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← HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-COMPLEX CARE PC

Form 990 for tax year 2022

Filed by HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-COMPLEX CARE PC.

Totals

Total revenue
$127,480,681
Total expenses
$127,480,681
Contributions and grants received
$66,551,172
Grants paid
$0
Program service revenue
$60,893,176
Investment income
$36,333
Other revenue
$0
Total assets, end of year
$69,950,600
Total liabilities, end of year
$13,928,536
Net assets or fund balances, end of year
$56,022,064
Program services expenses (Part IX)
$124,713,007
Management and general expenses
$2,767,674
Fundraising expenses
$0
Program service expenses (Part III)
$124,713,007

Program services were 97.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KENNETH N SABLE MD

    PRESIDENT & TREASURER

    Total calculated
    $1,945,351
    From this org
    $0
    From related orgs
    $1,721,494
    Other
    $223,857
    Hours/week
    2.5

    Schedule J breakdown matched by us

    Base
    $0 + $1,082,568 related
    Bonus
    $0 + $403,017 related
    Other
    $0 + $235,909 related
    Deferred
    $0 + $186,282 related
    Nontaxable benefits
    $0 + $37,575 related
    Filer's total
    $0 + $1,945,351 related

  • JAMES CLARKE MD

    VICE PRESIDENT & SECRETARY

    Total calculated
    $1,138,204
    From this org
    $0
    From related orgs
    $1,095,555
    Other
    $42,649
    Hours/week
    2.5

    Schedule J breakdown matched by us

    Base
    $0 + $681,002 related
    Bonus
    $0 + $238,031 related
    Other
    $0 + $176,522 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $27,399 related
    Filer's total
    $0 + $1,138,204 related

  • KARIM ELSAHWI MD

    PHYSICIAN

    Total calculated
    $850,756
    From this org
    $799,218
    From related orgs
    $0
    Other
    $51,538
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $774,406
    Bonus
    $0
    Other
    $24,812
    Deferred
    $15,250
    Nontaxable benefits
    $36,288
    Filer's total
    $850,756

  • RAMON SOLHKHAH

    PHYSICIAN

    Total calculated
    $832,083
    From this org
    $797,841
    From related orgs
    $0
    Other
    $34,242
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $687,826
    Bonus
    $75,000
    Other
    $35,015
    Deferred
    $15,250
    Nontaxable benefits
    $18,992
    Filer's total
    $832,083

  • ERIC BERGER

    PHYSICIAN

    Total calculated
    $800,403
    From this org
    $759,189
    From related orgs
    $0
    Other
    $41,214
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $742,561
    Bonus
    $10,000
    Other
    $6,628
    Deferred
    $15,250
    Nontaxable benefits
    $25,964
    Filer's total
    $800,403

  • MARK BOROWSKY MD

    PHYSICIAN

    Total calculated
    $795,885
    From this org
    $744,379
    From related orgs
    $0
    Other
    $51,506
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $720,147
    Bonus
    $0
    Other
    $24,232
    Deferred
    $15,250
    Nontaxable benefits
    $36,256
    Filer's total
    $795,885

  • ARIF ASIF MD

    PHYSICIAN

    Total calculated
    $722,996
    From this org
    $689,661
    From related orgs
    $0
    Other
    $33,335
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $580,808
    Bonus
    $79,579
    Other
    $29,274
    Deferred
    $15,250
    Nontaxable benefits
    $18,085
    Filer's total
    $722,996

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Pt I Line 3
PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15A INCLUDED IN SCHEDULE O.
Pt I Line 4b
THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL(S) INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2 AS TAXABLE WAGES: JAMES CLARKE, MD, $107,141 AND KENNETH N. SABLE, MD, $196,246.
Pt I Line 4b
THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL(S) INCLUDE BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE INDIVIDUAL(S) WILL NOT EARN THE RIGHT TO RECEIVE THE DEFERRED COMPENSATION AMOUNTS UNLESS AND UNTIL THEY PROVIDE SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. WHEN THE FUTURE SERVICES REQUIREMENT IS MET, THE AMOUNTS WILL BECOME VESTED, WILL BE TAXED, WILL BE INCLUDED ON THE W-2, AND WILL BE REPORTED AGAIN ON THIS SCHEDULE: KENNETH N. SABLE, MD.
Pt I Line 5a
THE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VARIABLE COMPENSATION WHICH IS CALCULATED BASED ON A PERCENTAGE OF THE INDIVIDUAL'S TOTAL COLLECTIONS FOR PERSONALLY PERFORMED PROFESSIONAL SERVICES. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: ARIF ASIF, M.D., $3,190.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202343179349302964

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