2017-11-14T10:15:08-06:00 2016-12-31 990 2016-01-01 061074604 SIUH SYSTEMS INC % NORTHWELL HEALTH INC SIUH 5163216025 972 BRUSH HOLLOW ROAD Suite 5TH FLR WESTBURY NY 11590 ROBERT S SHAPIRO EVP & CFO 2017-11-03 69.27.229.129 26440420173185000000 2017-11-14 P 64888C196846E503F90B13161ED1827B039267C6 08A1259C5F1059ABDC7B7C0B44F2F73D70A20910 2016 2017-02-10 21:41:12Z MICHAEL J DOWLING 2000 marcus avenue new hyde park NY 11042 0 false X www.northwell.edu X 1982 NY THE ORGANIZATION PROVIDES ASSISTANCE IN THE PLANNING FOR AND COORDINATION OF HEALTHCARE SERVICES IN THE STATEN ISLAND COMMUNITY. 32 27 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 THE ORGANIZATION PROVIDES ASSISTANCE IN THE PLANNING FOR AND COORDINATION OF HEALTHCARE SERVICES IN THE STATEN ISLAND COMMUNITY AND IS PART OF NORTHWELL HEALTH, INC. ("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 0 N/A 0 true false 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 X 32 27 true false false false false true true true true false false true true true true true true true true false NY X NORTHWELL HEALTH INC 5168766061 972 BRUSH HOLLOW RD WESTBURY NY 11590 MARK L CLASTER CHAIRMAN 0.0 3.0 X X 0 0 0 JOHN W ALEXANDER VICE CHAIRMAN & TREASURER 0.0 2.0 X X 0 0 0 MICHAEL J DOWLING TRUSTEE - PRES/CEO NORTHWELL 0.0 50.0 X 0 4026026 51426 RALPH NAPPI TRUSTEE AND EVC 0.0 50.0 X 0 947428 45453 NON-COMPENSATED TRUSTEES SEE SCHEDULE 0 0.0 2.0 X 0 0 0 ANTHONY C FERRERI CEO 0.0 50.0 X 0 3231532 369606 ROBERT SHAPIRO EVP & CFO 0.0 50.0 X 0 3571801 373568 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0.0 50.0 X 0 1140697 210317 ANDREW SCHULZ GENERAL COUNSEL & SECRETARY 0.0 50.0 X 0 1093281 53304 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 376124 45417 GREG RADINSKY VP/CHF CORP COMPLIANCE OFFICER 0.0 50.0 X 0 546541 53304 0 14933430 1202395 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 STATEN ISLAND UNIVERSITY HOSPITAL 112868878 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true 0 0 X 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. X X X X X false true false false false false false false false ANTHONY C FERRERI CEO 0 856309 0 303750 0 2071473 0 353303 0 16303 0 3601138 0 1468574 MICHAEL J DOWLING TRUSTEE - PRES/CEO NORTHWELL 0 1474510 0 2528000 0 23516 0 29150 0 22276 0 4077452 0 0 RALPH NAPPI TRUSTEE AND EVC 0 719676 0 196875 0 30877 0 29150 0 16303 0 992881 0 0 GREG RADINSKY VP/CHF CORP COMPLIANCE OFFICER 0 407430 0 119531 0 19580 0 29150 0 24154 0 599845 0 0 ROBERT SHAPIRO EVP & CFO 0 1167747 0 371250 0 2032804 0 357265 0 16303 0 3945369 0 1195740 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0 888245 0 239063 0 13389 0 191309 0 19008 0 1351014 0 0 ANDREW SCHULZ GENERAL COUNSEL & SECRETARY 0 743505 0 317969 0 31807 0 29150 0 24154 0 1146585 0 0 HARRY GINDI ASSISTANT SECRETARY 0 296913 0 74884 0 4327 0 29150 0 16267 0 421541 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 Anthony C. Ferreri ($324,153), Robert Shapiro ($328,115), and Laura Peabody ($162,159). 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. Roger Blumencranz has a business relationship with Richard D. Goldstein, Alan Greene, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Robert Rosenthal. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman, William Mack and Barry Rubenstein. Saul Katz has a business relationship with Seth Lipsay, F.J. McCarthy and Robert Rosenthal. Jeffrey Lane has a business relationship with William Mack. Seth Lipsay has a business relationship with Saul Katz and Robert Rosenthal. William Mack has business relationships with Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz and Robert Rosenthal. Ralph Nappi has a business relationship with Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, Saul Katz, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack. 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. 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 POLICY 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 VII, SECTION A - LINE 1A Frank J. Besignano Alan I. Greene Charles Merinoff Roger A. Blumencranz Paul B. Guenther Ralph A. Nappi Robert W. Chasanoff William O. Hiltz Richard B. Nye Mark. Claster Nancy Karch Sharon Patterson Michael J. Dowling Saul B. Katz Lewis S. Ranieri Michael A. Epstein Cary Kravet Robert D. Rosenthal Michael E. Feldman Jeffrey B. Lane Barry Rubenstein Catherine C. Foster Seth Lipsay Richard J. Sinni William H. Frazier William L. Mack Donald Zucker Lloyd M. Goldman F.J. McCarthy Roy J. Zuckerberg Richard D. Goldstein Patrick F. 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inactive NY nw healthcare 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 peconic cardiology pc 972 brush hollow road westbury NY 11590 813149464 medical svcs NY nsuh c false narrows ipa inc 972 brush hollow road westbury NY 11590 133978565 business svcs 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 FM Health Inter c false formativ health newco inc 972 brush hollow road westbury NY 11590 813928889 holding co DE Fm Health Holdc c false formativ health holdco inc 972 brush hollow road westbury NY 11590 813928672 holding co DE Fm Health c false false false false false false false false false false false false false false false false false false false