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Nonprofiteer
← QUEENS-LONG ISLAND RENAL INSTITUTE

Form 990 for tax year 2022

Filed by QUEENS-LONG ISLAND RENAL INSTITUTE.

Totals

Total revenue
$4,895,470
Total expenses
$5,292,684
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)
$4,040,987
Management and general expenses
$1,251,697
Fundraising expenses
$0
Program service expenses (Part III)
$4,040,987

Program services were 76.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ROBERT STERLING

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • MICHAEL L DENHOFF

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • GARY GRANOFF

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • JERRY LANDSBERG

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • NINA KOPPELMAN

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • PHILIP KAPLAN

    ASSISTANT TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • SHERYL SILVERSTEIN DMD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • LEE CHARLES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • LEONARD TANZER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3.1 related
  • MICHAEL ROSENBLUT

    PRESIDENT/CEO

    Total calculated
    $2,070,197
    From this org
    $0
    From related orgs
    $1,951,820
    Other
    $118,377
    Hours/week
    5.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,887,477 related
    Bonus
    $0
    Other
    $0 + $64,343 related
    Deferred
    $0 + $54,867 related
    Nontaxable benefits
    $0 + $63,510 related
    Filer's total
    $0 + $2,070,197 related
  • ROBERT WERNER

    CFO/EVP FOR OPERATIONS

    Total calculated
    $943,045
    From this org
    $0
    From related orgs
    $850,948
    Other
    $92,097
    Hours/week
    2.5 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $820,625 related
    Bonus
    $0
    Other
    $0 + $30,323 related
    Deferred
    $0 + $28,060 related
    Nontaxable benefits
    $0 + $64,037 related
    Filer's total
    $0 + $943,045 related
  • GERALDINE RAMOS

    DIRECTOR OF PATIENT CARE SERVICES

    Total calculated
    $170,165
    From this org
    $122,586
    From related orgs
    $0
    Other
    $47,579
    Hours/week
    37.5

    Schedule J breakdown matched by us

    Base
    $121,120
    Bonus
    $1,000
    Other
    $466
    Deferred
    $6,236
    Nontaxable benefits
    $41,343
    Filer's total
    $170,165
  • ROBERTO ALINDOGAN

    HEMODIALYSIS RN

    Total calculated
    $119,169
    From this org
    $105,130
    From related orgs
    $0
    Other
    $14,039
    Hours/week
    37.5
  • TAHIRA KHAN

    RN - HOME HEMO COORDINATOR

    Total calculated
    $110,375
    From this org
    $100,786
    From related orgs
    $0
    Other
    $9,589
    Hours/week
    37.5

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
  • 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)

PART I, LINE 3
THE CEO'S COMPENSATION IS DETERMINED AND PAID BY A RELATED PARTY, PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION, USING THE FOLLOWING PROCESS: A WRITTEN EMPLOYMENT CONTRACT IS CURRENTLY IN PLACE FOR THE PRESIDENT/CEO. THE CONTRACT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. EXTERNAL INFORMATION AND SURVEYS WERE USED FOR COMPARATIVE PURPOSES IN DETERMINING THE COMPENSATION AMOUNTS IN THE CONTRACT. PERFORMANCE IS REVIEWED ANNUALLY BY THE CHAIRMAN OF THE BOARD OF TRUSTEES. RECOMMENDATIONS ARE MADE TO THE COMPENSATION COMMITTEE OF THE EXECUTIVE COMMITTEE OF THE BOARD WHO APPROVE THE SALARIES OF THE KEY EMPLOYEES AND OTHER OFFICERS. RECOMMENDATIONS ARE BASED ON A REVIEW OF FORM 990'S OF SIMILAR-SIZED ORGANIZATIONS. THE BOARD'S APPROVAL OF THE SALARIES ARE DOCUMENTED IN THE MINUTES TO THE MEETING.
PART I, LINE 4B
CONTRIBUTIONS MADE BY PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION TO A SUPPLEMENTARY NON-QUALIFIED RETIREMENT PLAN DURING 2022 ARE AS FOLLOWS: MICHAEL N. ROSENBLUT $48,767 ROBERT M. WERNER $21,960 DISTRIBUTIONS WERE MADE FROM A SUPPLEMENTARY NON-QUALIFIED RETIREMENT PLAN DURING 2022 TO THE FOLLOWING: MICHAEL N. ROSENBLUT $61,888 ROBERT M. WERNER $25,595
PART I, LINE 7
INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2022, WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THEIR 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

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.

  • AGEWELL NEW YORK LLC

    RELATED · OPERATES A PARTIALLY CAPITATED MEDICAID & MEDICARE MANAGED LT CARE PROGRAM · NY

    Directly controlled by PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202323199349311867

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