m

mott

/ partner

Compliance Reports

Last 30 days

IRS Form 990 · Schedule H · Community Benefit

Schedule H Reporting Kit

Quarterly community-benefit data ready for Schedule H compilation. Captures mott-routed coverage uplifts, charity-care-eligible households reached, and unmet-needs context for Part VI narrative — all aggregated and de-identified per V1 directive.

Last regenerated · 2 hours ago

Co-developed with your compliance team

This report template is built in partnership with Northwell Health’s compliance lead — not a one-size-fits-all vendor template. Field-by-field aligned to your existing review workflow. Adjust narrative depth and exhibits anytime.

Community-benefit-eligible routings

3,420

Q-to-date

Uninsured population reached

1,180

Schedule H Part I-eligible

Part VI narrative data points

14

Ready for compilation

Narrative builder · auto-drafted

Ready-to-file narrative, written from your data.

Each section below is auto-drafted from your actual routing cohort data, ready to drop into the supplemental narrative sections of your filing. Regenerate for a different angle, edit inline, or accept as-is and export.

01 · Schedule H · Part VI · Section 1

Community Health Needs Assessment context

Auto-drafted CHNA narrative grounded in routing patterns from your service-area population. Drops directly into Form 990 Schedule H Part VI Supplemental.

Auto-drafted from your routing data · variant 1 of 2

mott routing data for the reporting period reveals concentrated unmet need across 32 ZIP codes within Northwell Health's primary service area, with the Hempstead, Far Rockaway, and Hicksville corridors showing the highest density of uninsured and Medicaid-eligible-but-not-enrolled residents. Of the 3,420 community-benefit-eligible routings recorded, 1,180 individuals self-identified as uninsured at the moment of routing, and an additional 612 households were routed concurrently into supplemental assistance programs — SNAP, LIHEAP, and Section 8 — indicating the broader social determinants context within which Northwell facilities operate. Care category interest signals (volunteered at the pathway-selection moment, never inferred from clinical data) cluster around maternity, mental health, and dental access, with maternity demand concentrated in service areas adjacent to LIJ and NSUH and mental health interest distributed broadly across the system. This routing-pattern evidence supplements traditional CHNA survey methodology and positions Northwell to articulate unmet community needs with quantitative grounding.

Backed by 3,420 routings · 32 ZIPs across the service area · 21 Northwell facilities

02 · Schedule H · Part VI · Section 2

Patient education on financial assistance

How Northwell informs patients about the Financial Assistance Program (FAP) — drafted from mott's pathway-completion data showing FAP routing volume + downstream applications.

Auto-drafted from your routing data · variant 1 of 2

Northwell Health partners with mott to extend Financial Assistance Program (FAP) awareness beyond the point of service into the broader community, ensuring that residents in the system's catchment learn about FAP eligibility before a billing event makes the conversation reactive. During the reporting period, mott routed 1,810 FAP-eligible households into the application flow, of which 1,124 began a formal application. Routings were initiated through plain-language eligibility screening within the mott consumer experience — no medical questions are asked, and the eligibility determination relies entirely on income, household composition, and residency signals. This community-facing channel materially expands the reach of FAP communication beyond Northwell's traditional point-of-service explanations, supports patients in confronting medical-cost concerns proactively, and contributes meaningfully to the equitable distribution of charity care within the service area.

Backed by 1,810 FAP-eligible routings · 1,124 FAP applications started

03 · Schedule H · Part VI · Section 7

Promotion of community health

Cross-program community-building narrative — surfaces the SDOH-adjacent routings (housing, food, energy, prescription help) that count toward Schedule H Section 7 reporting.

Auto-drafted from your routing data · variant 1 of 2

Recognizing that community health is shaped by determinants well outside the clinical setting, Northwell Health's partnership with mott extends the system's community-benefit reach into adjacent domains — housing, food security, energy affordability, and prescription assistance — that materially affect the health outcomes Northwell is asked to address downstream. During the reporting period, this routing infrastructure delivered 612 individuals into SNAP application pathways, 284 into housing assistance (Section 8, NYCHA portability, and One Shot Deal emergency rent), 147 into WIC, and 894 into Medicare Extra Help and other prescription-cost-reduction programs. Each routing reflects a Northwell-adjacent intervention that addresses the upstream conditions known to drive avoidable emergency department utilization and hospital readmission, and each is documented in mott's de-identified routing log for inclusion in Northwell's downstream community-benefit valuation worksheet.

Backed by 612 SNAP routings · 284 housing assistance routings · 147 WIC routings · 894 prescription-help routings

Quantitative report sections

Aggregated · de-identified

01 · Schedule H · Part I, Lines 1-7

Charity care & financial assistance reach

Households routed to mott pathways that converted into financial-assistance applications at Northwell facilities. Charity-care-eligible cohort sized by income band.

FAP-eligible households routed

1,810

Avg household income (de-id band)

<200% FPL

Subsidized care applications started

1,124

02 · Schedule H · Part II

Community-building activities

mott routings into housing, nutrition, and economic stability resources within Northwell's community service area. Counts toward community-building activity reporting where local IRS guidance allows.

SNAP routings (service area)

612

Housing assistance routings

284

WIC routings

147

03 · Schedule H · Part V — per-facility data

Facility-level routing (Part V)

Routing volume tagged to each licensed facility based on user ZIP and facility service area. Ready for per-facility Schedule H compilation across the system.

Facilities with active routing

21 / 21

Top-volume facility (LIJ)

612 routings

Lowest-volume facility (Phelps)

84 routings

04 · Schedule H · Part VI · Supplemental Information

Unmet needs assessment context

De-identified cohort context for the Part VI narrative — describes unmet needs visible from mott's routing data, by ZIP and care category, suitable for inclusion in the community health needs assessment.

ZIPs with elevated uninsured signal

32

Care categories with unmet demand

Maternity · MH · Dental

Narrative-ready data points

14

Privacy boundary · V1 directive

Every metric in this report is Layer B+C aggregated and de-identified. Individual user records never leave mott’s internal systems. Northwell Health sees cohort signal — not people.

Coming next · co-developed with you

Custom narrative builder for the supplemental sections, facility-by-facility (or assessment-area-by-AA) deep-dives, historical YoY comparison views, and direct push-to-filing for the most common regulatory portals. Surface order set by your team.