2017-11-14T10:15:09-06:00 2016-12-31 990 2016-01-01 113251128 LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY % NORTHWELL HEALTH INC LONG 5163216025 972 BRUSH HOLLOW ROAD Suite 5TH FL WESTBURY NY 11590 ROBERT S SHAPIRO EVP & CFO 5163216025 2017-11-03 69.27.229.129 12051120173185000000 2017-11-14 P 64888C196846E503F90B13161ED1827B039267C6 08A1259C5F1059ABDC7B7C0B44F2F73D70A20910 2016 2018-03-14 21:41:22Z NORTH SHORE LIJ STAFFING MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 410900 false X WWW.NORTHWELL.EDU X 1994 NY NORTH SHORE-LIJ Staffing Services provides nursing care and hi-tech infusion therapy. As part of NORTHW- ELL its mission is to improve the health of the communities it serves. 7 5 109 0 0 0 2770820 408225 0 2675 0 0 2770820 410900 0 0 0 0 2944594 178202 0 0 0 69175 99703 3013769 277905 -242949 132995 131682 179045 629033 543401 -497351 -364356 NORTH SHORE-LIJ STAFFING SERVICES PROVIDES NURSING SERVICES AND HIGH TECH INFUSION THERAPY. AS PART OF NORTHWELL HEALTH ITS MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. false false 263489 408225 TO PROVIDE THE HIGHEST QUALITY OF NURSING SERVICES AND TO PROVIDE HIGH TECH INFUSION THERAPY AS A COST EFFECTIVE ALTERNATIVE TO HOSPITALIZATION WITH ADDITIONAL SOCIAL AND PSYCHOLOGICAL BENEFITS TO PATIENTS AND FAMILIES IN NASSAU, SUFFOLK AND QUEENS COUNTIES. 263489 true false false false false false false false false false 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 false false true false false false true 0 0 109 true false false false false false false false false false false false false false false false X 7 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 5168766061 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 4026026 51426 RICHARD D GOLDSTEIN IMMEDIATE PAST CHAIRMAN 0.0 2.0 X X 0 0 0 MARK CLASTER Chairman 0.0 3.0 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 Saul B Katz director 0.0 2.0 X 0 0 0 Roy J Zuckerberg director 0.0 2.0 X 0 0 0 HOWARD B GOLD EVP, CHF MDG CARE BS DVLP OFF 0.0 50.0 X 0 1812973 37583 MARK J SOLAZZO EVP & CHIEF OPERATING OFFICER 0.0 50.0 X 0 2398244 600022 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0.0 50.0 X 0 3571801 373568 DONNA DRUMMOND SVP, Consolidated SERVICES 0.0 50.0 X 0 911460 236725 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 376124 45417 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 1140697 210317 Andrew Schulz General Counsel&asst secretary 0.0 50.0 X 0 1093281 53304 EUGENE TANGNEY SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 1224832 247944 DANIEL VAKNIN AVP, OUTPAT THERAPY NETWORK 50.0 0.0 X 220146 0 42663 MARY WINTER VACIRCA AVP, LIC HOME CARE AGENCY 50.0 0.0 X 218441 0 34709 BRIAN KREBS SR DIR, STARS NETWORK 50.0 0.0 X 156535 0 32586 HYMIE ARUCH MGR, PHARMACY 50.0 0.0 X 158241 0 23227 GERALYN CALIENDO DIR, HOME CARE SVCS 50.0 0.0 X 169456 0 16067 922819 16555438 2005558 29 false true false NONE 0 0 PATIENT REVENUE 621610 408225 408225 408225 0 0 0 0 0 0 2675 0 0 0 0 0 0 0 0 0 0 410900 408225 0 0 0 0 0 0 148632 136860 11772 0 3726 3431 295 16263 14975 1288 9581 8822 759 0 0 0 0 0 0 25 23 2 0 2230 2053 177 0 0 0 524 524 0 0 0 0 0 0 BAD DEBT EXPENSE 95362 95362 OTHER EXPENSES 1562 1439 123 277905 263489 14416 0 0 0 0 0 0 0 111617 179045 0 0 0 0 0 0 0 0 0 0 0 20065 0 0 0 0 0 0 0 0 0 0 0 131682 179045 113107 72779 0 0 0 0 0 0 0 0 0 0 0 0 0 0 515926 470622 629033 543401 X -497351 -364356 0 0 0 0 -497351 -364356 131682 179045 132995 X false true X true false X X 1 LONG ISLAND JEWISH MEDICAL CENTER 112241326 3 true 0 0 1 true false false false false false false false false false false false false false false true false 0 DUE TO AFFILIATES 470622 470622 X 312863 -95362 -95362 408225 2675 2675 410900 179868 -2675 -2675 182543 95362 95362 277905 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, 2016 and 2015, Northwell has a deferred income tax asset which has 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 $408,000,000, which expire in varying amounts through 2036, and are available to offset future taxable income. PART XI, LINE 2D PROVISION FOR BAD DEBT (95,362) PART XI, LINE 4B GAIN FROM SALE OF ASSET 2,675 PART XII, LINE 2D GAIN FROM SALE OF ASSET (2,675) PART XII, LINE 4B PROVISION FOR BAD DEBT 95,362 X X X X X false true false false false false false false false MICHAEL J DOWLING PRESIDENT & CEO 0 1474510 0 2528000 0 23516 29150 0 22276 0 4077452 0 0 HOWARD B GOLD EVP, CHF MDG CARE BS DVLP OFF 0 1079110 0 701250 0 32613 0 29150 0 8433 0 1850556 0 0 MARK J SOLAZZO EVP & CHIEF OPERATING OFFICER 0 1368841 0 1000000 0 29403 0 589158 0 10864 0 2998266 0 0 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0 1167747 0 371250 0 2032804 0 357265 0 16303 0 3945369 0 1195740 DONNA DRUMMOND SVP, Consolidated SERVICES 0 653272 0 196875 0 61313 0 212571 0 24154 0 1148185 0 0 HARRY GINDI ASSISTANT SECRETARY 0 296913 0 74884 0 4327 0 29150 0 16267 0 421541 0 0 DANIEL VAKNIN AVP, OUTPAT THERAPY NETWORK 202900 0 15300 0 1946 0 18509 0 24154 0 262809 0 0 0 MARY WINTER VACIRCA AVP, LIC HOME CARE AGENCY 200280 0 16000 0 2161 0 18406 0 16303 0 253150 0 0 0 BRIAN KREBS SR DIR, STARS NETWORK 143973 0 11250 0 1312 0 14692 0 17894 0 189121 0 0 0 Laura Peabody SVP & Chief Legal Officer 0 888245 0 239063 0 13389 0 191309 0 19008 0 1351014 0 0 Andrew Schulz General Counsel&asst secretary 0 743505 0 317969 0 31807 0 29150 0 24154 0 1146585 0 0 HYMIE ARUCH MGR, PHARMACY 150751 0 5000 0 2490 0 14794 0 8433 0 181468 0 0 0 EUGENE TANGNEY SVP, CHIEF ADMIN OFFICER 0 960697 0 253125 0 11010 0 223790 0 24154 0 1472776 0 0 GERALYN CALIENDO DIR, HOME CARE SVCS 135058 0 5000 0 29398 0 15467 0 600 0 185523 0 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 ($560,008), Robert S. Shapiro ($328,115), Donna Drummond ($183,421), Laura Peabody ($162,159), and Eugene Tangney ($194,640). Schedule J, Part II, Column (F) 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 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 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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