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Nonprofiteer
← POCONO AMBULATORY SERVICES INC

Form 990 for tax year 2022

Filed by POCONO AMBULATORY SERVICES INC.

Totals

Total revenue
$8,032
Total expenses
$679,134
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$679,134
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$679,134

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CORNELIO R CATENA

    CHAIRPERSON

    Total calculated
    $625,907
    From this org
    $0
    From related orgs
    $609,316
    Other
    $16,591
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $488,769 related
    Bonus
    $0 + $115,000 related
    Other
    $0 + $5,547 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,591 related
    Filer's total
    $0 + $625,907 related

  • ALICE J WILSON

    VICE CHAIRPERSON

    Total calculated
    $238,346
    From this org
    $0
    From related orgs
    $217,461
    Other
    $20,885
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,684 related
    Bonus
    $0 + $33,594 related
    Other
    $0 + -$2,817 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,885 related
    Filer's total
    $0 + $238,346 related

  • STEVEN T CLARK

    TREASURER

    Total calculated
    $214,803
    From this org
    $0
    From related orgs
    $186,400
    Other
    $28,403
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,700 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + -$5,300 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $28,403 related
    Filer's total
    $0 + $214,803 related

  • JONATHAN A GOLDNER DO

    SECRETARY

    Total calculated
    $459,991
    From this org
    $0
    From related orgs
    $437,832
    Other
    $22,159
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,639 related
    Bonus
    $0 + $69,674 related
    Other
    $0 + $18,519 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $22,159 related
    Filer's total
    $0 + $459,991 related

  • JOHN J CROCKETT

    DIRECTOR

    Total calculated
    $245,792
    From this org
    $0
    From related orgs
    $211,546
    Other
    $34,246
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $191,869 related
    Bonus
    $0 + $27,954 related
    Other
    $0 + -$8,277 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $34,246 related
    Filer's total
    $0 + $245,792 related

  • JAMES C MILLER

    DIRECTOR

    Total calculated
    $559,691
    From this org
    $0
    From related orgs
    $528,670
    Other
    $31,021
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $425,218 related
    Bonus
    $0 + $109,917 related
    Other
    $0 + -$6,465 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $31,021 related
    Filer's total
    $0 + $559,691 related

  • AMY H NYBERG

    DIRECTOR

    Total calculated
    $545,788
    From this org
    $0
    From related orgs
    $520,909
    Other
    $24,879
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $425,223 related
    Bonus
    $0 + $104,519 related
    Other
    $0 + -$8,833 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $24,879 related
    Filer's total
    $0 + $545,788 related

  • ROBERT A BEGLIOMINI PHARMD MBA

    FORMER DIRECTOR

    Total calculated
    $744,095
    From this org
    $0
    From related orgs
    $713,484
    Other
    $30,611
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $523,957 related
    Bonus
    $0 + $129,585 related
    Other
    $0 + $59,942 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $30,611 related
    Filer's total
    $0 + $744,095 related

  • WILLIAM K CORS MD

    FORMER SECRETARY

    Total calculated
    $471,516
    From this org
    $0
    From related orgs
    $453,640
    Other
    $17,876
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,446 related
    Bonus
    $0 + $63,657 related
    Other
    $0 + $14,537 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $17,876 related
    Filer's total
    $0 + $471,516 related

  • CHRISTINE HAYES

    FORMER TREASURER / DIRECTOR

    Total calculated
    $124,141
    From this org
    $0
    From related orgs
    $90,182
    Other
    $33,959
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $97,420 related
    Bonus
    $0 + $1,000 related
    Other
    $0 + -$8,238 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,959 related
    Filer's total
    $0 + $124,141 related

  • ELIZABETH M WISE

    FORMER VICE CHAIRPERSON

    Total calculated
    $38,189
    From this org
    $0
    From related orgs
    $37,387
    Other
    $802
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $34,812 related
    Bonus
    $0
    Other
    $0 + $2,575 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $802 related
    Filer's total
    $0 + $38,189 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 — 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL-POCONO, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: ELIZABETH WISE, FORMER VICE CHAIRPERSON - $1,741 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: ROBERT BEGLIOMINI, PHARMD, MBA, FORMER DIRECTOR - $61,469

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
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202401349349304670

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