Civic Intelligence

North Shore-Lij Anesthesiology PC

EIN 46-1617561 • 501(c)3 • Westbury, NY

Profile

North shore-lij anesthesiology, 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 the ability to pay.

972 Brush Hollow Rd 5th FLWestbury, NY 11590

www.northwell.edu

Siviq Scores

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

Liabilities / Assets

99th percentile

2.31x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.30x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

14th percentile

-9.9%

Higher net margin than 14% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

82nd percentile

15%

Faster asset growth than 82% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

89th percentile

40%

Faster revenue growth than 89% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Down

$57,868,466

Down $1,359,860 (-2.3%) from 2023

Liabilities

Up

$133,840,973

Up $42,377,055 (+46%) from 2023

Net Assets

Down

-$75,972,507

Down $43,736,915 (-136%) from 2023

Revenue

Up

$442,764,662

Up $18,443,038 (+4.3%) from 2023

Expenses

Up

$486,507,228

Up $37,208,872 (+8.3%) from 2023

Net Income

Down

-$43,742,566

Down $18,765,834 (-75%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200M$100M$0-$100MAssets 2017: $7,213,864Liabilities 2017: $4,599,106Net Assets 2017: $2,614,7582017Assets 2018: $11,535,269Liabilities 2018: $9,918,265Net Assets 2018: $1,617,0042018Assets 2019: $22,972,860Liabilities 2019: $8,098,788Net Assets 2019: $14,874,0722019Assets 2020: $28,001,194Liabilities 2020: $8,050,656Net Assets 2020: $19,950,5382020Assets 2021: $33,422,603Liabilities 2021: $13,466,825Net Assets 2021: $19,955,7782021Assets 2022: $43,612,473Liabilities 2022: $50,873,261Net Assets 2022: -$7,260,7882022Assets 2023: $59,228,326Liabilities 2023: $91,463,918Net Assets 2023: -$32,235,5922023Assets 2024: $57,868,466Liabilities 2024: $133,840,973Net Assets 2024: -$75,972,5072024

Highlighted filing

2024

Assets$57,868,466
Liabilities$133,840,973
Net Assets-$75,972,507

Operations Trend

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

$600M$400M$200M$0-$200MRevenue 2017: $6,064,385Expenses 2017: $10,826,240Net Income 2017: -$4,761,8552017Revenue 2018: $66,761,412Expenses 2018: $84,580,803Net Income 2018: -$17,819,3912018Revenue 2019: $74,645,448Expenses 2019: $73,707,876Net Income 2019: $937,5722019Revenue 2020: $127,114,037Expenses 2020: $140,172,097Net Income 2020: -$13,058,0602020Revenue 2021: $196,131,623Expenses 2021: $201,957,259Net Income 2021: -$5,825,6362021Revenue 2022: $225,498,147Expenses 2022: $252,714,713Net Income 2022: -$27,216,5662022Revenue 2023: $424,321,624Expenses 2023: $449,298,356Net Income 2023: -$24,976,7322023Revenue 2024: $442,764,662Expenses 2024: $486,507,228Net Income 2024: -$43,742,5662024

Highlighted filing

2024

Revenue$442,764,662
Expenses$486,507,228
Net Income-$43,742,566

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$442,764,662
Mission and Program Overview

Mission

North shore-lij anesthesiology, 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 the ability to pay.

North Shore-LIJ Anesthesiology, PC strives to improve the health of the communities it serves and is committed to providng the highest quality clinical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$49,324,470$47,979,184▼ $1,345,286
Intangible Assets$9,750,000$9,750,000→ $0
Prepaid Expenses and Deferred Charges$104,484$99,674▼ $4,810
Land, Buildings, and Equipment, Net$49,372$39,608▼ $9,764
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$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
Investments in Publicly Traded Securities$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$59,228,326$57,868,466▼ $1,359,860
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$64,488,604$96,069,682▲ $31,581,078
Accounts Payable and Accrued Expenses$26,975,314$37,771,291▲ $10,795,977
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$91,463,918$133,840,973▲ $42,377,055
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-32,235,592$-75,972,507▼ $43,736,915
Total Net Assets Fund Balance$-32,235,592$-75,972,507▼ $43,736,915
Total Liabilities and Net Assets / Fund Balance$59,228,326$57,868,466▼ $1,359,860

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$39,608$44,846$84,454
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mitchell CohnPresidentFT$1,262,554$248,550$1,511,104
Rajendra Majithia MdAnesthesiologistFT$1,384,286$92,839$1,477,125
Mahendranauth Samaru MdAnesthesiologistFT$1,061,873$101,994$1,163,867
Daniel Rogel MdAnesthesiologistFT$673,828$396,936$1,070,764
Francis Macchio MdAnesthesiologistFT$870,552$161,923$1,032,475
Christopher Chan MdAnesthesiologistFT$936,404$90,514$1,026,918

Board Members and Trustees

NameTitle
Joseph MarinoManaging Director
Matthew KirschnerAssistant Treasurer
Laurence KraemerAsst Sec, EVP & Gen Counsel
Michael DowlingCEO
Michele CusackCFO
Deborah SchiffEvp
Adam BollVP
Charles SchleienVP, Secretary & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Anesthesia Management Services PCManagement Services480 BEDFORD ROAD STE 4202, Chappaqua, NY 10514$25,861,279
Quality Certified RegisteredStaffing Services5 5TH AVENUE, Bay Shore, NY 11706$10,713,922
Cross Country Staffing INCStaffing Services6551 PARK OF COMMERCE BLVD, Boca Raton, FL 33487$10,111,066
Carpe Spiritus LLCMedical Services1113 YORK AVE SUITE 28B, New York, NY 10065$4,560,394
Drwantedcom LLCMedical Services4170 ASHFORD DUNWOODY RD NE, Brookhaven, GA 30319$2,141,682
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$436,239,852
Investment Income
$0
Other Revenue
$6,524,810
Change in Net Assets
$-43,742,566

Audited Revenue Reconciliation

Revenue per Audited Statements
$442,764,662
Revenue Not Reported on Form 990
$-15,603
Total Revenue per Audited Statements
$442,749,059
Total Revenue per Form 990
$442,764,662
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$403,639,847
Other Expenses$82,867,381
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$315,541,926$35,060,214-$350,602,140
Fees for Services Other$35,216,468$3,912,941-$39,129,409
Other Employee Benefits$17,263,769$1,918,197-$19,181,966
Pension Plan Contributions$16,194,854$1,799,428-$17,994,282
Payroll Taxes$12,964,067$1,440,452-$14,404,519
Insurance$13,535,041--$13,535,041
Office Expenses$1,437,831$159,759-$1,597,590
Current Officers, Directors, Trustees, and Key Employees$1,456,940--$1,456,940
Conferences and Meetings$695,455--$695,455
Travel$391,440--$391,440
Fees for Services Management-$169,715-$169,715
Fees for Services Legal-$67,394-$67,394
Occupancy$39,011$4,335-$43,346
Other Expenses$29,470$3,274-$32,744
Depreciation Depletion$20,409$2,268-$22,677
Advertising$6,467$719-$7,186
Total Functional Expenses$441,898,312$44,608,916$0$486,507,228

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$486,507,228
Expenses per Audited Statements$486,486,625
Total Expenses per Audited Statements$486,486,625
Expenses Not Reported on Financial Statements$20,603
Other Expense Adjustments$20,603
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
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$96,069,682
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 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.

Filing and Contact Details

Filer

Filer Name
North Shore-LIJ Anesthesiology PC
EIN
46-1617561
In Care Of
% NORTHWELL HEALTH INC
Phone
5163216058
Address
972 BRUSH HOLLOW RD 5TH FL, WESTBURY, NY 11590

Signing Officer

Name
Michele L Cusack
Title
Evp & CFO
Phone
5163216058
Signed
2025-11-04

Organization Details

Principal Officer
Michael J Dowling
Formed
2012
Legal Domicile
Ny
Voting Board Members
3
Independent Board Members
0
Employees
812
Volunteers
0
Supplemental Narrative

Additional Explanations

Part XI, Line 9 Other

Change in Interest in Foundation 5,000 Other 651 Total 5,651

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 - Reconciliation of Revenue

Revenue on Books Not on Return Additional minimum pension adjustment (20,593) Bank Fees (10) Net Assets Released from Restrictions 5,000 Total (15,603)

Part XII, Line 4B - Reconciliation of Expenses

Expenses on Return Not on Books Additional minimum pension adjustment 20,593 Bank Fees 10 Total 20,603

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