2018-11-15T14:00:59-06:00 2017-12-31 990 2017-01-01 453023019 NORTH SHORE-LIJ MEDICAL PC % NORTHWELL HEALTH INC NORT 5163216058 972 BRUSH HOLLOW RD WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 69.27.229.129 12949820183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 0CD7CF4964C06A5C296622734294A70AD3EA8837 2017 2019-02-21 02:37:17Z MICHAEL DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 0 false X WWW.NORTHWELL.EDU X 2011 NY North Shore-LIJ Medical PC strives to improve the health of the communities it serves and is committed to providing the highest quality of care regardless of the ability to pay 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NORTH SHORE-LIJ MEDICAL, PC IS PART OF NORTHWELL HEALTH ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 0 North Shore-LIJ Medical Group is an affiliated member of Northwell Health ("Northwell"). It acts as a billing conduit for affiliated members of the Northwell's medical group and ambulatory lines of service so that these affiliates can provide comprehensive health care to the communities they serve regardless of ability to pay. In 2017, North Shore-LIJ Medical, PC collected and distributed $1,008,837,765 on behalf of Northwell. 0 true false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false false false false X 1 0 false false false false false true true true true false false true true true true true true true true false NY X X NORTHWELL HEALTH INC 5163216058 972 BRUSH HOLLOW RD WESTBURY NY 11590 David Battinelli president/secretary/treasurer 0.0 50.0 X X 0 1200616 177851 MICHAEL J DOWLING PRESIDENT & CEO/northwell 0.0 50.0 X 0 4041927 54840 LAURENCE KRAEMER Asst sec, SVP, Interim Chf lgl 0.0 50.0 X 0 879404 58123 MICHELE CUSACK SVP & CFO/northwell 0.0 50.0 X 0 1071679 149487 DEBORAH SCHIFF SVP/northwell 0.0 50.0 X 0 1094086 243363 0 8287712 683664 0 false true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 X false true X true false X X X 1 NORTH SHORE UNIVERSITY HOSPITAL 111562701 3 true 0 0 1 false false false false false false false false false false false false false false false true false PART IV, SECTION A - LINE 1 NORTH SHORE-LIJ MEDICAL PC IS A PROFESSIONAL MEDICAL CORPORATION SPONSORED AND CONTROLLED BY NORTH SHORE UNIVERSITY HOSPTIAL (NSUH). SUPPORTED ORGANIZATIONS NOT LISTED IN THE GOVERNING DOCUEMNTS ARE AFFILIATED WITH NSUH. 0 0 X PART X, LINE 2 - FIN 48 Certain entities included in Northwells consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2017 and 2016, Northwell has a deferred income tax asset OF approximately $123,000,000 and $142,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $573,000,000, which expire in varying amounts through 2037, and are available to offset future taxable income. X X X X X false true false false false false false false false David Battinelli president/secretary/treasurer 0 894718 0 232134 0 73764 0 159630 0 18221 0 1378467 0 0 MICHAEL J DOWLING PRESIDENT & CEO/northwell 0 1474558 0 2543853 0 23516 0 29700 0 25140 0 4096767 0 0 LAURENCE KRAEMER Asst sec, SVP, Interim Chf lgl 0 632884 0 204756 0 41764 0 29700 0 28423 0 937527 0 0 MICHELE CUSACK SVP & CFO/northwell 0 775211 0 284418 0 12050 0 121106 0 28381 0 1221166 0 0 DEBORAH SCHIFF SVP/northwell 0 804983 0 256342 0 32761 0 214940 0 28423 0 1337449 0 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michele L. Cusack ($91,406), David Battinelli ($129,930), and Deborah Schiff ($185,240). PART II, COLUMN (F) - SERP PAYOUT The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B - POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to all of Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. PART VI, LINE 7 Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. 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400 EAST MAIN STREET MOUNT KISCO NY 10549 133697510 HEALTH MGMT NY NORCORP C false NORTHERN WESTCHESTER SURGICAL SERVICES 400 EAST MAIN STREET MOUNT KISCO NY 10549 274550915 MEDICAL SVCS NY NWHA C false NORTH SHORE-LIJ OB-GYN AT NEW HYDE PARK 972 Brush Hollow Rd Westbury NY 11590 473722278 MEDICAL SVCS NY NSUH C false Community Drive Surgery PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821672429 MEDICAL SVCS NY NSUH C false MARCUS AVENUE MEDICAL PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 300930577 MEDICAL SVCS NY NSUH C false CARECONNECT ADMINISTRATIVE SERVICES INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 475182974 ADMIN NY GROUP HOLDING C false NORTHWELL FLEXSTAFF INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 810836815 INACTIVE NY NSH Enterprise C false FEINSTEIN CENTER FOR BIOELECTRONIC MEDIC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 812885700 INACTIVE NY FEINSTEIN C false TRUE NORTH HEALTH MANAGEMENT INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813428274 INACTIVE NY NW HEALTHCARE C false NARROWS IPA INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 133978565 BUSINESS SERV NY NSUH C false VIVOHEALTH PLANS INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 461164689 INACTIVE NY NW HEALTHCARE C false FORMATIV HEALTH MANAGEMENT INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813454243 HOLDING CO DE FORM HLTH INTER C false FORMATIV HEALTH NEWCO INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813928889 HOLDING CO DE FORM HLTH HOLD C false FORMATIV HEALTH HOLDCO INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 813928672 HOLDING CO DE FORMATIV HEALTH C false Northwell Quality and Medical Affairs I 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 824113233 INACTIVE NY NW HEALTHCARE C false Montauk Risk Retention Group Inc 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 822587942 INSURANCE NY N/A C false True North Flexstaff Inc 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821446568 INACTIVE NY NW HEALTHCARE C false Northwell Proton Therapy PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 812766298 INACTIVE NY NSUH C false Suite 130 Plastic Surgery PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821772747 MEDICAL SVCS NY LIJ C false Northeastern Anesthesia of New Jersey P 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 208709500 MEDICAL SVCS NJ NSUH C false Brightwaters Gynecology PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 821883445 MEDICAL SVCS NY NSUH C false false false false false false false false false false false false false false false true false false false