Southern New Jersey Health Information: Form 990EZ, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
Southern New Jersey Health Information (EIN 45-5469641)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349208788
Schema version
2023v5.1
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)
Return2024-11-15T15:57:37-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWNPCBusinessNameLine1Txt

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 Type990EZReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455469641EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southern New Jersey Health InformationBusinessNameLine1Txt
Business Name Line2OrganizationBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% RICHARD WHEATLEYInCareOfNm
Business Name ControlSOUTBusinessNameControlTxt
Phone6094632454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 442AddressLine1Txt
CityCape May Court HouseCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD WHEATLEYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6094632454PhoneNum
Signature2024-06-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY C MONCRIEF CPAPreparerPersonNm
PTINP00065201PTIN
Phone7328423113PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$199,447GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Program Service Revenue$199,010ProgramServiceRevenueAmt
Investment Income$437InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$199,447TotalRevenueAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$309,018FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$84,180OtherExpensesTotalAmt
Total Expenses$393,198TotalExpensesAmt
Excess Or Deficit For Year-$193,751ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$190,487NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$3,264OtherChangesInNetAssetsAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$105,435BOYAmt
EOY$0EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$89,316BOYAmt
EOY$0EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$194,751BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,264BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$190,487BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposePURPOSE OF NJ SHINE IS TO FACILITATE ACCESS TO AND RETRIEVAL OF CLINICAL DATA AND PROVIDE THE OPPPORTUNITY TO ELECTRONICALLY EXCHANGE ACCURATE CLINICAL INFORMATION BETWEEN HEALTH INFORMATION SYSTEMS TO IMPROVE THE COST, QUALITY, EFFICIENCY, AND EFFECTIVENESS OF PATIENT CENTERED CARE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSUPPORT AND OPERATE A SECURE, SELF-SUSTAINING, REAL-TIME CLINICAL DATA INFORMATION EXCHANGE TO IMPROVE CARE COORDINATION, ACCESS, OUTCOMES AND EFFICIENCIES AND SERVE A COMMUNITY OF HEALTH CARE PROVIDERS TO IMPROVE QUALITY OF CARE FOR PATIENTS THROUGH ACCESS TO INTEGRATED HEALTH INFORMATION AND INFORMATION USE TECHNOLOGIES.DescriptionProgramSrvcAccomTxt
Program Service Expenses$310,602ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$310,602TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Fred Banner
PRESIDENT2.0$0$0$0
David Johnson
Vice PRESIDENT2.0$0$0$0
Jerry Vilbrun
Secretary2.0$0$0$0
Richard Wheatley
Treasurer2.0$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcYes (true)OrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD WHEATLEYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 STONE HARBOR BLVDAddressLine1Txt
CityCAPE MAY COURT HOUSECityNm
State AbbreviationNJStateAbbreviationCd
ZIP08210ZIPCd
FieldValueIRS element (for citing)
Phone6094632454PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

FieldValueIRS element (for citing)
PersonECG MANAGEMENT CONSULTANTSPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Federal StAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Service TypeMANAGEMENT SERVICESServiceTypeTxt
Compensation$219,450CompensationAmt
FieldValueIRS element (for citing)
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Thirty Thr Pct Suprt Tests PY170Yes (X)ThirtyThrPctSuprtTestsPY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$291,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238,848CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$465,452CurrentTaxYearMinus1YearAmt
Current Tax Year$199,010CurrentTaxYearAmt
Total$1,413,610TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$291,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238,848CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$465,452CurrentTaxYearMinus1YearAmt
Current Tax Year$199,010CurrentTaxYearAmt
Total$1,413,610TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,413,610PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,201CurrentTaxYearMinus1YearAmt
Current Tax Year$437CurrentTaxYearAmt
Total$3,760TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,201CurrentTaxYearMinus1YearAmt
Current Tax Year$437CurrentTaxYearAmt
Total$3,760TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$292,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$219,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238,953CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$466,653CurrentTaxYearMinus1YearAmt
Current Tax Year$199,447CurrentTaxYearAmt
Total$1,417,370TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99735PublicSupportCY509Pct
Public Support PY5090.99765PublicSupportPY509Pct
Investment Income CY0.00265InvestmentIncomeCYPct
Investment Income PY0.00234InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidNO ASSETS REMAININGAssetsDistriOrExpnssPaidDesc
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorfalseEmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990EZ PART I LINE 16Description:OFFICE EXPENSES Amount:990
FORM 990EZ PART I LINE 16Description:INFORMATION TECHNOLOGY Amount:8000
FORM 990EZ PART I LINE 16Description:INSURANCE Amount:75190
FORM 990EZ PART I LINE 20Description:CLOSING ENTRY TO REMOVE REMAINING BALANC Amount:3264

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