Form 990 for tax year 2022
Filed by CONEY ISLAND MEDICAL PRACTICE PLAN PC.
Totals
- Total revenue
- $25,940,239
- Total expenses
- $22,457,577
- Contributions and grants received
- $602,185
- Grants paid
- $0
- Program service revenue
- $25,338,054
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $18,092,822
- Total liabilities, end of year
- $7,186,047
- Net assets or fund balances, end of year
- $10,906,775
- Program services expenses (Part IX)
- $22,432,463
- Management and general expenses
- $25,114
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $22,432,463
Program services were 99.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$602,185
-
2a · Program service revenue: FACULTY PRACTICE PLAN
total $25,338,054 · related or exempt $25,338,054
-
3 · Investment income
total $0
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $0
-
10 · Payroll taxes
total $0
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $7,500 · management and general $7,500
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $0
-
13 · Office expenses
total $0
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $58,237 · program services $58,237
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $684 · program services $684
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $0
-
23 · Insurance
total $0
-
24a · Other expenses: CONTRACTED SERVICES
total $20,421,693 · program services $20,421,693
-
24b · Other expenses: BILLING SERVICES
total $1,563,725 · program services $1,563,725
-
24c · Other expenses: OVERHEAD
total $328,107 · program services $328,107
-
24d · Other expenses: SICK PAY OUT
total $60,017 · program services $60,017
-
24e · All other expenses
total $17,614 · management and general $17,614
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $9,398,449 · end of year $13,662,750
-
2 · Savings and temporary cash investments
end of year $0
-
3 · Pledges and grants receivable
end of year $0
-
4 · Accounts receivable
beginning of year $4,160,699 · end of year $4,430,072
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10c · Land, buildings and equipment, net
end of year $0
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $426,093 · end of year $483,648
-
25 · Other liabilities
beginning of year $5,708,942 · end of year $6,702,399
-
27 · Net assets without donor restrictions
beginning of year $5,174,731 · end of year $8,409,438
-
28 · Net assets with donor restrictions
beginning of year $2,249,382 · end of year $2,497,337
Mission and programs · 2022
Mission
OUR MISSION IS TO BE THE CLINICAL SERVICE PROVIDER AT CONEY ISLAND HOSPITAL.
-
CLINICAL SERVICES PROVIDER
Expenses $22,432,463 · Revenue $25,338,054
As filed on the 2022 return.
Listed in Part VII
-
Mark Kindschuh MDMARK KINDSCHUH MD
Treasurer
- Total calculated
- $670,595
- From this org
- $0
- From related orgs
- $578,073
- Other
- $92,522
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $578,073 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $47,496 related
- Nontaxable benefits
- not reported + $45,026 related
- Filer's total
- not reported + $670,595 related
-
Gregory Girshin MDGREGORY GIRSHIN MD
Director
- Total calculated
- $647,180
- From this org
- $0
- From related orgs
- $586,410
- Other
- $60,770
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $586,410 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $33,770 related
- Filer's total
- not reported + $647,180 related
-
Yaswant Patel MDYASWANT PATEL MD
Director
- Total calculated
- $586,691
- From this org
- $0
- From related orgs
- $529,673
- Other
- $57,018
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $529,673 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $30,018 related
- Filer's total
- not reported + $586,691 related
-
Sudhakar Prabhu MDSUDHAKAR PRABHU MD
Director
- Total calculated
- $561,588
- From this org
- $0
- From related orgs
- $505,115
- Other
- $56,473
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $505,115 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $29,473 related
- Filer's total
- not reported + $561,588 related
-
Terrence Brady DoTERRENCE BRADY DO
Director
- Total calculated
- $532,495
- From this org
- $0
- From related orgs
- $491,199
- Other
- $41,296
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $491,199 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $26,560 related
- Nontaxable benefits
- not reported + $14,736 related
- Filer's total
- not reported + $532,495 related
-
Carlos Forcade MDCARLOS FORCADE MD
Director
- Total calculated
- $500,927
- From this org
- $0
- From related orgs
- $454,127
- Other
- $46,800
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $454,127 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $12,405 related
- Nontaxable benefits
- not reported + $34,395 related
- Filer's total
- not reported + $500,927 related
-
Ashok Khanna MDASHOK KHANNA MD
Director
- Total calculated
- $489,741
- From this org
- $0
- From related orgs
- $433,268
- Other
- $56,473
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $433,268 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $29,473 related
- Filer's total
- not reported + $489,741 related
-
Kenneth Hupart MDKENNETH HUPART MD
Vice President
- Total calculated
- $488,702
- From this org
- $0
- From related orgs
- $441,202
- Other
- $47,500
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $441,202 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $47,500 related
- Nontaxable benefits
- not reported
- Filer's total
- not reported + $488,702 related
-
Maggie Tetrokalashvili MDMAGGIE TETROKALASHVILI MD
Director
- Total calculated
- $481,478
- From this org
- $0
- From related orgs
- $419,202
- Other
- $62,276
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $419,202 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $18,669 related
- Nontaxable benefits
- not reported + $43,607 related
- Filer's total
- not reported + $481,478 related
-
Jeffrey Goldberg DoJEFFREY GOLDBERG DO
Director
- Total calculated
- $432,937
- From this org
- $0
- From related orgs
- $391,201
- Other
- $41,736
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $391,201 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $14,736 related
- Filer's total
- not reported + $432,937 related
-
Michelle Soto MDMICHELLE SOTO MD
Director
- Total calculated
- $421,831
- From this org
- $0
- From related orgs
- $386,795
- Other
- $35,036
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $386,795 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $20,500 related
- Nontaxable benefits
- not reported + $14,536 related
- Filer's total
- not reported + $421,831 related
-
Anomadarshi Barua MDANOMADARSHI BARUA MD
Director
- Total calculated
- $394,282
- From this org
- $0
- From related orgs
- $337,809
- Other
- $56,473
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $337,809 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $29,473 related
- Filer's total
- not reported + $394,282 related
-
Pardha Valluru MDPARDHA VALLURU MD
Secretary
- Total calculated
- $384,746
- From this org
- $0
- From related orgs
- $307,804
- Other
- $76,942
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $307,804 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $47,469 related
- Nontaxable benefits
- not reported + $29,473 related
- Filer's total
- not reported + $384,746 related
-
Warren Seigel MDWARREN SEIGEL MD
President
- Total calculated
- $383,238
- From this org
- $0
- From related orgs
- $339,029
- Other
- $44,209
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $339,029 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $44,209 related
- Filer's total
- not reported + $383,238 related
-
Mir Tanveer MDMIR TANVEER MD
Director
- Total calculated
- $0
- Hours/week
- 0 + 40 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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
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.
-
PHYSICIAN AFFILIATE GROUP OF NY PC
501C3 · PHYSICIAN AND MEDICAL SERVICES · NY
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401349349302650
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