Civic Intelligence

Marcus Avenue Medical PC

990 • Fiscal year 2021 • EIN 81-0861452

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 10, 2022

972 Brush Hollow Rd 5th FLWestbury, NY 11590

(516) 321-6058

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

2.34x

Higher debt load relative to assets than 93% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Liabilities / Revenue

92nd percentile

2.12x

Higher debt load relative to revenue than 92% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Net Margin

5th percentile

-47%

Higher net margin than 5% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Top Officer Pay

99th percentile

$7,753,849

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 45.6% of source-year revenue.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Asset Growth

29th percentile

-2.9%

Faster asset growth than 29% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2020 to 2021

Revenue Growth

88th percentile

50%

Faster revenue growth than 88% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2020 to 2021

Assets

Down

$15,403,274

Down $464,131 (-2.9%) from 2020

Net Assets

Down

-$20,583,543

Down $7,991,296 (-63%) from 2020

Liabilities

Up

$35,986,817

Up $7,527,165 (+26%) from 2020

Revenue

Up

$17,010,236

Up $5,693,639 (+50%) from 2020

Expenses

Up

$25,001,532

Up $5,778,903 (+30%) from 2020

Net Income

Down

-$7,991,296

Down $85,264 (-1.1%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0-$20M-$40MAssets 2018: $1Liabilities 2018: $02018Assets 2019: $2,522,641Liabilities 2019: $7,208,856Net Assets 2019: -$4,686,2152019Assets 2020: $15,867,405Liabilities 2020: $28,459,652Net Assets 2020: -$12,592,2472020Assets 2021: $15,403,274Liabilities 2021: $35,986,817Net Assets 2021: -$20,583,5432021Assets 2022: $34,324,213Liabilities 2022: $54,907,756Net Assets 2022: -$20,583,5432022Assets 2023: $36,209,141Liabilities 2023: $56,794,481Net Assets 2023: -$20,585,3402023Assets 2024: $35,318,365Liabilities 2024: $55,898,899Net Assets 2024: -$20,580,5342024

Highlighted filing

2021

Assets$15,403,274
Liabilities$35,986,817
Net Assets-$20,583,543

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$20M$0-$20MRevenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $4,686,215Net Income 2019: -$4,686,2152019Revenue 2020: $11,316,597Expenses 2020: $19,222,629Net Income 2020: -$7,906,0322020Revenue 2021: $17,010,236Expenses 2021: $25,001,532Net Income 2021: -$7,991,2962021Revenue 2022: $27,324,523Expenses 2022: $27,324,523Net Income 2022: $02022Revenue 2023: $33,044,102Expenses 2023: $33,050,076Net Income 2023: -$5,9742023Revenue 2024: $36,232,575Expenses 2024: $36,232,575Net Income 2024: $02024

Highlighted filing

2021

Revenue$17,010,236
Expenses$25,001,532
Net Income-$7,991,296
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 10, 2022
Return Version
2021v4.2
Gross Receipts
$17,037,341
Mission and Program Overview

Mission

Marcus avenue medical 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.

Marcus avenue medical, pc strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,562,904$3,092,890▲ $1,529,986
Intangible Assets$2,353,704$2,353,704→ $0
Accounts Receivable$600,000$600,000→ $0
Prepaid Expenses and Deferred Charges$227,070$256,739▲ $29,669
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$15,867,405$15,403,274▼ $464,131
Other Assets Total$11,123,727$9,099,941▼ $2,023,786
Liabilities
Other Liabilities$27,218,132$33,942,315▲ $6,724,183
Accounts Payable and Accrued Expenses$1,241,520$2,044,502▲ $802,982
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$28,459,652$35,986,817▲ $7,527,165
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-12,592,247$-20,583,543▼ $7,991,296
Total Net Assets Fund Balance$-12,592,247$-20,583,543▼ $7,991,296
Total Liabilities and Net Assets / Fund Balance$15,867,405$15,403,274▼ $464,131

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,524,097$47,945$2,572,042
Equipment$396,774$16,822$413,596
Buildings$172,019$140$172,159
Other Assets Org$209,730--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alan SpiegelDirectorFT$571,357$190,076$761,433
Paula MarchettaPresident, Secretary & TreasurFT$478,810$203,288$682,098
Hillel TobiasTrustee/DirectorFT$426,806$93,023$519,829
Susan MargolisPhysicianFT$438,340$71,676$510,016
Catherine WeinbergDirectorFT$384,564$98,196$482,760
Richard MarkPhysicianFT$290,370$174,717$465,087
Andrea BergerPhysicianFT$425,000$39,808$464,808
Daniel SilversheinTrustee/PhysicianFT$258,733$187,299$446,032
Jeffrey EngelTrustee/PhysicianFT$222,871$142,956$365,827
Karen AimettiControllerFT$177,342$110,265$287,607

Board Members and Trustees

NameTitle
Mark SchifferTrustee/ ED Lenox
Daniel BakerTrustee/Medical Director
Lawrence HeckerTrustee/Physician
Laurence KraemerAsst Sec, SVP & Gen Counsel
Michele CusackCFO
Deborah SchiffEvp
Michael DowlingPres & CEO Northwell

Highest Paid Contractors

ContractorServicesLocationCompensation
Athenahealth INCSoftware Services311 ARSENAL STREET, Watertown, MA 02472$180,151
Jeffrey Berman ArchitectArchitect Services545 8THA VENUE 18TH FLOOR, New York, NY 10018$123,699
Revenue and Support

Revenue Composition

Contributions and Grants
$179,614
Program Service Revenue
$16,704,658
Investment Income
$0
Other Revenue
$125,964
Change in Net Assets
$-7,991,296

Audited Revenue Reconciliation

Revenue per Audited Statements
$17,037,341
Revenue Not Reported on Financial Statements
$-27,105
Revenue Not Reported on Form 990
$2,433
Other Revenue Adjustments
$-27,105
Total Revenue per Audited Statements
$17,039,774
Total Revenue per Form 990
$17,010,236
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,029,002
Other Expenses$6,972,530
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,513,097$2,411,054-$14,924,151
Office Expenses$2,250,647$433,660-$2,684,307
Occupancy$1,885,351$363,274-$2,248,625
Other Employee Benefits$1,282,289$247,075-$1,529,364
Payroll Taxes$715,914$137,944-$853,858
Pension Plan Contributions$605,047$116,582-$721,629
Insurance$628,802--$628,802
Advertising$59,270$11,420-$70,690
Depreciation Depletion$47,850$9,220-$57,070
Fees for Services Other$46,722$9,002-$55,724
Other Expenses$12,566$2,421-$14,987
Conferences and Meetings$6,974$1,344-$8,318
Fees for Services Management-$5,313-$5,313
All Other Expenses$2,457$474-$2,931
Travel$2,081$401-$2,482
Total Functional Expenses$20,776,253$4,225,279$0$25,001,532

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$25,031,070
Expenses per Audited Statements$25,003,965
Total Expenses per Form 990$25,001,532
Expenses Not Reported on Form 990$27,105
Expenses Not Reported on Financial Statements$-2,433
Other Expense Adjustments$-2,433
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$24,765,207
Operating Lease Liability$8,890,211
Deferred Rent Liability$286,897
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
Marcus Avenue Medical PC
EIN
81-0861452
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
SVP & CFO
Phone
5163216058
Signed
2022-11-10

Organization Details

Principal Officer
Michael J Dowling
Formed
2015
Legal Domicile
Ny
Voting Board Members
7
Independent Board Members
0
Employees
148
Volunteers
0
Supplemental Narrative

Financial Statement Notes

Part X, Line 2

Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities 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, 2021, Northwell has a deferred tax asset of approximately $145,000,000 which has been fully offset by a related valuation allowance. At December 31, 2020, Northwell had a deferred tax asset of approximately $175,000,000 which was partially offset by a related valuation allowance of approximately $141,000,000. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statement 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 $490,000,000 at December 31, 2021. 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 & 4B - Reconciliation of Revenue

Amounts on book, not on return additional minimum pension liability $ 2,433 amounts on return, not on book rent expense allocated ($27,105)

Part XII, Line 2D & 4B - Reconciliation of Expense

AMOUNTS ON BOOK, NOT ON RETURN RENT EXPENSE ALLOCATED $27,105 AMOUNTS on RETURN, NOT ON BOOK ADDITIONAL MINIMUM PENSION LIABILITY ($ 2,433)

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