2018-11-26T07:52:43-06:00 2017-12-31 990 2017-01-01 465746956 North Shore LIJ Pediatrics of Suffolk County % NORTHWELL HEALTH INC NORT 5163216058 972 BRUSH HOLLOW RD 5TH FLR WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 69.27.229.129 12524220183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 0CD7CF4964C06A5C296622734294A70AD3EA8837 2017 2019-02-21 02:37:17Z X MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 7478734 false X WWW.NORTHWELL.EDU X 2014 NY NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK COUNTY, PC STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE. 2 0 100 0 0 0 0 7281377 0 -507 0 197864 0 7478734 0 0 0 0 0 5120575 0 0 0 0 2835232 0 7955807 0 -477073 0 1756747 0 1341474 0 415273 NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK COUNTY, PC 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 ABILITY TO PAY. false false 6969881 0 7281377 NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK COUNTY, PC IS AN AFFILIATED MEMBER OF NORTHWELL HEALTH, INC. ("NORTHWELL") AND PART OF NORTHWELL'S MEDICAL GROUP AND AMBULATORY LINES OF SERVICE. IT STRIVES TO MAKE A MEASURABLE DIFFERENCE IN THE HEALTH STATUS OF THE COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE HEALTH CARE REGARDLESS OF ABILITY TO PAY. 6969881 true 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 false false true false false false true X 6 0 true 100 true false false false false false false false false false false false false false false false false X 2 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 5TH FLR WESTBURY NY 11590 David Battinelli vp & treasurer 0.0 50.0 X X 0 1200616 177851 CHARLES SCHLEIEN president & secretary 0.0 50.0 X X 0 1224783 48848 MICHAEL J DOWLING PRESIDENT & CEO 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 0.0 50.0 X 0 1071679 149487 DEBORAH SCHIFF COO 0.0 50.0 X 0 1094086 243363 MARJORIE SEROTOFF Dir, Pediatrics 50.0 0.0 X 857787 0 48848 REID SELDEN Physician 50.0 0.0 X 717906 0 48549 STUART BERMAN Physician 50.0 0.0 X 455024 0 48549 JENNIFER REINITZ Physician 50.0 0.0 X 334162 0 58081 CELSO HOFILENA Physician 50.0 0.0 X 328499 0 58081 2693378 9512495 994620 14 false true false 3001 EXPRESSWAY DRIVE NORTH LLC 222 MIDDLE COUNTRY RD SMITHTOWN NY 11787 CONSTRUCTION MGMT 941548 ITSAVVY LLC 313 SOUTH ROHLWING RD ADDISON IL 60101 IT SERVICES 136048 2 0 PHYSICIAN REVENUE 621300 4690149 4690149 MEDICARE/MEDICAID REVENUE 621300 2591228 2591228 7281377 -507 -507 0 0 56410 56410 0 56410 0 0 0 0 0 0 0 0 0 0 ADMIN SUPPORT 900099 141359 141359 OTHER 900099 95 95 141454 7478734 7422831 -507 0 0 0 0 0 0 4195701 3776131 419570 0 265496 238946 26550 438808 394927 43881 220570 198513 22057 4847 4847 0 0 0 0 0 720 648 72 296 266 30 1170972 1053875 117097 0 0 349811 314830 34981 0 0 6306 5675 631 0 0 75630 68067 7563 94109 94109 PURCHASED SERVICES 530623 530623 CENTRALIZED ADMIN EXPENSE 276063 276063 DUES & SUBSCRIPTIONS 11816 10634 1182 ADMIN FEES 282719 254447 28272 31320 28190 3130 7955807 6969881 985926 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 276668 1770944 290865 0 1480079 0 0 0 0 0 0 0 0 0 0 0 1756747 0 1258972 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82502 0 1341474 X 0 415273 0 0 0 0 0 415273 0 1756747 X -477073 892346 X false true X true false X X X 1 NORTH SHORE UNIVERSITY HOSPITAL 111562701 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false 55884 8349 47535 24641 1232 23409 427212 279831 147381 1263207 1453 1261754 1480079 0 DUE TO AFFILIATE 82502 82502 X 12624162 5145428 5145428 7478734 7478734 13416464 5460657 5460657 7955807 7955807 PART X, LINE 2 Certain entities included in Northwell's 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 REVENUE ON BOOKS NOT ON RETURN AMOUNTS REPORTED SEPARATELY $5,145,428 PART XII, LINE 4B EXPENSE ON BOOKS NOT ON RETURN AMOUNTS REPORTED SEPARATELY 1,615,398 X X X X X false true false false false false false true false David Battinelli vp & treasurer 0 894718 0 232134 0 73764 0 159630 0 18221 0 1378467 0 0 MICHAEL J DOWLING PRESIDENT & CEO 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 0 775211 0 284418 0 12050 0 121106 0 28381 0 1221166 0 0 DEBORAH SCHIFF COO 0 804983 0 256342 0 32761 0 214940 0 28423 0 1337449 0 0 CHARLES SCHLEIEN president & secretary 0 870899 0 322120 0 31764 0 29700 0 19148 0 1273631 0 0 MARJORIE SEROTOFF Dir, Pediatrics 800605 0 0 0 57182 0 29700 0 19148 0 906635 0 0 0 REID SELDEN Physician 660164 0 0 0 57742 0 29700 0 18849 0 766455 0 0 0 STUART BERMAN Physician 416238 0 0 0 38786 0 29700 0 18849 0 503573 0 0 0 JENNIFER REINITZ Physician 315681 0 0 0 18481 0 29700 0 28381 0 392243 0 0 0 CELSO HOFILENA Physician 310682 0 0 0 17817 0 29700 0 28381 0 386580 0 0 0 PART I, LINE 4B CERTAIN INDIVIDUALS PARTICIPATE IN A SUPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH IS SUBJECT TO SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECIEVE 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 CUSACK ($91,406) AND DEBORAH SCHIFF ($185,240). PART I, LINE 7 ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NONFIXED 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 I, B (II). 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 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. Northwell's 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 Northwell's 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 XI, LINE 9 TRANSFERS TO AFFILIATES 1,684,782 PRIOR PERIOD NET ASSETS BEFORE RECIEVING IRC SECTION 501(C)(3) EXEMPTION (792,436) TOTAL 892,346 FEDERAL TAX EXEMPTION THE INTERNAL REVENUE SERVICE DETERMINED THAT NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK COUNTY, PC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FOR YEARS AFTER 05/15/2017. 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