2016-11-14T11:00:49-06:00 2015-12-31 990 2015-01-01 111667761 SOUTHSIDE HOSPITAL c/o NORTHWELL HEALTH INC % NORTHWELL HEALTH INC SOUT 5163216025 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 ROBERT S SHAPIRO EXEC VP & CFO 5163216025 2016-11-02 2015 2017-02-10 21:41:12Z MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 480453364 false X WWW.NORTHWELL.EDU X 1975 NY Southside strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community. 123 113 3273 287 389646 83843 153767 86482 439235361 474529769 276037 153634 4670961 4112746 444336126 478882631 0 0 0 0 335255101 314254680 0 0 269577 165539119 182135636 500794220 496390316 -56458094 -17507685 243593220 297324490 317978264 387033143 -74385044 -89708653 SOUTHSIDE HOSPITAL IS PART OF NORTHWELL HEALTH ("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 341679440 400193580 Southside Hospital is a 345-bed tertiary hospital with the following inpatient services: medical/surgical, intensive and cardiac care unit, OB/GYN with a Level II Perinatal service, pediatrics, medical rehabilitation, brain injury and psychiatry. The Emergency Department is a designated Area Trauma Center and provides the Paramedic First Responder Program to the Town of Islip Residents. In 2015, Southside Hospital had 18,680 inpatient discharges, delivered 2,251 babies, provided 66,773 emergency department visits and performed 13,402 ambulatory surgeries, including endoscopies and cardiac catheterizations. 95521098 74405252 Northwell Health Physician Partners is an affiliated member of Northwell Health ("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. 437200538 true true false true false false false false false false true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false true true false false false false true true true false false false true 135 0 true 3273 true true true true CJ UK false false false false false false false false false false false false false X 123 113 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 3221785 52572 RALPH NAPPI TRUSTEE & EVC 0.0 50.0 X X 0 705982 46697 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 ALAN I GREENE TREASURER 0.0 2.0 X X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X X 0 0 0 NON-COMPENATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 MARK CLASTER CHAIRMAN 0.0 3.0 X X 0 0 0 HOWARD GOLD EVP CHF MANAGED CARE & BUS DEV 0.0 50.0 X 0 1638945 38059 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 2196565 556379 ROBERT S SHAPIRO EXEC VP & CFO 0.0 50.0 X 0 1269909 399624 LAWRENCE G SMITH MD EVP/PHYSICIAN IN CHIEF 0.0 50.0 X 0 1394499 47522 JEFFREY KRAUT EVP, STRATEGIC PLANNING 0.0 50.0 X 0 1077844 373819 KATHLEEN GALLO RN PHD SR VP, CHIEF LEARNING OFFICER 0.0 50.0 X 0 819908 46697 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0.0 50.0 X 0 775040 55176 HARRY GINDI ASST SECRETARY 0.0 50.0 X 0 319536 46368 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0.0 50.0 X 0 1002534 210021 ANTHONY FERRERI EVP/CHF AFFILIATION OFF 0.0 50.0 X 0 1163134 396846 ANDREW SCHULZ SVP & GENERAL COUNSEL 0.0 50.0 X 0 877620 55176 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 1051407 229332 WINIFRED MACK REG EXECUTIVE DIRECTOR 0.0 50.0 X 0 969931 38059 DONNA MORAVICK EXECUTIVE DIRECTOR 50.0 0.0 X 741659 0 46697 MICHAEL NETT COORD PHYSICIAN 50.0 0.0 X 1048816 0 54569 BURAK ARKONAC DIR, CARDIAC CATH LAB 50.0 0.0 X 1007681 0 45784 FRANK MANETTA SURGEON 50.0 0.0 X 806907 0 55067 EDWARD HALLAL PHYSICIAN 50.0 0.0 X 1096543 0 38023 JED POLLACK PHYSICIAN 50.0 0.0 X 900002 0 55067 5601608 18484639 2887554 536 false true false NEW YORK PAIN CONSULTANTS LLC 500 W MAIN ST STE 116 BABYLON NY 11702 PHYSICIAN SERVICES 3112134 GE HEALTHCARE 80 E SEAVIEW BLVD PORT WASHINGTON NY 11050 CONSULTING SERVICES 1885241 UNITEX TEXTILE RENTAL 155 S TERRACE AVE MOUNT VERNON NY 10550 LINEN SERVICES 1208560 PARTNERS IN CRITICAL CARE LLP 32 CEDAR AVENUE EXT ISLIP NY 11751 PHYSICIAN SERVICES 699924 CANNON DESIGN 360 MADISON AVENUE NEW YORK NY 10017 ARCHITECTURAL SERVIC 643195 45 83482 3000 86482 PATIENT SERVICE 621300 277373711 277373711 HEALTH CENTER 621300 6026667 6026667 PHYSICIAN BILLING 621300 70176496 70176496 MEDICARE/MEDICAID PAYMENTS 621300 120952895 120952895 474529769 57936 57936 106192 106192 0 0 0 0 1560239 0 1545082 25651 15157 -25651 -10494 0 0 0 CAFETERIA 900099 1281364 1281364 ELECTRONIC HEALTH RECORD INCOME 900099 700000 700000 RENTAL INCOME 561000 387425 247248 140177 1743957 1495047 249469 -559 4112746 478882631 476972064 389646 1444933 0 0 0 0 741659 741659 0 243417428 227084119 16169976 163333 20797139 19401651 1381533 13955 34196724 31902124 2271654 22946 15101730 14088404 1003193 10133 575462 536849 38227 386 59197 59197 0 0 0 0 8806226 8215328 584989 5909 309557 288786 20771 75203661 70331359 4823579 48723 0 0 5738037 5353015 381172 3850 446164 446164 0 1005660 1005660 1948544 1948544 0 12731457 11877176 854281 13835360 13835360 BAD DEBT EXPENSE 6870950 6870950 OTHER PURCHASED SERVICES 20833499 20833499 BILLING & COLLECTION 3750512 3498853 251659 CENTRALIZED ADMIN EXPENSE 29067782 29067782 953568 889582 63644 342 496390316 437200538 58920201 269577 229070 1290 0 0 0 0 47282861 50447689 0 0 0 0 0 0 7183099 5945606 255328 397771 226418023 77783248 119872771 148634775 6135219 33823587 0 0 0 0 0 0 62634872 58073772 243593220 297324490 53845558 63819167 0 0 0 2394048 39770000 71720000 0 0 0 0 0 0 0 0 224362706 249099928 317978264 387033143 X -94860838 -112542078 20475794 22833425 0 0 -74385044 -89708653 243593220 297324490 X -17507685 -205650 2389726 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 28572 false 28572 false false LOBBYING ACTIVITY SOUTHSIDE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 3964752 3964752 86203010 36546319 49656690 179891 27822 152069 89831146 40836129 48995017 46239224 372977 45866247 148634775 OTHER ASSETS 1480673 OTHER RECIEVABLES 2363838 INTEREST IN FOUNDATION 22063816 SECURITY DEPOSITS 21040 INSURANCE CLAIMS RECEIVABLE 32144405 58073772 0 DUE TO AFFILIATES 48013939 DUE TO THIRD PARTY PAYORS 60586365 ACCRUED RETIREMENT BENEFITS 61871738 ESTIMATED MALPRACTICE LIABILIT 45460000 OTHER LONG-TERM LIABILITIES 549834 BOND PREM/DISCOUNT 1813548 INSURANCE CLAIMS LIABILITY 32144405 DEFERRED FINANCING -1339901 249099928 X 471836454 -205650 -6754045 -6959695 478796149 86482 86482 478882631 487170122 487170122 9220194 9220194 496390316 PART X, LINE 2 - FIN 48 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. 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, 2015 and 2014, 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 receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $219,000,000, which expire in varying amounts through 2035, and are available to offset future taxable income. PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUE INCLUDED ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (6,870,950) NET ASSETS RELEASED FROM RESTRICTIONS 116,905 TOTAL NOT INCLUDED ON 990 (6,754,045) INCLUDED ON RETURN NOT ON BOOKS TEMP RESTRICTED CONTRIBUTIONS 83,482 TEMP RESTRICTED GRANTS 3,000 TOTAL 86,482 PART XII, LINE 4B - RECONCILIATION OF EXPENSES PROVISION FOR BAD DEBTS 6,870,950 ADDITIONAL MINIMUM PENSION ADJUSTMENT 2,349,244 TOTAL 9,220,194 Central America and the Caribbean Investments 276357 Europe (Including Iceland and Greenland) Investments 46928 323285 323285 false false false false false false true true X true X true X 500. true true true false true true 13371771 1969538 11402233 0.02340 96899220 60061068 36838152 0.07560 110270991 62030606 48240385 0.09900 1966086 38500 1927586 0.00390 12803692 2485779 10317913 0.02120 0 0 0 25855 25855 0.00010 330086 330086 0.00070 15125719 2524279 12601440 0.02590 125396710 64554885 60841825 0.12490 11663 11663 40501 40501 0.00010 48106 48106 0.00010 3749 3749 2822 2822 42882 42882 0.00010 44262 44262 0.00010 193985 193985 0.00040 false 6256916 111776155 125251665 -13475510 X true true 1 1 SOUTHSIDE HOSPITAL 301 EAST MAIN STREET BAY SHORE NY 11706 WWW.NORTHWELL.EDU X X X X SOUTHSIDE HOSPITAL 1 false false true X X X X X X X X X 13 true true true true X WWW.NORTHWELL.EDU X true 13 true WWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFI false false true X 100 500. X X X X true true X X X true X WWW.NORTHWELL.EDU X WWW.NORTHWELL.EDU X WWW.NORTHWELL.EDU X X X X X X true X false X X X X X true X false false Part V, Section C, Supplemental Information Part V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each county served by Northwell and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); Northwell; local businesses; and faith-based organizations; and a "voice of the community" (i.e. the community's perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6b: For a detailed listing of other than hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 7d: N/A Part V, Section B, line 11: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (i.e. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16i: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18d: N/A Part V, Section B, line 19d: N/A Part V, Section B, line 20e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 22d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). Part V, Section B, line 23: N/A Part V, Section B, line 24: N/A 25 SUFFOLK COUNTY BRENTWOOD FAMILY HEALTH C 1869 BRENTWOOD ROAD BRENTWOOD NY 11717 FAMILY HEALTH CENTER WOMEN'S HEALTHCARE OF SUFFOLK COUNTY 3001 EXPRESSWAY DRIVE NORTH ISLANDIA NY 11749 OUTPATIENT PHYSICIAN CLINIC LONG ISLAND LUNG 370 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC PEDIATRIC CONSULTATION CENTER AT BABYLON 500 WEST MAIN STREET BAY SHORE NY 11702 OUTPATIENT PHYSICIAN CLINIC NEUROSURGERY AT SOUTHSIDE 270 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC NORTH SHORE-LIJ ORTHOPAEDIC INSTITUTE AT 217 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC SOUTHSIDE CARDIOLOGY 280 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC ORTHOPAEDIC INSTITUTE AT BABYLON 200 WEST MAIN STREET WEST BABYLON NY 11702 OUTPATIENT PHYSICIAN CLINIC DIABETES AND ENDOCRINOLOGY CENTER OF SUF 1723 NORTH OCEAN AVENUE MEDFORD NY 11763 OUTPATIENT PHYSICIAN CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 180 EAST MAIN STREET BAYSHORE NY 11706 OUTPATIENT PHYSICIANS CLINIC NASSAU SUFFOLK FAMILY PRACTICE 120 ROUTE 109 WEST BABYLON NY 11704 OUTPATIENT PHYSICIAN CLINIC OAKDALE OBGYN 971 MONTAUK HIGHWAY OAKDALE NY 11769 OUTPATIENT PHYSICIAN CLINIC SUFFOLK INTERNAL MEDICINE ASSOCIATES 500 MONTAUK HIGHWAY WEST ISLIP NY 11795 OUTPATIENT PHYSICIAN SERVICES UROGYNECOLOGY AT SUFFOLK 200 MOTOR PARKWAY HAUPPAUGE NY 11788 OUTPATIENT PHYSICIANS CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 250 E MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 31 MAIN ROAD RIVERHEAD NY 11901 OUTPATIENT PHYSICIAN CLINIC WESTERN SUFFOLK GASTROENTEROLOGY 375 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC ISLIP TERRACE FAMILY PRACTICE 2915 SUNRISE HIGHWAY ISLIP TERRACE NY 11752 FAMILY HEALTH CENTER BRIGHTWATER INTERNAL MEDICINE 200 HOWELLS ROAD BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC SURGICAL SERVICES AT SOUTHSIDE 270 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIAN CLINIC ISLIP INTERNAL MEDICINE 260 MAIN STREET ISLIP NY 11751 OUTPATIENT PHYSICIAN CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 32 EAST MAIN STREET BAY SHORE NY 11706 OUTPATIENT PHYSICIANS CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 2330 UNION BOULEVARD ISLIP NY 11751 OUTPATIENT PHYSICIAN SERVICES NORTHWELL HEALTH PHYSICIAN PARTNERS 285 SILLS ROAD EAST PATCHOGUE NY 11772 OUTPATIENT PHYSICIAN CLINIC NORTHWELL HEALTH PHYSICIAN PARTNERS 1554 NORTHERN BOULEVARD MANHASSET NY 11030 OUTPATIENT PHYSICIAN CLINIC PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health Inc.("Northwell"). Northwell uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website: http://www.northwell.edu/about/our-organization/office-community-and-publi c-health/reports Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospitals financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital that appears on Form 990, Part IX Line 25 column (A), less bad debt expense (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 12.65 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwells bioterrorism & disaster preparedness includes Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organizations collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospitals collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwells community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and childrens health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (i.e. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, Northwell participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CBOs, enables region wide leveraging of resources, co X X X X X false true false true false false false true false MICHAEL J DOWLING PRESIDENT & CEO 0 1468126 0 1728000 0 25659 0 29150 0 23422 0 3274357 0 0 HOWARD GOLD EVP CHF MANAGED CARE & BUS DEV 0 1079181 0 528000 0 31764 0 29150 0 8909 0 1677004 0 0 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1267281 0 900000 0 29284 0 538262 0 18117 0 2752944 0 0 ROBERT S SHAPIRO EXEC VP & CFO 0 1066127 0 171000 0 32782 0 382085 0 17539 0 1669533 0 0 LAWRENCE G SMITH MD EVP/PHYSICIAN IN CHIEF 0 925804 0 337000 0 131695 0 29150 0 18372 0 1442021 0 0 JEFFREY KRAUT EVP, STRATEGIC PLANNING 0 910565 0 135000 0 32279 0 347793 0 26026 0 1451663 0 0 KATHLEEN GALLO RN PHD SR VP, CHIEF LEARNING OFFICER 0 670104 0 117000 0 32804 0 29150 0 17547 0 866605 0 0 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0 587951 0 97000 0 90089 0 29150 0 26026 0 830216 0 0 HARRY GINDI ASST SECRETARY 0 288163 0 27171 0 4202 0 29150 0 17218 0 365904 0 0 RALPH NAPPI TRUSTEE & EVC 0 672187 0 0 0 33795 0 29150 0 17547 0 752679 0 0 WINIFRED MACK REG EXECUTIVE DIRECTOR 0 799411 0 135000 0 35520 0 29150 0 8909 0 1007990 0 0 MICHAEL NETT COORD PHYSICIAN 1029562 0 0 0 19254 0 29150 0 25419 0 1103385 0 0 0 BURAK ARKONAC DIR, CARDIAC CATH LAB 981451 0 25000 0 1230 0 29150 0 16634 0 1053465 0 0 0 FRANK MANETTA SURGEON 787075 0 0 0 19832 0 29150 0 25917 0 861974 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0 819005 0 140000 0 43529 0 183995 0 26026 0 1212555 0 0 ANTHONY FERRERI EVP/CHF AFFILIATION OFF 0 854187 0 237000 0 71947 0 379299 0 17547 0 1559980 0 0 DONNA MORAVICK EXECUTIVE DIRECTOR 663162 0 65000 0 13497 0 29150 0 17547 0 788356 0 0 0 ANDREW SCHULZ SVP & GENERAL COUNSEL 0 737078 0 108000 0 32542 0 29150 0 26026 0 932796 0 0 EDWARD HALLAL PHYSICIAN 1042274 0 0 0 54269 0 29150 0 8873 0 1134566 0 0 0 JED POLLACK PHYSICIAN 880854 0 12912 0 6236 0 29150 0 25917 0 955069 0 0 0 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0 887365 0 153000 0 11042 0 203306 0 26026 0 1280739 0 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 ($509,112), Robert S Shapiro ($352,935), Jeffrey Kraut ($318,643), Laura Peabody ($154,845), Eugene Tangney ($174,156) and Anthony Ferreri ($350,149). PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUES Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee. PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION 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). PART II, COLUMN (F) - SERP PAYOUT 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. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-10-06 42795000 2011 BONDS - CONSTRUCT FACILITY & false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BNL3 2015-06-23 33120000 2015 A BONDS - CONSTRUCT FACILITY false false false A 3954337 0 43534758 2327825 361028 0 770395 0 0 13759341 26316170 0 2013 true true false true B 0 0 35930516 0 78364 28685448 331074 0 0 752316 2005990 28520885 true true false true A false false false false 0 false false false true B false false false false 0 false false false true A false true true false false false 0 false 0 false true B false true true false false false 0 false 0 false true A true B true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE price in Part I, Column (E) due to Invest earning & transferred proceeds. LISA FINNEGAN FAMILY MEMB: M. SOLAZZO 57186 EMPLOYEE false PRISCILLA PIROLO-MORAVICK FAMILY MEMB: D. MORAVICK 64565 EMPLOYEE false JUSTIN MORAVICK FAMILY MEMB: D. MORAVICK 42926 EMPLOYEE false GLOBAL PACKAGING SOLUTIONS BUS REL: MCCARTHY &WALKER 4448 COMPANY PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with Northwell Health entities are as follows: (1) negotiated at arms length; (2) all purchases are at fair market value; and (3) ALL PRODUCTS OR SERVICES ARE RENDERED ON AN "AS NEEDED" BASIS. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria, Frank Patafio and John Shall. Philip Altheim has a business relationship with Eric Blumencranz and Saul Katz. Michael Ashner has a business relationship with William Mack. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum, Leonard Feinstein and Lewis Ranieri. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Patrick Edwards, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Lisa Kaufman, Stuart Levine, David Mack, William Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Dennis Riese, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Patrick Edwards has a business relationship with Eric Blumencranz. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric Blumencranz and Roger Blumencranz. Stanley Grey has a business relationship with Eric Blumencranz and Roger Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Richard Horowitz has a business relationship with Eric Blumencranz and Roger Blumencranz. M. Allan Hyman has a business relationship with Eric Blumencranz, Roger Blumencranz, David Blumenfeld, Edward Blumenfeld, David Katz, Michael Katz, Saul Katz, Stanely Kreitman and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with M. Allan Hyman, Michael Katz, Saul Katz, Seth Lipsay and Robert Rosenthal. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Saul Katz, Seth Lipsay, Robert Rosenthal and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Seth Lipsay, F.J. McCarthy, Robert Rosenthal and Michael Slade. Lisa Kaufman has a business relationship with Eric Blumencranz. Cary Kravet has a business relationship with Steve Braun. Stanley Kreitman has a business relationship with Allan Hyman. Jeffrey Lane has a business relationship with William Mack. Laura Lauria has a business relationship with John Alexander and Frank Besignano. Stuart Levine has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz, Michael Katz, Saul Katz and Robert Rosenthal. David Mack has a family relationship with William Mack. He has a business relationship with William Mack and Eric Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Eric Blumencranz, Edward and David Blumenfeld, Leonard Feinstein, Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Jeff Maurer has a business relationship with William Hiltz. F.J. McCarthy has a business relationship with Saul Katz, Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Ralph Nappi has a business relationship with Eric Blumencranz and Roger Blumencranz. Frank Patafio has a business relationship with John Alexander. John J. Raggio has a family relationship with John V. Raggio. John V. Raggio has a family relationship with John J. Raggio. Lewis Ranieri has a business relationship with Elise Bloom. Dennis Riese has a business relationship with Eric Blumencranz and Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, David Katz, Michael Katz, Saul Katz, Seth Lipsay, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. John Shall has a business relationship with Patrick McDermott, John Alexander, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz and Roger Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Eric Blumencranz and Roger Blumencranz. Nancy Waldbaum has a business relationship with Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz, Roger Blumencranz and M. Allan Hyman. 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, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A Richard S. Abramson Albert L. Granger, DDS Kenneth J. Miller William Achenbaum Alan I. Greene Richard D. Monti John W. Alexander Stanley Grey Richard Murcott Philip S. Altheim Paul B. Guenther Ralph A. Nappi Patricia Armstrong Amy M. Hagedorn Raffiq A. Nathoo Michael L. Ashner Aubrey Hawes Richard B. Nye Frank J. Besignano Ira Hazan Daun Paris Elise M. Bloom Linda W. Heaney Frank P. Patafio Eric S. Blumencranz Lisa Heffernan Arnold S. Penner Roger A. Blumencranz William O. Hiltz John J. Raggio David Blumenfeld Richard A. Horowitz John V. Raggio Edward Blumenfeld Seth R. Horowitz Lewis S. Ranieri E. Steve Braun M. Allan Hyman Dennis Riese Dayton T. Brown, Jr Mark Jacobson Terry Rifkin, MD Michael Caridi Jeffrey Jurick Robert A. Rosen Robert W. Chasanoff Nancy Karch Marcie Rosenberg Alan Chopp David M. Katz Robert Rosenthal Mark L. Claster Michael Katz Bernard Rosof, MD Gary A. Cohen Saul B. Katz Jack J. Ross Diana F. Colgate Lisa A. Kaufman Barry Rubenstein Margaret M. Crotty Cary Kravet Herbert Rubin Daniel M. Crown Stanley Kreitman Michael H. Sahn Philippe P. Dauman Seth Kupferberg Lois C. Schlissel Thomas E. Dooley Jeffrey B. Lane John M. Shall Michael J. Dowling Curt N. Launer Marc V. Shaw Robert N. Downey Laura Lauria Richard Sims Patrick R. Edwards David W. Lehr Richard J. Sinni Michael A. Epstein Jonathan W. Leigh Michael C. Slade Leonard Feinstein Arthur S. Levine Phyllis H. Slater Michael E. Feldman Stuart R. Levine Hon. Robert Spolzino Arlene Lane Fisher Seth Lipsay Howard D. Stave Catherine C. Foster David S. Mack Kenneth Taber William H. Frazier William L. Mack Peter Tilles Eugene B. Friedman MD Linda Manfredi Paula D Tropello, Ed William J. Fritz, PHD Bradley Marsh, DPM Sandra Tytel Sy Garfinkel Jeffrey S. Maurer Louis Wachtel Peter Gaslow Ronald J. Mazzucco Nancy Waldbaum Lloyd M. Goldman F.J. McCarthy Emmett F. Walker, Jr Richard D. Goldstein Patrick F. McDermott Barbara Hrbek Zucker J. Joaquin Gonzalez Charles Merinoff Donald Zucker Michael Gould David Miller, MD Roy J. Zuckerberg 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. PART XI, LINE 9 - RECONCILIATION OF NET ASSETS Change in Equity Under FAS 136 2,389,726 NORTHWELL HEALTH COLLABORATIVE LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 810684856 INACTIVE NY 0 0 SOUTHSIDE NORTHWELL HEALTH PARTNERS LLC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 810764616 INACTIVE NY 0 0 SOUTHSIDE NORTHWELL HEALTH INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 113418133 SUPPORT NY 501(C)(3) 11, TYPE I NA false NORTHWELL HEALTHCARE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112965586 SUPPORT NY 501(C)(3) 11, TYPE I NORTHWELL HE false NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111562701 HEALTH CARE NY 501(C)(3) 3 NORTHWELL HC false LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY NY 11590 112241326 HEALTH CARE NY 501(C)(3) 3 NORTHWELL HC false GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 HEALTH CARE NY 501(C)(3) 3 NORTHWELL HC false FOREST HILLS HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112163522 HEALTH CARE NY 501(C)(3) 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