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THE SUMMIT MEDICAL GROUP FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE SUMMIT MEDICAL GROUP FOUNDATION INC (EIN 46-3355413)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349322698
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T15:25:49-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1331 NEWMAN SPRINGS RD STE 125AddressLine1Txt
CityRED BANKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP077016765ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463355413EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Summit Medical Group Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOE FINOCCHIAROInCareOfNm
Business Name ControlSUMMBusinessNameControlTxt
Phone9082778788PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 FLORAL AVENUE SUITE 103AddressLine1Txt
CityNEW PROVIDENCECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOE FINOCCHIAROPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9082778788PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOEPersonFirstNm
Person LastFINOCCHIAROPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL A SERLUCO CPAPreparerPersonNm
PTINP00960315PTIN
Phone7328423113PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT HEALTH CARESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOE FINOCCHIAROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 FLORAL AVENUE SUITE 103AddressLine1Txt
CityNEW PROVIDENCECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,098,831GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SH-CARES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionIMPROVE ACCESS TO HEALTHCARE FOR UNDERSERVED INDIVIDUALS IN OUR COMMUNITY AND HELP EDUCATE AND INSPIRE OUR CURRENT AND FUTURE HEALTHCARE LEADERS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,761,472PYContributionsGrantsAmt
CY Contributions Grants$1,628,215CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,836PYInvestmentIncomeAmt
CY Investment Income$2,520CYInvestmentIncomeAmt
PY Other Revenue-$16,190PYOtherRevenueAmt
CY Other Revenue$26,477CYOtherRevenueAmt
PY Total Revenue$1,747,118PYTotalRevenueAmt
CY Total Revenue$1,657,212CYTotalRevenueAmt
PY Grants And Similar Paid$294,477PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$158,454CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$243,055CYTotalFundraisingExpenseAmt
PY Other Expenses$1,198,470PYOtherExpensesAmt
CY Other Expenses$1,605,702CYOtherExpensesAmt
PY Total Expenses$1,492,947PYTotalExpensesAmt
CY Total Expenses$1,764,156CYTotalExpensesAmt
PY Revenues Less Expenses$254,171PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$106,944CYRevenuesLessExpensesAmt
Total Assets BOY$4,601,016TotalAssetsBOYAmt
Total Assets EOY$5,083,661TotalAssetsEOYAmt
Total Liabilities BOY$53,998TotalLiabilitiesBOYAmt
Total Liabilities EOY$567,759TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,547,018NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,515,902NetAssetsOrFundBalancesEOYAmt
MissionIMPROVE ACCESS TO HEALTHCARE FOR UNDERSERVED INDIVIDUALS IN OUR COMMUNITY AND HELP EDUCATE AND INSPIRE OUR CURRENT AND FUTURE HEALTHCARE LEADERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,410,000ExpenseAmt
Grant$158,454GrantAmt
Revenue$0RevenueAmt
DescEXPENSES INCURRED IN IMPROVING ACCESS TO HEALTHCARE FOR UNDERSERVED INDIVIDUALS IN OUR COMMUNITY AND HELPING EDUCATE AND INSPIRE OUR CURRENT AND FUTURE HEALTHCARE LEADERS.Desc
Total Program Service Expenses$1,410,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOE FINOCCHIAROPersonNm
Phone9082778788PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 FLORAL AVENUE SUITE 103AddressLine1Txt
CityNEW PROVIDENCECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07974ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
REBECCA LEVY ESQ
PRESIDENT - TRUSTEE5.00.0Yes (X)Yes (X)$0$0$0
JEFFREY LE BENGER MD
CHAIRMAN - TRUSTEE5.00.0Yes (X)Yes (X)$0$0$0
MARNIE CAMBRIA DARDANELLO MD
SECRETARY - TRUSTEE5.00.0Yes (X)Yes (X)$0$0$0
HARI NADIMINTI MD
TREASURER - TRUSTEE5.00.0Yes (X)Yes (X)$0$0$0
SONDRA BARRISON
TRUSTEE1.00.0Yes (X)$0$0$0
HOWARD BLAUSTEIN MD
TRUSTEE1.00.0Yes (X)$0$0$0
PETER HOGLUND CFP AIF
TRUSTEE1.00.0Yes (X)$0$0$0
JOSEPH LEMOND ESQ
TRUSTEE1.00.0Yes (X)$0$0$0
KATHERINE LIU
TRUSTEE1.00.0Yes (X)$0$0$0
GENGHIS NIVER MD
TRUSTEE1.00.0Yes (X)$0$0$0
NATALIE THIGPEN
TRUSTEE1.00.0Yes (X)$0$0$0
R GREGORY SACHS MD
TRUSTEE (TERMED 2/1/2021)1.00.0Yes (X)$0$0$0
WILLIAM A TANSEY III MD FACC
TRUSTEE (TERMED 2/1/2021)1.00.0Yes (X)$0$0$0
JULIENNE CHERRY
EXECUTIVE DIRECTOR40.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SUMMIT MEDICAL GROUP PA
1 DIAMOND HILL ROADBERKELEY HEIGHTSNJ07922VARIOUS SERVICES$772,248
HAMILTON FARM
1040 POTTERSVILLE ROADGLADSTONENJ07934EVENT MANAGEMENT$134,805
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$847,981FundraisingAmt
All Other Contributions$780,234AllOtherContributionsAmt
Total Contributions$1,628,215TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,520TotalRevenueColumnAmt
Exclusion$2,520ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$426,514FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$847,981ContriRptFundraisingEventAmt
Fundraising Direct Expenses$426,514FundraisingDirectExpensesAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$41,582GrossSalesOfInventoryAmt
Cost Of Goods Sold$15,105CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,477TotalRevenueColumnAmt
Exclusion$26,477ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,657,212TotalRevenueColumnAmt
Exclusion$28,997ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$18,502TotalAmt
Program Services$18,502ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$139,952TotalAmt
Program Services$139,952ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,189TotalAmt
Management And General$1,313ManagementAndGeneralAmt
Fundraising$876FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,270,977TotalAmt
Program Services$1,009,188ProgramServicesAmt
Management And General$78,136ManagementAndGeneralAmt
Fundraising$183,653FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$38,896TotalAmt
Program Services$31,243ProgramServicesAmt
Management And General$1,945ManagementAndGeneralAmt
Fundraising$5,708FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,360TotalAmt
Program Services$95,501ProgramServicesAmt
Management And General$15,305ManagementAndGeneralAmt
Fundraising$16,554FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,285TotalAmt
Program Services$11,643ProgramServicesAmt
Management And General$5,821ManagementAndGeneralAmt
Fundraising$5,821FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,293TotalAmt
Program Services$15,775ProgramServicesAmt
Management And General$5,259ManagementAndGeneralAmt
Fundraising$5,259FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,662TotalAmt
Program Services$4,770ProgramServicesAmt
Management And General$946ManagementAndGeneralAmt
Fundraising$946FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,907TotalAmt
Program Services$1,017ProgramServicesAmt
Management And General$873ManagementAndGeneralAmt
Fundraising$1,017FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,423TotalAmt
Program Services$29,423ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$514TotalAmt
Fundraising$514FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$34,968$34,968
VIDEO PRODUCTION$15,650$15,650
REPAIRS & MAINTENANCE$7,595$7,595
TEMPORARY HELP$3,950$3,160$395$395

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,033TotalAmt
Program Services$7,263ProgramServicesAmt
Management And General$1,108ManagementAndGeneralAmt
Fundraising$6,662FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,764,156TotalAmt
Program Services$1,410,000ProgramServicesAmt
Management And General$111,101ManagementAndGeneralAmt
Fundraising$243,055FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,467,834BOYAmt
EOY$1,928,992EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$893EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,531BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,655BOYAmt
EOY$24,655EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$366,097LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$128,269LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$254,406BOYAmt
EOY$237,828EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,848,590BOYAmt
EOY$2,891,293EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,601,016BOYAmt
EOY$5,083,661EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,998BOYAmt
EOY$567,759EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,998BOYAmt
EOY$567,759EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,698,428BOYAmt
EOY$3,624,609EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$848,590BOYAmt
EOY$891,293EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,547,018BOYAmt
EOY$4,515,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,601,016BOYAmt
EOY$5,083,661EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$106,944ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$75,828OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,258,667CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,766,631CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,652,080CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,761,472CurrentTaxYearMinus1YearAmt
Current Tax Year$1,628,215CurrentTaxYearAmt
Total$8,067,065TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,258,667CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,766,631CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,652,080CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,761,472CurrentTaxYearMinus1YearAmt
Current Tax Year$1,628,215CurrentTaxYearAmt
Total$8,067,065TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,879,634SubstantialContributorsTotAmt
Public Support Total170$6,187,431PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,053CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,975CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,836CurrentTaxYearMinus1YearAmt
Current Tax Year$2,520CurrentTaxYearAmt
Total$21,451TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$8,088,516TotalSupportAmt
Gross Receipts Rltd Activities$2,712,792GrossReceiptsRltdActivitiesAmt
Public Support CY1700.76497PublicSupportCY170Pct
Public Support PY1700.74567PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceUNUSUAL GRANTFormAndLineReferenceDesc
ExplanationThe organization received A CONTRIBUTION: (1) IN THE AMOUNT OF $2,000,000 FROM AN INDIVIDUAL IN 2019 ThIS contribution WAS classified as AN unusual grant and excluded from both the numerator and denominator in the public support percentage calculation. THE contribution IS unusual in nature because, according to Form 990, Schedule A instructions and in accordance with Treasury Regulations 1.509(a)-3(c)(4): - They were attracted because of the publicly supported nature of the organization, - They were unusual and unexpected because of the amounts (no other individuals or foundations contributed any amount similar to these amounts in the five year period), and - They are large enough that they would significantly decrease the organization's public support percentage.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$848,950BeginningYearBalanceAmt
Investment Earnings Or Losses$42,343InvestmentEarningsOrLossesAmt
End Year Balance$891,293EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$848,950BeginningYearBalanceAmt
End Year Balance$848,950EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$848,950ContributionsAmt
End Year Balance$848,950EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,043OtherCostOrOtherBasisAmt
Depreciation$100,738DepreciationAmt
Book Value$13,305BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$252,054OtherCostOrOtherBasisAmt
Depreciation$27,531DepreciationAmt
Book Value$224,523BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$237,828TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PROGRAM RELATED INVESTMENTS$2,000,000F
PERPETUAL TRUST$891,293F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$2,891,293TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,098,831TotalRevEtcAuditedFinclStmtAmt
Other Revenue$441,619OtherRevenueAmt
Revenue Not Reported$441,619RevenueNotReportedAmt
Revenue Subtotal$1,657,212RevenueSubtotalAmt
Total Revenue Per Form990$1,657,212TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,205,775TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$441,619OtherExpensesIncludedAmt
Expenses Not Reported$441,619ExpensesNotReportedAmt
Expenses Subtotal$1,764,156ExpensesSubtotalAmt
Total Expenses Per Form990$1,764,156TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, QUESTION 4RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION.
SCHEDULE D, PART XTHE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE IN PROGRESS BY AN INDEPENDENT CPA FIRM AND NOT ISSUED AS OF THE DATE OF FILING THIS FORM 990. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2021 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE ORGANIZATION HAS OBTAINED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE NEW JERSEY CHARITABLE ORGANIZATIONS ACT AND HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A PUBLIC CHARITY. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAX IS REQUIRED. THE ORGANIZATION'S ACCOUNTING POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROFESSIONAL ACCOUNTING STANDARDS. PURSUANT TO THE GUIDANCE IN THE STANDARDS, THE ORGANIZATION HAS DETERMINED THAT NO UNRECOGNIZED TAX BENEFITS EXIST AS OF DECEMBER 31, 2021 AND DOES NOT EXPECT THIS DETERMINATION TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. ADDITIONALLY, THE ORGANIZATION HAS NOT INCURRED ANY INCOME TAX RELATED PENALTIES FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. SHOULD SUCH PENALTIES AND INTEREST BE INCURRED, THE ORGANIZATION'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES.
SCHEDULE D, PART XI; LINE 2DAMOUNTS INCLUDED ON SCHEDULE D, PART XI, LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: - SPECIAL EVENT EXPENSES; $426,514; AND - GIFT SHOP COST OF GOODS SOLD; $15,105.
SCHEDULE D, PART XII; LINE 2DAMOUNTS INCLUDED ON SCHEDULE D, PART XII, LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: - SPECIAL EVENT EXPENSES; $426,514; AND - GIFT SHOP COST OF GOODS SOLD; $15,105.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL GALAEvent1Nm
Gross Receipts Event1$797,348GrossReceiptsEvent1Amt
Charitable Contri Event1$550,494CharitableContriEvent1Amt
Gross Revenue Event1$246,854GrossRevenueEvent1Amt
Rent Facility Costs Event1$46,910RentFacilityCostsEvent1Amt
Food And Beverage Event1$24,921FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$175,023OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$456,391GrossReceiptsEvent2Amt
Charitable Contri Event2$289,240CharitableContriEvent2Amt
Gross Revenue Event2$167,151GrossRevenueEvent2Amt
Rent Facility Costs Event2$134,959RentFacilityCostsEvent2Amt
Food And Beverage Event2$658FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$31,534OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$20,756GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$8,247CharitableContriOtherEventsAmt
Gross Revenue Other Events$12,509GrossRevenueOtherEventsAmt
Food And Beverage Other Events$2,636FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$9,873OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,274,495GrossReceiptsTotalAmt
Charitable Contributions Tot$847,981CharitableContributionsTotAmt
Gross Revenue Total Events$426,514GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$181,869RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$28,215FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$216,430OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$426,514DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
DISASTER RELIEF78$50,291fmv
SCHOLARSHIPS37$29,300FMV
community assistance43$60,361FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN INFORMATION AND RECEIPTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VI, SECTION A; QUESTION 3THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES OF THE EXECUTIVE DIRECTOR POSITION TO SUMMIT HEALTH MANAGEMENT, LLC, A NEW JERSEY LIMITED LIABILITY COMPANY. JULIENNE CHERRY WAS COMPENSATED BY SUMMIT HEALTH MANAGEMENT, LLC. AMOUNTS PAID FOR THESE SERVICES TOTALLED $174,230 AND WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7SUMMIT MEDICAL GROUP, P.A. IS THE SOLE MEMBER OF THIS ORGANIZATION; HOWEVER, ALL DECISIONS RELATED TO THIS ORGANIZATION ARE DONE SO AT THE BOARD OF TRUSTEE LEVEL. SUMMIT MEDICAL GROUP, P.A. DOES NOT HAVE RIGHTS AND POWERS OVER THIS ORGANIZATION.
CORE FORM, PART VI, SECTION B; QUESTION 11THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE EXECUTIVE DIRECTOR AND TREASURER ASSUMED THE RESPONSIBLITY TO OVERSEE AND COORDINATE THE FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S EXECUTIVE DIRECTOR TO OBTAIN THE INFORMATION NEEDED TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S EXECUTIVE DIRECTOR FOR REVIEW. THE EXECUTIVE DIRECTOR 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 ORGANIZATION'S EXECUTIVE DIRECTOR FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VICE PRESIDENT FOR REVIEW. THEREAFTER THE VICE PRESIDENT PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND THEREAFTER PRESENTS THIS SUMMARY TO THE ORGANIZATION'S BOARD OF TRUSTEES FOR THEIR REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMPENSATION AND BENEFITS OF THE EXECUTIVE DIRECTOR ARE REVIEWED BY THE COMMITTEE TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE BOARD REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE OF THE COMMITTEE TO ENSURE TOTAL COMPENSATION OF THIS INDIVIDUAL IS REASONABLE AND FAIR MARKET VALUE.
CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART XI; LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - $75,828.
CORE FORM, PART XII; QUESTION 2THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE IN PROGRESS BY AN INDEPENDENT CPA FIRM AND NOT ISSUED AS OF THE DATE OF FILING THIS FORM 990.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:978840
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:103151
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:188586
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:400

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT MEDICAL GROUP PABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 DIAMOND HILL ROADAddressLine1Txt
CityBERKELEY HEIGHTSCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07922ZIPCd
FieldValueIRS element (for citing)
EIN223487984EIN
Primary ActivitiesHEALTH SVCS.PrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORP.EntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT MEDICAL GROUP PABusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$772,248InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt