SHORE ROAD RADIOLOGY ASSOCIATES PC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SHORE ROAD RADIOLOGY ASSOCIATES PC (EIN 11-2665457)
- Tax period
- 2015-09-01 to 2016-08-31
- Filed
- 2017-07-13
- IRS object ID
- 201701949349301330
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-13T18:44:50-05:00 | ReturnTs |
| Tax Period End | 2016-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1Txt |
| City | JERICHO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112665457 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHORE ROAD RADIOLOGY ASSOCIATES PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHOR | BusinessNameControlTxt |
| Phone | 7186307611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 55TH STREET NO 2-36 | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11220 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAYANTH RAO MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7186307611 | PhoneNum |
| Signature | 2017-07-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTINE KAWECKI | PreparerPersonNm |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | PhoneNum |
| Preparation | 2017-06-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAYANTH RAO MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 55TH STREET NO 2-36 | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11220 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $0 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 10 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,611,390 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $750 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,612,147 | PYTotalRevenueAmt |
| CY Total Revenue | $0 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,740,037 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,422,905 | PYOtherExpensesAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| PY Total Expenses | $4,162,942 | PYTotalExpensesAmt |
| CY Total Expenses | $0 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,550,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $450,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $98,763 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $933,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $98,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$482,988 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SEE SCHEDULE O. | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 10 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAYANTH RAO MD | PersonNm |
| Phone | 7186307100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 55TH STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 112202559 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAYANTH RAO MD | ||||||||
| PRESIDENT | 35.00 | 5.00 | Yes (X) | Yes (X) | $465,111 | $177,118 | $36,335 | |
| ALEXANDER VIDERSHAYN MD | ||||||||
| PHYSICIAN | 35.00 | 5.00 | $246,432 | $88,207 | $27,326 | Yes (X) | ||
| JEN-FONG SHEN MD | ||||||||
| PHYSICIAN | 35.00 | 5.00 | $251,714 | $89,438 | $42,276 | Yes (X) | ||
| KOPRESH A GUDI MD | ||||||||
| PHYSICIAN | 40.00 | $379,657 | $0 | $24,550 | Yes (X) | |||
| WILLIAM NGUYEN MD | ||||||||
| PHYSICIAN | 35.00 | 5.00 | $242,559 | $87,657 | $40,109 | Yes (X) | ||
| YEVGENIY MARGULIS MD | ||||||||
| PHYSICIAN | 35.00 | 5.00 | $259,856 | $90,899 | $27,754 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,845,329 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $533,319 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $198,350 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TELERADIOOGY LLC | |||||
| 3520 PIEDMONT ROAD NE SUITE 250 | ATLANTA | GA | 30305 | TEMPORARY WORKFORCE | $541,244 |
| TOTAL VASCULAR CARE PLLC | |||||
| 960 50TH STREET | BROOKLYN | NY | 11219 | TEMPORARY WORKFORCE | $217,400 |
| BARTON & ASSOCIATES | |||||
| PO BOX 417844 | BOSTON | MA | 022417844 | TEMPORARY WORKFORCE | $187,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,140 | BOYAmt |
| EOY | $98,763 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,988 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,764 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,892 | BOYAmt |
| EOY | $98,763 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,924 | BOYAmt |
| EOY | $98,763 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,956 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $933,880 | BOYAmt |
| EOY | $98,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$482,988 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$482,988 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,892 | BOYAmt |
| EOY | $98,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $482,988 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NYU HOSPITALS CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133971298 | EIN |
| Organization Type | 9 | OrganizationTypeCd |
| Governing Document Listed | 0 | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | Yes (1) | OrganizationChangeSuprtOrgInd |
| Substitution Beyond Org Cntl | Yes (1) | SubstitutionBeyondOrgCntlInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (1) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | Yes (1) | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 1: | THE ORGANIZATION'S GOVERNING DOCUMENTS DESIGNATED NYU LUTHERAN MEDICAL CENTER (11-1839567) AS SHORE ROAD RADIOLOGY ASSOCIATES, PC'S SUPPORTED ORGANIZATION. ON 1/1/2016, NYU LUTHERAN MEDICAL CENTER (11-1839567) MERGED WITH NYU HOSPITALS CENTER (13-3971298). |
| SCHEDULE A, PART IV, SECTION A, LINE 5A: | NYU HOSPITALS CENTER (13-3971298) REPLACED NYU LUTHERAN MEDICAL CENTER (11-1839567) AS A RESULT OF A MERGER ON 1/1/2016. |
| SCHEDULE A, PART IV, SECTION D, LINE 3: | SHORE ROAD RADIOLOGY ASSOCIATES, P.C. IS OPERATED EXCLUSIVELY TO SUPPORT NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER. DURING 2015, ALL DECISIONS MADE WITH REGARD TO THE INVESTMENT OF AND THE USE OF INCOME OR ASSETS OF SHORE ROAD RADIOLOGY ASSOCIATES, P.C. WERE MADE BY NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER IN ACCORDANCE WITH THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION. |
| SCHEDULE A, PART IV, SECTION E, LINE 2A: | THE PURPOSES AND ACTIVITIES OF SHORE ROAD RADIOLOGY ASSOCIATES PC ARE TO SOLELY SUPPORT THE TAX-EXEMPT MISSION OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER ORGANIZATIONS DESCRIBED IN IRC SECTION 509 (A) (1). |
| SCHEDULE A, PART IV, SECTION E, LINE 2B: | SHORE ROAD RADIOLOGY ASSOCIATES PC PROVIDES SPECIALIZED PATIENT CARE IN SUPPORT OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER MISSION TO PROVIDE COMPREHENSIVE HEALTH CARE TO THE DIVERSE COMMUNITY OF SOUTHWEST BROOKLYN. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FINANCIAL ACCOUNTING STANDARDS BOARD'S (THE "FASB") GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. UNCERTAIN INCOME TAX POSITIONS DID NOT HAVE A SIGNIFICANT IMPACT ON THE HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS DURING THE YEAR ENDED AUGUST 31, 2016. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAYANTH RAO MD | ||||||||||||||
| PRESIDENT | $462,397 | $161,493 | $0 | $0 | $2,714 | $15,625 | $15,900 | $6,662 | $12,997 | $776 | $494,008 | $184,556 | $0 | $0 |
| ALEXANDER VIDERSHAYN MD | ||||||||||||||
| PHYSICIAN | $246,213 | $81,949 | $0 | $0 | $219 | $6,258 | $13,737 | $6,625 | $6,474 | $490 | $266,643 | $95,322 | $0 | $0 |
| JEN-FONG SHEN MD | ||||||||||||||
| PHYSICIAN | $250,294 | $82,308 | $0 | $0 | $1,420 | $7,130 | $14,379 | $6,625 | $20,185 | $1,087 | $286,278 | $97,150 | $0 | $0 |
| KOPRESH A GUDI MD | ||||||||||||||
| PHYSICIAN | $235,797 | $0 | $0 | $0 | $143,860 | $0 | $12,923 | $0 | $11,627 | $0 | $404,207 | $0 | $0 | $0 |
| WILLIAM NGUYEN MD | ||||||||||||||
| PHYSICIAN | $238,043 | $80,215 | $0 | $0 | $4,516 | $7,442 | $13,736 | $6,625 | $19,748 | $0 | $276,043 | $94,282 | $0 | $0 |
| YEVGENIY MARGULIS MD | ||||||||||||||
| PHYSICIAN | $259,337 | $84,449 | $0 | $0 | $519 | $6,450 | $14,165 | $6,625 | $6,474 | $490 | $280,495 | $98,014 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | IN 2015, KOPRESH A. GUDI, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $141,346. THIS AMOUNT IS INCLUDED ON PART II, LINE (4)(B)(III). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | SHORE ROAD RADIOLOGY ASSOCIATES, PC ("PC") IS FORMED FOR THE SOLE PURPOSE OF PROMOTING HEALTH FOR THE BENEFIT OF THE COMMUNITY BY SERVING A LARGE AND INDEFINITE CLASS. THE ORGANIZATION PROMOTES HEALTH BY ENGAGING IN THE PROFESSION OF MEDICINE AND PROVIDING MEDICAL SERVICES, IN A MANNER THAT IS EXCLUSIVELY CHARITABLE WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE PROVISION OF MEDICAL SERVICES HAS BEEN CARRIED ON SINCE THE INCEPTION OF THE ORGANIZATION IN 1983. THE PC OPERATES IN SUPPORT OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER. NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF NEW YORK, AND A CHARITABLE, TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NYU LUTHERAN MEDICAL CENTER/NYU HOSPTIALS CENTER IS AN ACUTE CARE HOSPITAL THAT CONDUCTS CHARITABLE AND HOSPITAL ACTIVITIES. THE PC PROVIDES PROFESSIONAL MEDICAL SERVICES TO PATIENTS, WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY. THE ORGANIZATION HAS ADOPTED THE CHARITY CARE POLICY OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER. |
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | THE ORGANIZATION'S APPROVED PURPOSES ARE TO ENGAGE AS A PROFESSIONAL SERVICE CORPORATION IN THE RENDERING OF THOSE PROFESSIONAL SERVICES THAT A PHYSICIAN DULY AUTHORIZED UNDER THE LAWS OF THE STATE OF NEW YORK IS AUTHORIZED TO RENDER, INCLUDING BUT NOT LIMITED TO RENDERING PHYSICIAN SERVICES AT NYU LUTHERAN, FKA LUTHERAN MEDICAL CENTER, A DIVISION OF NYU HOSPITALS CENTER, A NEW YORK NOT-FOR-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PART III, LINE 3 | SHORE ROAD RADIOLOGY ASSOCIATES, PC ("RADIOLOGY") WAS OPERATED EXCLUSIVELY TO SUPPORT NYU LUTHERAN MEDICAL CENTER ("LUTHERAN") BY PROMOTING HEALTH FOR THE BENEFIT OF THE COMMUNITY SERVED BY LUTHERAN. FOLLOWING LUTHERAN'S AFFILIATION WITH NYU HOSPITALS CENTER ("NYUHC") ON APRIL 1, 2015, PLANNING COMMENCED TO COMBINE RADIOLOGY'S OPERATIONS WITH THE FACULTY GROUP PRACTICE ("FGP") OF THE NYU SCHOOL OF MEDICINE, AN ADMINISTRATIVE UNIT OF NEW YORK UNIVERSITY, WHICH IS THE SOLE MEMBER OF NYU LANGONE HEALTH SYSTEM WHICH IS THE SOLE MEMBER OF NYU HOSPITALS CENTER. EFFECTIVE SEPTEMBER 1, 2015, RADIOLOGY'S OPERATIONS WERE TRANSFERRED TO FGP. ADDITIONALLY, ON JANUARY 1, 2016, LUTHERAN MERGED WITH AND INTO NYUHC AT WHICH TIME RADIOLOGY COMMENCED OPERATING EXCLUSIVELY TO SUPPORT NYUHC. |
| FORM 990, PART III, LINE 4A: | SHORE ROAD RADIOLOGY ASSOCIATES, PC IS A PROFESSIONAL CORPORATION THAT PROVIDES RADIOLOGICAL SERVICES TO NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER AND THE SURROUNDING SOUTHWEST BROOKLYN COMMUNITIES. PROCEDURES INCLUDE BOTH DIAGNOSTIC AND THERAPEUTIC SERVICES, RANGING FROM X-RAY, CT, MRI, NUCLEAR MEDICINE, ULTRASOUND, MAMMOGRAPHY AND VASCULAR AND OTHER SPECIAL PROCEDURES. |
| FORM 990, PART IV, LINE 12B: | SHORE ROAD RADIOLOGY ASSOCIATES, P.C. IS INCLUDED IN A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING AUGUST 31ST, 2016. THE COMBINED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES OF AMERICA ("GAAP"). THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER AND ALL OF ITS AFFILIATED ORGANIZATIONS. PER THE INSTRUCTIONS TO THE FORM 990, THE ORGANIZATION IS REQUIRED TO RESPOND "YES" TO PART IV, QUESTION 12B IF THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. SINCE SELECTING "YES" TO THIS QUESTION MAY BE MISCONSTRUED, THE TAXPAYER IS ATTACHING THIS EXPLANATION TO ITS FORM 990. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A PROFESSIONAL SERVICE CORPORATION ("PC") WITH ONE SHAREHOLDER. UNDER APPLICABLE NYS LAW, ONLY A LICENSED PHYSICIAN MAY HOLD SHARES IN THE PC. DR. JAYANTH RAO, CHAIR OF RADIOLOGY OF NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER IS THE SOLE SHAREHOLDER OF THE PC, AND PURSUANT TO A SHAREHOLDER AGREEMENT AMONG DR. RAO, THE PC AND THE MEDICAL CENTER, THE SHAREHOLDER HAS VERY LIMITED AUTHORITY. IN PARTICULAR, THE SHAREHOLDER MAY NOT TRANSFER OR ENCUMBER THE SHARES OR DECLARE DISTRIBUTIONS WITHOUT THE EXPRESS CONSENT OF THE MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE SHAREHOLDER HAS THE AUTHORITY TO APPOINT THE DIRECTORS AND OFFICERS OF THE PC. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE SHAREHOLDER AGREEMENT, DR. JAYANTH RAO HAS LIMITED AUTHORITY AND ALL DECISIONS ARE CONTROLLED BY NYU LUTHERAN MEDICAL CENTER/NYU HOSPITALS CENTER. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION HAS ANSWERED THIS QUESTION "NO" AS THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE ORGANIZATION'S FINANCE DEPARTMENT GATHERS THE SUPPORTING INFORMATION BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY AND PRIOR YEAR REPORTING. 2. THE SUPPORTING INFORMATION IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW AND COMMENTS. 3. THE EXTERNAL TAX ADVISOR PREPARES A DRAFT RETURN WHICH IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND DIRECTOR OF TAX FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE NYU LUTHERAN MEDICAL CENTER/NYU HOSPITAL CENTER'S BOARD OF TRUSTEES' AUDIT COMMITTEE, AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 5. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARD TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12: THE ORGANIZATION OPERATES UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, NYU LUTHERN MEDICAL CENTER/NYU HOSPITALS CENTER. THE PRESIDENT AND SOLE DIRECTOR, DR. JAYANTH RAO, IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL SURVEY/QUESTIONNAIRE SUBMITTED BY THE MEDICAL CENTER'S GENERAL COUNSEL. THE SUBMITTED QUESTIONNAIRE IS REVIEWED BY THE MEDICAL CENTER'S GENERAL COUNSEL TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 12 | THE ORGANIZATION OPERATES UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, NYU HOSPITALS CENTER. THE PRESIDENT AND SOLE DIRECTOR, DR. JAYANTH RAO, IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL SURVEY/QUESTIONNAIRE SUBMITTED BY THE HOSPITAL CENTER'S GENERAL COUNSEL. THE SUBMITTED QUESTIONNAIRE IS REVIEWED BY THE HOSPITAL CENTER'S GENERAL COUNSEL TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | SENIOR MANAGEMENT AT NYU LANGONE MEDICAL CENTER REGULARLY REVIEWS VARIOUS OBJECTIVE DATA SOURCES THAT FACTOR INTO COMPENSATION FOR EMPLOYED AND CONTRACTED PHYSICIANS AND GROUPS PROVIDING SERVICES TO THE ORGANIZATION. THESE SOURCES INCLUDE NATIONAL AND REGIONAL SURVEY SAMPLES BY PHYSICIAN CLINICAL SPECIALTY, AS PUBLISHED BY SULLIVAN COTTER AND AS PURCHASED FROM OTHER CONSULTANTS, WHICH GUIDE THE ESTABLISHMENT OF FAIR MARKET VALUE FOR EACH PHYSICIAN'S/GROUP'S COMPENSATION LEVEL IN THE ORGANIZATION. WITH RESPECT TO CERTAIN PHYSICIANS WHO MIGHT BE CONSIDERED "LUMINARIES OR WHOSE COMPENSATION FALLS INTO AN OUTLIER CATEGORY IN THE CLINICAL SPECIALTY, THE ORGANIZATION SEEKS ADVICE AND OPINIONS FROM OUTSIDE CONSULTANTS WHO SPECIALIZE IN THIS WORK. IN ADDITION, ALL EMPLOYED AND CONTRACTED PHYSICIANS IN THE PC ARE REQUIRED TO HAVE WRITTEN CONTRACTS, SIGNED BY THE PHYSICIAN AND THE DIRECTOR OF THE ORGANIZATION, DELINEATING THE DUTIES FOR WHICH THEY ARE BEING COMPENSATED. ON A MONTHLY BASIS, THE PHYSICIANS ARE REQUIRED TO SUBMIT TIME REPORTS WHICH DOCUMENT THE TIME SPENT ON VARIOUS ADMINISTRATIVE, SUPERVISORY, TEACHING AND CLINICAL ACTIVITIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT ITS HEAD OFFICES. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT OBTAIN AUDITED FINANCIAL STATEMENTS SO THESE ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, SECTION B, LINE 13 & 14: | THE ORGANIZATION OPERATES UNDER THE WHISTLEBLOWER AND DOCUMENT RETENTION POLICY OF ITS PARENT ORGANIZATION, NYU HOSPITALS CENTER CENTER. |
| FORM 990, PART VII, SECTION A: | THE COMPENSATION PAID BY THE ORGANIZATION REPORTED ON PART VII, SECTION A & SCHEDULE J, PART II IS FOR CALENDAR YEAR 2015 PURPOSES, BUT ONLY COVERS COMPENSATION FROM JANUARY 1, 2015 - AUGUST 31, 2015, WHICH WERE REPORTED AS EXPENSES ON THE ORGANIZATION'S PRIOR PERIOD FORM 990. THE RELATED PARTY COMPENSATION INCLUDES COMPENSATION PAID FOR THE PERIOD COVERING SEPTEMBER 1, 2015 - DECEMBER 31, 2015, WHEN THE INDIVIDUALS WERE PERFORMING SERVICES FOR THE FACULTY GROUP PRACTICE AT NYU SCHOOL OF MEDICINE. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM AFFILIATE 482,988. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW YORK UNIVERSITY | ||||||||||||||||
| 726 BROADWAY | NEW YORK | NY | 10003 | 135562308 | UNIVERSITY | NY | 501(C)(3) | LINE 2 | N/A | 0 | ||||||
| NYU LANGONE HEALTH SYSTEM | ||||||||||||||||
| 550 FIRST AVENUE MSB 153 | NEW YORK | NY | 10016 | 472613531 | SUPPORTING ORG. | NY | 501(C)(3) | LINE 11B, II | 0 | NEW YORK UNIVERSITY | ||||||
| 34TH STREET CANCER CENTER INC | ||||||||||||||||
| C/O NYUHC 550 FIRST AVENUE | NEW YORK | NY | 10016 | 300262470 | CANCER CARE | NY | 501(C)(3) | LINE 11C, III-FI | Yes (1) | NYU HOSPITALS CENTER | ||||||
| HAROLD ACTON TRUST | ||||||||||||||||
| 726 BROADWAY 9TH FLOOR | NEW YORK | NY | 10003 | 137050560 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| HORTENSE ACTON TRUST | ||||||||||||||||
| 70 WASHINGTON SQ S | NEW YORK | NY | 10013 | 367110976 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | NY | 501(C)(3) | PF | Yes (1) | NEW YORK UNIVERSITY | ||||||
| INSTITUTE OF FINE ARTS FOUNDATION | ||||||||||||||||
| 1 EAST 78TH STREET | NEW YORK | NY | 10021 | 237184242 | SUPP NYU'S INSTITUTE OF FINE ARTS | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NATIONAL CENTER ON PHILANTHROPY AND THE LAW | ||||||||||||||||
| 110 WEST 3RD ST 2ND FL | NEW YORK | NY | 10012 | 133954405 | STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NEW YORK UNIVERSITY IN ABU DHABI CORP | ||||||||||||||||
| 70 WASHINGTON SQ S | NEW YORK | NY | 10013 | 262652713 | SUPPORT NYU COLLEGE IN ABU DHABI | NY | 501(C)(3) | LINE 2 | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NEW YORK UNIV SCHOOL OF BUSINESS FDN | ||||||||||||||||
| 44 WEST 4TH ST STE 11-160 | NEW YORK | NY | 10012 | 134168015 | SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESS | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IMAGING INC | ||||||||||||||||
| 545 FIRST AVENUE | NEW YORK | NY | 10016 | 134000622 | SUPPORT NYU SCHOOL OF MEDICINE | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU REAL ESTATE CORPORATION | ||||||||||||||||
| 70 WASHINGTON SQ S 11TH | NEW YORK | NY | 10013 | 134141728 | OWNS REAL PROPERTY | NY | 501(C)(25) | Yes (1) | NEW YORK UNIVERSITY | |||||||
| NYU SCHOOL OF LAW FOUNDATION | ||||||||||||||||
| 161 AVE OF THE AMERICAS 504 | NEW YORK | NY | 10013 | 136161036 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU SCHOOL OF LAW HOUSING ASSISTANCE CO | ||||||||||||||||
| 161 AVE OF THE AMERICAS 504 | NEW YORK | NY | 10013 | 134043221 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NYU'S SCHOOL OF LAW FOUNDATION | ||||||
| NYU SCHOOL OF LAW RECRUITMENT ASSIST CO | ||||||||||||||||
| 161 AVE OF THE AMERICAS 504 | NEW YORK | NY | 10013 | 134043182 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NYU'S SCHOOL OF LAW FOUNDATION | ||||||
| NYU SCHOOL OF LAW FACULTY RETENTION ASSIST CORP | ||||||||||||||||
| 161 AVE OF THE AMERICAS 504 | NEW YORK | NY | 10013 | 134047911 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NYU'S SCHOOL OF LAW FOUNDATION | ||||||
| WASHINGTON SQUARE LEGAL SERVICES INC | ||||||||||||||||
| 161 AVE OF THE AMERICAS 504 | NEW YORK | NY | 10013 | 237392120 | CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| JURODIN FUND (DISSOLVED 121815) | ||||||||||||||||
| PO BOX 6089 | NEWARK | DE | 197146089 | 136169166 | SILVER FUNDS | DE | 501(C)(3) | PF | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU LUTHERAN MEDICAL CENTER (MERGED WITH NYUHC 1116) | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 111839567 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| LUTHERAN AUGUSTANA CECR INC | ||||||||||||||||
| 5434 2ND AVENUE | BROOKLYN | NY | 11220 | 112150953 | EXTENDED CARE | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| OHP PHSP INC | ||||||||||||||||
| 5800 3RD AVENUE | BROOKLYN | NY | 11220 | 113245559 | INSURANCE | NY | 501(C)(4) | Yes (1) | NYU HOSPITALS CENTER | |||||||
| SHORE HILL HOUSING COMPANY INC | ||||||||||||||||
| 9000 SHORE ROAD | BROOKLYN | NY | 11209 | 237405105 | HOUSING | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| HARBOR HILL HOUSING | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 113152691 | HOUSING | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| SUNSET BAY COMMUNITY SERVICES | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 112439925 | DAY CARE & SENIOR SERVICES | NY | 501(C)(3) | LINE 7 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| COMMUNITY CARE ORGANIZATION | ||||||||||||||||
| 246 55TH STREET ROOM AA4 | BROOKLYN | NY | 11220 | 113001682 | HOME HEALTH | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| SUNSET GARDENS HOUSING CORP | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 203461755 | HOUSING | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| LMC HEALTH SYSTEM INC (DISSOLVED 83116) | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 113589771 | SUPPORTING ORG. | NY | 501(C)(3) | LINE 11A, I | Yes (1) | NYU HOSPITALS CENTER | ||||||
| LMC PHYSICIAN SERVICES PC | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | 113192423 | PHYSICIANS SERVICES | NY | 501(C)(3) | LINE 11C, III-FI | Yes (1) | NYU HOSPITALS CENTER | ||||||
| LUTHERAN CHHA INC DBA LUTHERAN CARE AT HOME | ||||||||||||||||
| 5407 2ND AVENUE | BROOKLYN | NY | 11220 | 462559181 | HOME HEALTH AIDE AGENCY | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU IN LONDON | ||||||||||||||||
| 981074101 | SUPPORT NYU'S PROGRAM IN LONDON | Yes (1) | NEW YORK UNIVERSITY | 6 BEDFORD SQUARE | LONDON | UK | WC1B 3RA | UK | ||||||||
| NYU TISCH SCH OF ARTS ASIA LTD | ||||||||||||||||
| SUPPORT NYU'S TSOA'S PROGRAM IN SINGAPORE | Yes (1) | NEW YORK UNIVERSITY | 3 KAY SIANG ROAD | SN | 248923 | SN | ||||||||||
| NYU IN TEL-AVIV LTD | ||||||||||||||||
| 981058326 | SUPPORT NYU'S PROGRAM IN TEL-AVIV | Yes (1) | NEW YORK UNIVERSITY | TUVAL 13 | TEL AVIV | IS | 52522 | IS | ||||||||
| NEW YORK UNIVERSITY IN FRANCE | ||||||||||||||||
| 981058568 | SUPPORT NYU'S PROGRAM IN FRANCE | Yes (1) | NEW YORK UNIVERSITY | 56 RUE DE PASSY | PARIS | FR | 75016 | FR | ||||||||
| NEW YORK UNIVERSITY IN AFGHANISTAN | ||||||||||||||||
| SUPPORT NYU'S ACTIVITIES IN AFGHANISTAN | Yes (1) | NEW YORK UNIVERSITY | 150 MASJID E HAJI ABDURRAHIM ST CHA | KABUL | AF | AF | ||||||||||
| NYU LANGONE IPA INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 364841069 | IPA OPERATING A MEDICAID SHARED SAVINGS PROGRAM | NY | 501(C)(3) | LINE 9 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU HOSPITALS CENTER | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 133971298 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCC 550 INSURANCE SCC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | PROF LIAB COVERAGE | BB | NYU HOSPITALS CENTER | C | 1.00000 | Yes (1) | |||||||
| INTERNATIONAL ART FUND | ||||||||||||||||
| C/O NYU 726 BROADWAY | NEW YORK | NY | 10003 | HOLDS STOCK IN LA PIETRA CORP. | PM | C | Yes (1) | N/A | ||||||||
| LA PIETRA CORPORATION | ||||||||||||||||
| HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS | IT | C | Yes (1) | N/A | VIA BOLOGNESE 120 | FLORENCE | IT | 50139 | ||||||||
| NIU DA ED INFOR CONSULTING CO LTD | ||||||||||||||||
| SUPPORT NYU'S PROGRAM IN CHINA | CH | C | Yes (1) | N/A | 3663 ZHONGSHAN RD N | SHANGHAI | CH | 200062 | ||||||||
| SHORE HILL HOUSING ASSOCIATES GP INC | ||||||||||||||||
| 150 55TH STREET | BROOKLYN | NY | 11220 | HOUSING | C | Yes (1) | N/A | 262243695 | NY | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |