2018-11-19T08:40:17-06:00 2017-12-31 990 2017-01-01 237273200 NORTH SHORE COMMUNITY SERVICES INC C/O NORTHWELL HEALTH INC % NORTHWELL HEALTH INC NORT 5163216058 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 ED BOCHYNSKI AVP 2018-11-01 69.27.229.128 11742220183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 0CD7CF4964C06A5C296622734294A70AD3EA8837 2017 2019-02-21 02:37:17Z MICHAEL J DOWLING 2000 MARCUS AVE NEW HYDE PARK NY 11042 14182414 false X WWW.NORTHWELL.EDU X 1974 NY TO HOLD TITLE TO PROPERTY AND COLLECT income from the benefit of affiliated hospitals. 8 5 0 0 -250 0 0 13241822 14182414 0 0 0 0 13241822 14182414 0 0 0 0 0 0 0 0 0 12987169 14661092 12987169 14661092 254653 -478678 82291231 109253354 71109543 98550341 11181688 10703013 TO HOLD TITLE TO PROPERTY AND COLLECT INCOME FOR THE BENEFIT OF AFFILIATED HOSPITALS. false false 14597034 14182414 NORTH SHORE COMMUNITY SERVICES, INC. HOLDS TITLE TO CERTAIN LAND AND REAL ESTATE ON BEHALF OF NORTH SHORE UNIVERSITY HOSPITAL 14597034 false false false false false false false false true false false false 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 true false false true 19 0 true 0 false false false false false false false false false false false false false X 8 5 true 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 5TH FL WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 4041927 54840 RICHARD D GOLDSTEIN immediate past CHAIRMAN 0.0 2.0 X X 0 0 0 WILLIAM L MACK VICE CHAIRMAN 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN VICE CHAIRMAN 0.0 2.0 X X 0 0 0 MARK CLASTER Chairman 0.0 3.0 X X 0 0 0 Saul B Katz DIRECTOR 0.0 2.0 X 0 0 0 Roy J Zuckerberg DIRECTOR 0.0 2.0 X 0 0 0 RALPH NAPPI TRUSTEE & EVC BOARD 0.0 50.0 X X 0 995438 48848 HOWARD B GOLD EVP, CHF MGD CARE 0.0 50.0 X 0 1779494 48495 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 2473309 782518 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0.0 50.0 X 0 1649071 48848 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0.0 50.0 X 0 951732 254399 HARRY GINDI Assistant Secretary 0.0 50.0 X 0 356152 48821 ALAN I GREENE TREASURER 0.0 2.0 X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X 0 0 0 Laura Peabody SVP & Chief Legal Officer 0.0 50.0 X 0 1058897 222944 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 1260472 300149 MICHELE CUSACK SVP & CFO 0.0 50.0 X 0 1071679 149487 RICHARD MILLER EVP & Chf Business Strategy Of 0.0 50.0 X 0 1109260 218236 LAURENCE KRAEMER SVP, Interim Chf Lgl Of 0.0 50.0 X 0 879404 58123 MARK GLOADE SVP Deputy GnCnsl & Asst Sec 0.0 50.0 X 0 576726 58123 0 18203561 2293831 0 false true false E W HOWELL CO LLC 245 NEWTOWN ROAD PLAINVIEW NY 11803 GENERAL CONTRACTOR 1900902 BLUE MOON PO BOX 923 ROCKVILLE CENTRE NY 11571 FACILITIES SERVICES 1577234 MODERN FACILITIES SERVICES 1500 COUNTY RD 517 HACKETTSTOWN NJ 07840 FACILITIES SERVICES 1327450 ABM JANITORIAL NORTHEAST INC 124 DUFFY AVE HICKSVILLE NY 11801 JANITORIAL SERVICES 976456 HEALTHCARE PARKING SYSTEMS OF AMERI 1459 HAMILTON AVE CLEVELAND OH 44114 FACILITIES SERVICES 652295 31 0 RENTAL INCOME 532000 14182414 14182414 14182414 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14182414 14182414 0 0 0 0 0 0 0 0 0 0 0 4084 4084 0 0 0 0 72092 72092 0 1611677 1611677 0 0 8909705 8909705 1343 1343 0 0 0 0 1728673 1728673 0 OTHER PURCHASED SERVICES 1538608 1538608 SHARED SERVICES 661983 661983 CENTRALIZED ADMIN EXPENSES 59974 59974 OTHER MISC. EXPENSES 72953 72953 14661092 14597034 64058 0 0 3169901 3397700 0 0 654257 0 0 0 0 0 0 0 0 0 1178615 2723490 125333604 22626065 76783507 102707539 0 0 0 0 0 0 0 0 504951 424625 82291231 109253354 13821629 13043381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57287914 85506960 71109543 98550341 X 11181691 10703013 0 0 0 0 11181691 10703013 82291234 109253354 -478678 X false true X true false 8451890 8451890 45749856 11325524 34424332 8728985 4723433 4005552 33133793 6401953 26731840 29269080 175155 29093925 102707539 0 DUE TO AFFILIATED ORGANIZATION 85062014 OTHER LIABILITIES 444946 85506960 X 14182414 14182414 14182414 14661092 14661092 14661092 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. X X X X X false true false MICHAEL J DOWLING PRESIDENT & CEO 0 1474558 0 2543853 0 23516 0 29700 0 25140 0 4096767 0 0 HOWARD B GOLD EVP, CHF MGD CARE 0 1076639 0 670464 0 32391 0 29700 0 18795 0 1827989 0 0 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1444332 0 1000000 0 28977 0 770985 0 11533 0 3255827 0 0 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0 1171054 0 421415 0 56602 0 29700 0 19148 0 1697919 0 0 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0 684675 0 235506 0 31551 0 225976 0 28423 0 1206131 0 0 HARRY GINDI Assistant Secretary 0 304506 0 47201 0 4445 0 29700 0 19121 0 404973 0 0 Laura Peabody SVP & Chief Legal Officer 0 707941 0 282134 0 68822 0 203936 0 19008 0 1281841 0 0 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0 997983 0 251479 0 11010 0 271726 0 28423 0 1560621 0 0 MICHELE CUSACK SVP & CFO 0 775211 0 284418 0 12050 0 121106 0 28381 0 1221166 0 0 RICHARD MILLER EVP & Chf Business Strategy Of 0 777892 0 299893 0 31475 0 198971 0 19265 0 1327496 0 0 LAURENCE KRAEMER SVP, Interim Chf Lgl Of 0 632884 0 204756 0 41764 0 29700 0 28423 0 937527 0 0 MARK GLOADE SVP Deputy GnCnsl & Asst Sec 0 469518 0 67744 0 39464 0 29700 0 28423 0 634849 0 0 RALPH NAPPI TRUSTEE & EVC BOARD 0 720899 0 243445 0 31094 0 29700 0 19148 0 1044286 0 0 Part I, Line 4B 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 Mark J. Solazzo ($741,285), Donna Drummond ($196,276), Laura Peabody ($174,236), Richard Miller ($169,271), Eugene S. Tangney ($242,026), and Michele Cusack ($91,406) PART VI, SECTION A-GOVERNING BODY, LINE 2 All transactions with Northwell Health entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Richard D. Goldstein has a business relationship with Barry Rubenstein. William Mack has business relationships with Barry Rubenstein and Roy Zuckerberg. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Roy Zuckerberg has a business relationship with William Mack. 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 GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health, Inc. ("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 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 Northwell and its affiliates. PART VI, SECTION A-GOVERNING BODY, LINE 7 This organization is a member of Northwell Health, Inc. ("Northwell"). Northwell is the sole corporate member of this organization. Northwell has the right to elect or appoint members of the organizations governing body and has the right to approve or ratify certain corporate decisions. 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