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Nonprofiteer
← NEW YORK SPINE AND BRAIN SURGERY UNIVERSITY FACULTY PRACTICE CORP

Form 990 for tax year 2022

Filed by NEW YORK SPINE AND BRAIN SURGERY UNIVERSITY FACULTY PRACTICE CORP.

Totals

Total revenue
$25,421,955
Total expenses
$26,397,117
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$25,406,282
Investment income
$0
Other revenue
$15,673
Total assets, end of year
$3,537,136
Total liabilities, end of year
$3,537,136
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$23,688,641
Management and general expenses
$2,708,476
Fundraising expenses
$0
Program service expenses (Part III)
$23,688,641

Program services were 89.7% 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: PATIENT SERVICE REVENUE

    total $25,406,282 · related or exempt $25,406,282

  • 2f · All other program service revenue

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

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: OTHER INTEREST (COMMON PAYMASTER, CLAIMS

    total $15,673 · excluded $15,673

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $15,673

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,919,511 · program services $1,823,535 · management and general $95,976

  • 7 · Other salaries and wages

    total $9,549,441 · program services $9,549,441

  • 8 · Pension plan contributions

    total $666,435 · program services $666,435

  • 9 · Other employee benefits

    total $34,186 · program services $34,186

  • 10 · Payroll taxes

    total $470,010 · program services $470,010

  • 11a · Fees: management

    total $13,750,000 · program services $11,137,500 · management and general $2,612,500

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $7,509 · program services $7,509

  • 24a · Other expenses: CORPORATION TAX

    total $25 · program services $25

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,512,298 · end of year $3,537,136

  • 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

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,512,298 · end of year $3,537,136

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

PROVIDE CLINICAL INSTRUCTION TO AND SUPERVISION OF MEDICAL SCHOOL STUDENTS, INTERNS AND RESIDENTS AND, INCIDENT THERETO, RENDERING PROFESSIONAL SERVICES.

Activities or mission (Part I)

PROVIDE CLINICAL INSTRUCTION TO AND SUPERVISION OF MEDICAL STUDENTS, INTERNS AND RESIDENTS AND, INCIDENT THERETO, RENDERING PROFESSIONAL SERVICES.

  • THE ORGANIZATION PROVIDES SERVICES IN THE FIELD OF NEUROSURGERY TO PATIENTS AND PROVIDES CLINICAL INSTRUCTION TO AND SUPERVISION OF SCHOOL OF MEDICINE STUDENTS AND HOSPITAL RESIDENTS.

    Expenses $23,688,641 · Revenue $25,406,282

As filed on the 2022 return.

Listed in Part VII

  • Frederick Gutman

    DIRECTOR/SECRETARY/TREASURER

    Total calculated
    $263,845
    From this org
    $89,744
    From related orgs
    $139,266
    Other
    $34,835
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $60,865 + $139,266 related
    Bonus
    $27,279
    Other
    $1,600
    Deferred
    $10,577
    Nontaxable benefits
    $3,174 + $21,084 related
    Filer's total
    $103,495 + $160,350 related

  • Raphael Davis

    President & Director

    Total calculated
    $1,546,180
    From this org
    $1,187,421
    From related orgs
    $259,497
    Other
    $99,262
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $1,158,218 + $259,497 related
    Bonus
    $26,593
    Other
    $2,610
    Deferred
    $36,600 + $38,193 related
    Nontaxable benefits
    $3,385 + $21,084 related
    Filer's total
    $1,227,406 + $318,774 related

  • Michael Egnor

    DIRECTOR

    Total calculated
    $900,887
    From this org
    $544,524
    From related orgs
    $253,698
    Other
    $102,665
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $418,684 + $253,698 related
    Bonus
    $123,230
    Other
    $2,610
    Deferred
    $40,810 + $37,496 related
    Nontaxable benefits
    $3,275 + $21,084 related
    Filer's total
    $588,609 + $312,278 related

  • Courtney Pendleton

    NEUROLOGICAL SURGEON

    Total calculated
    $1,146,507
    From this org
    $1,019,418
    From related orgs
    $55,715
    Other
    $71,374
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $636,774 + $55,715 related
    Bonus
    $380,034
    Other
    $2,610
    Deferred
    $36,600 + $13,102 related
    Nontaxable benefits
    $588 + $21,084 related
    Filer's total
    $1,056,606 + $89,901 related

  • David Chesler

    NEUROLOGICAL SURGEON

    Total calculated
    $985,890
    From this org
    $857,171
    From related orgs
    $65,313
    Other
    $63,406
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $740,143 + $65,313 related
    Bonus
    $114,418
    Other
    $2,610
    Deferred
    $36,600 + $3,934 related
    Nontaxable benefits
    $1,788 + $21,084 related
    Filer's total
    $895,559 + $90,331 related

  • David Fiorella

    NEUROLOGICAL SURGEON

    Total calculated
    $1,701,623
    From this org
    $1,483,030
    From related orgs
    $141,144
    Other
    $77,449
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $1,216,356 + $141,144 related
    Bonus
    $264,064
    Other
    $2,610
    Deferred
    $36,600 + $18,323 related
    Nontaxable benefits
    $1,442 + $21,084 related
    Filer's total
    $1,521,072 + $180,551 related

  • Harry Mushlin

    NEUROLOGICAL SURGEON

    Total calculated
    $1,117,391
    From this org
    $997,488
    From related orgs
    $55,715
    Other
    $64,188
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $602,702 + $55,715 related
    Bonus
    $392,176
    Other
    $2,610
    Deferred
    $36,600 + $5,916 related
    Nontaxable benefits
    $588 + $21,084 related
    Filer's total
    $1,034,676 + $82,715 related

  • Reza Dashti

    NEUROLOGICAL SURGEON

    Total calculated
    $1,136,632
    From this org
    $878,658
    From related orgs
    $195,731
    Other
    $62,243
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $736,880 + $195,731 related
    Bonus
    $139,168
    Other
    $2,610
    Deferred
    $36,600 + $3,971 related
    Nontaxable benefits
    $588 + $21,084 related
    Filer's total
    $915,846 + $220,786 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

  • 1a · First-class or charter travel
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation survey or study
  • 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)

Schedule J, Part I, Line 1a First-class or charter travel
THE AMOUNTS REIMBURSED WERE NOT TREATED AS TAXABLE COMPENSATION. THIS BENEFIT IS SUBJECT TO THE GUIDELINES FOR NONFIXED PAYMENTS. EMPLOYEES ARE REIMBURSED FOR BUSINESS EXPENSES THAT RELATE TO THE PRACTICE OF MEDICINE. AIRFARE WAS PROVIDED TO NEUROLOGICAL SURGEON DAVID FIORELLA, MD, WHO WAS REIMBURSED FOR THE COST AS NOTED BELOW. * FIRST CLASS ROUND TRIP FOR B.R.A.I.N CONFERENCE, AND LISBON STROKE SUMMIT. NEUROLOGICAL SURGEON REZA DASHIT, MD. WHO WAS REIMBURSED FOR THE COST AS NOTED BELOW. * FIRST CLASS ROUND TRIP FOR Wisconsin Skull Base Course 2022, CNS ANNUAL MEETING 2022, AND ESNR CONFERENCE IN ISTANBUL, TURKEY.
Schedule J, Part I, Line 7 Non-fixed payments
THE OFFICERS RECEIVED COMPENSATION OVER BASE SALARY INCLUDING THE BONUS DETERMINED AT THE ORGANIZATION'S DISCRETION OR BASED SPECIFICALLY ON BONUS PLANS SET BY THE ENTITY, DETERMINED AS REASONABLE. THIS BENEFIT IS SUBJECT TO THE GUIDELINES FOR NONFIXED PAYMENTS

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.

  • STONY BROOK HEALTHCARE IPA LL

    Related · HEALTHCARE · NY

    Directly controlled by CPMP

Related corporations and trusts

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

  • NICOLLS INDEMNITY SOLUTIONS SP

    C Corporation · CAYMAN CORP CT

Provenance

Return type
form_990
Tax year
2022
Filed
11 May 2024
IRS schema version
2022v5.0
Source object
202421329349300712

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