Teddy D. Weiss T. Weiss Realty Corporation The Bradley Zankel Foundation, Inc. u Mr. and Mrs. Michael E. Weisser Zelenda Foundation Mr. and Mrs. Perry L. Weitz s Weitz & Luxenberg, P.C. Mr. and Mrs. Scott E. Zelnick Wells Fargo Ms. Laura Zimmerman Clearing Services, LLC Mr. Ivan Q. Zinn l West Health Institute Ms. Judith A. Zipp Westat Mrs. Gilda S. Zirinsky u Westside Supermarket of East Zoll Foundation, Inc. Norwich Mr. and Mrs. Donald Zucker H Mr. Dennis P. Whalen  Mr. Roy J. Zuckerberg H

Northwell Health | 2019 Annual Report 101 The Payson Wharton Legacy Society

The Payson Wharton Legacy Society acknowledges our generous friends who have provided for Northwell Health through planned gifts of any amount. Planned gifts include those made through wills and trusts, life insurance policies, individual retirement accounts (IRAs) and retirement plans, charitable remainder and lead trusts and charitable gift annuities.

To become a member, an individual must make a planned gift to Northwell Health Foundation, notify us of the gift and provide written documentation. For more information, contact Alexandra Brovey at (516) 321-6260.

Anonymous (25) Mr. Rocco Ciccarelli Dr. Merrill Goodman Mr. Roger E. Acker Mr. Jerry Clair Mr. George Gottridge Ms. Katharine Adams Ms. Sharon J. Cohen Mr. Martin B. Greenberg Mr. Paul R. Ades Mrs. Dulce M. Correa Mr. Alan I. Greene Mr. Stewart Ain Mr. Fidias N. Correa Mrs. Helen T. Greene Mr. Alex O. Aliksanyan Mr. Anthony Dalessio Mr. Paul B. Guenther Mr. Philip Altheim Mr. Joseph F. D’Angelo Mr. Gerald Halpern Mrs. Elizabeth Apelian Mrs. Katherine M. Davis Mr. Carl D. Harnick Mr. Gerald Appel Mrs. Lorinda P. de Roulet Mrs. Elaine Hecht Stanley A. Applebaum, Esq. Mr. Maurice A. Deane Mr. Norman Hecht Mr. Kenneth Asch Mr. Kevin J. Dwyer Mr. Myron Hirsch Mrs. Lillie G. Bain Mr. Eugene Eichenberg Mr. Ronald Hohmann Mr. Bernard Bartley Mr. Lewis Eisenberg Mr. Arnold Holtzman Mrs. Barbara Becker Mr. Peter Engel Mrs. Linda Holtzschue Dr. Richard Berg Ms. MaryAnn Evans Mrs. Johanna Hurwitz Mr. Robert Bernhard Mr. Paul Farber Mr. Chander S. Iyer Mrs. Willa Bernhard Mr. Franklin Flower Mr. Jay Kaplowitz Mr. Frank J. Besignano Mrs. Anne Fried Mrs. Iris J. Katz Mrs. Laura Besignano Dr. Gregory Fried Mr. Saul B. Katz Ms. Barbara Birnbaum Mr. Richard Friedman Mrs. Marion Kleinkramer Mr. Henry Blumberg Mr. Kenneth Gainer Ms. Stephanie Kollar Mr. Roger A. Blumencranz Dr. Kathleen Gallo Mr. Cary A. Kravet Mr. Adrian T. Bogart, Jr. Mr. Leonard L. Gallo Mrs. Lisa Kravet Mr. Moe Bordwin Mr. Albert Garshall Mrs. Laura Lauria Mr. Murray Breidbart Mr. J. Ronald Gaudreault Mr. Mark Lauria Dr. Robert Brill Mrs. JoAn M. Gaudreault Mrs. Harriet Laxer Mr. Dayton T. Brown, Jr. Mr. Eugene L. Gazza Mr. Steven Leber Ms. Sandra Brown Mrs. Frances L. Gazza Mrs. Linda Leshnick Ms. Carole Kissel Cameron Ms. Helen Georgiadis Mr. Stephen Leshnick Ms. Vera Capovilla Mrs. Anita Geresi Mrs. Sylvia M. Lester Mrs. Patricia Case Mr. Gary M. Geresi Mr. Donald I. Levin Dr. Lucy Chang Mr. Edward M. Giles Mr. Arthur S. Levine Ms. Cathy Chen Ms. Bernadette Goggin Dr. Frederick W. Lipfert Mr. Edward A. Chernoff Mr. Arthur H. Goldberg Ms. Catherine Lomuscio Mrs. Dorothea Christie Ms. Gay Goldman Mr. Lawrence Ludwig Mr. Warren A. Christie Mrs. Candice Goldstein Mr. George M. Lyons Mrs. Maria Ciccarelli Mr. Richard D. Goldstein Mr. Patrick Lyons

102 Northwell Health | 2019 Annual Report We thank our legacy society members for supporting the future of Northwell Health.

Mrs. Lorraine R. Machiz Mr. Martin Rabinowitz Ms. Mary Slavin Mr. Kevin Mahony Mr. John Raggio, Sr. Mrs. Merry Slone Mr. Herbert Maletz Mr. Marc J. Reiss Mr. Richard Slone Mr. Howard Mann Mr. Alexander R. Rekow Mrs. Margaret O. Small Mrs. Naomi Mann Mrs. Arlene Richards Mr. Theodore B. Smith, Jr. Mrs. Antonia Marcos Mrs. Anita Rizzo Mr. Bruce B. Solnick Mrs. Diane Martakis Mr. H. Richard Roberts Mr. Harold M. Spielman Mr. John Martakis Mr. Edwin G. Roos Mrs. Joan Spiro Ms. Lena Mazzarella Mrs. Florence Rose Ms. Joan Hutcheson Stein Ms. Rose Mazzarella Mr. Robert Rose Mr. Murray Steingart Mr. Ronald J. Mazzucco Mr. Martin Rosenman Mr. Edward Stertz Mr. C. Richard McDaniel Mrs. Jodi Rosenthal Mrs. Frances Stertz Mr. James E. Meyer Mr. Robert D. Rosenthal Mrs. E. Nancy Strausman Mrs. Roberta Meyer Mrs. Doris Rosman Mr. George Strausman Mr. Edward D. Miller Mr. Mark S. Rosman Mr. Carl J. Studer Mrs. Rona Miller Mrs. Adrienne Rosof Mr. Jay Tarantino Dr. Samuel L. Miller Dr. Bernard M. Rosof Mrs. Nancy B. Taylor Mr. Sidney A. Miller Mr. Jack J. Ross Mr. Robert Tremayne Mrs. Elayne Mischna Mrs. Robin J. Ross Mrs. Mary D. Vessio Mrs. Colette Mordo Mrs. Karen Rothman Mr. Nicholas F. Vessio Mrs. Patricia Mullins Mr. Sheldon Rothman Mr. Paul Vizcarrondo Mr. Paul Mullins Herbert Rubin, Esq. Mr. Frederick A. Volk Mr. Charles Munro Mrs. Marilyn Rush Mrs. Joan Wachtler Mrs. Aileen J. Murstein Mr. Edward S. Sacks The Honorable Sol Wachtler Ms. Rosemary Nalbone Mr. Henry Salzhauer Mr. Paul E. Warburgh, Jr. Mrs. Maureen L. Nappi Ms. Janice Sands Mr. Robert W. Warburgh Mr. Ralph A. Nappi Mr. Dominick Scaringella Mr. John Ward Mrs. Ruth Nelkin Mrs. Peggy Scherr Ms. Laura Weinstein Mr. Thomas Newman Ms. Ellen Schiavone Mrs. Pepi Weis Ms. Judith Niebur Ms. Janet Senecal Mr. Gabriel Wiesenthal Mrs. Ruth H. Norwood Mrs. Nancy S. Shea Mrs. Shoshanna Wingate Mr. John P. Picone, Jr. Mr. Arthur Shorin Mr. Samuel H. Wolcott, III Dr. Robert M. Pillar Mrs. Beverly Shorin Mr. Erwin Zeuschner Mr. John Stephen Popeleski Mr. Angelo Silveri Mr. Werner J. Zumbrunn Mr. Warner Posen Mr. Burton Simon Dr. Daniel J. Powsner Mr. John M. Simpson Ms. Phyllis L. Pullman Mrs. Marion B. Simpson

Northwell Health | 2019 Annual Report 103 Board of Trustees

Frank J. Besignano Life trustees Richard E. Peress, MD E. Steve Braun Roger A. Blumencranz Sandra Atlas Bass Diane Potter Warren Bromberg, MD Michael Caridi Peter O. Crisp Jay R. Raubvogel Dayton T. Brown, Jr Mark L. Claster Daniel C. de Roulet H. Richard Roberts Bard E. Bunaes Margaet M. Crotty Lorinda de Roulet Roberto Rosati Michael Caridi Michael J. Dowling Marlene Hess Scott Rudolph Mark L. Claster Michael A. Epstein, Chair Lyn Jurick William Sarnoff Gary A. Cohen Michael E. Feldman Philip Lanzkowsky, MD, ScD Norman Schlanger Margaret M. Crotty Michael G. Fisch Martin Lifton Sean G. Simon Daniel M. Crown Catherine C. Foster Mary Jordan Saunders Amy Spielman Michael DePalma L. Keith Friedlander Marvin H. Schur Russell Stern William Dieck, MD Lloyd M. Goldman Hon. Sol Wachtler Jack Stievelman Thomas E. Dooley Richard D. Goldstein Susan E. Wollin Michael J. Dowling Alan I. Greene Honorary trustees Craig Zalvan, MD Robert N. Downey Paul B. Guenther Stanley A. Applebaum Franklin H. Zimmerman, MD Patrick R. Edwards Saul B. Katz Tobe Banc, MD Michael A. Epstein Northwell Health Cary Kravet Beverly VP. Banker Leonard Feinstein Foundation Board of Jeffrey B. Lane John Barnes Michael E. Feldman Overseers Seth Lipsay Bard E. Bunaes Michael G. Fisch William Achenbaum William L. Mack Jonathan S. Canno Arlene Lane Fisher Mark S. Alessi F.J. McCarthy Alan Chopp Catherine C. Foster Philip S. Altheim Ralph A. Nappi Diana F. Colgate William H. Frazier Marvin L. Appel Richard B. Nye Joseph F. D’Angelo L. Keith Friedlander Michael L. Ashner Sharon Patterson Thomas E. Dewey, Jr Eugene B. Friedman, MD Tobe Banc, MD Lewis S. Ranieri Anthony Giaccone William J. Fritz, PhD Nana Banerjee Robert D. Rosenthal James R. Greene Raymond J. Furey John Barnes Barry Rubenstein Stephen Hammerman Sy Garfinkel Mary Jane Belt Michael I. Schwartz Benjamin J. Jenkins Peter Gaslow Frank J. Besignano Leo Sternlicht Hon. Douglas Kraus Lloyd M. Goldman Elise M. Bloom Kenneth Taber Michael S. Leeds Richard D. Goldstein Eric S. Blumencranz Donald Zucker Fred Mascia J. Joaquin Gonzalez Roger A. Blumencranz Roy J. Zuckerberg Andrew C. Merryman Michael Gould David Blumenfeld Robert J. Myers Albert L. Granger, DDS Edward Blumenfeld Clyde I. Payne, EdD Alan I. Greene

104 Northwell Health | 2019 Annual Report Paul B. Guenther Linda Manfredi Marcie Rosenberg Northwell Health Jacqueline S. Harris Rita Marcus Robert D. Rosenthal 2019 Annual Report Aubrey Hawes Bradley Marsh, DPM Bernard M. Rosof, MD Terry Lynam Ira Hazan Peter J. Marsh Jack J. Ross Senior Vice President and Chief Public Relations Officer Norma J. Hendriksen Fred Mascia Barry Rubenstein Lisa Davis William O. Hiltz Kareem Massoud Herbert Rubin Editor Richard A. Horowitz Jeffrey S. Maurer Michael H. Sahn Contributors Seth R. Horowitz F.J. McCarthy William Sarnoff Erin Burk J. Gordon Huszagh Patrick F. McDermott Peter M. Scherer Carol Cool M. Allan Hyman Rev. Merle D. McJunkin Lois C. Schlissel Chris Gasiewski Richard P. Israel Andrew S. Mendelson Michael I. Schwartz Matthew Libassi Mark Jacobson Andrew C. Merryman John M. Shall Heather E. Ball Mayer Jeffrey Jurick Michael A. Metzger Richard Sims Jason Molinet Michael Kahn Kenneth J. Miller Richard J. Sinni Brian Mulligan Nancy Karch Richard D. Monti Michael C. Slade Gretchen Mullin David M. Katz Patricia Mulholland Phyllis Hill Slater Diane O’Donnell Michael Katz Richard Murcott Hon. Robert A. Spolzino Jillian O’Hara Saul B. Katz Richard V. Musto, MD Howard D. Stave Margarita Oksenkrug Lisa A. Kaufman Ralph A. Nappi Leo Sternlicht Betty Olt Michael Kaufman Thomas M. Nappi Michael D. Sullivan Barbara Osborn Adina Holand Keller, MD Raffiq A. Nathoo Pastor George W. Summer Lori Peterson Angela Kessel James L. Neisloss Kenneth Taber Michelle Pinto Romayne Kovach-Berk Emil Nigro Peter Tilles Christian Preston Hon. Douglas Kraus Michael Nolan Richard Tretler Tracie Saitta Sharon Kreiger, MD Richard B. Nye Paula Dunn Tropello, EdD Kerri Tortorella Cary Kravet Brendan O’Brien Sandra Tytel Alexandra Zendrian Seth Kupferberg Daun Paris Louis Wachtel Kristen Ziegler Jeffrey B. Lane Frank P. Patafio Nancy Waldbaum Curt N. Launer Sharon Patterson Emmett F. Walker, Jr. Photography Laura Lauria Arnold S. Penner Richard L. Winslow Lee Weissman David W. Lehr Richard E. Peress, MD Peter J. Worth Kristy Leibowitz Jonathan W. Leigh Kevin J. Plunkett Daren Wu, MD Corinne Goode Joan S. Levan Diane G. Potter Bruce Yablon Barry Sloane Arthur S. Levine John V. Raggio Craig Zalvan, MD Designed and Stuart R. Levine Lewis S. Ranieri Franklin H. Zimmerman, MD produced by Seth Lipsay Dennis Riese Stanley Zinberg, MD Onward Publishing, Inc. Loretta London Terry P. Rifkin, MD Barbara Hrbek Zucker 631-757-8300 www.onwardpublishing.com David S. Mack Roberto Rosati Donald Zucker William L. Mack Robert F. Rose Roy J. Zuckerberg Philip Mancuso Robert A. Rosen

Northwell Health | 2019 Annual Report 105 H Hospitals F Feinstein Institutes Physician Offices Imaging Centers H Urgent Care Centers Ambulatory Surgery Centers Cancer Centers H Dialysis Centers Lenox Health Greenwich Village Lab Patient Service Centers Donald and Barbara Zucker School of Medicine at Hofstra/Northwell H H Hofstra Northwell School of Nursing and Physician Assistant Studies H H Elmezzi Graduate School of Molecular Medicine at Northwell Health H H H F H H H H H H H H H H H

H Northwell Health...More than a health system Hospitals Four affiliate hospitals brain research, mental – Sports Therapy and – Boca Raton Regional Hospital health, autoimmunity and Rehabilitation Services Five tertiary hospitals – Crouse Hospital bioelectronic medicine (STARS): Bayside, East – Lenox Hill Hospital, – Maimonides Medical Center – More than 2,500 research Meadow, Eisenhower Park, Manhattan – Nassau University Medical studies Franklin Square, Great Neck, • Manhattan Eye, Ear & Center Huntington, Manhasset, Throat Hospital Post-acute services Massapequa, Rego Park, – Long Island Jewish Medical Education – Hospice Care Network Roslyn Heights, Woodbury Center – Donald and Barbara Zucker – Northwell Health At Home – Staten Island University – North Shore University School of Medicine at – Peconic Bay Home Health Hospital, North and South Hospital Hofstra/Northwell Services – Transitions of Long Island • Sandra Atlas Bass Heart – Hofstra Northwell School – RegionCare Inc. Hospital of Nursing and Physician Acute inpatient rehabilitation Population health – Southside Hospital Assistant Studies – Glen Cove Hospital – Population Health Institute – Staten Island University – More than 1,900 medical – Phelps Hospital – Office of Network of Hospital, North residents and fellows – Staten Island University Independent Practice Three specialty care hospitals – 166 resident and fellow Hospital, North Association (IPA) – Cohen Children’s Medical programs Sub-acute rehabilitation – Northwell Health Solutions Center – More than 1,200 medical and skilled nursing – South Oaks Hospital Emergency medical student rotations – Orzac Center for services – Zucker Hillside Hospital – Elmezzi Graduate School of Rehabilitation 11 community hospitals Molecular Medicine – Peconic Bay Skilled Nursing – Center for Emergency Medical – Glen Cove Hospital – Center for Learning and and Rehabilitation Center Services – Huntington Hospital InnovationSM – Stern Family Center for – SkyHealth (helicopter – Long Island Jewish Forest Hills – Patient Safety InstituteSM Rehabilitation emergency medical service) – Long Island Jewish Valley – Bioskills Education Center Outpatient rehabilitation Laboratory services Stream – Nursing school affiliations – Glen Cove Hospital – Northwell Health Labs • The Orthopedic Hospital with 37 colleges and – Nicholas Institute of Sports – 39 patient service centers – Northern Westchester universities Medicine and Athletic Trauma Hospital Research – Northern Westchester Ambulatory specialty – Mather Hospital Hospital centers – Peconic Bay Medical Center Feinstein Institutes for Medical – Peconic Bay Outpatient – Bay Shore Women & – Phelps Hospital Research Therapy and Rehabilitation Children’s Specialty Center – Plainview Hospital – 50 research laboratories Center – Center for Advanced – Staten Island University – 5,000 researchers and – Phelps Hospital Medicine, Lake Success Hospital, South staff studying molecular – Southside Hospital – FalconStor Center at Queens – Syosset Hospital medicine, genetics, oncology, Crossing,Flushing – Gerald J. Friedman Center for – Schlanger, Gottlieb, Partners – Staten Island (5 locations) – Surgical Specialty Center of Breast Cancer and Lymphatic Council Breast Imaging Center • Bulls Head Westchester Surgery – The Breast Imaging Center • Dongan Hills – Surgicare of Manhattan – Imbert Cancer Center at Staten Island University • Eltingville – Syosset SurgiCenter – Lenox Health Greenwich Hospital • Great Kills Clinical affiliations Village, New York, NY – Verrazano Imaging at Staten • New Dorp – Manhattan Eye, Ear & Throat IslandUniversity Hospital – Brooklyn (2 locations) – Advantage Care Physicians – CareMount Medical Hospital, New York, NY Urgent care centers • Park Slope – Manorville Medical Park • Williamsburg – Wyckoff Heights Medical Northwell Health - GoHealth Center – Multi-Specialty Center, 77th Vivo Health Pharmacy Avenue, Manhattan – Long Island (31 locations) locations Strategic alliances – Multi-Specialty Center, • Amityville – 410 Lakeville Road – CASAColumbia Bellmore • Bay Shore – Center for Advanced Medicine – Cold Spring Harbor Laboratory – Multi-Specialty Center, • Bellmore – Lenox Hill Hospital – Epworth HealthCare Chappaqua • Bridgehampton – Long Island Jewish Medical – Karolinska Institute – Multi-Specialty Center, Glen • Commack Center – OPKO Health BioReference Cove • East Northport (Pediatrics) – North Shore University Laboratories – Multi-Specialty Center, • Elwood Hospital – Rothman Institute Lynbrook • Glen Cove – Phelps Hospital – University of Notre Dame – Multi-Specialty Center, • Great Neck – Specialty Pharmacy (mail – Western Connecticut Health Merrick • Greenvale order; 225 Community Drive) Network – Multi-Specialty Center, Rego • Hampton Bays – Southside Hospital – Yale New Haven Health Park • Hewlett (Pediatrics) – Staten Island University – Primary Specialty Center, Bay • Huntington Kidney dialysis centers Hospital Shore and Woodbury • Huntington Station – Northwell Davita Kidney – Zucker Hillside Hospital – Reproductive, Endocrinology • Lake Grove Dialysis Centers and Infertility Center, • Levittown Veterans services • East Islip Manhattan Eye, Ear & Throat • Lynbrook – Florence and Robert A. Rosen • Floral Park Hospital • Massapequa Family Wellness Center • Great Neck – Surgical Specialty Centers, • Mineola – United Behavioral Center for • Huntington Station Bay Shore, Greenlawn and • Oceanside Military Veterans and their • Port Washington Smithtown • Plainview Families • Syosset Diagnostic imaging • Port Jeff erson Special needs programs • Port Washington Women’s health – Bohlsen Women’s Imaging • Riverhead – Katz Institute for Women’s – Adults and Children with Center, Islip • Rockville Centre Health Learning and Developmental – Grossman Imaging Center • Roslyn – Katz Women’s Hospitals at Disabilities, Inc. (ACLD (Peconic Bay Medical Services • Sayville • Long Island Jewish Medical (affiliate) PC) • Smithtown Center – Association for the Help of – Northern Westchester • Syosset • North Shore University Retarded Children (AHRC)— Hospital Radiology at • West Hempstead Hospital Nassau (affiliate) Yorktown Heights • West Islip – Ann & Jules Gottlieb Women’s – Brookville Center for – Northwell Health Imaging at – Manhattan (5 locations) Comprehensive Health Center Children’s Services (affiliate) • Bay Shore • Chelsea • Barbara C. Wilson Preschool • Center for Advanced Ambulatory surgery • East 81st Street Program Medicine joint ventures • Greenwich Village • Children’s Education Center • Garden City • West 69th Street – Digestive Health Center of • Leeds Child Development • Glen Cove • West 100th Street Huntington Center • Great Neck (two locations) – Queens (5 locations) – Endoscopy Center of Long • Marcus Avenue • Great South Bay (Islip) • Astoria Island • SUNY Old Westbury • Greenwich Village • Bayside – Garden City SurgiCenter – Hagedorn Cleft Palate and • Smithtown • Forest Hills – Greenwich Village Craniofacial Center • Syosset • Lefrak City Ambulatory Surgery Center – Hearing and Speech Center – Northwell Health Reichert • Ridgewood – Melville Surgery Center – The Center for Attention and Family Imaging at Huntington – Westchester (4 locations) – Port Jefferson Ambulatory Learning, Lenox Hill Hospital – Phelps Hospital Radiology at • Dobbs Ferry Surgery Center – The Center for Discovery Croton-on-Hudson • New Rochelle – Richmond ASC (affiliate), Harris, NY – Phelps Hospital Radiology at • Tarrytown – South Shore Surgery Center Dobbs Ferry • Yorktown Heights – Suffolk Surgery Center 2000 Marcus Avenue 130 E. 59th Street New Hyde Park, NY 11042 New York, NY 10022 516-321-6100 646-564-4050 www.northwell.edu