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Nonprofiteer
← AMBOY MEDICAL PRACTICE PC

Form 990 for tax year 2023

Filed by AMBOY MEDICAL PRACTICE PC.

Totals

Total revenue
$34,161,426
Total expenses
$53,652,170
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$34,439,326
Investment income
$0
Other revenue
-$277,900
Total assets, end of year
$8,639,169
Total liabilities, end of year
$99,137,109
Net assets or fund balances, end of year
-$90,497,940
Program services expenses (Part IX)
$46,972,381
Management and general expenses
$6,679,789
Fundraising expenses
$0
Program service expenses (Part III)
$46,972,381

Program services were 87.5% 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: NET PATIENT SERVICE REVENUE

    total $33,078,465 · related or exempt $33,078,465

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUE

    total $1,360,861 · related or exempt $1,360,861

  • 3 · Investment income

    total $0

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

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $7,977

  • 6b · Less rental expenses

    real property $285,877

  • 6c · Rental income or loss

    real property -$277,900 · personal property $0

  • 6d · Net rental income or loss

    total -$277,900 · excluded -$277,900

  • 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

  • 11e · Other revenue, total

    $0

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 $27,734,552 · program services $24,281,552 · management and general $3,453,000

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $4,084,608 · program services $3,576,067 · management and general $508,541

  • 10 · Payroll taxes

    total $2,122,997 · program services $1,858,680 · management and general $264,317

  • 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 $5,416,138 · program services $4,741,820 · management and general $674,318 · fundraising $0

  • 12 · Advertising and promotion

    total $17,282 · program services $15,130 · management and general $2,152

  • 13 · Office expenses

    total $492,645 · program services $431,310 · management and general $61,335

  • 14 · Information technology

    total $12,255 · program services $10,729 · management and general $1,526

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $2,335,380 · program services $2,044,621 · management and general $290,759

  • 17 · Travel

    total $3,497 · program services $3,062 · management and general $435

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $15,636 · program services $13,689 · management and general $1,947

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $714,895 · program services $625,889 · management and general $89,006

  • 23 · Insurance

    total $3,567,768 · program services $3,123,575 · management and general $444,193

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,148,752 · program services $1,005,730 · management and general $143,022

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $656,017 · program services $574,342 · management and general $81,675

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $17,831 · program services $15,611 · management and general $2,220

  • 24d · Other expenses: OTHER EXPENSES

    total $5,311,917 · program services $4,650,574 · management and general $661,343

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,600 · end of year $4,200

  • 2 · Savings and temporary cash investments

    beginning of year $3,161,343 · end of year $1,382,753

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $2,167,010 · end of year $1,936,589

  • 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 $20,501 · end of year $21,230

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

    $11,338,441

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

    $7,027,386

  • 10c · Land, buildings and equipment, net

    beginning of year $3,909,165 · end of year $4,311,055

  • 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 $1,121,862 · end of year $950,327

  • 15 · Other assets

    beginning of year $33,015 · end of year $33,015

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,581,954 · end of year $2,506,738

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,353,947 · end of year $1,353,949

  • 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 $77,487,791 · end of year $95,276,422

  • 27 · Net assets without donor restrictions

    beginning of year -$71,007,196 · end of year -$90,497,940

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

AMBOY MEDICAL PRACTICE, P.C. IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) NOT-FOR-PROFIT CORPORATION THROUGH WHICH EMPLOYED PHYSICIANS PROVIDE PRIMARY CARE, SPECIALTY CARE, AND BEHAVIORAL HEALTH SERVICES IN A VARIETY OF SETTINGS INCLUDING CLINICS AND OFFICE BASED FACILITIES. THIS ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR ADDITIONAL INFORMATION, PLEASE REFER TO THE ORGANIZATION'S STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O.

Activities or mission (Part I)

THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.

  • EXPENSES INCURRED IN PROVIDING PRIMARY CARE, SPECIALTY CARE AND BEHAVIORAL HEALTH SERVICES IN FURTHERANCE OF THE SYSTEM'S CHARITABLE TAX-EXEMPT PURPOSES. FOR ADDITIONAL INFORMATION PLEASE REFER TO THE STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O.

    Expenses $46,972,381 · Revenue $34,439,326

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Inna Tubman MD

    OBGYN

    Total calculated
    $1,679,237
    From this org
    $1,606,683
    From related orgs
    $0
    Other
    $72,554
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $962,895
    Bonus
    $643,338
    Other
    $450
    Deferred
    $23,100
    Nontaxable benefits
    $49,454
    Filer's total
    $1,679,237

  • David Murray MBA Fhfma

    SVP, CFO

    Total calculated
    $841,120
    From this org
    $0
    From related orgs
    $689,994
    Other
    $151,126
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $530,663 related
    Bonus
    $0 + $158,089 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $104,419 related
    Nontaxable benefits
    $0 + $46,707 related
    Filer's total
    $0 + $841,120 related

  • Simon G Kokkinakis MD

    OBGYN

    Total calculated
    $824,692
    From this org
    $799,328
    From related orgs
    $0
    Other
    $25,364
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $768,638
    Bonus
    $30,000
    Other
    $690
    Deferred
    $23,100
    Nontaxable benefits
    $2,264
    Filer's total
    $824,692

  • Michael H Campanella MD

    OBGYN

    Total calculated
    $817,587
    From this org
    $747,780
    From related orgs
    $0
    Other
    $69,807
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $712,090
    Bonus
    $35,000
    Other
    $690
    Deferred
    $23,100
    Nontaxable benefits
    $46,707
    Filer's total
    $817,587

  • Christopher V Lisi MD

    OTOLARYNGOLOGIST

    Total calculated
    $755,104
    From this org
    $729,154
    From related orgs
    $0
    Other
    $25,950
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $728,884
    Bonus
    $0
    Other
    $270
    Deferred
    $23,100
    Nontaxable benefits
    $2,850
    Filer's total
    $755,104

  • Richard Salhany MBA Fache

    CHIEF ADMINISTRATION OFFICER

    Total calculated
    $717,175
    From this org
    $0
    From related orgs
    $639,975
    Other
    $77,200
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $414,269 related
    Bonus
    $0 + $132,197 related
    Other
    $0 + $93,509 related
    Deferred
    $0 + $36,300 related
    Nontaxable benefits
    $0 + $40,900 related
    Filer's total
    $0 + $717,175 related

  • Alexander Beylinson Do

    DIRECTOR - PRESIDENT

    Total calculated
    $667,871
    From this org
    $0
    From related orgs
    $618,506
    Other
    $49,365
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $190,608 related
    Bonus
    $0 + $427,208 related
    Other
    $0 + $690 related
    Deferred
    $0 + $13,737 related
    Nontaxable benefits
    $0 + $35,628 related
    Filer's total
    $0 + $667,871 related

  • Mark L Brandon MD

    ORTHOPEDIC SURGEON

    Total calculated
    $580,384
    From this org
    $556,483
    From related orgs
    $0
    Other
    $23,901
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $499,644
    Bonus
    $56,389
    Other
    $450
    Deferred
    $23,100
    Nontaxable benefits
    $801
    Filer's total
    $580,384

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 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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; QUESTION 4B
THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDEs A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THIS AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN Was INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD SALHANY, MBA, FACHE, $52,510. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDEs UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THis INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN the INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $23,119. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH is SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH is SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE FROM 2022. ACCORDINGLY, the individual MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN THE INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE FROM 2021. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE ORGANIZATION DID NOT AMEND THE 2022 AND 2021 FORMS 990 TO REFLECT THE REPORTING OF THE UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. RATHER THE TAXPAYER HAS ELECTED TO INCLUDE THESE ACCRUED UNVESTED 2022 AND 2021 AMOUNTS IN THIS FORM 990, SCHEDULE J, PART II; COLUMN C TOGETHER WITH THE 2023 ACCRUED UNVESTED BENEFIT AMOUNT AS WELL.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN F
THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE AMOUNTS REPORTED ON PRIOR YEARS' FORMS 990 IN SCHEDULE J, PART II, IN COLUMN (C) AS NON-TAXABLE UNVESTED DEFERRED COMPENSATION THAT IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. ACCORDINGLY, IN PRIOR YEARS THE INDIVIDUAL NEVER ACTUALLY RECEIVED ANY OF THESE UNVESTED BENEFIT AMOUNTS.

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 corporations and trusts

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

  • BRIDGE REGIONAL HEALTH SYSTEM

    C CORP · HOLDING COMPANY · NY

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202403199349315835

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