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Nonprofiteer
← STONY BROOK SURGICAL HOLDING CORP

Form 990 for tax year 2022

Filed by STONY BROOK SURGICAL HOLDING CORP.

Totals

Total revenue
$635,329
Total expenses
$308,653
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$635,329
Investment income
$0
Other revenue
$0
Total assets, end of year
$6,078,446
Total liabilities, end of year
$241,570
Net assets or fund balances, end of year
$5,836,876
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
$0

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: RENTAL REVENUE

    total $635,329 · related or exempt $635,329

  • 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

  • 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.

  • 11a · Fees: management

    total $96,882

  • 11c · Fees: accounting

    total $42,200

  • 11g · Fees: other

    total $0

  • 16 · Occupancy

    total $3,027

  • 22 · Depreciation, depletion and amortization

    total $46,495

  • 23 · Insurance

    total $14,961

  • 24a · Other expenses: OTHER FACILITY EXPENSE

    total $511

  • 24b · Other expenses: CORPORATE TAXES

    total $250

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $104,327

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,982,347 · end of year $5,337,028

  • 4 · Accounts receivable

    beginning of year $162,724 · end of year $305,022

  • 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

    $1,842,992

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

    $1,406,596

  • 10c · Land, buildings and equipment, net

    beginning of year $482,890 · end of year $436,396

  • 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 $117,761 · end of year $241,570

  • 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

  • 27 · Net assets without donor restrictions

    beginning of year $5,510,200 · end of year $5,836,876

Mission and programs · 2022

Mission

ACQUIRE, HOLD, AND COLLECT INCOME ON PROPERTY AND REMIT THE ENTIRE AMOUNT, AFTER THE PAYMENT OF EXPENSES, TO STONY BROOK CLINICAL PRACTICE MANAGEMENT PLAN.

  • THE ORGANIZATION ACQUIRES, HOLDS AND COLLECTS INCOME ON PROPERTY AND REMITS THE ENTIRE AMOUNT, AFTER THE PAYMENT OF EXPENSES, TO STONY BROOK CLINICAL PRACTICE MANAGEMENT PLAN.

As filed on the 2022 return.

Listed in Part VII

  • Carolyn Milana

    DIRECTOR/SECRETARY/TREASURER

    Total calculated
    $698,306
    From this org
    $0
    From related orgs
    $614,486
    Other
    $83,820
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $534,776 related
    Bonus
    $0 + $77,100 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $60,352 related
    Nontaxable benefits
    $0 + $23,468 related
    Filer's total
    $0 + $698,306 related

  • Raphael Davis

    President & Director

    Total calculated
    $1,546,417
    From this org
    $0
    From related orgs
    $1,446,918
    Other
    $99,499
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,417,715 related
    Bonus
    $0 + $26,593 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $75,030 related
    Nontaxable benefits
    $0 + $24,469 related
    Filer's total
    $0 + $1,546,417 related

  • Wayne Waltzer

    DIRECTOR

    Total calculated
    $1,224,272
    From this org
    $0
    From related orgs
    $1,123,676
    Other
    $100,596
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $946,675 related
    Bonus
    $0 + $174,391 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $77,627 related
    Nontaxable benefits
    $0 + $22,969 related
    Filer's total
    $0 + $1,224,272 related

  • Kenneth Shroyer

    FORMER

    Total calculated
    $744,387
    From this org
    $0
    From related orgs
    $645,098
    Other
    $99,289
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $548,858 related
    Bonus
    $0 + $93,630 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $72,369 related
    Nontaxable benefits
    $0 + $26,920 related
    Filer's total
    $0 + $744,387 related

  • Margaret McGovern

    FORMER

    Total calculated
    $470,430
    From this org
    $0
    From related orgs
    $438,124
    Other
    $32,306
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $315,290 related
    Bonus
    $0 + $121,311 related
    Other
    $0 + $1,523 related
    Deferred
    $0 + $8,026 related
    Nontaxable benefits
    $0 + $24,280 related
    Filer's total
    $0 + $470,430 related

  • Todd Griffin

    FORMER

    Total calculated
    $965,436
    From this org
    $0
    From related orgs
    $860,365
    Other
    $105,071
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $780,655 related
    Bonus
    $0 + $77,100 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $82,953 related
    Nontaxable benefits
    $0 + $22,118 related
    Filer's total
    $0 + $965,436 related

  • Tong Gan

    FORMER

    Total calculated
    $585,908
    From this org
    $0
    From related orgs
    $528,877
    Other
    $57,031
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,923 related
    Bonus
    $0 + $150,996 related
    Other
    $0 + $1,958 related
    Deferred
    $0 + $34,606 related
    Nontaxable benefits
    $0 + $22,425 related
    Filer's total
    $0 + $585,908 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

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.

  • SB HLTHCARE IPA LLC

    Related · HEALTHCARE · NY · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CPMP

Related corporations and trusts

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

  • NICOLLS INDEMNITY SOLUTIONS SPC

    C Corporation · SELF-INSURANCE · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CPMP

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411359349311636

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