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← NORTH SHORE-LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC

Form 990 for tax year 2022

Filed by NORTH SHORE-LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC.

Totals

Total revenue
$12,965,564
Total expenses
$12,965,564
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$10,177,514
Investment income
$0
Other revenue
$2,788,050
Total assets, end of year
$2,992,451
Total liabilities, end of year
$1,719,789
Net assets or fund balances, end of year
$1,272,662
Program services expenses (Part IX)
$11,440,953
Management and general expenses
$1,524,611
Fundraising expenses
$0
Program service expenses (Part III)
$11,440,953

Program services were 88.2% 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: PHYSICIAN REVENUE

    total $6,707,983 · related or exempt $6,707,983

  • 2b · Program service revenue: MEDICARE & MEDICAID

    total $3,469,531 · related or exempt $3,469,531

  • 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 $10,095

  • 6c · Rental income or loss

    real property $10,095 · personal property $0

  • 6d · Net rental income or loss

    total $10,095 · excluded $10,095

  • 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

  • 11a · Other revenue: AFFILIATE SUPPORT

    total $2,686,296 · related or exempt $2,686,296

  • 11b · Other revenue: MISSION SUPPORT

    total $91,659 · related or exempt $91,659

  • 11e · Other revenue, total

    $2,777,955

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 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $8,218,851 · program services $7,396,966 · management and general $821,885

  • 8 · Pension plan contributions

    total $267,848 · program services $241,063 · management and general $26,785

  • 9 · Other employee benefits

    total $496,305 · program services $446,675 · management and general $49,630

  • 10 · Payroll taxes

    total $322,570 · program services $290,313 · management and general $32,257

  • 11a · Fees: management

    total $54,478 · program services $49,030 · management and general $5,448

  • 11b · Fees: legal

    total $0

  • 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 $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $1,483,218 · program services $1,334,896 · management and general $148,322

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $397,295 · program services $357,565 · management and general $39,730

  • 17 · Travel

    total $626 · program services $626

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $912 · program services $912

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $373,333 · program services $336,000 · management and general $37,333

  • 23 · Insurance

    total $167,124 · program services $167,124

  • 24a · Other expenses: PURCHASED SERVICES

    total $177,301 · program services $177,301

  • 24b · Other expenses: BILLING & COLLECTION

    total $609,869 · program services $609,869

  • 24c · Other expenses: CENTRALIZED ADMIN EXPENSE

    total $359,597 · management and general $359,597

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $4,640 · program services $4,176 · management and general $464

  • 24e · All other expenses

    total $31,597 · program services $28,437 · management and general $3,160

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 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 $16,182 · end of year $16,587

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

    $3,361,941

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

    $1,302,304

  • 10c · Land, buildings and equipment, net

    beginning of year $2,384,395 · end of year $2,059,637

  • 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 $0 · end of year $0

  • 15 · Other assets

    beginning of year $697,271 · end of year $916,227

  • 17 · Accounts payable and accrued expenses

    beginning of year $659,143 · end of year $985,677

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · 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 $1,166,043 · end of year $734,112

  • 27 · Net assets without donor restrictions

    beginning of year $1,272,662 · end of year $1,272,662

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Listed in Part VII

  • MICHAEL DOWLING

    CEO

    Total calculated
    $5,268,261
    From this org
    $0
    From related orgs
    $5,200,818
    Other
    $67,443
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $3,964,181 related
    Bonus
    $0 + $1,177,778 related
    Other
    $0 + $58,859 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $33,893 related
    Filer's total
    $0 + $5,268,261 related

  • DAVID BATTINELLI

    VP & Treasurer

    Total calculated
    $1,703,886
    From this org
    $0
    From related orgs
    $1,628,772
    Other
    $75,114
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,323,880 related
    Bonus
    $0 + $283,992 related
    Other
    $0 + $20,900 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,564 related
    Filer's total
    $0 + $1,703,886 related

  • MICHELE CUSACK

    CFO

    Total calculated
    $1,656,861
    From this org
    $0
    From related orgs
    $1,581,808
    Other
    $75,053
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,206,109 related
    Bonus
    $0 + $303,958 related
    Other
    $0 + $71,741 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,503 related
    Filer's total
    $0 + $1,656,861 related

  • DEBORAH SCHIFF

    SVP

    Total calculated
    $1,418,231
    From this org
    $0
    From related orgs
    $1,356,772
    Other
    $61,459
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $998,217 related
    Bonus
    $0 + $315,000 related
    Other
    $0 + $43,555 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $27,909 related
    Filer's total
    $0 + $1,418,231 related

  • STEVEN ORSHAN

    Practice Site Director

    Total calculated
    $1,356,174
    From this org
    $1,294,715
    From related orgs
    $0
    Other
    $61,459
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,285,740
    Bonus
    $0
    Other
    $8,975
    Deferred
    $33,550
    Nontaxable benefits
    $27,909
    Filer's total
    $1,356,174

  • MAI LIU

    Physician

    Total calculated
    $1,342,529
    From this org
    $1,267,477
    From related orgs
    $0
    Other
    $75,052
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,264,400
    Bonus
    $0
    Other
    $3,077
    Deferred
    $33,550
    Nontaxable benefits
    $41,502
    Filer's total
    $1,342,529

  • SEYMOUR HUBERFELD

    Physician

    Total calculated
    $1,337,255
    From this org
    $1,262,141
    From related orgs
    $0
    Other
    $75,114
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,254,825
    Bonus
    $0
    Other
    $7,316
    Deferred
    $33,550
    Nontaxable benefits
    $41,564
    Filer's total
    $1,337,255

  • ARTHUR TRUST

    Physician

    Total calculated
    $1,334,296
    From this org
    $1,272,878
    From related orgs
    $0
    Other
    $61,418
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,265,157
    Bonus
    $0
    Other
    $7,721
    Deferred
    $33,550
    Nontaxable benefits
    $27,868
    Filer's total
    $1,334,296

  • LAURENCE KRAEMER

    Asst Sec, EVP & Gen Counsel

    Total calculated
    $1,297,948
    From this org
    $0
    From related orgs
    $1,222,834
    Other
    $75,114
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $941,463 related
    Bonus
    $0 + $209,792 related
    Other
    $0 + $71,579 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,564 related
    Filer's total
    $0 + $1,297,948 related

  • STANLEY KATZ

    President & Secretary

    Total calculated
    $534,157
    From this org
    $0
    From related orgs
    $489,782
    Other
    $44,375
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $483,186 related
    Bonus
    $0
    Other
    $0 + $6,596 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $10,825 related
    Filer's total
    $0 + $534,157 related

  • DENA DAGLIAN

    Physician

    Total calculated
    $525,156
    From this org
    $465,101
    From related orgs
    $0
    Other
    $60,055
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $458,809
    Bonus
    $0
    Other
    $6,292
    Deferred
    $33,550
    Nontaxable benefits
    $26,505
    Filer's total
    $525,156

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 · Written employment contract
  • 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)

PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION
On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (II).

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
6 November 2023
IRS schema version
2022v5.0
Source object
202343149349304204

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