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← NYU LANGONE IPA INC

Form 990 for tax year 2022

Filed by NYU LANGONE IPA INC.

Totals

Total revenue
$0
Total expenses
$741,073
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$726,252
Management and general expenses
$14,821
Fundraising expenses
$0
Program service expenses (Part III)
$726,252

Program services were 98.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDREW W BROTMAN MD

    EVP CLINICAL AFFAIRS

    Total calculated
    $13,491,295
    From this org
    $0
    From related orgs
    $11,290,840
    Other
    $2,200,455
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,885,833 related
    Bonus
    $0 + $4,500,000 related
    Other
    $0 + $4,905,007 related
    Deferred
    $0 + $2,194,191 related
    Nontaxable benefits
    $0 + $6,264 related
    Filer's total
    $0 + $13,491,295 related
  • KARIM HABIBI

    VICE PRESIDENT

    Total calculated
    $1,819,076
    From this org
    $0
    From related orgs
    $1,747,273
    Other
    $71,803
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,235,089 related
    Bonus
    $0 + $500,000 related
    Other
    $0 + $12,184 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $41,303 related
    Filer's total
    $0 + $1,819,076 related
  • LARRY MCREYNOLDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • ANNETTE JOHNSON JD

    SECRETARY

    Total calculated
    $6,448,055
    From this org
    $0
    From related orgs
    $6,378,219
    Other
    $69,836
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,193,688 related
    Bonus
    $0 + $3,250,000 related
    Other
    $0 + $1,934,531 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $39,336 related
    Filer's total
    $0 + $6,448,055 related
  • DANIEL J WIDAWSKY

    EVP FINANCE & CCFO

    Total calculated
    $11,988,997
    From this org
    $0
    From related orgs
    $9,131,252
    Other
    $2,857,745
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,198,075 related
    Bonus
    $0 + $4,688,000 related
    Other
    $0 + $2,245,177 related
    Deferred
    $0 + $2,809,343 related
    Nontaxable benefits
    $0 + $48,402 related
    Filer's total
    $0 + $11,988,997 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 — 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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
THE FOLLOWING OFFICERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ("SERP") DURING CALENDAR YEAR 2022. THE AMOUNTS LISTED BELOW REPRESENT THE EMPLOYER CONTRIBUTIONS TO THESE PLANS FOR CALENDAR YEAR 2022. THESE AMOUNTS ARE REPORTED AS SHARED COSTS BETWEEN NYU LANGONE HOSPITALS AND NYU GROSSMAN SCHOOL OF MEDICINE. ANDREW W. BROTMAN, MD - $2,163,691 AND DANIEL J. WIDAWSKY - $2,778,843. THE SERP CONTRIBUTIONS WERE MADE PURSUANT TO NEGOTIATED AGREEMENTS WITH THE OFFICERS.
FORM 990, SCHEDULE J, PART II, COL. (F)
THE FOLLOWING INDIVIDUALS' OTHER REPORTABLE COMPENSATION (COL. (B)(III))INCLUDES A TAXABLE SERP DURING CALENDAR YEAR 2022. THIS AMOUNT INCLUDES SERP CONTRIBUTIONS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION. THIS AMOUNT IS REPORTED AS A SHARED COST BETWEEN NYULH AND SOM. ANDREW W. BROTMAN, MD - $1,573,430; ANNETTE JOHNON, JD - $560,920; AND DANIEL J. WIDAWSKY - $2,199,268.

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.

  • NEW YORK UNIVERSITY

    501(C)(3) · UNIVERSITY · NY

  • NYU LANGONE HEALTH SYSTEM

    501(C)(3) · SUPPORTING ORG. · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • 34TH STREET CANCER CENTER INC

    501(C)(3) · CANCER CARE · NY · controlled entity

    Directly controlled by NYU LANGONE HEALTH SYSTEM

  • SIR HAROLD ACTON TRUST

    501(C)(3) · SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • HORTENSE ACTON TRUST

    501(C)(3) · SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY · IL · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • KJC (REY JUAN CARLOS I DE ESPANA DE LA UNIVERSIDAD DE NUEVA YORK)

    SUPPORT NYU'S PROGRAM IN SPAIN · SP · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NATIONAL CENTER ON PHILANTHROPY AND THE LAW

    501(C)(3) · STUDY, RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY SCHOOL OF LAW FOUNDATION

  • NYU IN ABU DHABI CORP

    501(C)(3) · SUPPORT NYU'S CAMPUS IN ABU DHABI · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NYU IMAGING INC

    501(C)(3) · SUPPORT NYU SCHOOL OF MEDICINE · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NEW YORK UNVERSITY SCHOOL OF LAW FOUNDATION

    501(C)(3) · SUPPORT NYU'S SCHOOL OF LAW · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • WASHINGTON SQUARE LEGAL SERVICES INC

    501(C)(3) · CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NYU IN LONDON

    SUPPORT NYU'S PROGRAM IN LONDON · UK · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NYU HONG KONG FOUNDATION LTD

    SUPPORT NYU'S PROGRAM IN HONG KONG · HK · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NYU IN TEL-AVIV LTD

    SUPPORT NYU'S PROGRAM IN TEL-AVIV · IS · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NEW YORK UNIVERSITY IN FRANCE

    SUPPORT NYU'S PROGRAM IN FRANCE · FR · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NEW YORK UNIVERSITY IN AFGHANISTAN

    SUPPORT NYU'S ACTIVITIES IN AFGHANISTAN · AF · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • NYU LANGONE HOSPITALS

    501(C)(3) · HOSPITAL · NY · controlled entity

    Directly controlled by NYU LANGONE HEALTH SYSTEM

  • NYU LANGONE MSO INC

    501(C)(3) · CONTRACT FOR DELIVERY/PROVISION OF HEALTH SERVICES · NY · controlled entity

    Directly controlled by NEW YORK UNIVERSITY

  • LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH

    501(C)(3) · HOSPITAL · NY · controlled entity

    Directly controlled by NYU LANGONE HEALTH SYSTEM

  • BROOKHAVEN HEALTH CARE SERVICES CORPORATION

    501(C)(3) · SUPPORT LONG ISLAND COMMUNITY HOSPITAL · NY · controlled entity

    Directly controlled by NYU LANGONE HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2022
Filed
3 July 2024
IRS schema version
2022v5.0
Source object
202401929349301425

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