2018-11-19T08:40:17-06:00 2017-12-31 990 2017-01-01 113368503 HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CEN % NORTHWELL HEALTH INC HUNT 5163216058 972 BRUSH HOLLOW ROAD Suite 5TH FL WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 69.27.229.128 12308220183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 0CD7CF4964C06A5C296622734294A70AD3EA8837 2017 2019-02-21 02:37:17Z MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 7824456 false X N/A X 1995 NY THE HUNTINGTON HOSPITAL DOLAN FAMILY Health CENTER IS A FREE-STANDING HOSPITAL-OWNED FACILITY DEDICATED TO PROVIDING MEDICAL CARE TO THE UNINSURED AND UNDER INSURED. 19 16 60 6 0 71476 0 5936222 6149444 163765 370035 921153 1304977 7092616 7824456 0 0 0 0 5777518 6393121 0 0 0 2399522 2353185 8177040 8746306 -1084424 -921850 8635144 9056508 11046289 11432328 -2411145 -2375820 THE MISSION OF THE HEALTH CENTER IS TO PROVIDE COMPREHENSIVE CARE & OB SERVICES TO THE MEDICALLY INDIGENT AND UNDERSERVED RESIDENTS FROM NORTHWESTERN SUFFOLK COUNTY. THE CENTER SERVES AS THE ENTRY POINT INTO THE HEALTH SYSTEM FOR INDIVIDUALS AND FAMILIES SEEKING SUCH CARE. EVERY PATIENT WILL BE PROVIDED COMPREHENSIVE AND CONTINUOUS PREVENTIVE CARE, PRIMARY DIAGNOSTIC AND TREATMENT SERVICES AND EFFECTIVE COORDINATION OF CARE WITH SPECIALISTS AND SERVICES IN THE LARGER HEALTHCARE SYSTEM. false false 8048636 6149444 THE HEALTH CENTER IS A COMPREHENSIVE COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY, PEDIATRIC, PRENATAL, AND OBSTETRICAL CARE SERVICES TO THE POOR AND UNDERSERVED RESIDENTS IN THE COMMUNITY. IT IS THE ONLY SUCH CENTER BOTH OWNED AND OPERATED BY A HOSPITAL ON LONG ISLAND. ALL PATIENTS HAVE ACCESS TO A SUFFOLK COUNTY FACILITATED ENROLLER FOR MEDICAID MANAGED CARE, CHILD HEALTH PLUS, AND FAMILY HEALTH PLUS THROUGH A PARTNERSHIP WITH THE NASSAU SUFFOLK HOPSITAL COUNCIL. IN ADDITION, THE DOLAN CENTER'S SOCIAL WORK DEPARTMENT ASSISTS PATIENTS WITH ACCESS TO INSURANCE FOR PREGNANT WOMEN THROUGH NEW YORK STATE'S PRENATAL CARE ASSISTANCE PROGRAM. THE DOLAN FAMILY HEALTH CENTER PROVIDED 31,179 PATIENT VISITS IN 2017. 8048636 true false false false false false false false true true false false true true 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 1 0 true 60 true false false false false false false false false false false X 19 16 false false false false true 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 MARTHA CARLSTROM BOARD MEMBER 2.0 0.0 X 0 0 0 RONALD J GAUDREAULT BOARD MEMBER 2.0 0.0 X 0 0 0 SHIRLEY LEVITT VICE CHAIRWOMAN 2.0 0.0 X X 0 0 0 DOLORES THOMPSON CHAIRPERSON 3.0 0.0 X X 0 0 0 JOSEPH VOLAVKA BOARD MEMBER, SR ADMIN DIR 50.0 0.0 X 184294 0 44881 WILLIAM GEHRHARDT BOARD MEMBER/MEDICAL DIRECTOR 50.0 0.0 X 219622 0 42685 VIVIAN CAHN BOARD MEMBER 2.0 0.0 X 0 0 0 GREG DEMETRIOU BOARD MEMBER 2.0 0.0 X 0 0 0 VICTORIA GREEN BOARD MEMBER 2.0 0.0 X 0 0 0 REV LARRY JENNINGS SR BOARD MEMBER 2.0 0.0 X 0 0 0 JANET KUSHNICK BOARD MEMBER 2.0 0.0 X 0 0 0 KATHY GIFFUNI MSN BOARD MEMBER, Asst Dir, Nrsg 2.0 0.0 X 137058 0 35051 CAROLYN LICATA BOARD MEMBER 2.0 0.0 X 0 0 0 ROXANNE SANDS-RAPELYEA BOARD MEMBER 2.0 0.0 X 0 0 0 LINDA TAYLOR BOARD MEMBER 2.0 0.0 X 0 0 0 TERENCE SMITH BOARD MEMBER 2.0 0.0 X 0 0 0 GERARD BROGAN EXECUTIVE DIRECTOR 0.0 50.0 X X 0 1072552 58082 THOMAS G LEDERER BOARD MEMBER 2.0 0.0 X 0 0 0 Lehti Laas-Ramos MD BOARD MEMBER 2.0 0.0 X 0 0 0 ROBERTO BLANDO MD PHYSICIAN 50.0 0.0 X 189837 0 17390 LISA ROLON PHYSICIAN 50.0 0.0 X 217728 0 36778 ROGELIO CO MD PHYSICIAN 50.0 0.0 X 197451 0 45817 SAILI DESAI PHYSICIAN 50.0 0.0 X 136185 0 14171 1282175 1072552 294855 12 false true false AXIS CONSTRUCTION CO 125 LASER COURT HAUPPAUGE NY 11788 CONSTRUCTION SERVICE 3601838 CLAFLIN SERVICE COMPANY 455 WARWICK INDUSTRIAL DRIVE WARWICK RI 02886 Equiptment Services 269489 AFD CONTRACT FURNITURE INC 810 SEVENTH AVE NEW YORK NY 10019 Facilities Services 248328 OLYMPUS AMERICA INC 3500 CORPORATE PARKWAY CENTRAL VALLEY PA 18034 Medical Services 134037 G SYSTEMS INC 28W 38TH STREET FRNT 2 NEW YORK NY 10018 Communication Srvcs 112483 5 0 PATIENT REVENUE 621300 5068069 5068069 SUFFOLK COUNTY CONTRACT 621300 667375 667375 DSRIP REVENUE 621300 414000 414000 6149444 370035 370035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAPITATION INCOME 900099 1106540 1106540 RESIDENCY ROTATION 900099 50000 50000 HEALTH HOME - DOWNSTREAM 900099 124410 124410 24027 24027 1304977 7824456 7454421 370035 0 0 0 0 403916 403916 0 4080299 3845274 235025 0 538899 507858 31041 1050448 989942 60506 319559 301152 18407 0 0 0 0 0 0 353696 333323 20373 810 763 47 330463 311428 19035 0 0 208097 196111 11986 3962 3962 0 4766 4766 0 0 90415 85207 5208 472342 472342 BAD DEBT 4833 4833 PURCHASED SERVICES 569694 569694 CENTRALIZED ADMIN EXP 294938 294938 DUES & SUBSCRIPTIONS 4413 4159 254 14756 13906 850 8746306 8048636 697670 0 450 450 597759 509155 0 0 329444 353327 0 0 0 0 0 0 0 0 0 0 1205310 577556 614755 627754 6178583 6784087 0 0 0 0 0 0 914153 781735 8635144 9056508 621059 577461 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10425230 10854867 11046289 11432328 X -8608075 -9209197 1793757 2430204 4403173 4403173 -2411145 -2375820 8635144 9056508 X -921850 837187 119988 X false true X true false X 4043173 0 4043173 4403173 0 4403173 4403173 0 4403173 4403173 0 4403173 4402923 250 4403173 1.00000 false false 751245 412095 339150 230314 165461 64853 223751 223751 627754 SUFFOLK COUNTY CONTRACT 599068 OTHER ASSETS 88161 INTEREST IN FOUNDATION 94506 781735 0 DUE TO AFFILIATES 10854867 10854867 X 8044609 599864 599864 7444745 379711 379711 7824456 8645730 8645730 100576 100576 8746306 PART V, LINE 4 THE INVESTMENT INCOME OF THE ENDOWMENT FUNDS IS UNRESTRICTED AND IS THEREFORE USED TO HELP SUPPORT THE OPERATION OF THE HUNTINGTON HOSPITAL DOLAN FMAILY HEALTH CENTER. PART X, LINE 2 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. PART XI - LINE 2D AND LINE 4B REVENUE ON BOOKS NOT ON RETURN NET ASSETS RELEASED FROM RESTRICTIONS 700,440 PROVISION FOR BAD DEBT (4,833) NONOPERATING PERIODIC BENEFIT COSTS (95,743) TOTAL 599,864 REVENUE ON RETURN NOT ON BOOKS TEMPORARILY RESTRICTED INVESTMENTS 379,711 TOTAL 379,711 PART XII - LINE 4B PROVISION FOR BAD DEBT 4,833 NONOPERATING PERIODIC BENEFIT COSTS 95,743 TOTAL 100,576 X X X X X false false false false false false false true false ROBERTO BLANDO MD PHYSICIAN 188000 0 0 0 1837 0 16790 0 600 0 207227 0 0 0 LISA ROLON PHYSICIAN 213232 0 0 0 4496 0 18464 0 18314 0 254506 0 0 0 JOSEPH VOLAVKA BOARD MEMBER, SR ADMIN DIR 172358 0 8068 0 3868 0 16458 0 28423 0 229175 0 0 0 WILLIAM GEHRHARDT BOARD MEMBER/MEDICAL DIRECTOR 193087 0 0 0 26535 0 18577 0 24108 0 262307 0 0 0 ROGELIO CO MD PHYSICIAN 175550 0 0 0 21901 0 17247 0 28570 0 243268 0 0 0 SAILI DESAI PHYSICIAN 136000 0 0 0 185 0 13571 0 600 0 150356 0 0 0 KATHY GIFFUNI MSN BOARD MEMBER, Asst Dir, Nrsg 126327 0 9487 0 1244 0 13623 0 21428 0 172109 0 0 0 GERARD BROGAN EXECUTIVE DIRECTOR 0 693159 0 366828 0 12565 0 29700 0 28382 0 1130634 0 0 PART I, LINE 7 On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). FORM 990 - PART I - LINE 5 PART V - LINE 2A/2B THE STAFF OF THE HEALTH CENTER IS EMPLOYED BY HUNTINGTON HOSPITAL ASSOCIATION (THE "HOSPTIAL") AND THEIR SALARY AND RELATED COSTS ARE ALLOCATED TO THE HEALTH CENTER. NO SALARY COSTS ARE PAID DIRECTLY BY THE HEALTH CENTER. THE W-2S FOR THE NUMBER OF EMPLOYEES LISTED ON THESE LINES ARE ISSUED BY THE HOSPITAL ON BEHALF OF THE HEALTH CENTER. AS SUCH, THE HEALTH CENTER IS NOT REQUIRED TO FILE ANY FEDERAL EMPLOYMENT TAX RETURNS. FORM 990 - PART IV - LINE 12 AND PART XII - LINES 2 B/C THE FINANCIAL STATEMENTS FOR THE HOSPITAL AND THE HEALTH CENTER ARE AUDITED ON A CONSOLIDATED BASIS WITH INDIVIDUAL CONSOLIDATING STATEMENTS FOR EACH ENTITY INCLUDED AS SUPPLEMENTAL SCHEDULES. A RECONCILIATION OF AMOUNTS PER THE CONSOLIDATING STATEMENTS FOR THE HEALTH CENTER INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, TO THE AMOUNTS REPORTED IN THE FORM 990 IS INCLUDED IN THE SUPPLEMENTAL SECTION OF SCHEDULE D. THE HOSPTIAL HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. FORM 990 - PART VI - LINES 6, 7 A/B THE SOLE MEMBER OF THE HEALTH CENTER IS THE HOSPITAL. BOTH THE HEALTH CENTER AND THE HOSPITAL ARE MEMBERS OF NORTHWELL HEALTH, INC. ("NORTHWELL"). NORTHWELL AND ITS MEMBER ORGANIZATIONS AND OTHER AFFILIATED ENTITIES ARE AN INTEGRATED HEALTH DELIVERY SYSTEM IN THE NY METRO AREA. NORTHWELL IS THE SOLE MEMBER OF NORTHWELL HEALTHCARE, INC. ("HEALTHCARE, INC.). HEALTHCARE, INC. IS THE SOLE MEMBER OF THE HOSPITAL AND THE SOLE MEMBER OF OTHER HEALTH CARE ORGANIZATIONS THAT ARE NOT PART OF THE HOSPTIAL. THE BOARD OF DIRECTORS FOR THE HEALTH CENTER IS COMPRISED OF THE EXECUTIVE COMMITTEE OF THE BOARD OF THE HOSPTIAL. NORTHWELL HAS THE RIGHT TO ELECT THE MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS, INCLUDING THE RIGHT TO APPOINT 3 PERSONS TO THE BOARD WHO ARE TRUSTEES OR EMPLOYED CORPORATE OFFICERS OF THE SYSTEM. THE MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS MUST BE RESIDENTS OF THE PRIMARY SERVICE AREA SERVED BY THE HOSPITAL. CERTAIN DECISIONS OF THE BOARD REQUIRE THE APPROVAL OF THE SYSTEM AS OUTLINED IN THE CORPORATED BY-LAWS. FORM 990 PART VI - LINE 11A 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. FORM 990 PART VI - LINE 12 C AS MEMBERS OF NORTHWELL HEALTH, INC. ("NORTHWELL"), THE HEALTH CENTER AND AFFILIATED ENTITIES HAVE 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 FORM 990 - PART VI - LINE 15 THE BOARD OF DIRECTORS OF THE HOSPTIAL APPOINTED A COMPENSATION COMMITTEE WITH THE RESPONSIBILTY FOR REVIEWING AND APPROVING THE WAGES AND BENEFITS OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. THE COMMITTEE CONSISTS OF AT LEAST THREE INDIVIDUALS, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPED AN EXECUTIVE COMPENSATION POLICY THAT INCLUDES THE USE OF INDEPENDENT COMPENSATION SURVEYS COMPLIED BY INDEPENDENT FIRMS. THE COMMITTEE MEETS AT LEAST ANNUALLY. MINUTES OF THOSE MEETINGS ARE MAINTAINED BY HUMAN RESOURCES. COMPENSATION IS NOT PAID DIRECTLY BY THE HEALTH CENTER. FORM 990 - PART VI - LINE 19 THE HOSPITAL AND THE HEALTH CENTER MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ONLINE. FORM 990 - PART XI, LINE 9 RECONCILIATION OF NET ASSETS TRANSFER TO AFFILIATES 17,904 CHANGE IN EQUITY UNDER FAS 136 102,084 TOTAL 119,988 HUNTINGTON HOSPITAL ASSOCIATION 270 PARK AVENUE HUNTINGTON NY 11743 111630914 HOSPTIAL NY 501(c)(3) 3 NW HEALTHCAR false NORTHWELL HEALTH INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 113418133 SUPPORTING OR NY 501(c)(3) 12, TYPE I NA false NORTHWELL HEALTH LABORATORIES 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 113412370 SUPPORTING OR NY 501(c)(3) 12, TYPE I NW HEALTH false NORTHWELL HEALTHCARE INC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 112965586 SUPPORTING OR NY 501(c)(3) 12, TYPE I NW HEALTH false false false true false false false false false false true false true true true true false true false NA