STRATEGY STUDIO / PUBLIC DATA EXPLORER

SHORE ROAD RADIOLOGY ASSOCIATES PC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SHORE ROAD RADIOLOGY ASSOCIATES PC (EIN 11-2665457)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201503179349300845
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-11-13T14:35:22-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1Txt
CityJERICHOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112665457EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHORE ROAD RADIOLOGY ASSOCIATES PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHORBusinessNameControlTxt
Phone7186307611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 55TH STREET NO 2-36AddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11220ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAYANTH RAOPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7186307611PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE KAWECKIPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
Preparation2015-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAYANTH RAO MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 55TH STREET NO 2-36AddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11220ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,912,662GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHEALTHCARE PROVIDER OF RADIOLOGY IN CONJUNCTION WITH, AND IN SUPPORT OF, NYU LUTHERAN MEDICAL CENTER.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,990,113PYProgramServiceRevenueAmt
CY Program Service Revenue$3,911,022CYProgramServiceRevenueAmt
PY Investment Income$299PYInvestmentIncomeAmt
CY Investment Income$214CYInvestmentIncomeAmt
PY Other Revenue$8,009PYOtherRevenueAmt
CY Other Revenue$1,426CYOtherRevenueAmt
PY Total Revenue$3,998,421PYTotalRevenueAmt
CY Total Revenue$3,912,662CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,584,960PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,271,212CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,811,903PYOtherExpensesAmt
CY Other Expenses$2,808,779CYOtherExpensesAmt
PY Total Expenses$6,396,863PYTotalExpensesAmt
CY Total Expenses$6,079,991CYTotalExpensesAmt
PY Revenues Less Expenses-$2,398,442PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,167,329CYRevenuesLessExpensesAmt
Total Assets BOY$481,120TotalAssetsBOYAmt
Total Assets EOY$436,315TotalAssetsEOYAmt
Total Liabilities BOY$1,479,800TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,577,368TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$998,680NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,141,053NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,415,792ExpenseAmt
Revenue$3,912,448RevenueAmt
DescSHORE ROAD RADIOLOGY ASSOCIATES, PC IS A PROFESSIONAL CORPORATIONTHAT PROVIDES RADIOLOGICAL SERVICES TO NYU LUTHERAN MEDICAL CENTER ANDTHE SURROUNDING SOUTHWEST BROOKLYN COMMUNITIES. PROCEDURESINCLUDE BOTH DIAGNOSTIC AND THERAPEUTIC SERVICES, RANGING FROMX-RAY, CT, MRI, NUCLEAR MEDICINE, ULTRASOUND, MAMMOGRAPHY ANDVASCULAR AND OTHER SPECIAL PROCEDURES. IN 2014, SRR RADIOLOGISTSREAD APPROXIMATELY 98,232 TESTS PERFORMED ON NYU LUTHERAN MEDICALCENTER PATIENTS, WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY.Desc
Total Program Service Expenses$5,415,792TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALAN SICKLESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7186307611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 55TH STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAYANTH RAO MD
PRESIDENT40.00Yes (X)Yes (X)$647,130$0$27,251
RON MAIMON MD
RADIOLOGIST40.00$373,706$0$20,406Yes (X)
KOPRESH A GUDI MD
RADIOLOGIST40.00$371,453$0$50,472Yes (X)
YEVGENIY MARGULIS MD
RADIOLOGIST40.00$369,921$0$20,556Yes (X)
JEN-FONG SHEN MD
RADIOLOGIST40.00$336,311$0$56,498Yes (X)
WILLIAM NGUYEN MD
RADIOLOGIST40.00$320,191$0$59,742Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,418,712TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$234,925TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BARTON & ASSOCIATES
PO BOX 417844BOSTONMA022417844TEMPORARY WORKFORCE$733,514
TELERADIOLOGY LLC
3520 PIEDMONT ROAD NE SUITE 250ATLANTAGA30305TEMPORARY WORKFORCE$500,689
CADACEUS INC
30 MONTGOMERY STREET SUITE 720JERSEY CITYNJ073023841BILLING SERVICES$342,504
TOTAL VASCULAR CARE PLLC
960 50TH STREETBROOKLYNNY11219TEMPORARY WORKFORCE$245,600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUDesc
Business622110BusinessCd
Total Revenue Column$3,911,022TotalRevenueColumnAmt
Related Or Exempt Func Income$3,911,022RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,911,022TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$214TotalRevenueColumnAmt
Exclusion$214ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PAYROLL TAX REFUND900099$1,066$1,066
WRITE OFFS OF FSA ACNT900099$360$360
FieldValueIRS element (for citing)
Other Revenue Total$1,426OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,912,662TotalRevenueColumnAmt
Related Or Exempt Func Income$3,912,448RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$214ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$674,381TotalAmt
Program Services$674,381ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,288,910TotalAmt
Program Services$2,288,910ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$74,859TotalAmt
Program Services$74,859ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$121,520TotalAmt
Program Services$121,520ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$111,542TotalAmt
Program Services$111,542ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$107,592TotalAmt
Management And General$107,592ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,096TotalAmt
Management And General$12,096ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,658,428TotalAmt
Program Services$1,658,428ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,996TotalAmt
Program Services$15,996ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$470,156TotalAmt
Program Services$470,156ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
BILLING EXPENSES$342,504$342,504
STAFF CHARGE BACK$195,578$195,578
FILING FEES$3,075$3,075
PAYROLL TAXES$526$526

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,828TotalAmt
Management And General$2,828ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,079,991TotalAmt
Program Services$5,415,792ProgramServicesAmt
Management And General$664,199ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$67,291BOYAmt
EOY$9,131EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$298,418BOYAmt
EOY$280,551EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$115,411BOYAmt
EOY$146,633EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$481,120BOYAmt
EOY$436,315EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$675,297BOYAmt
EOY$545,843EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$804,503BOYAmt
EOY$1,031,525EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,479,800BOYAmt
EOY$1,577,368EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$998,680BOYAmt
EOY-$1,141,053EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$998,680BOYAmt
EOY-$1,141,053EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$481,120BOYAmt
EOY$436,315EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,167,329ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,024,956OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NYU LUTHERAN MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN111839567EIN
Organization TypeHOSPITALOrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$6,079,991SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$6,079,991SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (1)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (1)ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION D, LINE 3:SHORE ROAD RADIOLOGY ASSOCIATES, P.C. IS OPERATED EXCLUSIVELY TO SUPPORT NYU LUTHERAN MEDICAL CENTER. DURING 2014, 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 IN ACCORDANCE WITH THE GOVERNING DOCUMENTS OF THE SUPPORTING ORGANIZATION.
PART IV, SECTION E, LINE 2A:THE PURPOSES AND ACTIVITIES OF SHORE ROAD RADIOLOGY ASSOCIATES, P.C. ARE TO SOLELY SUPPORT THE TAX-EXEMPT MISSION OF NYU LUTHERAN MEDICAL CENTER, AN ORGANIZATION DESCRIBED IN IRC SECTION 509(A)(1). SHORE ROAD RADIOLOGY ASSOCIATES, P.C. PROVIDES MEDICALLY NECESSARY SPECIALIZED PHYSICIAN SERVICES TO THE COMMUNITY DEFINED AS THE SAME CATCHMENT AREA AS NYU LUTHERAN MEDICAL CENTER AND UNDER THE DIRECTION AND CONTROL OF NYU LUTHERAN MEDICAL CENTER.
PART IV, SECTION E, LINE 2B:SHORE ROAD RADIOLOGY ASSOCIATES, P.C. PROVIDES SPECIALIZED PATIENT CARE IN SUPPORT OF NYU LUTHERAN MEDICAL CENTER'S MISSION TO PROVIDE COMPREHENSIVE HEALTH CARE TO THE DIVERSE COMMUNITIES OF SOUTHWEST BROOKLYN. SINCE THE PATIENT SERVICES PROVIDED BY SHORE ROAD RADIOLOGY ASSOCIATES, P.C. ARE VIEWED AS INTEGRAL IN MEETING THE HEALTH NEEDS OF THE COMMUNITY, NYU LUTHERAN MEDICAL CENTER WOULD HAVE UNDERTAKEN THESE PATIENT ACTIVITIES EITHER THROUGH DIRECT EMPLOYMENT OF PHYSICIANS OR ALTERNATIVE CONTRACTUAL ARRANGEMENTS WITH THIRD PARTIES IF THE FILING ORGANIZATION WAS NOT INVOLVED.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$1,031,525Amt
FieldValueIRS element (for citing)
Total Liability$1,031,525TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAYANTH RAO MD
PRESIDENT$646,673$0$0$0$457$0$10,350$0$16,901$0$674,381$0$0$0
RON MAIMON MD
RADIOLOGIST$373,262$0$0$0$444$0$10,350$0$10,056$0$394,112$0$0$0
KOPRESH A GUDI MD
RADIOLOGIST$369,473$0$0$0$1,980$0$10,350$0$40,122$0$421,925$0$0$0
YEVGENIY MARGULIS MD
RADIOLOGIST$369,622$0$0$0$299$0$10,350$0$10,206$0$390,477$0$0$0
JEN-FONG SHEN MD
RADIOLOGIST$336,011$0$0$0$300$0$10,350$0$46,148$0$392,809$0$0$0
WILLIAM NGUYEN MD
RADIOLOGIST$314,102$0$0$0$6,089$0$10,350$0$49,392$0$379,933$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonHEMALATHA RAOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBERRelationshipDescriptionTxt
Transaction$79,750TransactionAmt
TransactionCOMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION 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 LUTHERAN MEDICAL 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 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.
FORM 990, PART IV, LINE 12BSHORE ROAD RADIOLOGY ASSOCIATES, P.C. IS INCLUDED IN A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31ST, 2014. 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 LUTHERAN MEDICAL 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 6THE 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 LUTHERAN MEDICAL 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 7ATHE SOLE SHAREHOLDER HAS THE AUTHORITY TO APPOINT THE DIRECTORS AND OFFICERS OF THE PC.
FORM 990, PART VI, SECTION A, LINE 7BPURSUANT TO THE SHAREHOLDER AGREEMENT, DR. JAYANTH RAO HAS LIMITED AUTHORITY AND ALL DECISIONS ARE CONTROLLED BY LUTHERAN MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 8BTHE 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 11THE FORM 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE OF THE ORGANIZATION'S PARENT ORGANIZATION, NYC LUTHERAN MEDICAL CENTER. A COPY OF THE FORM 990 IS PROVIDED TO THE SOLE DIRECTOR, DR. JAYANTH RAO, FOR HIS COMMENT AND REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION OPERATES UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, NYC LUTHERN MEDICAL 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 15SENIOR MANAGEMENT AT THE PARENT ORGANIZATION, NYC LUTHERAN 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, LMC SEEKS ADVICE AND OPINIONS FROM OUTSIDE CONSULTANTS WHO SPECIALIZE IN HIS 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 19THE 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.
PART VI, SECTION B, LINE 13 & 14THE ORGANIZATION OPERATES UNDER THE WHISTLEBLOWER AND DOCUMENT RETENTION POLICY OF ITS PARENT ORGANIZATION, NYU LUTHERAN MEDICAL CENTER.
FORM 990, PART IX, LINE 11GOUTSIDE PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,658,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,658,428.
FORM 990, PART XI, LINE 9:TRANSFERS OF NET ASSETS FROM RELATED ENTITIES 2,024,956.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
NYU LUTHERAN MEDICAL CENTER
150 55TH STREETBROOKLYNNY11220111839567HEALTHCARENY501(C)(3)3N/A0
LUTHERAN AUGUSTANA CECR INC
5434 2ND AVEBROOKLYNNY11220112150953EXTENDED CARENY501(C)(3)9N/A0
OHP PHSP INC
5800 3RD AVENUEBROOKLYNNY11220113245559INSURANCENY501(C)(4)N/AN/A0
SHORE HILL HOUSING COMPANY INC
9000 SHORE ROADBROOKLYNNY11209237405105HOUSINGNY501(C)(3)7N/A0
HARBOR HILL HOUSING
150 55TH STREETBROOKLYNNY11220113152691HOUSINGNY501(C)(3)9N/A0
SUNSET BAY COMMUNITY SERVICES
150 55TH STREETBROOKLYNNY11220112439925DAY CARE & SENIOR SERVICESNY501(C)(3)7N/A0
LMC COMMUNITY FOUNDATION
150 55TH STREETBROOKLYNNY11220237439784SUPPORT ORG.NY501(C)(3)11BN/A0
COMMUNITY CARE ORGANLZATLON
246 55TH STREET APT AA4BROOKLYNNY11220113001682HOME HEALTHNY501(C)(3)9N/A0
SUNSET GARDENS HOUSING CORP
150 55TH STREETBROOKLYNNY11220203461755HOUSINGNY501(C)(3)7N/A0
LMC HEALTH SYSTEM INC
150 55TH STREETBROOKLYNNY11220113589771SUPPORT ORG.NY501(C)(3)11AN/A0
LMC PHYSICIAN SERVICES PC
150 55TH STREETBROOKLYNNY11220113192423PHYS. SERVICENY501(C)(3)11CN/A0
LUTHERAN CHHAINC DBA LUTHERAN CARE AT
5407 2ND AVENUEBROOKLYNNY11220462559181HOME HEALTH AIDE AGENCYNY501(C)(3)9N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SHORE ROAD COMMUNITY SERVICES
150 55TH STREETBROOKLYNNY11220NURSING & HOUSINGNYLMC COMMUNITY FOUNDATIONC0
SHORE HILL HOUSING ASSOCIATES GP INC
150 55TH STREETBROOKLYNNY11220HOUSINGNYC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd