Civic Intelligence

Nyu Langone Ipa Inc.

990 • Fiscal year 2019 • EIN 36-4841069

Sep 01, 2018 to Aug 31, 2019 • Filed on Jul 07, 2020

550 First Avenue Hcc15New York, NY 10016

(212) 263-3092

Siviq Scores

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

Liabilities / Assets

70th percentile

0.38x

Higher debt load relative to assets than 70% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

78th percentile

0.50x

Higher debt load relative to revenue than 78% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Net Margin

90th percentile

47%

Higher net margin than 90% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

98th percentile

$2,542,514

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 135.1% of source-year revenue.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Assets

$2,479,253

No earlier filing loaded for comparison.

Net Assets

$1,537,360

No earlier filing loaded for comparison.

Liabilities

$941,893

No earlier filing loaded for comparison.

Revenue

$1,881,985

No earlier filing loaded for comparison.

Expenses

$990,617

No earlier filing loaded for comparison.

Net Income

$891,368

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2019: $2,479,253Liabilities 2019: $941,893Net Assets 2019: $1,537,3602019Assets 2020: $3,404,982Liabilities 2020: $941,893Net Assets 2020: $2,463,0892020Assets 2021: $4,608,995Liabilities 2021: $941,893Net Assets 2021: $3,667,1022021Assets 2022: $2,877,685Liabilities 2022: $60Net Assets 2022: $2,877,6252022Assets 2023: $2,136,612Liabilities 2023: $60Net Assets 2023: $2,136,5522023Assets 2024: $1,585,339Liabilities 2024: $60Net Assets 2024: $1,585,2792024

Highlighted filing

2019

Assets$2,479,253
Liabilities$941,893
Net Assets$1,537,360

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2019: $1,881,985Expenses 2019: $990,617Net Income 2019: $891,3682019Revenue 2020: $1,957,265Expenses 2020: $1,031,535Net Income 2020: $925,7302020Revenue 2021: $2,035,571Expenses 2021: $831,558Net Income 2021: $1,204,0132021Revenue 2022: $840Expenses 2022: $790,317Net Income 2022: -$789,4772022Revenue 2023: $0Expenses 2023: $741,073Net Income 2023: -$741,0732023Revenue 2024: $0Expenses 2024: $551,273Net Income 2024: -$551,2732024

Highlighted filing

2019

Revenue$1,881,985
Expenses$990,617
Net Income$891,368
Jump To
Filing Snapshot
Filing Period
Sep 1, 2018 to Aug 31, 2019
Signed
Jul 7, 2020
Return Version
2018v3.2
Gross Receipts
$1,881,985
Mission and Program Overview

Mission

The board adopted misison statement is: to operate a medicaid-focused independent practice association ("ipa") for the benefit of the indigent medicaid population by contracting with managed care organizations ("mcos") that serve such medicaid populations, thereby making available to such population a cadre of medicaid-accepting physicians, across multiple specialties, and to enhance the delivery of high quality care to medicaid patients through the development of programs and procedures to encourage patient safety and quality improvement initiatives.

The organization will contract with physicians and other providers who serve the medicaid population in order to facilitate the delivery of high quality medical care to those individuals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,981,986$1,981,986→ $0
Total Assets$1,981,986$2,479,253▲ $497,267
Other Assets Total$0$497,267▲ $497,267
Liabilities
Deferred Revenue$941,893$941,893→ $0
Other Liabilities$394,103$0▼ $394,103
Total Liabilities$1,335,996$941,893▼ $394,103
Net Assets / Fund Balance
Unrestricted Net Assets$645,990$1,537,360▲ $891,370
Total Net Assets Fund Balance$645,990$1,537,360▲ $891,370
Total Liabilities and Net Assets / Fund Balance$1,981,986$2,479,253▲ $497,267

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$497,267--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Andrew W Brotman MdPresident
Karim Habibi From 32019Vice President
Richard J DonoghueVice President (through 2/2019)
Larry McreynoldsDirector
Annette JohnsonSecretary
Daniel J WidawskyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,881,985
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$891,368
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$977,849
Other Expenses$12,768
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$729,849$14,895-$744,744
Other Employee Benefits$228,443$4,662-$233,105
Other Expenses$11,799$241-$12,040
Occupancy$713$15-$728
Total Functional Expenses$970,804$19,813$0$990,617
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
Audit committee
Yes
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is nyu langone health system, inc.

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

With respect to the election of the board of trustees of nyu langone ipa, nyu langone health system, as the sole member has the power and authority to: (a) elect the corporation's board; (b) removal of the corporation's board; and (c) filling any vacancies in the corporation's board.

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

The following powers and authority are reserved exclusively to the member: (a) election of the corporation's board; (b) removal of the corporation's board; (c) filling any vacancies in the corporation's board; (d) amending or repealing these by-laws or adopting new by-laws; (e) approving the corporation's merger or consolidation with another entity; (f) approving the sale, lease, exchange or other disposition of all, or substantially all, of the assets of the corporation; (g) reviewing the vision, mission and strategic and financial plans of the corporation; (h) reviewing the corporation's annual operating and capital budgets, provided that final approval of the budgets shall remain with the corporation; (i) approving any transaction having a value of $5,000,000 or more; and (j) approving the creation, acquisition and/or dissolution of an entity in which the corporation is proposed to be, or is, the controlling member.

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

Description of the process used by management and/or governing body to review the form 990: 1. Nyu langone health's ("nyulh") finance department drafts the form 990 and the accompanying schedule based on the fiscal year's financial activity. 2. The draft is reviewed by the vice president of finance and chief financial officer for completeness and accuracy. 3. The reviewed draft is presented to the nyulh board of trustees' audit committee as well as certain other officers for review. 4. Once approved by the audit committee, the form 990 is made available to the full board and then it is forwarded to the irs.

Form 990, Part VI, Lines 12A-B

Nyu langone ipa has formally adopted the conflict of interest policy of its sole member, nyulh. This policy is monitored on an annual basis and requires officers, directors, trustees, and key employees to disclose any conflicts of interest. These disclosures are reviewed by nyulh annually.

Form 990, Part VI, Lines 13-14

Nyu langone ipa has formally adopted the whistleblower and document retention and destruction policies of its sole member, nyulh.

Form 990, Part VI, Section C, Line 19

The organization's governing documents and conflict of interest policy are available to the public upon request. The nyu langone health system office of general counsel maintains copies of the governing documents and conflict of interest policies. A copy of the governing documents and conflict of interest policies may be obtainined by contacting: nyu langone health system office of the general counsel 550 first avenue new york, new york 10016 telephone number: (212) 263-7300

Filing and Contact Details

Filer

Filer Name
Nyu Langone Ipa Inc
EIN
36-4841069
Phone
2122633092
Address
550 FIRST AVENUE HCC15, NEW YORK, NY 10016

Signing Officer

Name
Daniel J Widawsky
Title
Treasurer
Phone
2122633092
Signed
2020-07-07

Organization Details

Principal Officer
Daniel J Widawsky
Formed
2016
Legal Domicile
Ny
Voting Board Members
5
Independent Board Members
1
Employees
0
Volunteers
0
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ANDREW W BROTMAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1RICHARD J DONOGHUE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2ANNETTE JOHNSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3DANIEL J WIDAWSKY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4KARIM HABIBI FROM 32019
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VICE PRESIDENT (THROUGH 2/2019)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4VICE PRESIDENT
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING OFFICERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ("SERP") DURING CALENDAR YEAR 2018. THE AMOUNTS LISTED BELOW REPRESENT THE EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR CALENDAR YEAR 2018. THESE AMOUNTS ARE REPORTED AS SHARED COSTS BETWEEN NYULH AND NYU GROSSMAN SCHOOL OF MEDICINE. ANDREW W. BROTMAN, MD - $918,996; ANNETTE JOHNSON, JD - $235,648; DANIEL J. WIDAWSKY - $101,257. THE SUPPLEMENTAL SERP CONTRIBUTIONS WERE MADE PURSUANT TO NEGOTIATED AGREEMENTS WITH THE OFFICERS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF THE CORPORATION IS NYU LANGONE HEALTH SYSTEM, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1WITH RESPECT TO THE ELECTION OF THE BOARD OF TRUSTEES OF NYU LANGONE IPA, NYU LANGONE HEALTH SYSTEM, AS THE SOLE MEMBER HAS THE POWER AND AUTHORITY TO: (A) ELECT THE CORPORATION'S BOARD; (B) REMOVAL OF THE CORPORATION'S BOARD; AND (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FOLLOWING POWERS AND AUTHORITY ARE RESERVED EXCLUSIVELY TO THE MEMBER: (A) ELECTION OF THE CORPORATION'S BOARD; (B) REMOVAL OF THE CORPORATION'S BOARD; (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD; (D) AMENDING OR REPEALING THESE BY-LAWS OR ADOPTING NEW BY-LAWS; (E) APPROVING THE CORPORATION'S MERGER OR CONSOLIDATION WITH ANOTHER ENTITY; (F) APPROVING THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION; (G) REVIEWING THE VISION, MISSION AND STRATEGIC AND FINANCIAL PLANS OF THE CORPORATION; (H) REVIEWING THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, PROVIDED THAT FINAL APPROVAL OF THE BUDGETS SHALL REMAIN WITH THE CORPORATION; (I) APPROVING ANY TRANSACTION HAVING A VALUE OF $5,000,000 OR MORE; AND (J) APPROVING THE CREATION, ACQUISITION AND/OR DISSOLUTION OF AN ENTITY IN WHICH THE CORPORATION IS PROPOSED TO BE, OR IS, THE CONTROLLING MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. NYU LANGONE HEALTH'S ("NYULH") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULE BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS REVIEWED BY THE VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. 3. THE REVIEWED DRAFT IS PRESENTED TO THE NYULH BOARD OF TRUSTEES' AUDIT COMMITTEE AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 4. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NYU LANGONE IPA HAS FORMALLY ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS SOLE MEMBER, NYULH. THIS POLICY IS MONITORED ON AN ANNUAL BASIS AND REQUIRES OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE ANY CONFLICTS OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY NYULH ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5NYU LANGONE IPA HAS FORMALLY ADOPTED THE WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES OF ITS SOLE MEMBER, NYULH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE NYU LANGONE HEALTH SYSTEM OFFICE OF GENERAL COUNSEL MAINTAINS COPIES OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES MAY BE OBTAININED BY CONTACTING: NYU LANGONE HEALTH SYSTEM OFFICE OF THE GENERAL COUNSEL 550 FIRST AVENUE NEW YORK, NEW YORK 10016 TELEPHONE NUMBER: (212) 263-7300
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
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