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← LIBERTY HEALTHCARE SYSTEM FOUNDATION INC

Form 990 for tax year 2022

Filed by LIBERTY HEALTHCARE SYSTEM FOUNDATION INC.

Totals

Total revenue
$4,832,296
Total expenses
$3,381,596
Contributions and grants received
$3,808,716
Grants paid
$2,393,198
Program service revenue
$1,008,488
Investment income
$15,092
Other revenue
$0
Total assets, end of year
$6,893,635
Total liabilities, end of year
$542,635
Net assets or fund balances, end of year
$6,351,000
Program services expenses (Part IX)
$2,393,198
Management and general expenses
$685,231
Fundraising expenses
$303,167
Program service expenses (Part III)
$2,393,198

Program services were 70.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL PRILUTSKY

    TRUSTEE - JCMC PRES./CEO

    Total calculated
    $1,480,185
    From this org
    $0
    From related orgs
    $1,228,007
    Other
    $252,178
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $752,508 related
    Bonus
    $0 + $350,000 related
    Other
    $0 + $125,499 related
    Deferred
    $0 + $233,937 related
    Nontaxable benefits
    $0 + $18,241 related
    Filer's total
    $0 + $1,480,185 related

  • LANCE BRUCK MD

    TRUSTEE

    Total calculated
    $712,098
    From this org
    $0
    From related orgs
    $704,312
    Other
    $7,786
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $619,966 related
    Bonus
    $0 + $78,000 related
    Other
    $0 + $6,346 related
    Deferred
    $0 + $6,597 related
    Nontaxable benefits
    $0 + $1,189 related
    Filer's total
    $0 + $712,098 related

  • NICOLE KAGAN

    VP DEVELOPMENT

    Total calculated
    $303,678
    From this org
    $0
    From related orgs
    $253,815
    Other
    $49,863
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $212,995 related
    Bonus
    $0 + $37,260 related
    Other
    $0 + $3,560 related
    Deferred
    $0 + $3,802 related
    Nontaxable benefits
    $0 + $46,061 related
    Filer's total
    $0 + $303,678 related

  • W NEVINS MCCANN ESQ

    CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARYELLEN J MCLAUGHLIN

    VICE CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JAMES CAULFIELD

    SECRETARY - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SURAJ KAUFMAN

    TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL J DEMARCO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JEREMY KAPLAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • LIZ LIBERMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • STEVEN ROCCO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • PHYLLIS COLANINNO-HART

    TRUSTEE (TERMED 9/1/22)

    Total calculated
    $0
    Hours/week
    1

  • GLENN MILLER

    RWJBH CHIEF DEV. OFFICER

    Total calculated
    $0
    Hours/week
    0 + 55 related

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, QUESTION 4B
THE AMOUNT REFECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL PRILUTSKY, $93,179. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL PRILUTSKY, $222,500.
SCHEDULE J, PART I; QUESTION 7
THE INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH THE AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION.
SCHEDULE J, PART II, COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE AMOUNTS REPORTED ON PRIOR YEARS' FORMS 990 IN SCHEDULE J, PART II, EITHER IN COLUMN (B)(III) AS FORM W-2, BOX 5, TAXABLE MEDICARE WAGES OR IN COLUMN (C) AS NON-TAXABLE UNVESTED DEFERRED COMPENSATION THAT IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990.

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

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.

  • CPIC

    Foreign Corp. · FINANCIAL VEHICLE · BD

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349318713

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