Civic Intelligence

North Shore-Lij Health Plan Inc

EIN 46-1617516 • 501(c)3 • Westbury, NY

Profile

North shore-lij health plan provides managed long-term care programs for adults who are medicaid eligible and strives to improve the health of the communities it serves.

972 Brush Hollow Rd 5th FLWestbury, NY 11590

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2025

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2025

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2025

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2025

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2024 to 2025

Assets

Down

$0

Down $259,020 (-100%) from 2024

Liabilities

Flat

$0

Flat from 2024

Net Assets

Down

$0

Down $259,020 (-100%) from 2024

Revenue

Down

$0

Down $1,245,483 (-100%) from 2024

Expenses

Down

$0

Down $303 (-100%) from 2024

Net Income

Down

$0

Down $1,245,180 (-100%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2019: $33,920,108Liabilities 2019: $10,017,162Net Assets 2019: $23,902,9462019Assets 2020: $25,047,778Liabilities 2020: $1,159,382Net Assets 2020: $23,888,3962020Assets 2021: $24,916,287Liabilities 2021: $1,117,524Net Assets 2021: $23,798,7632021Assets 2022: $25,003,299Liabilities 2022: $1,054,426Net Assets 2022: $23,948,8732022Assets 2024: $259,020Liabilities 2024: $0Net Assets 2024: $259,0202024Assets 2025: $0Liabilities 2025: $0Net Assets 2025: $02025

Highlighted filing

2025

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2019: $1,079,136Expenses 2019: $219,623Net Income 2019: $859,5132019Revenue 2020: $53,986Expenses 2020: $68,536Net Income 2020: -$14,5502020Revenue 2021: $3,831Expenses 2021: $93,464Net Income 2021: -$89,6332021Revenue 2022: $154,410Expenses 2022: $4,300Net Income 2022: $150,1102022Revenue 2024: $1,245,483Expenses 2024: $303Net Income 2024: $1,245,1802024Revenue 2025: $0Expenses 2025: $0Net Income 2025: $02025

Highlighted filing

2025

Revenue$0
Expenses$0
Net Income$0

Filings

Latest Detailed Filing

The latest 2025 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2024 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 20, 2025
Return Version
2024v5.1
Gross Receipts
$1,245,483
Mission and Program Overview

Mission

North shore-lij health plan provides managed long-term care programs for adults who are medicaid eligible and strives to improve the health of the communities it serves.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$143,535$141,988▼ $1,547
Investments in Publicly Traded Securities$25,954,718$117,032▼ $25,837,686
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$26,098,253$259,020▼ $25,839,233
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$94,685$0▼ $94,685
Other Liabilities$43,102$0▼ $43,102
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$137,787$0▼ $137,787
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$25,960,466$259,020▼ $25,701,446
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$25,960,466$259,020▼ $25,701,446
Total Liabilities and Net Assets / Fund Balance$26,098,253$259,020▼ $25,839,233
Compensation and Service Providers

Board Members and Trustees

NameTitle
Lisa RosenbaumChair, President & Secretary
Ilene MargolinDirector
Joseph RuffiniDirector
William SchachtelTreasurer & CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,245,483
Other Revenue
$0
Change in Net Assets
$1,245,180

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,245,483
Revenue Not Reported on Form 990
$-94,121
Total Revenue per Audited Statements
$1,151,362
Total Revenue per Form 990
$1,245,483
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$303
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$0$303$0$303
Total Functional Expenses$0$303$0$303

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$94,121
Other Expense Adjustments$94,121
Total Expenses per Form 990$303
Expenses per Audited Statements$-93,818
Total Expenses per Audited Statements$-93,818
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 governing documents, conflicts 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, Line 7

Northwell Health Plans Holding Company, Inc. ("Health Plans Holding") is the sole corporate member of the organization. Health Plans Holding has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Plans Holding are part of Northwell Health, Inc., an integrated health care delivery system.

Filing and Contact Details

Filer

Filer Name
North Shore-lij Health Plan Inc
EIN
46-1617516
In Care Of
% NORTHWELL HEALTH INC
Phone
5168765927
Address
972 BRUSH HOLLOW RD 5TH FL, WESTBURY, NY 11590

Signing Officer

Name
Michele L Cusack
Title
Evp & CFO
Phone
5168765927
Signed
2025-05-20

Organization Details

Principal Officer
Michele L Cusack
Formed
2012
Legal Domicile
Ny
Voting Board Members
4
Independent Board Members
2
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Part XI - Other Changes in Net Assets

Transfer to affiliate $(26,946,626)

Part III, Line 3

The Organization has ceased operations and has begun the process of dissolving.

Financial Statement Notes

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, 2024 and 2023, Northwell has net deferred tax assets of approximately $189,000,000 and $170,000,000, 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 a deferred tax asset will not be realized. Significant components of Northwell's deferred tax assets relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $643,000,000 and $573,000,000 at December 31, 2024 and 2023, respectively. 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 on their usage.

Part XI, Line 2D

REVENUE ON Books NOT ON Return FEES RECLASSED TO INCOME ($94,121)

Part XII, Line 4B

EXPENSES ON Return NOT ON Books FEES RECLASSED TO INCOME $94,121

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0North Shore-LIJ Health Plan is currently inactive and undergoing the dissolution process with New York State regulators. The entity currently generates investment income in an escrow account that remains inaccessible until the dissolution process is completed. As a result, the escrow income has skewed the public support test shown on Form 990, Schedule A, Part III, Section C, leading to a misleading allocation percentage. Pursuant to the IRS Determination Letter, North Shore-LIJ Health Plan is not a private foundation. Unlike a private foundation, which is typically funded by a single endowment from an individual, family, or business, this escrow account was established with North Shore-LIJ Health Plan assets, in accordance with state regulators, while the dissolution process is being completed.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III, Section C, line 15
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Certain 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, 2024 and 2023, Northwell has net deferred tax assets of approximately $189,000,000 and $170,000,000, 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 a deferred tax asset will not be realized. Significant components of Northwell's deferred tax assets relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $643,000,000 and $573,000,000 at December 31, 2024 and 2023, respectively. 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 on their usage.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1REVENUE ON Books NOT ON Return FEES RECLASSED TO INCOME ($94,121)
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2EXPENSES ON Return NOT ON Books FEES RECLASSED TO INCOME $94,121
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B
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IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01151362
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0WILLIAM SCHACHTEL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1LISA ROSENBAUM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Treasurer & CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Chair, President & Secretary
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Northwell 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CURRENTLY THE ORGANIZATION PROVIDES GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4This 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Northwell Health Plans Holding Company, Inc. ("Health Plans Holding") is the sole corporate member of the organization. Health Plans Holding has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Plans Holding are part of Northwell Health, Inc., an integrated health care delivery system.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TRANSFER TO AFFILIATE $(26,946,626)
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7The Organization has ceased operations and has begun the process of dissolving.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART VI, SECTION B - POLICIES, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI, SECTION B - POLICIES, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART VI, SECTION B - POLICIES, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART VI, SECTION C - DISCLOSURES, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PART VII, SECTION A - LINE 1A, COLUMN (B)
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5PART VI, LINE 7
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Part XI - Other Changes in Net Assets
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Part III, Line 3
IRS990ScheduleR/AssetExchangeInd0false

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