Skip to content
Nonprofiteer
← HOLY NAME HEALTH PHYSICIANS

Form 990 for tax year 2022

Filed by HOLY NAME HEALTH PHYSICIANS.

Totals

Total revenue
$1,170,377
Total expenses
$1,168,577
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,170,377
Investment income
$0
Other revenue
$0
Total assets, end of year
$40,230
Total liabilities, end of year
$38,430
Net assets or fund balances, end of year
$1,800
Program services expenses (Part IX)
$1,020,552
Management and general expenses
$148,025
Fundraising expenses
$0
Program service expenses (Part III)
$1,020,552

Program services were 87.3% 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: HEALTHCARE RELATED REVENUE

    total $1,170,377 · related or exempt $1,170,377

  • 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

  • 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 $1,106,069 · program services $965,963 · management and general $140,106 · fundraising $0

  • 8 · Pension plan contributions

    total $2,469 · program services $2,156 · management and general $313

  • 9 · Other employee benefits

    total $4,725 · program services $4,126 · management and general $599

  • 10 · Payroll taxes

    total $53,885 · program services $47,059 · management and general $6,826

  • 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 $1,350 · program services $1,179 · management and general $171

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $79 · program services $69 · management and general $10

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $1,742

  • 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 $38,488

  • 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 $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $38,430

  • 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 $0 · end of year $1,800

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE CLINICAL MEDICAL HEALTHCARE SERVICES, MEDICAL RESEARCH AND TEACHING AND OTHER HEALTHCARE SERVICES IN SUPPORT OF HOLY NAME MEDICAL CENTER, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION.

Activities or mission (Part I)

TO PROVIDE EMERGENCY MEDICAL SERVICES TO THE COMMUNITY IN SUPPORT OF HOLY NAME MEDICAL CENTER, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.

  • EXPENSES INCURRED IN PROVIDING CLINICAL MEDICAL HEALTHCARE SERVICES, MEDICAL RESEARCH AND TEACHING AND OTHER HEALTHCARE SERVICES IN SUPPORT OF HOLY NAME MEDICAL CENTER, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION.

    Expenses $1,020,552 · Revenue $1,170,377

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Adam Jarrett MD FACHE

    Pres - Trustee (Term 1/26/22)

    Total calculated
    $3,085,351
    From this org
    $0
    From related orgs
    $3,085,351
    Other
    $0
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $3,085,351 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $3,085,351 related

  • Michael Maron

    Secretary

    Total calculated
    $2,360,363
    From this org
    $0
    From related orgs
    $2,307,222
    Other
    $53,141
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,387,430 related
    Bonus
    $0 + $900,000 related
    Other
    $0 + $19,792 related
    Deferred
    $0 + $32,700 related
    Nontaxable benefits
    $0 + $20,441 related
    Filer's total
    $0 + $2,360,363 related

  • Ryan Kennedy CPA

    Treasurer

    Total calculated
    $882,518
    From this org
    $0
    From related orgs
    $740,810
    Other
    $141,708
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $525,316 related
    Bonus
    $0 + $200,000 related
    Other
    $0 + $15,494 related
    Deferred
    $0 + $107,237 related
    Nontaxable benefits
    $0 + $34,471 related
    Filer's total
    $0 + $882,518 related

  • Joseph I Petrsoric MD

    Neurologist

    Total calculated
    $651,611
    From this org
    $639,788
    From related orgs
    $0
    Other
    $11,823
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $383,815
    Bonus
    $255,605
    Other
    $368
    Deferred
    $3,488
    Nontaxable benefits
    $8,335
    Filer's total
    $651,611

  • Ronald White MD

    Pres - Trustee (Eff 1/27/22)

    Total calculated
    $556,617
    From this org
    $0
    From related orgs
    $525,240
    Other
    $31,377
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $481,846 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $3,394 related
    Deferred
    $0 + $11,864 related
    Nontaxable benefits
    $0 + $19,513 related
    Filer's total
    $0 + $556,617 related

  • Steven Talbot DO

    Physician

    Total calculated
    $274,260
    From this org
    $246,747
    From related orgs
    $0
    Other
    $27,513
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $242,705
    Bonus
    $3,600
    Other
    $442
    Deferred
    $2,221
    Nontaxable benefits
    $25,292
    Filer's total
    $274,260

  • Deniece Boothe MD

    Physician

    Total calculated
    $270,126
    From this org
    $241,333
    From related orgs
    $0
    Other
    $28,793
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $241,058
    Bonus
    $0
    Other
    $275
    Deferred
    $7,504
    Nontaxable benefits
    $21,289
    Filer's total
    $270,126

  • Christine A DeFranco DO

    Physician

    Total calculated
    $251,217
    From this org
    $245,268
    From related orgs
    $0
    Other
    $5,949
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $245,003
    Bonus
    $0
    Other
    $265
    Deferred
    $4,235
    Nontaxable benefits
    $1,714
    Filer's total
    $251,217

  • Yulong Yang MD

    Physician

    Total calculated
    $243,398
    From this org
    $229,266
    From related orgs
    $0
    Other
    $14,132
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $229,121
    Bonus
    $0
    Other
    $145
    Deferred
    $3,396
    Nontaxable benefits
    $10,736
    Filer's total
    $243,398

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 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 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 4A
THE FOLLOWING INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ADAM JARRETT, M.D., FACHE, $3,085,351.
SCHEDULE J, PART I; QUESTION 4B
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, 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: RYAN KENNEDY, CPA, $77,517.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 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.

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.

  • PEACE HEALTH PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOUSE PHYSICIAN PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HEMATOLOGY ONCOLOGY PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • RIVERSIDE FAMILY PRACTICE PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • RADIATION ONCOLOGY PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • EXCELCARE MEDICAL ASSOCIATES PA

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • BREAST IMAGING PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOLY NAME CARDIOLOGY ASSOCIATES PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • BREAST CARE PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOLY NAME PULMONARY ASSOCIATES PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • WOMEN'S CLINIC PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • MULKAY CARDIOLOGY CONSULTANTS AT HNMC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HN PRIMARY CARE & SPECIALTY ASSOC PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • PRIMARY CARE OF ORADELL

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOLY NAME MEDICAL ASSOCIATES PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOLY NAME PHYSICIAN PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • HOLY NAME ANESTHESIA PARTNERS PC

    C CORP. · HEALTHCARE SVCS · NJ

    Directly controlled by NA

  • PAIX TECHNOLOGIES INC

    C CORP. · COMPUTER SVCS · NJ

    Directly controlled by NA

  • HEALTH PARTNER SERVICES INC

    C CORP. · MGMT SERVICES · NJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202333179349307508

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.