2023-11-10T13:38:00-06:00 2022-12-31 990 2022-01-01 113368503 HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CEN % NORTHWELL HEALTH INC HUNT 5163216058 972 BRUSH HOLLOW RD 5TH FL WESTBURY NY 11590 MICHELE L CUSACK EVP & CFO 5163216058 2023-11-06 MICHELE L CUSACK 999009999 2 2022 2023-04-26 12:10:37Z NORTHWELL FAMILY HEALTH CENTER AT HU MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 10505828 false X www.huntington.northwell.edu X 1995 NY THE HUNTINGTON HOSPITAL DOLAN FAMILY Health CENTER IS A FREE-STANDING HOSPITAL-OWNED FACILITY DEDICATED TO PROVIDING MEDICAL CARE TO THE UNINSURED AND UNDER INSURED. 20 15 77 4 0 0 415062 0 4913321 4405966 959039 255798 2596022 3163936 8883444 7825700 0 0 0 0 7407321 7403947 0 0 0 2057773 2251026 9465094 9654973 -581650 -1829273 12187354 10954066 16726632 18789136 -4539278 -7835070 THE MISSION OF THE HEALTH CENTER IS TO PROVIDE COMPREHENSIVE CARE & OB SERVICES TO THE MEDICALLY INDIGENT AND UNDERSERVED RESIDENTS FROM NORTHWESTERN SUFFOLK COUNTY. THE CENTER SERVES AS THE ENTRY POINT INTO THE HEALTH SYSTEM FOR INDIVIDUALS AND FAMILIES SEEKING SUCH CARE. EVERY PATIENT WILL BE PROVIDED COMPREHENSIVE AND CONTINUOUS PREVENTIVE CARE, PRIMARY DIAGNOSTIC AND TREATMENT SERVICES AND EFFECTIVE COORDINATION OF CARE WITH SPECIALISTS AND SERVICES IN THE LARGER HEALTHCARE SYSTEM. false false 8954339 4405966 THE HEALTH CENTER IS A COMPREHENSIVE COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY, PEDIATRIC, PRENATAL, AND OBSTETRICAL CARE SERVICES TO THE POOR AND UNDERSERVED RESIDENTS IN THE COMMUNITY. IT IS THE ONLY SUCH CENTER BOTH OWNED AND OPERATED BY A HOSPITAL ON LONG ISLAND. ALL PATIENTS HAVE ACCESS TO A SUFFOLK COUNTY FACILITATED ENROLLER FOR MEDICAID MANAGED CARE, CHILD HEALTH PLUS, AND FAMILY HEALTH PLUS THROUGH A PARTNERSHIP WITH THE NASSAU SUFFOLK HOSPITAL COUNCIL. IN ADDITION, THE DOLAN CENTER'S SOCIAL WORK DEPARTMENT ASSISTS PATIENTS WITH ACCESS TO INSURANCE FOR PREGNANT WOMEN THROUGH NEW YORK STATE'S PRENATAL CARE ASSISTANCE PROGRAM. THE DOLAN FAMILY HEALTH CENTER PROVIDED 30,369 PATIENT VISITS IN 2022. 8954339 true false false false false false false false true true false false true 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 1 0 true 77 true false false false false false false false false false false false false X 20 15 false false false false true 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 GERARD BROGAN Trustee/SVP, Chf Rev Off 0.0 50.0 X 0 1247507 75114 NICK FITTERMAN Executive Director 0.0 50.0 X X 0 862750 75052 MARTIN KARPEH JR Trustee/Dir 50.0 0.0 X 602063 0 70092 WILLIAM GEHRHARDT Trustee/Med Dir 50.0 0.0 X 243340 0 48568 LISA ROLON Physician 50.0 0.0 X 234506 0 46675 YOUNGMEE LEE Nurse Midwife 50.0 0.0 X 162350 0 57344 DEBORAH HERNANDEZ Nurse Practitioner 50.0 0.0 X 161594 0 57298 ROBERTO BLANDO Physician 50.0 0.0 X 198485 0 18609 KATHY GIFFUNI Trustee/Sr Mgr Patient 50.0 0.0 X 172152 0 44338 SAILI DESAI Physician 50.0 0.0 X 159130 0 16248 DOLORES THOMPSON Chairman 0.0 3.0 X X 0 0 0 NON COMPENSATED TRUSTEES SEE SCHEDULE O 0.0 2.0 X 0 0 0 1933620 2110257 509338 18 false true false 0 0 PATIENT REVENUE 621300 3915966 3915966 0 DSRIP REVENUE 621300 490000 490000 4405966 48149 48149 0 0 0 0 0 2887777 2680128 207649 207649 207649 0 0 0 0 0 0 0 0 0 CAPITATION INCOME 900099 2170009 2170009 HEALTH HOME - DOWNSTREAM 900099 835530 835530 RESIDENCY ROTATION 900099 50000 50000 108397 108397 3163936 7825700 7569902 0 255798 0 0 0 0 1017555 1017555 0 4386509 4133846 252663 356972 336410 20562 1259263 1186729 72534 383648 361550 22098 0 0 0 0 0 0 183577 173003 10574 0 470768 443652 27116 0 0 179214 168891 10323 4564 4564 0 5274 5274 0 0 66470 62641 3829 487328 487328 BAD DEBT 4306 4306 PURCHASED SERVICES 564049 564049 CENTRALIZED ADMIN EXP 280658 280658 DUES & SUBSCRIPTIONS 4502 4243 259 316 298 18 9654973 8954339 700634 0 64844 22174 963587 963587 0 0 493606 492954 0 0 0 0 0 0 0 0 0 0 968396 686146 289368 282250 9879879 8286058 0 0 0 0 0 0 496070 907043 12187354 10954066 740953 753037 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15985679 18036099 16726632 18789136 X -13623758 -15358829 9084480 7523759 -4539278 -7835070 12187354 10954066 X -1829273 -1849619 383100 X false true X true false X 4403173 0 4403173 4403173 0 4403173 4403173 0 4403173 4403173 0 4403173 4403173 0 4403173 1.00000 false false 47839 4763 43076 751245 637716 113529 124387 43667 80720 44925 44925 282250 OTHER ASSETS 48103 INTEREST IN FOUNDATION 858940 907043 0 DUE TO AFFILIATES 18036099 18036099 X 8212506 642604 642604 7569902 255798 255798 7825700 9947577 9947577 -292604 -292604 9654973 PART V, LINE 4 THE INVESTMENT INCOME OF THE ENDOWMENT FUNDS IS UNRESTRICTED AND IS THEREFORE USED TO HELP SUPPORT THE OPERATION OF THE HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER. PART X, LINE 2 Certain entities included in Northwell's consolidated financial statements are taxable entities under federal or state laws. GAAP requires that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. 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. At December 31, 2022 and 2021, Northwell has net deferred tax assets of approximately $158,000,000 and $145,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. 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 net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $534,000,000 at December 31, 2022. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations. PART XI - LINE 2D AND LINE 4B REVENUE ON BOOKS NOT ON RETURN NET ASSETS RELEASED FROM RESTRICTIONS 350,000 NONOPERATING PERIODIC BENEFIT COSTS 296,910 PROVISION FOR BAD DEBTS (4,306) TOTAL 642,604 REVENUE ON RETURN NOT ON BOOKS TEMPORARILY RESTRICTED INVESTMENTS 255,798 TOTAL 255,798 PART XII - LINE 4B EXPENSE ON RETURN NOT ON BOOKS NONOPERATING PERIODIC BENEFIT COSTS (296,910) PROVISION FOR BAD DEBTS 4,306 TOTAL (292,604) X X X X X false false false false false false false true false GERARD BROGAN Trustee/SVP, Chf Rev Off 0 939924 0 257583 0 50000 0 33550 0 41564 0 1322621 0 0 NICK FITTERMAN Executive Director 0 669791 0 172958 0 20001 0 33550 0 41502 0 937802 0 0 WILLIAM GEHRHARDT Trustee/Med Dir 222903 0 0 0 20437 0 20700 0 27868 0 291908 0 0 0 KATHY GIFFUNI Trustee/Sr Mgr Patient 146431 0 13939 0 11782 0 16429 0 27909 0 216490 0 0 0 MARTIN KARPEH JR Trustee/Dir 517589 0 55000 0 29474 0 42224 0 27868 0 672155 0 0 0 LISA ROLON Physician 228673 0 0 0 5833 0 20170 0 26505 0 281181 0 0 0 ROBERTO BLANDO Physician 190501 0 0 0 7984 0 18009 0 600 0 217094 0 0 0 YOUNGMEE LEE Nurse Midwife 143955 0 0 0 18395 0 15841 0 41503 0 219694 0 0 0 DEBORAH HERNANDEZ Nurse Practitioner 145997 0 0 0 15597 0 15796 0 41502 0 218892 0 0 0 SAILI DESAI Physician 158061 0 0 0 1069 0 15648 0 600 0 175378 0 0 0 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). FORM 990 - PART I - LINE 5 PART V - LINE 2A/2B THE STAFF OF THE HEALTH CENTER IS EMPLOYED BY HUNTINGTON HOSPITAL ASSOCIATION (THE "HOSPTIAL") AND THEIR SALARY AND RELATED COSTS ARE ALLOCATED TO THE HEALTH CENTER. NO SALARY COSTS ARE PAID DIRECTLY BY THE HEALTH CENTER. THE W-2S FOR THE NUMBER OF EMPLOYEES LISTED ON THESE LINES ARE ISSUED BY THE HOSPITAL ON BEHALF OF THE HEALTH CENTER. AS SUCH, THE HEALTH CENTER IS NOT REQUIRED TO FILE ANY FEDERAL EMPLOYMENT TAX RETURNS. FORM 990 - PART IV - LINE 12 AND PART XII - LINES 2 B/C THE FINANCIAL STATEMENTS FOR THE HOSPITAL AND THE HEALTH CENTER ARE AUDITED ON A CONSOLIDATED BASIS WITH INDIVIDUAL CONSOLIDATING STATEMENTS FOR EACH ENTITY INCLUDED AS SUPPLEMENTAL SCHEDULES. A RECONCILIATION OF AMOUNTS PER THE CONSOLIDATING STATEMENTS FOR THE HEALTH CENTER INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, TO THE AMOUNTS REPORTED IN THE FORM 990 IS INCLUDED IN THE SUPPLEMENTAL SECTION OF SCHEDULE D. THE HOSPTIAL HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. FORM 990 - PART VI - LINES 6, 7 A/B THE SOLE MEMBER OF THE HEALTH CENTER IS THE HOSPITAL. BOTH THE HEALTH CENTER AND THE HOSPITAL ARE MEMBERS OF NORTHWELL HEALTH, INC. ("NORTHWELL"). NORTHWELL AND ITS MEMBER ORGANIZATIONS AND OTHER AFFILIATED ENTITIES ARE AN INTEGRATED HEALTH DELIVERY SYSTEM IN THE NY METRO AREA. NORTHWELL IS THE SOLE MEMBER OF NORTHWELL HEALTHCARE, INC. ("HEALTHCARE, INC.). HEALTHCARE, INC. IS THE SOLE MEMBER OF THE HOSPITAL AND THE SOLE MEMBER OF OTHER HEALTH CARE ORGANIZATIONS THAT ARE NOT PART OF THE HOSPTIAL. THE BOARD OF DIRECTORS FOR THE HEALTH CENTER IS COMPRISED OF THE EXECUTIVE COMMITTEE OF THE BOARD OF THE HOSPTIAL. NORTHWELL HAS THE RIGHT TO ELECT THE MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS, INCLUDING THE RIGHT TO APPOINT 3 PERSONS TO THE BOARD WHO ARE TRUSTEES OR EMPLOYED CORPORATE OFFICERS OF THE SYSTEM. THE MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS MUST BE RESIDENTS OF THE PRIMARY SERVICE AREA SERVED BY THE HOSPITAL. CERTAIN DECISIONS OF THE BOARD REQUIRE THE APPROVAL OF THE SYSTEM AS OUTLINED IN THE CORPORATED BY-LAWS. FORM 990 PART VI - LINE 11A 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. FORM 990 PART VI - LINE 12 C AS MEMBERS OF NORTHWELL HEALTH, INC. ("NORTHWELL"), THE HEALTH CENTER AND AFFILIATED ENTITIES HAVE 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 FORM 990 - PART VI - LINE 15 THE BOARD OF DIRECTORS OF THE HOSPTIAL APPOINTED A COMPENSATION COMMITTEE WITH THE RESPONSIBILTY FOR REVIEWING AND APPROVING THE WAGES AND BENEFITS OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. THE COMMITTEE CONSISTS OF AT LEAST THREE INDIVIDUALS, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPED AN EXECUTIVE COMPENSATION POLICY THAT INCLUDES THE USE OF INDEPENDENT COMPENSATION SURVEYS COMPLIED BY INDEPENDENT FIRMS. THE COMMITTEE MEETS AT LEAST ANNUALLY. MINUTES OF THOSE MEETINGS ARE MAINTAINED BY HUMAN RESOURCES. COMPENSATION IS NOT PAID DIRECTLY BY THE HEALTH CENTER. FORM 990 - PART VI - LINE 19 THE HOSPITAL AND THE HEALTH CENTER MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ONLINE. FORM 990 - PART XI, LINE 9 RECONCILIATION OF NET ASSETS CHANGE IN EQUITY UNDER FAS 136 383,100 FORM 990 - PART VII, SECTION A - LINE 1A Gerard Brogan, MD Thomas G. Lederer Nick Fitterman, MD Samira Lopez-Johnson L. Keith Friedlander, Esq Lee B. Raifman Kathy Giffuni, MSN Pedor Palacios, PA-C Ronald J. Gaudreault Ginette Rows, MA, BSN, RN William Gehrhardt, MD Roxanne Sands-Rapelyea, MMSW Rev Larry Jennings, Sr Terence Smith Martin S. Karpeh, Jr. Linda Taylor Janet Kushnick Dolores Thompson Lehti Laas-Ramos, MD Saadia Yunus PART VII, SECTION A - LINE 1A, COULUMN (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. 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