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Nonprofiteer
← KENNEDY MEDICAL GROUP PRACTICE PC

Form 990 for tax year 2022

Filed by KENNEDY MEDICAL GROUP PRACTICE PC.

Totals

Total revenue
$133,718,954
Total expenses
$132,214,625
Contributions and grants received
$3,718,835
Grants paid
$0
Program services expenses (Part IX)
$125,589,845
Management and general expenses
$6,589,506
Fundraising expenses
$35,274
Program service expenses (Part III)
$125,589,845

Program services were 95.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • C JONATHAN FOSTER DO

    GASTROENTEROLOGY

    Total calculated
    $1,042,722
    From this org
    $926,269
    From related orgs
    $96,311
    Other
    $20,142
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $465,404 + $96,243 related
    Bonus
    $307,164
    Other
    $153,701 + $68 related
    Deferred
    $0 + $5,715 related
    Nontaxable benefits
    $8,214 + $6,213 related
    Filer's total
    $934,483 + $108,239 related

  • ROBIN WILSON-SMITH DO

    GYNECOLOGIC ONCOLOGIST

    Total calculated
    $840,490
    From this org
    $797,887
    From related orgs
    $0
    Other
    $42,603
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $640,265
    Bonus
    $155,000
    Other
    $2,622
    Deferred
    $14,488
    Nontaxable benefits
    $28,115
    Filer's total
    $840,490

  • LINDA SZCZUREK DO

    SURGEON

    Total calculated
    $789,519
    From this org
    $772,148
    From related orgs
    $0
    Other
    $17,371
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $369,319
    Bonus
    $299,442
    Other
    $103,387
    Deferred
    $0
    Nontaxable benefits
    $17,371
    Filer's total
    $789,519

  • DAVID W GOLDSTEIN DO

    RADIOLOGIST

    Total calculated
    $668,347
    From this org
    $625,729
    From related orgs
    $0
    Other
    $42,618
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $616,690
    Bonus
    $0
    Other
    $9,039
    Deferred
    $27,271
    Nontaxable benefits
    $15,347
    Filer's total
    $668,347

  • BRIAN BLAIR DO

    GASTROENTEROLOGY

    Total calculated
    $652,808
    From this org
    $625,421
    From related orgs
    $0
    Other
    $27,387
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $390,834
    Bonus
    $169,665
    Other
    $64,922
    Deferred
    $9,519
    Nontaxable benefits
    $17,868
    Filer's total
    $652,808

  • ALEXANDER D SHARNOFF ESQ

    SECRETARY

    Total calculated
    $382,689
    From this org
    $0
    From related orgs
    $318,883
    Other
    $63,806
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $244,790 related
    Bonus
    $0 + $55,232 related
    Other
    $0 + $18,861 related
    Deferred
    $0 + $37,139 related
    Nontaxable benefits
    $0 + $26,667 related
    Filer's total
    $0 + $382,689 related

  • EDMUND PRIBITKIN MD MBA

    CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    55

  • STEPHEN V DESTEFANO CPA

    TREASURER

    Total calculated
    $0
    Hours/week
    55

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

CORE FORM, PART VII AND SCHEDULE J
TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2022 FORMS W-2.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE BASED UPON THE ATTAINMENT OF QUALITY GOALS, STRATEGIC OPERATIONAL INITIATIVES AND FINANCIAL PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202441369349306104

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