Skip to content
Nonprofiteer
← HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC

Form 990 for tax year 2022

Filed by HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC.

Totals

Total revenue
$75,838,253
Total expenses
$75,838,253
Contributions and grants received
$19,901,961
Grants paid
$0
Program services expenses (Part IX)
$70,862,193
Management and general expenses
$4,976,060
Fundraising expenses
$0
Program service expenses (Part III)
$70,862,193

Program services were 93.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DANIEL VARGA

    Chief Physician Executive

    Total calculated
    $1,748,328
    From this org
    $0
    From related orgs
    $1,696,930
    Other
    $51,398
    Hours/week
    2.5

    Schedule J breakdown matched by us

    Base
    $0 + $1,092,955 related
    Bonus
    $0 + $409,415 related
    Other
    $0 + $194,560 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $36,148 related
    Filer's total
    $0 + $1,748,328 related

  • EDWARD FEIN MD

    PHYSICIAN

    Total calculated
    $559,216
    From this org
    $523,936
    From related orgs
    $0
    Other
    $35,280
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $425,882
    Bonus
    $20,000
    Other
    $78,054
    Deferred
    $15,250
    Nontaxable benefits
    $20,030
    Filer's total
    $559,216

  • MIHIR PATEL

    PHYSICIAN

    Total calculated
    $454,511
    From this org
    $426,845
    From related orgs
    $0
    Other
    $27,666
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $396,761
    Bonus
    $29,000
    Other
    $1,084
    Deferred
    $14,560
    Nontaxable benefits
    $13,106
    Filer's total
    $454,511

  • ROBERT SHAVELSON

    PHYSICIAN

    Total calculated
    $439,093
    From this org
    $400,798
    From related orgs
    $0
    Other
    $38,295
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $223,935
    Bonus
    $38,000
    Other
    $138,864
    Deferred
    $11,792
    Nontaxable benefits
    $26,503
    Filer's total
    $439,094

  • ANIL PAWA MD

    PHYSICIAN

    Total calculated
    $445,130
    From this org
    $385,256
    From related orgs
    $0
    Other
    $59,874
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $341,208
    Bonus
    $20,000
    Other
    $24,048
    Deferred
    $24,400
    Nontaxable benefits
    $35,474
    Filer's total
    $445,130

  • JOHN CICIARELLI MD

    PHYSICIAN

    Total calculated
    $433,092
    From this org
    $389,211
    From related orgs
    $0
    Other
    $43,881
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $256,071
    Bonus
    $20,000
    Other
    $113,140
    Deferred
    $14,109
    Nontaxable benefits
    $29,772
    Filer's total
    $433,092

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 — 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
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 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: DANIEL VARGA, $169,290.
Pt I Line 5a
THE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VARIABLE COMPENSATION WHICH IS CALCULATED BASED ON A PERCENTAGE OF THE INDIVIDUAL'S TOTAL COLLECTIONS FOR PERSONALLY PERFORMED PROFESSIONAL SERVICES. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOHN CICIARELLI, M.D., $105,223; ROBERT SHAVELSON, M.D., $112,575 AND EDWARD FEIN, M.D., $71,923.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202323179349300022

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.