Civic Intelligence

Amboy Medical Practice PC C/O Richmond Medical Center

990 • Fiscal year 2017 • EIN 26-3381883

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 13, 2018

355 Bard AvenueStaten Island, NY 10310

(718) 818-2036

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

95th percentile

3.51x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • NTEE E • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

90th percentile

1.42x

Higher debt load relative to revenue than 90% of similar nonprofits.

2017 filings • NTEE E • $10M-$25M nonprofits • Source year 2017

Net Margin

7th percentile

-40%

Higher net margin than 7% of similar nonprofits.

2017 filings • NTEE E • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

86th percentile

$1,357,297

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 7.2% of source-year revenue.

2017 filings • NTEE E • $10M-$25M nonprofits • Source year 2017

Asset Growth

98th percentile

218%

Faster asset growth than 98% of similar nonprofits.

2017 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

81st percentile

25%

Faster revenue growth than 81% of similar nonprofits.

2017 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Up

$7,661,477

Up $5,253,816 (+218%) from 2016

Net Assets

Down

-$19,249,550

Down $7,504,797 (-64%) from 2016

Liabilities

Up

$26,911,027

Up $12,758,613 (+90%) from 2016

Revenue

Up

$18,929,999

Up $3,744,545 (+25%) from 2016

Expenses

Up

$26,434,796

Up $6,612,145 (+33%) from 2016

Net Income

Down

-$7,504,797

Down $2,867,600 (-62%) from 2016

Historical Trend

Balance Sheet Trend

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

$200M$100M$0-$100M-$200MAssets 2013: $1,247,365Liabilities 2013: $3,889,111Net Assets 2013: -$2,641,7462013Assets 2014: $1,528,844Liabilities 2014: $6,620,882Net Assets 2014: -$5,092,0382014Assets 2016: $2,407,661Liabilities 2016: $14,152,414Net Assets 2016: -$11,744,7532016Assets 2017: $7,661,477Liabilities 2017: $26,911,027Net Assets 2017: -$19,249,5502017Assets 2018: $12,091,250Liabilities 2018: $40,537,201Net Assets 2018: -$28,445,9512018Assets 2019: $11,007,004Liabilities 2019: $51,198,346Net Assets 2019: -$40,191,3422019Assets 2020: $10,815,488Liabilities 2020: $54,680,200Net Assets 2020: -$43,864,7122020Assets 2021: $10,020,483Liabilities 2021: $65,319,884Net Assets 2021: -$55,299,4012021Assets 2022: $10,416,496Liabilities 2022: $81,423,692Net Assets 2022: -$71,007,1962022Assets 2024: $26,198,697Liabilities 2024: $130,421,149Net Assets 2024: -$104,222,4522024

Highlighted filing

2017

Assets$7,661,477
Liabilities$26,911,027
Net Assets-$19,249,550

Operations Trend

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

$60M$40M$20M$0-$20MRevenue 2013: $8,639,998Expenses 2013: $8,941,744Net Income 2013: -$301,7462013Revenue 2014: $14,355,917Expenses 2014: $16,806,209Net Income 2014: -$2,450,2922014Revenue 2016: $15,185,454Expenses 2016: $19,822,651Net Income 2016: -$4,637,1972016Revenue 2017: $18,929,999Expenses 2017: $26,434,796Net Income 2017: -$7,504,7972017Revenue 2018: $25,502,038Expenses 2018: $34,698,439Net Income 2018: -$9,196,4012018Revenue 2019: $30,684,071Expenses 2019: $42,429,462Net Income 2019: -$11,745,3912019Revenue 2020: $41,091,948Expenses 2020: $44,765,318Net Income 2020: -$3,673,3702020Revenue 2021: $37,058,255Expenses 2021: $48,492,944Net Income 2021: -$11,434,6892021Revenue 2022: $34,113,825Expenses 2022: $49,821,620Net Income 2022: -$15,707,7952022Revenue 2024: $40,173,150Expenses 2024: $53,897,662Net Income 2024: -$13,724,5122024

Highlighted filing

2017

Revenue$18,929,999
Expenses$26,434,796
Net Income-$7,504,797
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 13, 2018
Return Version
2017v2.3
Gross Receipts
$19,981,077
Mission and Program Overview

Mission

Amboy medical practice is a 501(c)(3) not-for-profit corporation through which employed physicians provide primary care, specialty care, and behavioral health services in a variety of settings including clinics and office based facilities. Continued on sch. O.amboy medical practice administers these community based sites to support increased access to and care coordination of healthcare services in an effort to affect position outcomes for its patients and the population it serves.

Professional healthcare provider.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$371,753$3,230,500▲ $2,858,747
Accounts Receivable$1,595,870$2,459,099▲ $863,229
Intangible Assets-$1,572,000-
Savings and Temporary Cash Investments$438,838$365,063▼ $73,775
Prepaid Expenses and Deferred Charges-$33,015-
Cash and Non-Interest-Bearing Accounts$1,200$1,800▲ $600
Total Assets$2,407,661$7,661,477▲ $5,253,816
Liabilities
Other Liabilities$13,855,416$26,289,010▲ $12,433,594
Accounts Payable and Accrued Expenses$296,998$622,017▲ $325,019
Total Liabilities$14,152,414$26,911,027▲ $12,758,613
Net Assets / Fund Balance
Unrestricted Net Assets$-11,744,753$-19,249,550▼ $7,504,797
Total Net Assets Fund Balance$-11,744,753$-19,249,550▼ $7,504,797
Total Liabilities and Net Assets / Fund Balance$2,407,661$7,661,477▲ $5,253,816

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,792,758$464,858$2,257,616
Leasehold Improvements$1,386,742$70,549$1,457,291
Other Land Buildings$51,000-$51,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
Daniel MessinaPresident & CEO
Alexander Beylinson MdPresident, Nominee Shareholder
Joseph SaporitoSenior VP & CFO
Richard SalhanySenior VP Professional Services
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$19,096,981
Investment Income
$0
Other Revenue
$-166,982
Change in Net Assets
$-7,504,797
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,208,587
Other Expenses$9,226,209
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,580,209$1,973,956-$13,554,165
Other Employee Benefits$2,661,558$453,688-$3,115,246
Fees for Services Other$1,989,992$339,213-$2,329,205
Fees for Services Management$1,161,224$197,941-$1,359,165
Insurance$1,007,894$171,805-$1,179,699
Occupancy$469,235$79,986-$549,221
Current Officers, Directors, Trustees, and Key Employees$460,653$78,523-$539,176
Depreciation Depletion$316,689$53,983-$370,672
Office Expenses$240,592$41,011-$281,603
Fees for Services Legal$143,423$24,448-$167,871
All Other Expenses$129,077$22,001-$151,078
Other Expenses$46,837$7,984-$54,821
Conferences and Meetings$5,154$879-$6,033
Travel$2,813$480-$3,293
Advertising$2,307$393-$2,700
Total Functional Expenses$22,635,472$3,799,324$0$26,434,796
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Rumc$26,289,010
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Alexander beylinson, md, is the nominee shareholder.

Form 990, Part VI, Section A, Line 7A

The nominee shareholder and president of the organization are appointed by richmond medical center, a related organization, and also acts as the sole director.

Form 990, Part VI, Section A, Line 7B

Richmond medical center must approve in advance any amendment to the bylaws of the organization.

Form 990, Part VI, Section B, Line 11B

The form 990 was reviewed in detail by management and the cfo. A copy of form 990 was provided to the president, and was approved before it was filed with the irs.

Form 990, Part VI, Section B, Line 12C

Amboy medical practice, pc is 100% controlled by richmond medical center. It follows richmond medical center's conflict of interest policy. Richmond medical center monitors conflicts of interest through an annual questionnaire distributed to all trustees and to employees down to the department director level through the president's office and collected there as well. All forms are reviewed by the compliance officer. If potential conflicts are identified, the individual is contacted for additional information. All identified conflicts are presented to the board of trustees' audit and compliance committee for action where applicable. A board member with a conflict of interest will abstain from voting on the matter and will be excused from the portion of the meeting where the matter is discussed.

Form 990, Part VI, Section B, Line 15

All compensation is paid by richmond medical center, a related tax-exempt organization ("the organization"). In 2009, the organization's board adopted a compensation policy (the "policy") for covered individuals and employees down to department directors. Pursuant to the policy, a compensation committee of independent directors was established to review the compensation of all employees specified as having a substantial influence over the organization and who receive remuneration from the organization, including, among others, the organization's president and chief executive officer and the organization's chief financial officer. The compensation committee is advised by outside counsel and an independent compensation consultant, each of whom opine to the compensation committee that the level of compensation paid and the process by which compensation is established meet applicable irs reasonableness and "safe harbor" standards. The outside compensation consultant provides data of compensation provided at similar organizations to ensure that the organization does not compensate in excess of market norms. This consultant was engaged each year from 2009 through 2012 to perform these services, and a market study was completed in 2015. The compensation committee of the board is comprised of independent persons. This committee reviews executive compensation annually and records their review in the meeting minutes.

Form 990, Part VI, Section C, Line 19

Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws.

Filing and Contact Details

Filer

Filer Name
Amboy Medical Practice Pc
EIN
26-3381883
Phone
7188182036
Address
355 BARD AVENUE, STATEN ISLAND, NY 10310

Signing Officer

Name
Daniel J Messina
Title
President & CEO
Phone
7188182036
Signed
2018-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel J Messina
Formed
2008
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
85
Volunteers
0

Preparer

Firm
Baker Tilly Virchow Krause Llp
Address
1650 MARKET STREET SUITE 4500, PHILADELPHIA, PA 19103-7341
Preparer
Julius C Green CPA
Phone
2159720701
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2

Amboy medical practice, p.c. Does not have any of its own employees providing services to the organization. The organization does not file its own form w-3. The employees providing services to the foundation are employed by richmond medical center, a related tax-exempt organization. These employees receive a w-2 from richmond medical center.

Raw XML AppendixShowing 400 of 547 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0296998
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0622017
IRS990/AccountsReceivableGrp/BOYAmt01595870
IRS990/AccountsReceivableGrp/EOYAmt02459099
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROFESSIONAL HEALTHCARE PROVIDER.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0393
IRS990/AdvertisingGrp/ProgramServicesAmt02307
IRS990/AdvertisingGrp/TotalAmt02700
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt022001
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0129077
IRS990/AllOtherExpensesGrp/TotalAmt0151078
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0JOSEPH SAPORITO SENIOR VP & CFO
IRS990/BooksInCareOfDetail/PhoneNum07188182036
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0355 BARD AVENUE
IRS990/BooksInCareOfDetail/USAddress/CityNm0STATEN ISLAND
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd010310
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt01200
IRS990/CashNonInterestBearingGrp/EOYAmt01800
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt078523
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt0460653
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0539176
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt0879
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt05154
IRS990/ConferencesMeetingsGrp/TotalAmt06033
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt09226209
IRS990/CYOtherRevenueAmt0-166982
IRS990/CYProgramServiceRevenueAmt019096981
IRS990/CYRevenuesLessExpensesAmt0-7504797
IRS990/CYSalariesCompEmpBnftPaidAmt017208587
IRS990/CYTotalExpensesAmt026434796
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt018929999
IRS990/DecisionsSubjectToApprovaInd01
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt053983
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0316689
IRS990/DepreciationDepletionGrp/TotalAmt0370672
IRS990/Desc0AMBOY MEDICAL PRACTICE SERVES OVER 50,000 ADULTS, CHILDREN, AND ADOLESCENTS WITH PRIMARY CARE SERVICES AND OVER 20 SPECIALTIES INCLUDING MENTAL HEALTH PROFESSIONAL SERVICES. AMBOY MEDICAL PRACTICE PROVIDES A PATIENT CENTERED MEDICAL HOME MODEL OF CARE AT ITS AMBULATORY LOCATIONS. THIS TEAM BASED MODEL OF CARE LINKS PATIENTS WITH A CLINICAL GROUP HEADED BY A PHYSICIAN THAT EMPHASIZES ACCESS TO CARE AND COORDINATION ACROSS SPECIALTIES. AMBOY MEDICAL PRACTICE UTILIZES AN ELECTRONIC MEDICAL RECORDS SYSTEM THAT ASSURES ACCURACY AND SAFETY OF PATIENT DATA. AMBOY MEDICAL PRACTICE ACCEPTS MOST INSURANCES, INCLUDING MEDICAID AND MEDICARE. CONTINUED ON SCHEDULE "O".AMBOY MEDICAL PRACTICE OPENED TWO PRIMARY CARE PRACTICES IN 2017, EXPANDING ITS CURRENT NUMBER OF PRIMARY CARE PRACTICE LOCATIONS TO SEVEN (7) STRATEGICALLY PLACED THROUGHOUT THE BOROUGH OF STATEN ISLAND TO AFFORD MAXIMUM ACCESSIBILITY TO THE COMMUNITY. AMBOY MEDICAL CENTER IS ALSO A MEMBER OF RICHMOND QUALITY, LLC, AND AN ACCOUNTABLE CARE ORGANIZATION (ACO) THROUGH WHICH IT ADVANCES A NUMBER OF QUALITY METRICS. IN ADDITION, AMBOY MEDICAL COMPLIES WITH MEANINGFUL USE, HEDIS MEASURES AND OTHER QUALITY PROGRAMS DESIGNED TO PROVIDE EVIDENCE BASED CARE. AS A MEMBER OF THE STATEN ISLAND PERFORMING PARTNER SYSTEM WHICH ADMINISTERS THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM, AMBOY MEDICAL PRACTICE ADDRESSES POPULATION HEALTH MEASURES THAT FOCUS ON IMPROVING THE QUALITY OF CARE AND OVERALL HEALTH OF ITS MEDICAID BENEFICIARIES.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt085
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt022635472
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt024448
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt0143423
IRS990/FeesForServicesLegalGrp/TotalAmt0167871
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0197941
IRS990/FeesForServicesManagementGrp/ProgramServicesAmt01161224
IRS990/FeesForServicesManagementGrp/TotalAmt01359165
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt0339213
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt01989992
IRS990/FeesForServicesOtherGrp/TotalAmt02329205
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt038.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt137.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt237.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt037487
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1181341
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt273458
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt364206
IRS990/Form990PartVIISectionAGrp/PersonNm0ALEXANDER BEYLINSON MD
IRS990/Form990PartVIISectionAGrp/PersonNm1DANIEL MESSINA
IRS990/Form990PartVIISectionAGrp/PersonNm2JOSEPH SAPORITO
IRS990/Form990PartVIISectionAGrp/PersonNm3RICHARD SALHANY
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0501690
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt11175956
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2570043
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3427760
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT, NOMINEE SHAREHOLDER
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt2SENIOR VP & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt3SENIOR VP PROFESSIONAL SERVICES
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02008
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt019981077
IRS990/GrossRentsGrp/RealAmt0142777
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0171805
IRS990/InsuranceGrp/ProgramServicesAmt01007894
IRS990/InsuranceGrp/TotalAmt01179699
IRS990/IntangibleAssetsGrp/EOYAmt01572000
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0535407
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0371753
IRS990/LandBldgEquipBasisNetGrp/EOYAmt03230500
IRS990/LandBldgEquipCostOrOtherBssAmt03765907
IRS990/LegalDomicileStateCd0NY
IRS990/LessRentalExpensesGrp/RealAmt01051078
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/ExclusionAmt079352
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt079352
IRS990/MissionDesc0AMBOY MEDICAL PRACTICE IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION THROUGH WHICH EMPLOYED PHYSICIANS PROVIDE PRIMARY CARE, SPECIALTY CARE, AND BEHAVIORAL HEALTH SERVICES IN A VARIETY OF SETTINGS INCLUDING CLINICS AND OFFICE BASED FACILITIES. AMBOY MEDICAL PRACTICE ADMINISTERS THESE COMMUNITY BASED SITES TO SUPPORT INCREASED ACCESS TO AND CARE COORDINATION OF HEALTHCARE SERVICES IN AN EFFORT TO AFFECT POSITION OUTCOMES FOR ITS PATIENTS AND THE POPULATION IT SERVES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-11744753
IRS990/NetAssetsOrFundBalancesEOYAmt0-19249550
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt0-908301
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0-908301
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt079986
IRS990/OccupancyGrp/ProgramServicesAmt0469235
IRS990/OccupancyGrp/TotalAmt0549221
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt041011
IRS990/OfficeExpensesGrp/ProgramServicesAmt0240592
IRS990/OfficeExpensesGrp/TotalAmt0281603
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0453688
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt02661558
IRS990/OtherEmployeeBenefitsGrp/TotalAmt03115246
IRS990/OtherExpensesGrp/Desc0OVERHEAD AND ADMIN
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc2BANK FEES
IRS990/OtherExpensesGrp/Desc3REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0343890
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt19143
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt27984
IRS990/OtherExpensesGrp/ProgramServicesAmt02017433
IRS990/OtherExpensesGrp/ProgramServicesAmt1346743
IRS990/OtherExpensesGrp/ProgramServicesAmt253639
IRS990/OtherExpensesGrp/ProgramServicesAmt346837
IRS990/OtherExpensesGrp/TotalAmt02361323
IRS990/OtherExpensesGrp/TotalAmt1346743
IRS990/OtherExpensesGrp/TotalAmt262782
IRS990/OtherExpensesGrp/TotalAmt354821
IRS990/OtherLiabilitiesGrp/BOYAmt013855416
IRS990/OtherLiabilitiesGrp/EOYAmt026289010
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/BusinessCd2900099
IRS990/OtherRevenueMiscGrp/Desc0MEDICAL INCENTIVES
IRS990/OtherRevenueMiscGrp/Desc1SHARED SERVICES REV
IRS990/OtherRevenueMiscGrp/Desc2CAPITATION REVENUE
IRS990/OtherRevenueMiscGrp/ExclusionAmt0312657
IRS990/OtherRevenueMiscGrp/ExclusionAmt1290947
IRS990/OtherRevenueMiscGrp/ExclusionAmt258363
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0312657
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt1290947
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt258363
IRS990/OtherRevenueTotalAmt0741319
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt01973956
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt011580209
IRS990/OtherSalariesAndWagesGrp/TotalAmt013554165
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt033015
IRS990/PrincipalOfficerNm0DANIEL J MESSINA
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621300
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0PHYSICIAN PRACTICE INCOME
IRS990/ProgramServiceRevenueGrp/Desc1MEANINGFUL USE REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt018870761
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1226220
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt018870761
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1226220
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt07657096
IRS990/PYOtherRevenueAmt0-378289
IRS990/PYProgramServiceRevenueAmt015563743
IRS990/PYRevenuesLessExpensesAmt0-4637197
IRS990/PYSalariesCompEmpBnftPaidAmt012165555
IRS990/PYTotalExpensesAmt019822651
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt015185454
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-7504797
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt0-908301
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt019096981
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0438838
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0365063
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0743177454
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0RICHMOND MEDICAL CENTER
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt01792758
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0464858
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02257616
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt01386742
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt070549
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt01457291
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt051000
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt051000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt026289010
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO RUMC
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03230500
IRS990ScheduleD/TotalLiabilityAmt026289010
IRS990ScheduleJ/AnyNonFixedPaymentsInd01
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt0316187
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1346998
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2125179
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt376357
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0185203
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1825394
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2442542
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3349081
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt018900
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt1161837
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt249731
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt339311
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018587
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt119504
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt223727
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt324895
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0300
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt13564
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt22322
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt32322
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ALEXANDER BEYLINSON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1DANIEL MESSINA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JOSEPH SAPORITO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3RICHARD SALHANY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT, NOMINEE SHAREHOLDER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SENIOR VP & CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3SENIOR VP PROFESSIONAL SERVICES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0539177
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11357297
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2643501
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3491966
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A RELATED ORGANIZATION, RICHMOND MEDICAL CENTER, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2017, BUT DID NOT RECEIVE A DISTRIBUTION. DANIEL MESSINA, PRESIDENT & CEO JOSEPH SAPORITO, SENIOR VP & CFO RICHARD SALHANEY, SENIOR VP PROFESSIONAL SERVICES.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2AN ANNUAL INCENTIVE PROGRAM (AIP) HAS BEEN ESTABLISHED AND APPROVED BY THE FACILITY OUTLINING THE COMPONENTS OF THE BONUS PROGRAM. ORGANIZATIONAL GOALS ARE ESTABLISHED ANNUALLY. ADDITIONALLY, ANNUAL GOALS FOR EACH INDIVIDUAL ELIGIBLE FOR THE AIP PROGRAM ARE SET. THE AIP BONUS FOR EACH ELIGIBLE INDIVIDUAL IS BASED ON HOW WELL THE ORGANIZATION MET THE ESTABLISHED ORGANIZATIONAL GOALS, AND HOW WELL THAT INDIVIDUAL MET HIS/HER INDIVIDUALLY ESTABLISHED GOALS. THERE IS ALSO A SMALL PERCENTAGE THAT IS AWARDED AT THE DISCRETION OF THE CEO (OR BOARD COMMITTEE WITH RESPECT TO THE CEO'S BONUS DETERMINATION). THE APPROVAL OF ALL BONUSES ARE DOCUMENTED. THE CEO'S BONUS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE CEO APPROVES THE BONUSES OF THE OTHER SENIOR ADMINISTRATIVE STAFF.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2PART I, LINE 7
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AMBOY MEDICAL PRACTICE, P.C. DOES NOT HAVE ANY OF ITS OWN EMPLOYEES PROVIDING SERVICES TO THE ORGANIZATION. THE ORGANIZATION DOES NOT FILE ITS OWN FORM W-3. THE EMPLOYEES PROVIDING SERVICES TO THE FOUNDATION ARE EMPLOYED BY RICHMOND MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION. THESE EMPLOYEES RECEIVE A W-2 FROM RICHMOND MEDICAL CENTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALEXANDER BEYLINSON, MD, IS THE NOMINEE SHAREHOLDER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE NOMINEE SHAREHOLDER AND PRESIDENT OF THE ORGANIZATION ARE APPOINTED BY RICHMOND MEDICAL CENTER, A RELATED ORGANIZATION, AND ALSO ACTS AS THE SOLE DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3RICHMOND MEDICAL CENTER MUST APPROVE IN ADVANCE ANY AMENDMENT TO THE BYLAWS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FORM 990 WAS REVIEWED IN DETAIL BY MANAGEMENT AND THE CFO. A COPY OF FORM 990 WAS PROVIDED TO THE PRESIDENT, AND WAS APPROVED BEFORE IT WAS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5AMBOY MEDICAL PRACTICE, PC IS 100% CONTROLLED BY RICHMOND MEDICAL CENTER. IT FOLLOWS RICHMOND MEDICAL CENTER'S CONFLICT OF INTEREST POLICY. RICHMOND MEDICAL CENTER MONITORS CONFLICTS OF INTEREST THROUGH AN ANNUAL QUESTIONNAIRE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTOR LEVEL THROUGH THE PRESIDENT'S OFFICE AND COLLECTED THERE AS WELL. ALL FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER. IF POTENTIAL CONFLICTS ARE IDENTIFIED, THE INDIVIDUAL IS CONTACTED FOR ADDITIONAL INFORMATION. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE FOR ACTION WHERE APPLICABLE. A BOARD MEMBER WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER AND WILL BE EXCUSED FROM THE PORTION OF THE MEETING WHERE THE MATTER IS DISCUSSED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ALL COMPENSATION IS PAID BY RICHMOND MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION ("THE ORGANIZATION"). IN 2009, THE ORGANIZATION'S BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE IS ADVISED BY OUTSIDE COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT, EACH OF WHOM OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. THIS CONSULTANT WAS ENGAGED EACH YEAR FROM 2009 THROUGH 2012 TO PERFORM THESE SERVICES, AND A MARKET STUDY WAS COMPLETED IN 2015. THE COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT PERSONS. THIS COMMITTEE REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND RECORDS THEIR REVIEW IN THE MEETING MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART V, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings