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Nonprofiteer
← COMMUNITY DRIVE SURGERY PC

Form 990 for tax year 2022

Filed by COMMUNITY DRIVE SURGERY PC.

Totals

Total revenue
$5,883,151
Total expenses
$5,883,151
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$4,126,247
Investment income
$0
Other revenue
$1,756,904
Total assets, end of year
$184,510
Total liabilities, end of year
$461,608
Net assets or fund balances, end of year
-$277,098
Program services expenses (Part IX)
$5,680,919
Management and general expenses
$202,232
Fundraising expenses
$0
Program service expenses (Part III)
$5,680,919

Program services were 96.6% 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: PHYSICIAN SERVICE REVENUE

    total $3,689,599 · related or exempt $3,689,599 · unrelated business $0

  • 2b · Program service revenue: MEDICARE & MEDICAID

    total $436,648 · related or exempt $436,648

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: AFFILIATE SUPPORT

    total $1,756,904 · related or exempt $1,756,904

  • 11e · Other revenue, total

    $1,756,904

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $280,666 · program services $252,599 · management and general $28,067

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $71,669 · program services $64,502 · management and general $7,167

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $302 · program services $302

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $475,605 · program services $475,605

  • 24a · Other expenses: SHARED SERVICES

    total $4,575,689 · program services $4,575,689

  • 24b · Other expenses: BILLING AND COLLECTIONS

    total $167,112 · program services $167,112

  • 24c · Other expenses: CENTRALIZED ADMIN EXPENSE

    total $166,416 · management and general $166,416

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $97,200 · program services $97,200

  • 24e · All other expenses

    total $48,492 · program services $47,910 · management and general $582

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 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

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $144,786 · end of year $184,510

  • 17 · Accounts payable and accrued expenses

    beginning of year $421,884 · end of year $461,608

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    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 -$277,098 · end of year -$277,098

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

COMMUNITY DRIVE SURGERY, PC IS PART OF NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.

Activities or mission (Part I)

COMMUNITY DRIVE SURGERY, PC strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care.

  • COMMUNITY DRIVE SURGERY, PC IS AN AFFILIATED MEMBER OF NORTHWELL HEALTH, INC. ("NORTHWELL") AND PART OF NORTHWELL'S MEDICAL GROUP AND AMBULATORY LINES OF SERVICE. IT STRIVES TO MAKE A MEASURABLE DIFFERENCE IN THE HEALTH STATUS OF THE COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE HEALTH CARE REGARDLESS OF ABILITY TO PAY.

    Expenses $5,680,919 · Revenue $4,126,247

As filed on the 2022 return.

Listed in Part VII

  • MICHAEL DOWLING

    CEO

    Total calculated
    $5,268,261
    From this org
    $0
    From related orgs
    $5,200,818
    Other
    $67,443
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $3,964,181 related
    Bonus
    $0 + $1,177,778 related
    Other
    $0 + $58,859 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $33,893 related
    Filer's total
    $0 + $5,268,261 related

  • MICHELE CUSACK

    CFO

    Total calculated
    $1,656,861
    From this org
    $0
    From related orgs
    $1,581,808
    Other
    $75,053
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,206,109 related
    Bonus
    $0 + $303,958 related
    Other
    $0 + $71,741 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,503 related
    Filer's total
    $0 + $1,656,861 related

  • DEBORAH SCHIFF

    SVP

    Total calculated
    $1,418,231
    From this org
    $0
    From related orgs
    $1,356,772
    Other
    $61,459
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $998,217 related
    Bonus
    $0 + $315,000 related
    Other
    $0 + $43,555 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $27,909 related
    Filer's total
    $0 + $1,418,231 related

  • LAURENCE KRAEMER

    Asst Sec, EVP & Gen Counsel

    Total calculated
    $1,297,948
    From this org
    $0
    From related orgs
    $1,222,834
    Other
    $75,114
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $941,463 related
    Bonus
    $0 + $209,792 related
    Other
    $0 + $71,579 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,564 related
    Filer's total
    $0 + $1,297,948 related

  • RAJ NARAYAN

    President, Secretary & Treasur

    Total calculated
    $702,411
    From this org
    $0
    From related orgs
    $653,491
    Other
    $48,920
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $459,419 related
    Bonus
    $0 + $52,250 related
    Other
    $0 + $141,822 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $15,370 related
    Filer's total
    $0 + $702,411 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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
202323149349303497

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