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Suffolk New York Form 990 (Schedule H): What You Should Know

For hospital services, indicate when the organization is responsible for all hospital services: • For outpatient clinic services, indicate when the organization is responsible for 80% or more of the total outpatient services: • For physician services, indicate when the organization is responsible for all the outpatient clinic services: • For patient care services, indicate when the organization is responsible for all patient care services or, where no patient care services are  present on the organization's Form 990, 1099, or 1099-MISC, the extent of the services provided: • Complete each service area and specify the total amount provided, excluding overhead costs, the amount of overhead costs covered by the  hospital/clinic/clinic group, and the total cost of services provided for each hospital or outpatient clinic: • For programs that have a program service area for which the agency receives no compensation, provide a brief description of the services provided • Complete these boxes and do not check any other boxes: For purposes of the computation of amounts in Boxes 2 through 3 only, when an organization reports “None of the organization's services,” it means that it did not provide any of these services, and it is assumed that all the services the organization performed was in support of another organization. For example, the organization could provide the services of an employee or contractor without receiving any compensation, or a committee could provide services without receiving any funds from any source that is not a grantee or an affiliated organization. Sick Kids — Nonprofit Explorer — NY State 2021 Instructions for Schedule H (Form 990) — IRS • Complete and file Schedule O if an organization answered “Yes'' to the questions from Schedule H about its service areas, program services, and funding sources: • Complete and file Schedule O-1 if the organization did not furnish any service area, program services, or funding sources: • Complete and file Schedule S if an organization has any program service area for which no source of funding was listed: • Complete and file Schedule O-2: For hospitals or clinics. Nonprofit Explorer — NY State — NO OTHER REVIEW IS NECESSARY NY State Nonprofit Explorer — NO OTHER REVIEW IS NECESSARY NY State Nonprofit Explorer — NO OTHER REVIEW IS NECESSARY • For each program service area, indicate when the organization is responsible for providing services for that area, and for each other program service area (e.

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