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← MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC

Form 990 for tax year 2022

Filed by MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC.

Totals

Total revenue
$0
Total expenses
$2,000
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$54,304
Total liabilities, end of year
$56,304
Net assets or fund balances, end of year
-$2,000
Program services expenses (Part IX)
$0
Management and general expenses
$2,000
Fundraising expenses
$0
Program service expenses (Part III)
$0

Program services were 0.0% 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.

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 24a · Other expenses: PROVISION FOR STATE INCOME TAX

    total $2,000 · program services $0 · management and general $2,000 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $55,200 · end of year $54,304

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $55,200 · end of year $56,304

  • 27 · Net assets without donor restrictions

    beginning of year $0 · end of year -$2,000

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

THE CORPORATION WILL PROVIDE MEDICAL SERVICES TO THE PUBLIC AS PART OF THE INTEGRATED HEALTHCARE DELIVERY NETWORK DEVELOPED BY HACKENSACK MERIDIAN HEALTH, INC.

  • PROVIDING HEALTHCARE SERVICES DIRECTLY TO PATIENTS THROUGH THE PHYSICIANS EMPLOYED BY THE CORPORATION.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kenneth N Sable MD

    PRESIDENT & TREASURER

    Total calculated
    $1,945,351
    From this org
    $0
    From related orgs
    $1,721,494
    Other
    $223,857
    Hours/week
    2.5

    Schedule J breakdown matched by us

    Base
    $0 + $1,082,568 related
    Bonus
    $0 + $403,017 related
    Other
    $0 + $235,909 related
    Deferred
    $0 + $186,282 related
    Nontaxable benefits
    $0 + $37,576 related
    Filer's total
    $0 + $1,945,352 related

  • James Clarke MD

    VICE PRESIDENT & SECRETARY

    Total calculated
    $1,138,204
    From this org
    $0
    From related orgs
    $1,095,555
    Other
    $42,649
    Hours/week
    2.5

    Schedule J breakdown matched by us

    Base
    $0 + $681,002 related
    Bonus
    $0 + $238,031 related
    Other
    $0 + $176,522 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $27,399 related
    Filer's total
    $0 + $1,138,204 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Pt I Line 3
PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15A INCLUDED IN SCHEDULE O.
Pt I Line 4b
THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL(S) INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2 AS TAXABLE WAGES: JAMES CLARKE, MD, $107,141 AND KENNETH N. SABLE, MD, $196,246.
Pt I Line 4b
THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL(S) INCLUDE BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE.THESE INDIVIDUAL(S) WILL NOT EARN THE RIGHT TO RECEIVE THE DEFERRED COMPENSATION AMOUNTS UNLESS AND UNTIL THEY PROVIDE SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. WHEN THE FUTURE SERVICES REQUIREMENT IS MET, THE AMOUNTS WILL BECOME VESTED, WILL BE TAXED, WILL BE INCLUDED ON THE W-2, AND WILL BE REPORTED AGAIN ON THIS SCHEDULE. KENNETH N. SABLE, MD.

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.

  • HUMCUSPI SURGERY CENTERS LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • OLD BRIDGE MEDICAL ASSOCIATES LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • COASTAL CO-OP OF NJ

    PURCHASING · NJ · 0% owned

    Directly controlled by NA

  • MERIDIAN HEALTH VILLAGE REALTY ASSOC

    REAL ESTATE · NJ · 0% owned

    Directly controlled by NA

  • HACKENSACK MERIDIAN LIVING AT HOLMDEL

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • ESSEX RESIDENTIAL CARE LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • BERGEN POST ACUTE LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HACKENSACK MUSCULOSKELETAL SURGERY CENTER LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • TOTOWA CANCER CENTER LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HMH URGENT CARE MANAGEMENT I LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HMH URGENT CARE MANAGEMENT II LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HMH URGENT CARE MANAGEMENT III LLC

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • MERIDIAN AT STAFFORD

    HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

Related corporations and trusts

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

  • HACKENSACK MERIDIAN HEALTH VENTURES INC

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • PALISADES CHILD CARE CENTER INC

    C · DAY CARE CENTER · NJ · 0% owned

    Directly controlled by NA

  • RARITAN INSURANCE LTD

    C · FINANCIAL VEHICLE · CJ · 0% owned

    Directly controlled by NA

  • OAPCA INC

    C · CONDO ASSOC · NJ · 0% owned

    Directly controlled by NA

  • JFK MEDICAL GROUP PC

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • JFK AMBULATORY CARE PA

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HMH CASUALTY COMPANY LTD

    C · FINANCIAL VEHICLE · BD · 0% owned

    Directly controlled by NA

  • NEPHROLOGY ASSOCIATES PA

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • HACKENSACK OCCUPATIONAL MEDICINE ASSOCIATES PC

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

  • NEW AMSTERDAM MEDICAL ASSOCIATE PC

    C · HEALTH SVCS · NY · 0% owned

    Directly controlled by NA

  • HACKENSACK MERIDIAN URGENT CARE PC

    C · HEALTH SVCS · NJ · 0% owned

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202323179349302772

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