Amboy Medical Practice PC

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Bridge regional health system is the parent entity of the system which includes richmond university medical center; a related internal revenue code section 501(c)(3) tax-exempt hospital organization. Although this federal form 990 shows no independent board of director members under the internal revenue service definition, this organization acts in a charitable tax-exempt manner for purposes of internal revenue code section 501(c)(3) and is controlled by richmond university medical center. Richmond university medical center is governed by a board whose majority is comprised of independent voting members and has the overarching duty and responsibility for governing all affiliates within the system to ensure that they are operating in accordance with and supporting the system's charitable tax-exempt mission and purposes.”

“Richmond medical center d/b/a richmond university medical center ("richmond university medical center") is the sole member of this organization which exists through a physician nominee agreement due to state of new york corporate practice of medicine prohibition rules and regulations.”

“THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RICHMOND UNIVERSITY MEDICAL CENTER'S BOARD OF TRUSTEES HAS AN AUDIT AND COMPLIANCE COMPENSATION COMMITTEE ("COMMITTEE"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND THEREAFTER APPROVAL BY THE MEMBERS AT THE COMMITTEE MEETING. SUBSEQUENTLY, THE ORGANIZATION'S 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. RICHMOND UNIVERSITY MEDICAL CENTER'S AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR THIS ORGANIZATION. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING executive VICE PRESIDENT/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER, VICE PRESIDENT, FISCAL AFFAIRS & ACCOUNTING, AND VARIOUS OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The system has a written conflict of interest policy with which all affiliates regularly monitor and enforce compliance. The conflict of interest policy requires that a conflict of interest disclosure statement, consistent with best governance practices and internal revenue service guidelines, be circulated annually to all trustees/directors, officers, key employees, medical staff and practitioners with clinical privileges. Annually these individuals are required to review the existing conflict of interest policy and complete a questionnaire. The system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer is responsible for (1) gathering the conflict of interest disclosure statements; (2) tracking the successful completion of the statements; (3) transmitting the statements to the board committee; and (4) assisting the board committee in organizing the statements for the committee's review. In addition, the system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer is responsible for reviewing and revising the conflict of interest policy on an annual basis or when a change is required for compliance with joint commission standards; ethical directives; federal, state, and city laws, rules and regulations; changes in practice or regulatory mandate; new programs or procedures; new equipment; or performance improvement changes. The completed questionnaires are returned to the system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer for review. Thereafter, the conflict of interest disclosures are provided to the organization's audit and compliance committee for its review and discussion. The audit and compliance committee has assumed responsibility for the oversight of the conflict of interest disclosure and review process.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Richmond university medical center's governing body, its board of trustees, has a compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of all employees specified as having a substantial influence over the organization ("executive leadership"). The committee reviews the "total compensation" of these individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of executive leadership personnel is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the executive leadership team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the organization's board of trustees each of whom are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically, the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to certain senior management personnel. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from the system's human resources department. In conjunction with the individual's job performance during the year, compensation is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations, and performance feedback meetings.”

“The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new york department of the treasury. In addition, the organization will make its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note this remuneration was for services rendered as full-time employees of the organization or a related organization and not for services rendered as a voting member or officer of this organization's board of directors.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Certain board of director members, officers and key employees listed within core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected in core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers or key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Amboy medical practice, p.c. D/b/a richmond health network ("rhn") is committed to expanding access to quality medical services to the staten island community with an emphasis on preventative services and specialty care. Focusing on value-based care and health technology, rhn supports patient engagement in wellness and health self-management across the continuum of care. Rhn's team of physicians and healthcare professionals utilize best practices to ensure positive outcomes for their patients. The richmond health network believes that healthy individuals create healthy communities. The network's team of physicians specialize in: - bariatric and weight loss - cardiovascular - endocrinology - ent (ear, nose, and throat) - gastroenterology - general surgery - nephrology - neurosurgery - ob/gyn - orthopedics - primary care / family medicine / walk-ins - pulmonology - urology - rheumatology - hematology / oncology while the majority of services will be accessible through private offices, richmond health network also includes three immediate care/primary care/walk in centers conveniently located throughout staten island that are located at 1161 victory boulevard, 1058 forest avenue and 4360 hylan boulevard. Patients both current and new can visit these sites for well-visits, check-ups, flu shots, lab work, vaccinations and general family care without an appointment. The richmond health network operates over twenty locations conveniently located throughout staten island and brooklyn. The richmond health network supports the charitable purposes, programs and services of 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. The organization also participates in outreach, awareness and screening programs through collaboration with its community partners.”

“INNA TUBMAN, M.D., rita SHATS, M.D. AND ANNA PAVLIDES, M.D. ARE INCLUDED WITHIN THE ORGANIZATION'S FORM 990, CORE FORM, PART VII AND SCHEDULE J. THE ORGANIZATION WAS NOT REQUIRED TO FILE A FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO these individuals BECAUSE THEY ARE LICENSED MEDICAL PROVIDERS WHOSE COMPENSATION WAS FOR CLINICAL SERVICES AND THUS EXEMPT FROM EXCISE TAXES AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of richmond university medical center and affiliates for the years ended december 31, 2024 and december 31, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. Richmond unversity medical center's audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes the selection of an independent auditor.”

“Description:contracted services total fees:3611159”

“Description:billing & collection svcs total fees:3171769”

“Description:purchased services total fees:1834857”