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Nonprofiteer
← CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA

Form 990 for tax year 2022

Filed by CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA.

Totals

Total revenue
$1,049,629
Total expenses
$2,439,727
Contributions and grants received
$0
Grants paid
$0
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$1,805,688
Management and general expenses
$634,039
Fundraising expenses
$0
Program service expenses (Part III)
$1,805,688

Program services were 74.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOSHUA EISENBERG MD

    DIR AT 12/22;CAPITAL HEALTH SURGEON

    Total calculated
    $997,530
    From this org
    $0
    From related orgs
    $969,054
    Other
    $28,476
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $879,866 related
    Bonus
    $0 + $67,950 related
    Other
    $0 + $21,238 related
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0 + $25,426 related
    Filer's total
    $0 + $997,530 related

  • RAJIV SHAH MD

    GENERAL SURGEON

    Total calculated
    $726,331
    From this org
    $0
    From related orgs
    $686,330
    Other
    $40,001
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $627,997 related
    Bonus
    $0 + $41,600 related
    Other
    $0 + $16,733 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $30,851 related
    Filer's total
    $0 + $726,331 related

  • C JAMES ROMANO MD

    DIR & PRES, SVP & CMO THROUGH 12/22

    Total calculated
    $718,331
    From this org
    $0
    From related orgs
    $675,648
    Other
    $42,683
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $389,534 related
    Bonus
    $0 + $277,582 related
    Other
    $0 + $8,532 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $24,383 related
    Filer's total
    $0 + $718,331 related

  • HIMANSHU DESAI

    GASTROENTEROLOGIST

    Total calculated
    $573,920
    From this org
    $0
    From related orgs
    $538,046
    Other
    $35,874
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $484,620 related
    Bonus
    $0 + $49,999 related
    Other
    $0 + $3,427 related
    Deferred
    $0 + $4,575 related
    Nontaxable benefits
    $0 + $31,299 related
    Filer's total
    $0 + $573,920 related

  • LOUIS FARES MD

    BARIATRIC SURGEON

    Total calculated
    $472,579
    From this org
    $0
    From related orgs
    $443,344
    Other
    $29,235
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $388,762 related
    Bonus
    $0 + $39,000 related
    Other
    $0 + $15,582 related
    Deferred
    $0 + $4,575 related
    Nontaxable benefits
    $0 + $24,660 related
    Filer's total
    $0 + $472,579 related

  • MARK KELLY

    TREAS, SFMC VP FIN & CFO THR 12/22

    Total calculated
    $409,917
    From this org
    $0
    From related orgs
    $364,537
    Other
    $45,380
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $247,673 related
    Bonus
    $0 + $115,236 related
    Other
    $0 + $1,628 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $27,080 related
    Filer's total
    $0 + $409,917 related

  • ARIF HUSSAIN

    INTERNAL MEDICINE PHYSICIAN

    Total calculated
    $280,434
    From this org
    $0
    From related orgs
    $246,081
    Other
    $34,353
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $224,896 related
    Bonus
    $0 + $21,000 related
    Other
    $0 + $185 related
    Deferred
    $0 + $2,536 related
    Nontaxable benefits
    $0 + $31,817 related
    Filer's total
    $0 + $280,434 related

  • SELIM SHEIKH

    PRIMARY CARE PHYSICIAN

    Total calculated
    $222,607
    From this org
    $0
    From related orgs
    $197,586
    Other
    $25,021
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $177,108 related
    Bonus
    $0 + $18,500 related
    Other
    $0 + $1,978 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,021 related
    Filer's total
    $0 + $222,607 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

  • 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)

PART I, LINE 3
CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON WAS CAPTIVE P.C. ASSOCIATED WITH CAPITAL HEALTH-EAST TRENTON. CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON'S PRESIDENT WAS PAID BY CAPITAL HEALTH-EAST TRENTON. CAPITAL HEALTH-EAST TRENTON USED A WRITTEN EMPLOYMENT CONTRACT TO ESTABLISH THE COMPENSATION OF CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON'S PRESIDENT. THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM") A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPITAL HEALTH SYSTEM, INC. ("CHS"). KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, ARE EMPLOYED BY CHS THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS AND/OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, THE HOSPITAL'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISQUALIFIED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ARE INTENDED FOR THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON COMPARABILITY MARKET DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS BASED ON TAX-EXEMPT STATUS, REVENUE, LOCATION, SERVICES, AND OTHER FACTORS TO ENSURE THE EXECUTIVES' COMPENSATION IS REPRESENTATIVE OF THE EXECUTIVE TALENT MARKET AND COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES" AS REFERENCED UNDER IRS REGULATIONS. CONTEMPORANEOUS MINUTES ARE COMPILED AND APPROVED FOR ALL COMMITTEE DELIBERATIONS. THESE ARE SUPPORTED BY THE WRITTEN DOCUMENTATION OF ALL PEER AND MARKET COMPENSATION STUDIES, AS WELL AS DETAILED PERFORMANCE JUSTIFICATION USED AS THE BASIS FOR AWARDS UNDER THE ORGANIZATION'S INCENTIVE PROGRAMS. RECOGNIZING THE NEED TO CONSIDER RETIREMENT PLANNING FOR ITS SENIOR MANAGEMENT AS A MEANS TO AID IN THEIR RETENTION, THE COMMITTEE MAINTAINS A FORM OF LONGTERM NON-QUALIFIED DEFERRED COMPENSATION (REFERRED TO AS THE "PERFORMANCE-BASED CAPITAL ACCUMULATION PLAN", OR "PBCAP"), WHICH IS PART OF THE CAPITAL HEALTH SYSTEM NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN. PBCAP PROVIDES THE ORGANIZATION WITH AN ADDITIONAL TOOL TO ASSIST IN THE RECRUITMENT AND RETENTION OF SENIOR MANAGEMENT WITHIN THE HIGHLY COMPETITIVE HEALTHCARE LABOR MARKET. PBCAP PROVIDES SENIOR MANAGEMENT WITH THE OPPORTUNITY TO QUALIFY FOR ANNUAL DEFERRED CONTRIBUTIONS, BASED ON ACHIEVING SPECIFIED PERFORMANCE TARGETS AND MEETING ESTABLISHED CIRCUIT BREAKERS, TO BE PAID AT A FUTURE PRE-DETERMINED DATE CONTINGENT UPON CONTINUED SERVICE WITH THE ORGANIZATION. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT AND INDEPENDENT COMPENSATION CONSULTANTS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
PART I, LINE 7
CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2022, WHICH INCENTIVE AWARDS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II) AND WERE REPORTED ON EACH SUCH INDIVIDUAL'S 2022 FORM W2, BOX 5, AS TAXABLE MEDICARE WAGES. THESE INCENTIVE AWARDS WERE PAID UNDER THE CAPITAL HEALTH INCENTIVE COMPENSATION PLAN ("ICP"), APPROVED BY THE BOARD COMPENSATION COMMITTEE, AND BASED ON ACHIEVEMENT OF PREESTABLISHED SYSTEMWIDE PERFORMANCE CRITERIA AND METRICS, AS WELL AS MEETING OR EXCEEDING SPECIFIC PERFORMANCE ON "CIRCUIT BREAKERS." THE ICP PROVIDES ELIGIBLE EXECUTIVES WITH THE OPPORTUNITY TO EARN PERFORMANCE BASED COMPENSATION AND IS AN INTEGRAL COMPONENT OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PACKAGE. THE BOARD COMPENSATION COMMITTEE USES THE ICP AS A MECHANISM TO REWARD PERFORMANCE AGAINST ESTABLISHED KEY PERFORMANCE REQUIREMENTS. THE GOALS COVER FINANCIAL AND OPERATIONAL METRICS AND ARE DEFINED EACH YEAR, BASED ON THE DESIRED CONCENTRATION REQUIRED BY THE BOARD COMPENSATION COMMITTEE. THE BOARD COMPENSATION COMMITTEE UNDERTAKES A MIDYEAR REVIEW OF PERFORMANCE TOWARDS ACHIEVEMENT OF EACH GOAL, WHICH ALLOWS THE BOARD COMPENSATION COMMITTEE TO MONITOR HOW KEY PROJECTS ARE BEING HANDLED AND TO MAKE ADJUSTMENTS, IF NECESSARY. PLEASE REFER TO SCHEDULE J, PART II, COLUMN B(II) FOR THIS INFORMATION BY PERSON AND 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.

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
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349303801

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