Skip to content
Nonprofiteer
← NEAR NORTH HEALTH SERVICE CORPORATION

Form 990 for tax year 2023

Filed by NEAR NORTH HEALTH SERVICE CORPORATION.

Totals

Total revenue
$30,910,007
Total expenses
$30,360,913
Contributions and grants received
$16,354,126
Grants paid
$0
Program services expenses (Part IX)
$23,516,694
Management and general expenses
$6,175,634
Fundraising expenses
$668,585
Program service expenses (Part III)
$23,516,694

Program services were 77.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Abraham Miller

    Assistant Secretary

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • Akofa Bonsi-Walless

    Member

    Total calculated
    $0
    Hours/week
    1

  • Carlette Seifullah

    Member

    Total calculated
    $0
    Hours/week
    1

  • Christina Pell-doyle

    Member

    Total calculated
    $0
    Hours/week
    1

  • Clarence Burch

    Chairperson

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • David Delgado

    Chair Elect

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • James Simmons

    Member

    Total calculated
    $0
    Hours/week
    1

  • Jill Gewargis

    Member

    Total calculated
    $0
    Hours/week
    1

  • Jill Keats

    Member

    Total calculated
    $0
    Hours/week
    1

  • John Salay

    Member

    Total calculated
    $0
    Hours/week
    1

  • Joyce Tucker

    Member

    Total calculated
    $0
    Hours/week
    1

  • Ken Dunkin

    Member

    Total calculated
    $0
    Hours/week
    1

  • Leroy Duncan

    Assistant Treasurer

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • Norman Bolden III

    Member

    Total calculated
    $0
    Hours/week
    1

  • Patricia Cornelius-Woods

    Treasurer

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • Paulette Marshall

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • Rosanna Barrera

    Member

    Total calculated
    $0
    Hours/week
    1

  • Samuel Rosa

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 0.3 related

  • Valerie Brown

    Member

    Total calculated
    $0
    Hours/week
    1

  • DAN VICENCIO

    Interim Chief Medical Director

    Total calculated
    $284,617
    From this org
    $264,037
    From related orgs
    $0
    Other
    $20,580
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $264,037
    Bonus
    $0
    Other
    $0
    Deferred
    $13,444
    Nontaxable benefits
    $7,136
    Filer's total
    $284,617

  • TRISTE SMITH

    Chief Executive Officer

    Total calculated
    $367,482
    From this org
    $342,846
    From related orgs
    $0
    Other
    $24,636
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $342,846
    Bonus
    $0
    Other
    $0
    Deferred
    $17,500
    Nontaxable benefits
    $7,136
    Filer's total
    $367,482

  • IMANI LEWIS

    Executive Director of Practice Transformation and Patient Centered Care

    Total calculated
    $183,551
    From this org
    $178,907
    From related orgs
    $0
    Other
    $4,644
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,907
    Bonus
    $0
    Other
    $0
    Deferred
    $4,644
    Nontaxable benefits
    $0
    Filer's total
    $183,551

  • JENNY CHA-KIM

    Pediatrician

    Total calculated
    $168,954
    From this org
    $154,214
    From related orgs
    $0
    Other
    $14,740
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,214
    Bonus
    $0
    Other
    $0
    Deferred
    $7,980
    Nontaxable benefits
    $6,760
    Filer's total
    $168,954

  • JESS RICHARDSON

    Director of Addiction Medicine

    Total calculated
    $184,793
    From this org
    $184,793
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,793
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $184,793

  • NICOLE BURTON

    Pediatrician

    Total calculated
    $190,780
    From this org
    $175,164
    From related orgs
    $0
    Other
    $15,616
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,164
    Bonus
    $0
    Other
    $0
    Deferred
    $8,856
    Nontaxable benefits
    $6,760
    Filer's total
    $190,780

  • RYAN KUKOR

    Internist- until 11.22.23

    Total calculated
    $184,740
    From this org
    $175,943
    From related orgs
    $0
    Other
    $8,797
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,943
    Bonus
    $0
    Other
    $0
    Deferred
    $8,797
    Nontaxable benefits
    $0
    Filer's total
    $184,740

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 — 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 · 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.

Provenance

Return type
form_990
Tax year
2023
Filed
16 April 2025
IRS schema version
2023v6.0
Source object
202511069349300831

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.