Civic Intelligence

Community Drive Surgery PC

990 • Fiscal year 2018 • EIN 82-1672429

Apr 01, 2018 to Dec 31, 2018 • Filed on Nov 12, 2019

972 Brush Hollow Rd 5th FlrWestbury, NY 11590

(516) 321-6058

Siviq Scores

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

Liabilities / Assets

100th percentile

32.71x

Higher debt load relative to assets than 100% of similar nonprofits.

2018 filings • NTEE E • $5M-$10M nonprofits • Source year 2018

Liabilities / Revenue

44th percentile

0.11x

Higher debt load relative to revenue than 44% of similar nonprofits.

2018 filings • NTEE E • $5M-$10M nonprofits • Source year 2018

Net Margin

30th percentile

-4.3%

Higher net margin than 30% of similar nonprofits.

2018 filings • NTEE E • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

99th percentile

$3,579,554

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 56.7% of source-year revenue.

2018 filings • NTEE E • $5M-$10M nonprofits • Source year 2018

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2018

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2018

Assets

$21,765

No earlier filing loaded for comparison.

Net Assets

-$690,160

No earlier filing loaded for comparison.

Liabilities

$711,925

No earlier filing loaded for comparison.

Revenue

$6,314,456

No earlier filing loaded for comparison.

Expenses

$6,583,093

No earlier filing loaded for comparison.

Net Income

-$268,637

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500K-$1.0MAssets 2018: $21,765Liabilities 2018: $711,925Net Assets 2018: -$690,1602018Assets 2019: $0Liabilities 2019: $622,910Net Assets 2019: -$622,9102019Assets 2020: $0Liabilities 2020: $828,928Net Assets 2020: -$828,9282020Assets 2021: $144,786Liabilities 2021: $421,884Net Assets 2021: -$277,0982021Assets 2022: $184,510Liabilities 2022: $461,608Net Assets 2022: -$277,0982022Assets 2023: $181,930Liabilities 2023: $459,434Net Assets 2023: -$277,5042023Assets 2024: $1,096,379Liabilities 2024: $104,542Net Assets 2024: $991,8372024

Highlighted filing

2018

Assets$21,765
Liabilities$711,925
Net Assets-$690,160

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2018: $6,314,456Expenses 2018: $6,583,093Net Income 2018: -$268,6372018Revenue 2019: $9,059,180Expenses 2019: $9,509,219Net Income 2019: -$450,0392019Revenue 2020: $6,632,834Expenses 2020: $8,000,105Net Income 2020: -$1,367,2712020Revenue 2021: $5,601,028Expenses 2021: $7,122,988Net Income 2021: -$1,521,9602021Revenue 2022: $5,883,151Expenses 2022: $5,883,151Net Income 2022: $02022Revenue 2023: $5,616,800Expenses 2023: $5,617,206Net Income 2023: -$4062023Revenue 2024: $2,141,050Expenses 2024: $871,709Net Income 2024: $1,269,3412024

Highlighted filing

2018

Revenue$6,314,456
Expenses$6,583,093
Net Income-$268,637
Jump To
Filing Snapshot
Filing Period
Apr 1, 2018 to Dec 31, 2018
Signed
Nov 12, 2019
Return Version
2018v3.1
Gross Receipts
$6,314,456
Mission and Program Overview

Mission

Community drive surgery, 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.

COMMUNITY DRIVE SURGERY, 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
Accounts Receivable$0$21,765▲ $21,765
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
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$0$21,765▲ $21,765
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$685,844▲ $685,844
Other Liabilities$0$26,081▲ $26,081
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$0$711,925▲ $711,925
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$0$-690,160▼ $690,160
Total Net Assets Fund Balance$0$-690,160▼ $690,160
Total Liabilities and Net Assets / Fund Balance$0$21,765▲ $21,765
Compensation and Service Providers

Board Members and Trustees

NameTitle
Raj Narayan MDTrustee, President, Sec & Trea
Laurence KraemerAsst Secretary, SVP & C.G.C
Michael DowlingCEO
Michele CusackCFO
Deborah SchiffSVP
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,077,307
Investment Income
$0
Other Revenue
$1,237,149
Change in Net Assets
$-268,637

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,314,456
Revenue Not Reported on Form 990
$-86,400
Total Revenue per Audited Statements
$6,228,056
Total Revenue per Form 990
$6,314,456
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,583,093
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
Insurance$618,223--$618,223
All Other Expenses$95,396$226,002-$321,398
Other Expenses$3,550--$3,550
Office Expenses$498--$498
Fees for Services Management-$432$0$432
Conferences and Meetings$150--$150
Total Functional Expenses$6,356,659$226,434$0$6,583,093

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$6,583,093
Expenses per Audited Statements$6,496,693
Total Expenses per Audited Statements$6,496,693
Expenses Not Reported on Financial Statements$86,400
Other Expense Adjustments$86,400
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 Affiliate$26,081
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Community Drive Surgery Pc
EIN
82-1672429
In Care Of
% NORTHWELL HEALTH INC
Phone
5163216058
Address
972 BRUSH HOLLOW RD 5TH FLR, WESTBURY, NY 11590

Signing Officer

Name
Michele L Cusack
Title
SVP & CFO
Phone
5163216058
Signed
2019-11-12

Organization Details

Principal Officer
Michael J Dowling
Formed
2015
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
0
Supplemental Narrative

Additional Explanations

Part XI, Line 9

Transfers to affiliates $ 429,747 prior year ending net assets ($ 851,270) total ($ 421,523)

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 for 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. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2018 and 2017, Northwell has a deferred income tax asset of approximately $118,000,000 and $123,000,000, respectively, both of which have been 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 $559,000,000 at December 31, 2018. 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. Under the Tax Cuts and Jobs Act (TCJA) enacted on December 22, 2017, NOLs generated after 2017 can be carried forward indefinitely, but the TCJA placed limitations on how these NOL carryforwards can be used.

Part XI, Line 2D

Revenue on book not on return provision for bad debt ($ 86,400)

Part XII, Line 4B

Expense on return not on book provision for bad debt $ 86,400

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IRS990/OfficeExpensesGrp/TotalAmt0498
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IRS990/OtherExpensesGrp/Desc1OTHER PURCHASED SERVICES
IRS990/OtherExpensesGrp/Desc2BILLING AND COLLECTIONS
IRS990/OtherExpensesGrp/Desc3DUES AND SUBSCRIPTIONS
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IRS990/OtherExpensesGrp/ProgramServicesAmt11316942
IRS990/OtherExpensesGrp/ProgramServicesAmt2297925
IRS990/OtherExpensesGrp/ProgramServicesAmt33550
IRS990/OtherExpensesGrp/TotalAmt04023975
IRS990/OtherExpensesGrp/TotalAmt11316942
IRS990/OtherExpensesGrp/TotalAmt2297925
IRS990/OtherExpensesGrp/TotalAmt33550
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IRS990/OtherLiabilitiesGrp/EOYAmt026081
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0OTHER REVENUE
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01237149
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01237149
IRS990/OtherRevenueTotalAmt01237149
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
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IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0MICHAEL J DOWLING
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IRS990/ProgramServiceRevenueGrp/BusinessCd1621300
IRS990/ProgramServiceRevenueGrp/Desc0PHYSICIAN SERVICE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1MEDICARE & MEDICAID
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt05077307
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt05077307
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IRS990/PYOtherRevenueAmt00
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IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0NORTH SHORE UNIVERSITY HOSPITAL
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IRS990ScheduleD/ExpensesSubtotalAmt06496693
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt026081
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATE
IRS990ScheduleD/OtherRevenueAmt0-86400
IRS990ScheduleD/RevenueNotReportedAmt0-86400
IRS990ScheduleD/RevenueSubtotalAmt06314456
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Certain 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 for 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. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2018 and 2017, Northwell has a deferred income tax asset of approximately $118,000,000 and $123,000,000, respectively, both of which have been 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 $559,000,000 at December 31, 2018. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037, and are available to offset future taxable income of the respective entity. Under the Tax Cuts and Jobs Act (TCJA) enacted on December 22, 2017, NOLs generated after 2017 can be carried forward indefinitely, but the TCJA placed limitations on how these NOL carryforwards can be used.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1REVENUE ON BOOK NOT ON RETURN PROVISION FOR BAD DEBT ($ 86,400)
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2EXPENSE ON RETURN NOT ON BOOK PROVISION FOR BAD DEBT $ 86,400
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B
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IRS990ScheduleD/TotalLiabilityAmt026081
IRS990ScheduleD/TotalRevenuePerForm990Amt06314456
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt06228056
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt06496693
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt050000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt12028000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt275000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt3100000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt450000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01671979
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt11470179
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2828756
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt229950
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt329950
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20

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