Civic Intelligence

Saint Barnabas-Metrowest Individual Practice Association Inc

990 • Fiscal year 2016 • EIN 26-3290241

Jan 01, 2016 to Dec 31, 2016 • Filed on Aug 15, 2017

94 Old Short Hills RoadLivingston, NJ 07039

(973) 322-5661

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$17,242

Down $7,164 (-29%) from 2014

Net Assets

Down

$17,242

Down $7,164 (-29%) from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue And Expenses

Revenue

Down

$23,913

Down $34,340 (-59%) from 2014

Expenses

Down

$22,597

Down $21,434 (-49%) from 2014

Net Income

Down

$1,316

Down $12,906 (-91%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30K$20K$10K$0Assets 2013: $10,151Liabilities 2013: $0Net Assets 2013: $10,1512013Assets 2014: $24,406Liabilities 2014: $0Net Assets 2014: $24,4062014Assets 2016: $17,242Liabilities 2016: $0Net Assets 2016: $17,2422016Assets 2017: $12,973Liabilities 2017: $0Net Assets 2017: $12,9732017Assets 2018: $20,611Liabilities 2018: $0Net Assets 2018: $20,6112018Assets 2019: $14,678Liabilities 2019: $0Net Assets 2019: $14,6782019Assets 2020: $4,828Liabilities 2020: $0Net Assets 2020: $4,8282020Assets 2021: $465Liabilities 2021: $0Net Assets 2021: $4652021

Highlighted filing

2016

Assets$17,242
Liabilities$0
Net Assets$17,242

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60K$40K$20K$0-$20KRevenue 2013: $42,900Expenses 2013: $57,758Net Income 2013: -$14,8582013Revenue 2014: $58,253Expenses 2014: $44,031Net Income 2014: $14,2222014Revenue 2016: $23,913Expenses 2016: $22,597Net Income 2016: $1,3162016Revenue 2017: $15,500Expenses 2017: $19,769Net Income 2017: -$4,2692017Revenue 2018: $27,500Expenses 2018: $19,762Net Income 2018: $7,7382018Revenue 2019: $13,200Expenses 2019: $19,133Net Income 2019: -$5,9332019Revenue 2020: $10,600Expenses 2020: $20,450Net Income 2020: -$9,8502020Revenue 2021: $15,600Expenses 2021: $19,963Net Income 2021: -$4,3632021

Highlighted filing

2016

Revenue$23,913
Expenses$22,597
Net Income$1,316
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Aug 15, 2017
Return Version
2016v3.0
Gross Receipts
$23,913
Mission and Program Overview

Mission

Education for the medical profession

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$15,925$17,242▲ $1,317
Rtn Earn Endowment Incm Other Fnds$15,925$17,242▲ $1,317
Total Assets$15,925$17,242▲ $1,317
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$15,925$17,242▲ $1,317
Total Liabilities and Net Assets / Fund Balance$15,925$17,242▲ $1,317
Compensation and Service Providers

Employees

NameTitleBaseTotal
Donald M Chervenak MdPresident$4,200$4,200

Board Members and Trustees

NameTitle
Daniel Zacharias MdPast President
Prashant Pandya MdSecretry/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$23,650
Program Service Revenue
$263
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$1,316
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,397
Salaries, Compensation, and Employee Benefits$4,200
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$14,000$0$0$14,000
Current Officers, Directors, Trustees, and Key Employees$4,200$0$0$4,200
Fees for Services Accounting$1,925$0$0$1,925
Other Expenses$1,478$0$0$1,478
Conferences and Meetings$585$0$0$585
Office Expenses$100$0$0$100
Total Functional Expenses$22,597$0$0$22,597
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Saint Barnabas-metrowest Ipa Inc
EIN
26-3290241
Phone
9733225661
Address
94 OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039

Signing Officer

Name
Linda Bartolo
Title
Executive Director
Phone
9733225661
Signed
2017-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Donald Chervanek Md
Formed
2009
Legal Domicile
Nj
Voting Board Members
420
Independent Board Members
420
Employees
0
Volunteers
0

Preparer

Firm
Dittrich & Roberts Inc
Address
156 Blackburn Rd, Summit, NJ 07901
Preparer
Robyn W Roberts
Phone
9082733205
Supplemental Narrative

Additional Explanations

Pt VI, Line 7A

The members elect the governing body

Pt VI, Line 6

The organization has members

Pt VI, Line 7B

Members vote on policies of the organiztaion

Pt VI, Line 11B

A copy of this form is provided to the members

Raw XML Appendix272 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2PAST PRESIDENT
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0156 Blackburn Rd
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ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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