Civic Intelligence

True North Flexstaff Inc.

990 • Fiscal year 2020 • EIN 82-1446568

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 10, 2021

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

46th percentile

0.14x

Higher debt load relative to assets than 46% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

20th percentile

0.05x

Higher debt load relative to revenue than 20% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Net Margin

70th percentile

15%

Higher net margin than 70% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

100th percentile

$4,751,773

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 52.1% of source-year revenue.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Asset Growth

95th percentile

101%

Faster asset growth than 95% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Revenue Growth

87th percentile

44%

Faster revenue growth than 87% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Assets

Up

$3,034,505

Up $1,524,644 (+101%) from 2019

Net Assets

Up

$2,618,526

Up $1,403,446 (+116%) from 2019

Liabilities

Up

$415,979

Up $121,198 (+41%) from 2019

Revenue

Up

$9,115,100

Up $2,779,191 (+44%) from 2019

Expenses

Up

$7,711,654

Up $2,590,825 (+51%) from 2019

Net Income

Up

$1,403,446

Up $188,366 (+16%) from 2019

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2018: $1Liabilities 2018: $02018Assets 2019: $1,509,861Liabilities 2019: $294,781Net Assets 2019: $1,215,0802019Assets 2020: $3,034,505Liabilities 2020: $415,979Net Assets 2020: $2,618,5262020Assets 2021: $18,448,140Liabilities 2021: $574,159Net Assets 2021: $17,873,9812021Assets 2022: $19,091,713Liabilities 2022: $842,859Net Assets 2022: $18,248,8542022Assets 2023: $17,045,933Liabilities 2023: $631,478Net Assets 2023: $16,414,4552023Assets 2024: $16,865,916Liabilities 2024: $799,951Net Assets 2024: $16,065,9652024

Highlighted filing

2020

Assets$3,034,505
Liabilities$415,979
Net Assets$2,618,526

Operations Trend

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

$30M$20M$10M$0-$10MRevenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $6,335,909Expenses 2019: $5,120,829Net Income 2019: $1,215,0802019Revenue 2020: $9,115,100Expenses 2020: $7,711,654Net Income 2020: $1,403,4462020Revenue 2021: $27,215,805Expenses 2021: $11,957,522Net Income 2021: $15,258,2832021Revenue 2022: $15,908,493Expenses 2022: $15,533,620Net Income 2022: $374,8732022Revenue 2023: $17,397,212Expenses 2023: $19,231,611Net Income 2023: -$1,834,3992023Revenue 2024: $19,777,909Expenses 2024: $20,126,591Net Income 2024: -$348,6822024

Highlighted filing

2020

Revenue$9,115,100
Expenses$7,711,654
Net Income$1,403,446
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 10, 2021
Return Version
2020v4.1
Gross Receipts
$9,115,100
Mission and Program Overview

Mission

True north flexstaff, inc. Is an affiliated member 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.

True north flexstaff, inc. 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
Prepaid Expenses and Deferred Charges$0$60,500▲ $60,500
Land, Buildings, and Equipment, Net$25,579$21,526▼ $4,053
Accounts Receivable$0$18,832▲ $18,832
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
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,509,861$3,034,505▲ $1,524,644
Other Assets Total$1,484,282$2,933,647▲ $1,449,365
Liabilities
Other Liabilities$226,476$209,444▼ $17,032
Accounts Payable and Accrued Expenses$68,305$206,535▲ $138,230
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$294,781$415,979▲ $121,198
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,215,080$2,618,526▲ $1,403,446
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$1,215,080$2,618,526▲ $1,403,446
Total Liabilities and Net Assets / Fund Balance$1,509,861$3,034,505▲ $1,524,644

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$21,526$4,288$25,814
Other Assets Org$205,553--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mable JosephRN - FlexStaffFT$21,884$176,881$198,765
Marsha MandersonRN - FlexStaffFT$83,031$98,635$181,666
Judith MahabirRN - FlexStaffFT$131,457$124,162$175,135
Jennifer CardenasRN - FlexStaffFT$50,973$152,894$152,894
Sabrina MartinezRN - FlexStaffFT$127,884$14,776$142,660

Board Members and Trustees

NameTitle
John McgovernTrustee/SVP Northwell
Michael DowlingCEO
Michele CusackCFO & Treasurer
Laurence KraemerSecretary, SVP & General Couns

Highest Paid Contractors

ContractorServicesLocationCompensation
Corporate Screening ServicesScreening Services16530 Commerce Court, Cleveland, OH 44130-6305$158,187
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,115,100
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$1,403,446

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,115,100
Revenue Not Reported on Form 990
$11,650
Total Revenue per Audited Statements
$9,126,750
Total Revenue per Form 990
$9,115,100
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,986,232
Other Expenses$725,422
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,930,118$547,790$0$5,477,908
Other Employee Benefits$779,445$86,605-$866,050
Payroll Taxes$370,150$41,128-$411,278
Pension Plan Contributions$207,896$23,100-$230,996
Occupancy$151,173$16,797-$167,970
Advertising$94,727$10,525-$105,252
Office Expenses$70,380$7,820-$78,200
Depreciation Depletion$15,315$1,702-$17,017
Other Expenses$5,292$588-$5,880
Travel$3,751--$3,751
Conferences and Meetings$3,738--$3,738
Fees for Services Other$1,631$181-$1,812
Total Functional Expenses$6,883,532$828,122$0$7,711,654

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$7,723,304
Total Expenses per Audited Statements$7,723,304
Total Expenses per Form 990$7,711,654
Expenses Not Reported on Financial Statements$-11,650
Other Expense Adjustments$-11,650
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
Operating Lease Liability$205,553
Deferred Rent Liability$3,891
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 C - Disclosures, Line 19

Currently the organization provides governance documents, conflict of interest policies and financial statements to the public upon request.

Part VI, Section B - 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 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
True North Flexstaff Inc
EIN
82-1446568
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
2021-11-10

Organization Details

Principal Officer
Michael J Dowling
Formed
2017
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
0
Employees
2,383
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, 2020, Northwell has a deferred tax asset of approximately $175,000,000, which has been partially offset by a related valuation allowance of approximately $141,000,000 and is recorded within other current assets in the accompanying consolidated statement of financial position at December 31, 2020. At December 31, 2019, Northwell had a deferred tax asset of approximately $112,000,000, which was 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 net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $514,000,000 at December 31, 2020. 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 - Reconciliation of Revenue

Revenue on Books Not on Return Additional minimum pension adjustment - $11,650

Part XII, Line 4B - Reconciliation of Expenses

Expenses on Return Not on Books Additional minimum pension adjustment - ($ 11,650)

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IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary, SVP & General Couns
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IRS990/Form990PartVIISectionAGrp/TitleTxt4RN - FlexStaff
IRS990/Form990PartVIISectionAGrp/TitleTxt5RN - FlexStaff
IRS990/Form990PartVIISectionAGrp/TitleTxt6RN - FlexStaff
IRS990/Form990PartVIISectionAGrp/TitleTxt7RN - FlexStaff
IRS990/Form990PartVIISectionAGrp/TitleTxt8RN - FlexStaff
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IRS990/MissionDesc0TRUE NORTH FLEXSTAFF, INC. IS AN AFFILIATED MEMBER 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.
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