2026-05-06T14:48:15+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2024-07-01 461787308 SB Clinical Practice Management Plan Inc SBCL 6314442055 PO BOX 1554 STONY BROOK NY 11790 Raphael Davis President & CEO 6314442055 2026-05-06 true Laura Mayo P01962945 2127733000 2026-05-06 2024 2025-03-06 01:10:19Z RAPHAEL DAVIS PO BOX 1554 STONY BROOK NY 11790 326715187 false X N/A X 2013 NY RESPONSIBLE FOR THE COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. 18 0 0 0 0 0 0 290073170 326663922 77355 51021 0 290150525 326714943 0 0 150229229 150537074 0 0 167583731 180736428 317812960 331273502 -27662435 -4558559 304259792 304764443 331830322 295973584 -27570530 8790859 A CLINICAL PRACTICE MANAGEMENT PLAN FOR THE MANAGEMENT OF THE CLINICAL PRACTICE OF FACULTY MEMBERS AT THE MEDICAL SCHOOL AT THE STATE UNIVERSITY OF NEW YORK AT STONY BROOK. false false 323732944 326663922 COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. 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ELAINE GOULD Director 1.0 49.0 X 0 810831 80106 EVAN JONES Director 1.0 49.0 X 0 1064546 92732 JAMES PENNA Director 1.0 49.0 X 0 1349724 85460 KENNETH SHROYER Director 1.0 49.0 X 0 684020 110635 Rajupet Sritha Director 1.0 49.0 X 0 520502 73828 ROBERT HONKANEN Director 1.0 49.0 X 0 776298 82243 SAMUEL RYU Director 1.0 49.0 X 0 831768 105425 SYED SHAH Director 1.0 49.0 X 0 872035 82250 Verghese Joe Director 1.0 49.0 X 0 460363 34290 VINCENT YANG Director 1.0 49.0 X 0 865665 100671 WILLIAM BURKE Director 1.0 49.0 X 0 713170 64526 TODD GRIFFIN FORMER 1.0 49.0 X 0 1090501 110511 0 16677000 1552027 true true false ALLEN NORIN 140 RIVERSIDE DRIVE APT 6D NEW YORK NY 10024 MEDICAL SERVICES 0 0 MANAGEMENT FEES 900099 319710673 319710673 RENTAL 531120 2121666 2121666 MEDICARE SHARED SAVINGS PROGRAM 900099 4831583 4831583 0 0 0 0 326663922 7830 7830 0 0 150138 -106703 244 0 149894 -106703 43191 43191 0 0 0 0 0 326714943 326663922 0 51021 X 117079791 111225801 5853990 33457283 31784419 1672864 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PREVENTIVE MEDICINE UFPC 112552321 9 false 7750000 0 STONY BROOK INTERNISTS UFPC 112558775 9 false 65500000 0 NEUROLOGY ASSOCIATES OF STONY BROOK UFPC 112587430 9 false 13500000 0 NEW YORK SPINE AND BRAIN SURGERY UFPC 112645930 9 false 11500000 0 UNIVERSITY ASSOCIATES IN OBST & GYNECOLOGY UFPC 112569522 9 false 33000000 0 STONY BROOK OPHTHALMOLOGY UFPC 112658697 9 false 9750000 0 STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC 112593061 9 false 22000000 0 STONY BROOK PATHOLOGISTS UFPC 112647243 9 false 5500000 0 STONY BROOK PSYCHIATRIC ASSOCIATES UFPC 112590096 9 false 11000000 0 STONY BROOK RADIATION ONCOLOGY UFPC 112664726 9 false 1500000 0 STONY BROOK RADIOLOGY UFPC 112548304 9 false 31750000 0 STONY BROOK SURGICAL ASSOCIATES UFPC 112552333 9 false 28750000 0 STONY BROOK UROLOGY UFPC 112644371 9 false 9750000 0 17 317500000 0 false false false false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name PER SB CLINICAL PRACTICE MANAGEMENT PLAN, INC.'S ("CPMP") CERTIFICATE OF INCORPORATION, ONE OF THE PURPOSES OF CPMP'S FORMATION IS "TO FOSTER, SUPPORT, PROMOTE AND PROVIDE ASSISTANCE FOR MEDICAL, EDUCATIONAL AND SCIENTIFIC RESEARCH AND FOR OTHER SIMILAR AND RELATED PROGRAMS AT THE MEDICAL SCHOOL OF THE STATE UNIVERSITY OF NEW YORK AT STONY BROOK." ALL CPMP'S SUPPORTED ORGANIZATIONS, UNIVERSITY FACULTY PRACTICE CORPORATIONS("UFPC") LISTED ON SCH A ATTACHMENT 1, ARE SECTION 509(A)(2) ORGANIZATIONS. CPMP NAMES THEM BY CLASS OR PURPOSE IN ITS CERTIFICATE OF INCORPORATION. 231438461 12689805 218748656 23584412 14353261 9231151 15842615 11817258 4025357 232005164 ADVANCES TO UFPCS 51815461 INVEST IN NICOLLS INDEMNITY 4500000 56315461 Federal Income Taxes CLINICAL PRACTICE RESERVE 51527766 CAPITAL LEASE 215033992 OPERATING LEASE 20657187 287218945 Central America and the Caribbean 0 0 Investments CAPTIVE INSURANCE 4500000 0 0 0 0 0 0 4500000 0 4500000 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Cash X false false false false false false false false false CAROLYN MILANA Director/Secretary/Treasurer 0 559627 0 58369 0 2610 0 66387 0 25407 0 712400 0 0 RAPHAEL DAVIS President & DIrector 0 1458792 0 91111 0 2610 0 85548 0 26567 0 1664628 0 0 WAYNE WALTZER Director 0 987248 0 193325 0 2610 0 88219 0 24610 0 1296012 0 0 SYED SHAH Director 0 782402 0 87023 0 2610 0 57643 0 24607 0 954285 0 0 EVAN JONES Director 0 805638 0 256298 0 2610 0 68125 0 24607 0 1157278 0 0 Aisiku Imoigele Director 0 370295 0 0 0 14270 0 19938 0 22685 0 427188 0 0 Rajupet Sritha Director 0 459789 0 58103 0 2610 0 50702 0 23126 0 594330 0 0 VINCENT YANG Director 0 770286 0 92769 0 2610 0 76415 0 24256 0 966336 0 0 Verghese Joe Director 0 409928 0 50000 0 435 0 11654 0 22636 0 494653 0 0 WILLIAM BURKE Director 0 631589 0 78971 0 2610 0 41400 0 23126 0 777696 0 0 ROBERT HONKANEN Director 0 639107 0 134581 0 2610 0 58632 0 23611 0 858541 0 0 JAMES PENNA Director 0 1269643 0 77471 0 2610 0 61127 0 24333 0 1435184 0 0 KENNETH SHROYER Director 0 584810 0 96600 0 2610 0 83285 0 27350 0 794655 0 0 Anissa Abi-Dargham Director 0 753036 0 77471 0 2610 0 36296 0 23126 0 892539 0 0 SAMUEL RYU Director 0 750761 0 78397 0 2610 0 81099 0 24326 0 937193 0 0 ELAINE GOULD Director 0 730750 0 77471 0 2610 0 54495 0 25611 0 890937 0 0 APOSTOLOS TASSIOPOULOS Director 0 1421805 0 389672 0 2610 0 86900 0 23667 0 1924654 0 0 ALAN TURNER Director 0 249506 0 0 0 0 0 0 0 0 0 249506 0 0 TODD GRIFFIN FORMER 0 908619 0 179272 0 2610 0 86900 0 23611 0 1201012 0 0 Form 990, Part VI, Line 11b Review of form 990 by governing body AN ELECTRONIC VERSION OF FORM 990 WAS PROVIDED TO THE OFFICERS AND DIRECTORS PRIOR TO FILING. MANAGEMENT PERFORMS A REVIEW OF FORM 990 PRIOR TO FILING, ADDRESSING ANY QUESTIONS MADE BY THE GOVERNING BODY. Form 990, Part VI, Line 12c Conflict of interest policy SB CLINICAL PRACTICE MANAGEMENT PLAN, INC. HAS ADOPTED THE SAME CONFLICT OF INTEREST POLICY AS ITS MEMBER UFPCS. THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT SB CLINICAL PRACTICE MANAGEMENT PLAN, INC.'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE ORGANIZATION OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OF COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. COMPLIANCE WITH THIS POLICY IS MONITORED THROUGH INTERNAL PAYMENT POLICIES AND ANNUAL REPRESENTATIONS. THE REVIEWS, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. B. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENT FOR GOODS AND SERVICES, FURTHER EDUCATIONAL PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. A VOTING MEMBER OF THE GOVERNING BOARD WHO HAS A COMPENSATION CONFLICT IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. IF THERE ARE VIOLATIONS TO THE POLICY, THE COMMITTEE OR GOVERNING BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. Form 990, Part VI, Line 19 Required documents available to the public NO DOCUMENTS AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees SCHOOL OF MEDICINE CHARGE - Total Expense: 42488841, Program Service Expense: 42488841, Management and General Expenses: , Fundraising Expenses: ; OTHER OPERATING - Total Expense: 34905760, Program Service Expense: 34905760, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances ALLOCATION TO CLINICAL PRACTICE RESERVE - 7124695; Total - 7124695; STONY BROOK ACO LLC 101 NICOLLS ROAD STONY BROOK NY 11794 842191009 HEALTHCARE NY 4831583 8790859 CPMP NEW YORK STATE 1 COMMERCE PLZ 99 WASHINGTON ALBANY NY 12231 146013200 GOVERNMENT NY 501(c)(1) false STONY BROOK ANAESTHESIOLOGY UFPC PO BOX 1554 STONY BROOK NY 11790 112553515 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK DERMATOLOGY ASSOCIATES UFPC PO BOX 1554 STONY BROOK NY 11790 113011790 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK CLIN PRACT MGMT REALTY CORP PO BOX 1554 STONY BROOK NY 11790 113285712 RLTY HOLDING NY 501(c)(25) CPMP true STONY BROOK SURGICAL HOLDING CORP PO BOX 1554 STONY BROOK NY 11790 116434538 RLTY HOLDING NY 501(c)(25) CPMP true STONY BROOK EMERGENCY PHYSICIANS UFPC PO BOX 1554 STONY BROOK NY 11790 113066770 HEALTHCARE NY 501(c)(3) 10 NYS false SB FAMILY AND PREVENTIVE MEDICINE UFPC PO BOX 1554 STONY BROOK NY 11790 112552321 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK INTERNISTS UFPC PO BOX 1554 STONY BROOK NY 11790 112558775 HEALTHCARE NY 501(c)(3) 10 NYS false NEW YORK SPINE AND BRAIN SURGERY UFPC PO BOX 1554 STONY BROOK NY 11790 112645930 HEALTHCARE NY 501(c)(3) 10 NYS false NEUROLOGY ASSOC OF STONY BROOK UFPC PO BOX 1554 STONY BROOK NY 11790 112587430 HEALTHCARE NY 501(c)(3) 10 NYS false UNIV ASSOC IN OBST & GYNECOLOGY UFPC PO BOX 1554 SOTNY BROOK NY 11790 112569522 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK PATHOLOGISTS UFPC PO BOX 1554 STONY BROOK NY 11790 112647243 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK OPHTHALMOLOGY UFPC PO BOX 1554 STONY BROOK NY 11790 112658697 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC PO BOX 1554 STONY BROOK NY 11790 112593061 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK CHILDREN'S SERVICE UFPC PO BOX 1554 STONY BROOK NY 11790 112571524 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK PSYCHIATRIC ASSOCIATES UFPC PO BOX 1554 STONY BROOK NY 11790 112590096 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK RADIATION ONCOLOGY UFPC PO BOX 1554 STONY BROOK NY 11790 112664726 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK SURGICAL ASSOCIATES UFPC PO BOX 1554 STONY BROOK NY 11790 112552333 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK UROLOGY UFPC PO BOX 1554 STONY BROOK NY 11790 112644371 HEALTHCARE NY 501(c)(3) 10 NYS false STONY BROOK RADIOLOGY PO BOX 1554 STONY BROOK NY 11790 112548304 HEALTHCARE NY 501(c)(3) 10 NYS false SB HLTHCARE IPA LLC PO BOX 1554 STONY BROOK NY 11790 113499101 HEALTHCARE NY SB CPMP Related false true 1.0000 NICOLLS INDEMNITY SOLUTIONS SPC PO Box 1159 Grand Caymen CJ KY11102 981378568 SELF-INSURANCE CJ CPMP C Corporation 1.0000 true false false false false false false false false false false false true true false false false false true true STONY BROOK SURGICAL HOLDING CORPORATION L 71826 COST