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Nonprofiteer
← NORTH SHORE-LIJ HEALTH PLAN INC

Form 990 for tax year 2022

Filed by NORTH SHORE-LIJ HEALTH PLAN INC.

Totals

Total revenue
$154,410
Total expenses
$4,300
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$148,410
Other revenue
$6,000
Total assets, end of year
$25,003,299
Total liabilities, end of year
$1,054,426
Net assets or fund balances, end of year
$23,948,873
Program services expenses (Part IX)
$4,034
Management and general expenses
$266
Fundraising expenses
$0
Program service expenses (Part III)
$4,034

Program services were 93.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • WILLIAM SCHACHTEL

    Treasurer & CFO

    Total calculated
    $505,141
    From this org
    $0
    From related orgs
    $430,089
    Other
    $75,052
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $353,882 related
    Bonus
    $0 + $50,550 related
    Other
    $0 + $25,657 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,502 related
    Filer's total
    $0 + $505,141 related
  • LISA ROSENBAUM

    Chair & Acting President

    Total calculated
    $352,864
    From this org
    $0
    From related orgs
    $287,983
    Other
    $64,881
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,858 related
    Bonus
    $0 + $23,194 related
    Other
    $0 + $2,931 related
    Deferred
    $0 + $23,379 related
    Nontaxable benefits
    $0 + $41,502 related
    Filer's total
    $0 + $352,864 related
  • EMILY LEISH

    Chair & Acting President

    Total calculated
    $339,873
    From this org
    $0
    From related orgs
    $305,723
    Other
    $34,150
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $195,348 related
    Bonus
    $0 + $92,120 related
    Other
    $0 + $18,255 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $600 related
    Filer's total
    $0 + $339,873 related
  • ILENE MARGOLIN

    Director

    Total calculated
    $0
    Hours/week
    0 + 2 related
  • JOSEPH RUFFINI

    Director

    Total calculated
    $0
    Hours/week
    0 + 2 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
  • 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

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202343149349304164

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