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← AMBOY MEDICAL PRACTICE PC

Form 990 for tax year 2024

Filed by AMBOY MEDICAL PRACTICE PC.

Totals

Total revenue
$40,173,150
Total expenses
$53,897,662
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$40,656,754
Investment income
$0
Other revenue
-$483,604
Total assets, end of year
$26,198,697
Total liabilities, end of year
$130,421,149
Net assets or fund balances, end of year
-$104,222,452
Program services expenses (Part IX)
$47,277,377
Management and general expenses
$6,620,285
Fundraising expenses
$0
Program service expenses (Part III)
$47,277,377

Program services were 87.7% 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.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $39,844,504 · related or exempt $39,844,504

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUE

    total $812,250 · related or exempt $812,250

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $11,121

  • 6b · Less rental expenses

    real property $494,725

  • 6c · Rental income or loss

    real property -$483,604 · personal property $0

  • 6d · Net rental income or loss

    total -$483,604 · excluded -$483,604

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $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 $32,915,760 · program services $28,872,697 · management and general $4,043,063

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $685,569 · program services $601,360 · management and general $84,209

  • 10 · Payroll taxes

    total $459,471 · program services $403,034 · management and general $56,437

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $55,354 · program services $48,555 · management and general $6,799

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $8,617,785 · program services $7,559,257 · management and general $1,058,528 · fundraising $0

  • 12 · Advertising and promotion

    total $4,005 · program services $3,513 · management and general $492

  • 13 · Office expenses

    total $425,153 · program services $372,931 · management and general $52,222

  • 14 · Information technology

    total $60,092 · program services $52,711 · management and general $7,381

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $3,411,765 · program services $2,992,695 · management and general $419,070

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $22,565 · program services $19,793 · management and general $2,772

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $508,595 · program services $446,124 · management and general $62,471

  • 23 · Insurance

    total $4,540,803 · program services $3,983,053 · management and general $557,750

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,354,270 · program services $1,187,924 · management and general $166,346

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $498,651 · program services $437,401 · management and general $61,250

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $120,595 · program services $105,782 · management and general $14,813

  • 24d · Other expenses: OTHER EXPENSES

    total $217,229 · program services $190,547 · management and general $26,682

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,200 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $1,382,753 · end of year $1,020,410

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $1,936,589 · end of year $3,100,846

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $21,230 · end of year $315,193

  • 10a · Land, buildings and equipment: cost or other basis

    $13,863,022

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,027,638

  • 10c · Land, buildings and equipment, net

    beginning of year $4,311,055 · end of year $5,835,384

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $950,327 · end of year $4,290,408

  • 15 · Other assets

    beginning of year $33,015 · end of year $11,636,456

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,506,738 · end of year $7,138,362

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,353,949 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $95,276,422 · end of year $123,282,787

  • 27 · Net assets without donor restrictions

    beginning of year -$90,497,940 · end of year -$104,222,452

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

AMBOY MEDICAL PRACTICE, P.C. IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) NOT-FOR-PROFIT CORPORATION THROUGH WHICH EMPLOYED PHYSICIANS PROVIDE PRIMARY CARE, SPECIALTY CARE, AND BEHAVIORAL HEALTH SERVICES IN A VARIETY OF SETTINGS INCLUDING CLINICS AND OFFICE BASED FACILITIES. THIS ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR ADDITIONAL INFORMATION, PLEASE REFER TO THE ORGANIZATION'S STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O.

Activities or mission (Part I)

THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.

  • EXPENSES INCURRED IN PROVIDING PRIMARY CARE, SPECIALTY CARE AND BEHAVIORAL HEALTH SERVICES IN FURTHERANCE OF THE SYSTEM'S CHARITABLE TAX-EXEMPT PURPOSES. FOR ADDITIONAL INFORMATION PLEASE REFER TO THE STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O.

    Expenses $47,277,377 · Revenue $40,656,754

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Inna Tubman MD

    OBGYN

    Total calculated
    $1,469,833
    From this org
    $1,399,581
    From related orgs
    $0
    Other
    $70,252
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $968,620
    Bonus
    $430,245
    Other
    $716
    Deferred
    $24,150
    Nontaxable benefits
    $46,102
    Filer's total
    $1,469,833

  • Rita Shats MD

    OBGYN

    Total calculated
    $1,162,062
    From this org
    $1,093,485
    From related orgs
    $0
    Other
    $68,577
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $790,403
    Bonus
    $302,615
    Other
    $467
    Deferred
    $24,150
    Nontaxable benefits
    $44,427
    Filer's total
    $1,162,062

  • Anna Pavlides MD

    OBGYN

    Total calculated
    $1,102,840
    From this org
    $1,039,525
    From related orgs
    $0
    Other
    $63,315
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $742,385
    Bonus
    $295,916
    Other
    $1,224
    Deferred
    $24,150
    Nontaxable benefits
    $39,165
    Filer's total
    $1,102,840

  • Michael Benson MD

    OBGYN

    Total calculated
    $1,016,966
    From this org
    $954,473
    From related orgs
    $0
    Other
    $62,493
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $685,305
    Bonus
    $268,575
    Other
    $593
    Deferred
    $24,150
    Nontaxable benefits
    $38,343
    Filer's total
    $1,016,966

  • Christopher V Lisi MD

    OTOLARYNGOLOGIST

    Total calculated
    $868,755
    From this org
    $815,936
    From related orgs
    $0
    Other
    $52,819
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $691,941
    Bonus
    $123,715
    Other
    $280
    Deferred
    $24,150
    Nontaxable benefits
    $28,669
    Filer's total
    $868,755

  • David Murray MBA Fhfma

    eVP, CFO

    Total calculated
    $736,450
    From this org
    $0
    From related orgs
    $595,267
    Other
    $141,183
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $547,737 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $2,530 related
    Deferred
    $0 + $91,796 related
    Nontaxable benefits
    $0 + $49,387 related
    Filer's total
    $0 + $736,450 related

  • Alexander Beylinson Do

    DIRECTOR - PRESIDENT

    Total calculated
    $643,817
    From this org
    $0
    From related orgs
    $595,995
    Other
    $47,822
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $183,480 related
    Bonus
    $0 + $411,799 related
    Other
    $0 + $716 related
    Deferred
    $0 + $13,300 related
    Nontaxable benefits
    $0 + $34,522 related
    Filer's total
    $0 + $643,817 related

  • Jeffrey Lieto MBA

    EVP, CSO

    Total calculated
    $398,588
    From this org
    $0
    From related orgs
    $304,974
    Other
    $93,614
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $299,700 related
    Bonus
    $0
    Other
    $0 + $5,274 related
    Deferred
    $0 + $63,660 related
    Nontaxable benefits
    $0 + $29,954 related
    Filer's total
    $0 + $398,588 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 · 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 REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDEs A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THis AMOUNT Was NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN Was INCLUDED IN hiS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $119. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, 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, he MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN hiS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $23,846. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH is SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, he MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN hiS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $30,000.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
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, in column (c) as non-taxable unvested deferred compensation with a substantial risk of complete forfeiture component that is now being reported again on this year's form 990. Accordingly, in prior years the individuals never actually received any of these unvested at-risk benefit amounts.

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BRIDGE REGIONAL HEALTH SYSTEM

    C CORP · HOLDING COMPANY · NY

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
15 May 2025
IRS schema version
2024v5.2
Source object
202533189349309198

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