SB CLINICAL PRACTICE MANAGEMENT PLAN INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SB CLINICAL PRACTICE MANAGEMENT PLAN INC (EIN 46-1787308)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202501339349307745
- Schema version
- 2023v6.0
- 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 | 2025-05-13T15:59:23+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100018604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461787308 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SB Clinical Practice Management Plan Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SBCL | BusinessNameControlTxt |
| Phone | 6314442055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1554 | AddressLine1Txt |
| City | STONY BROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11790 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Raphael Davis | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 6314442055 | PhoneNum |
| Signature | 2025-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Mayo | PreparerPersonNm |
| PTIN | P01962945 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2025-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAPHAEL DAVIS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1554 | AddressLine1Txt |
| City | STONY BROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11790 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $290,181,322 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | RESPONSIBLE FOR THE COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $288,258,572 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $290,073,170 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,532 | PYInvestmentIncomeAmt |
| CY Investment Income | $77,355 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $288,279,104 | PYTotalRevenueAmt |
| CY Total Revenue | $290,150,525 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $135,221,018 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $150,229,229 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $177,942,944 | PYOtherExpensesAmt |
| CY Other Expenses | $167,583,731 | CYOtherExpensesAmt |
| PY Total Expenses | $313,163,962 | PYTotalExpensesAmt |
| CY Total Expenses | $317,812,960 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$24,884,858 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$27,662,435 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $336,748,383 | TotalAssetsBOYAmt |
| Total Assets EOY | $304,259,792 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $335,094,785 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $331,830,322 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,653,598 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$27,570,530 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $310,301,499 | ExpenseAmt |
| Revenue | $290,073,170 | RevenueAmt |
| Desc | COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. | Desc |
| Total Program Service Expenses | $310,301,499 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SB CLINICAL PRAC MGMT PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6314442055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1554 | AddressLine1Txt |
| City | STONY BROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11790 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN MILANA | ||||||||
| DIRECTOR/SECRETARY/TREASURER | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $635,857 | $91,002 | |
| RAPHAEL DAVIS | ||||||||
| President & DIrector | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $1,627,842 | $109,552 | |
| ADAM SINGER | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $740,138 | $80,931 | ||
| ALAN TURNER | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $170,706 | $0 | ||
| Anissa Abi-Dargham | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $814,068 | $56,582 | ||
| APOSTOLOS TASSIOPOULOS | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $1,521,820 | $108,074 | ||
| ELAINE GOULD | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $808,923 | $78,081 | ||
| EVAN JONES | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $1,100,730 | $90,776 | ||
| JAMES PENNA | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $1,350,917 | $83,389 | ||
| KENNETH SHROYER | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $670,986 | $108,645 | ||
| MARC HALTERMAN | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $296,650 | $51,420 | ||
| ROBERT HONKANEN | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $887,646 | $81,296 | ||
| SAMUEL RYU | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $841,339 | $103,405 | ||
| Sritha Rajupet | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $317,461 | $49,627 | ||
| SYED SHAH | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $780,426 | $88,409 | ||
| VINCENT YANG | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $853,579 | $98,407 | ||
| WAYNE WALTZER | ||||||||
| DIRECTOR | 1.0 | 49.0 | Yes (X) | $0 | $1,107,860 | $110,679 | ||
| WILLIAM BURKE | ||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $686,360 | $62,940 | ||
| TODD GRIFFIN | ||||||||
| FORMER | 0.0 | 49.0 | $0 | $1,087,998 | $108,784 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,301,306 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,561,999 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN NORIN | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 140 RIVERSIDE DRIVE APT 6D | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDICAL SERVICES | ServicesDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEES | 900099 | $282,975,718 | $282,975,718 |
| RENTAL | 531120 | $1,891,159 | $1,891,159 |
| MEDICARE SHARED SAVINGS PROGRAM | 900099 | $5,206,293 | $5,206,293 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $290,073,170 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $108,121 | SecuritiesAmt |
| Other | $31 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,797 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $77,324 | SecuritiesAmt |
| Other | $31 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,355 | TotalRevenueColumnAmt |
| Exclusion | $77,355 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $290,150,525 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $290,073,170 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $77,355 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,729,381 | TotalAmt |
| Program Services | $110,892,912 | ProgramServicesAmt |
| Management And General | $5,836,469 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,499,848 | TotalAmt |
| Program Services | $31,824,856 | ProgramServicesAmt |
| Management And General | $1,674,992 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,053 | TotalAmt |
| Program Services | $659,053 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,500 | TotalAmt |
| Program Services | $533,500 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,012 | TotalAmt |
| Program Services | $13,012 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,898,537 | TotalAmt |
| Program Services | $73,898,537 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,712 | TotalAmt |
| Program Services | $379,712 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,108,524 | TotalAmt |
| Program Services | $1,108,524 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,746,737 | TotalAmt |
| Program Services | $4,746,737 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,623,994 | TotalAmt |
| Program Services | $4,623,994 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,476,827 | TotalAmt |
| Program Services | $1,476,827 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,709,232 | TotalAmt |
| Program Services | $9,709,232 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,728,093 | TotalAmt |
| Program Services | $3,728,093 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,601,052 | TotalAmt |
| Program Services | $34,601,052 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL EXPENSES | $18,487,295 | $18,487,295 |
| REPAIRS AND MAINTENANCE | $8,711,679 | $8,711,679 |
| CLINICAL PRACTICE RESEARCH | $2,561,316 | $2,561,316 |
| DUES AND LICENSE FEES | $2,345,168 | $2,345,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,812,960 | TotalAmt |
| Program Services | $310,301,499 | ProgramServicesAmt |
| Management And General | $7,511,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,228,720 | BOYAmt |
| EOY | $7,942,233 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,380 | BOYAmt |
| EOY | $2,105,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $274,995,855 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,617,973 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,836,674 | BOYAmt |
| EOY | $235,377,882 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,540,539 | BOYAmt |
| EOY | $4,729,182 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,129,070 | BOYAmt |
| EOY | $54,104,788 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,748,383 | BOYAmt |
| EOY | $304,259,792 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,320,744 | BOYAmt |
| EOY | $6,684,792 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,774,041 | BOYAmt |
| EOY | $325,145,530 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,094,785 | BOYAmt |
| EOY | $331,830,322 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,598 | BOYAmt |
| EOY | -$27,570,530 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,598 | BOYAmt |
| EOY | -$27,570,530 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,748,383 | BOYAmt |
| EOY | $304,259,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$27,662,435 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $91,905 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,653,598 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 17 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (17 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| STONY BROOK ANAESTHESIOLOGY UFPC | ||||
| 112553515 | 9 | false | $14,750,000 | $0 |
| STONY BROOK CHILDREN'S SERVICE UFPC | ||||
| 112571524 | 9 | false | $31,750,000 | $0 |
| STONY BROOK DERMATOLOGY ASSOCIATES UFPC | ||||
| 113011790 | 9 | false | $7,500,000 | $0 |
| STONY BROOK EMERGENCY PHYSICIANS UFPC | ||||
| 113066770 | 9 | false | $15,850,000 | $0 |
| STONY BROOK FAMILY AND PREVENTIVE MEDICINE UFPC | ||||
| 112552321 | 9 | false | $7,250,000 | $0 |
| STONY BROOK INTERNISTS UFPC | ||||
| 112558775 | 9 | false | $58,500,000 | $0 |
| NEUROLOGY ASSOCIATES OF STONY BROOK UFPC | ||||
| 112587430 | 9 | false | $13,000,000 | $0 |
| NEW YORK SPINE AND BRAIN SURGERY UFPC | ||||
| 112645930 | 9 | false | $12,850,000 | $0 |
| UNIVERSITY ASSOCIATES IN OBST & GYNECOLOGY UFPC | ||||
| 112569522 | 9 | false | $27,500,000 | $0 |
| STONY BROOK OPHTHALMOLOGY UFPC | ||||
| 112658697 | 9 | false | $9,750,000 | $0 |
| STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC | ||||
| 112593061 | 9 | false | $21,000,000 | $0 |
| STONY BROOK PATHOLOGISTS UFPC | ||||
| 112647243 | 9 | false | $5,000,000 | $0 |
| STONY BROOK PSYCHIATRIC ASSOCIATES UFPC | ||||
| 112590096 | 9 | false | $8,600,000 | $0 |
| STONY BROOK RADIATION ONCOLOGY UFPC | ||||
| 112664726 | 9 | false | $1,850,000 | $0 |
| STONY BROOK RADIOLOGY UFPC | ||||
| 112548304 | 9 | false | $28,250,000 | $0 |
| STONY BROOK SURGICAL ASSOCIATES UFPC | ||||
| 112552333 | 9 | false | $28,850,000 | $0 |
| STONY BROOK UROLOGY UFPC | ||||
| 112644371 | 9 | false | $11,750,000 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 17 | SupportedOrganizationsTotalCnt |
| Support Sum | $304,000,000 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $234,353,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,885,611 | DepreciationAmt |
| Book Value | $222,468,190 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,690,808 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,957,085 | DepreciationAmt |
| Book Value | $8,733,723 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,951,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,775,277 | DepreciationAmt |
| Book Value | $4,175,969 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $235,377,882 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ADVANCES TO UFPCS | $49,604,788 |
| INVEST IN NICOLLS INDEMNITY | $4,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $54,104,788 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CLINICAL PRACTICE RESERVE | $92,435,410 |
| CAPITAL LEASE | $213,656,905 |
| OPERATING LEASE | $19,053,215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $325,145,530 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Specific Services Provided | CAPTIVE INSURANCE | SpecificServicesProvidedTxt |
| Region Total Expenditures | $4,500,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $4,500,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $4,500,000 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA AND THE CARIBBEAN-Cash | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TODD GRIFFIN | ||||||||||||||
| FORMER | $0 | $919,488 | $0 | $165,900 | $0 | $2,610 | $0 | $85,212 | $0 | $23,572 | $0 | $1,196,782 | $0 | $0 |
| CAROLYN MILANA | ||||||||||||||
| DIRECTOR/SECRETARY/TREASURER | $0 | $558,247 | $0 | $75,000 | $0 | $2,610 | $0 | $65,204 | $0 | $25,798 | $0 | $726,859 | $0 | $0 |
| RAPHAEL DAVIS | ||||||||||||||
| President & DIrector | $0 | $1,455,203 | $0 | $170,029 | $0 | $2,610 | $0 | $83,210 | $0 | $26,342 | $0 | $1,737,394 | $0 | $0 |
| SYED SHAH | ||||||||||||||
| Director | $0 | $742,062 | $0 | $35,754 | $0 | $2,610 | $0 | $63,920 | $0 | $24,489 | $0 | $868,835 | $0 | $0 |
| EVAN JONES | ||||||||||||||
| Director | $0 | $807,245 | $0 | $290,875 | $0 | $2,610 | $0 | $66,534 | $0 | $24,242 | $0 | $1,191,506 | $0 | $0 |
| ADAM SINGER | ||||||||||||||
| Director | $0 | $661,310 | $0 | $76,218 | $0 | $2,610 | $0 | $56,160 | $0 | $24,771 | $0 | $821,069 | $0 | $0 |
| Sritha Rajupet | ||||||||||||||
| Director | $0 | $310,617 | $0 | $4,500 | $0 | $2,344 | $0 | $26,501 | $0 | $23,126 | $0 | $367,088 | $0 | $0 |
| VINCENT YANG | ||||||||||||||
| Director | $0 | $769,145 | $0 | $81,824 | $0 | $2,610 | $0 | $74,115 | $0 | $24,292 | $0 | $951,986 | $0 | $0 |
| MARC HALTERMAN | ||||||||||||||
| Director | $0 | $219,475 | $0 | $75,000 | $0 | $2,175 | $0 | $28,392 | $0 | $23,028 | $0 | $348,070 | $0 | $0 |
| WILLIAM BURKE | ||||||||||||||
| Director | $0 | $630,550 | $0 | $53,200 | $0 | $2,610 | $0 | $39,814 | $0 | $23,126 | $0 | $749,300 | $0 | $0 |
| ROBERT HONKANEN | ||||||||||||||
| Director | $0 | $637,915 | $0 | $247,121 | $0 | $2,610 | $0 | $57,724 | $0 | $23,572 | $0 | $968,942 | $0 | $0 |
| JAMES PENNA | ||||||||||||||
| Director | $0 | $1,268,307 | $0 | $80,000 | $0 | $2,610 | $0 | $59,153 | $0 | $24,236 | $0 | $1,434,306 | $0 | $0 |
| KENNETH SHROYER | ||||||||||||||
| Director | $0 | $582,007 | $0 | $86,369 | $0 | $2,610 | $0 | $78,478 | $0 | $30,167 | $0 | $779,631 | $0 | $0 |
| Anissa Abi-Dargham | ||||||||||||||
| Director | $0 | $756,513 | $0 | $56,250 | $0 | $1,305 | $0 | $33,750 | $0 | $22,832 | $0 | $870,650 | $0 | $0 |
| SAMUEL RYU | ||||||||||||||
| Director | $0 | $751,763 | $0 | $86,966 | $0 | $2,610 | $0 | $79,079 | $0 | $24,326 | $0 | $944,744 | $0 | $0 |
| ELAINE GOULD | ||||||||||||||
| Director | $0 | $731,313 | $0 | $75,000 | $0 | $2,610 | $0 | $52,768 | $0 | $25,313 | $0 | $887,004 | $0 | $0 |
| APOSTOLOS TASSIOPOULOS | ||||||||||||||
| Director | $0 | $1,429,379 | $0 | $89,831 | $0 | $2,610 | $0 | $84,450 | $0 | $23,624 | $0 | $1,629,894 | $0 | $0 |
| WAYNE WALTZER | ||||||||||||||
| DIRECTOR | $0 | $986,039 | $0 | $119,211 | $0 | $2,610 | $0 | $86,237 | $0 | $24,442 | $0 | $1,218,539 | $0 | $0 |
| ALAN TURNER | ||||||||||||||
| Director | $0 | $170,706 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $170,706 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: 39564000, Program Service Expense: 39564000, Management and General Expenses: , Fundraising Expenses: ; OTHER OPERATING - Total Expense: 34334537, Program Service Expense: 34334537, 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 - -1653598; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STONY BROOK ACO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 NICOLLS ROAD | AddressLine1Txt |
| City | STONY BROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11794 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842191009 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $5,206,293 | TotalIncomeAmt |
| End Of Year Assets | $6,131,285 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CPMP | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW YORK STATE | |||||||||||
| 1 COMMERCE PLZ 99 WASHINGTON | ALBANY | NY | 12231 | 146013200 | GOVERNMENT | NY | 501(c)(1) | N/A | false | ||
| STONY BROOK ANAESTHESIOLOGY UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112553515 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK DERMATOLOGY ASSOCIATES UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 113011790 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK CLIN PRACT MGMT REALTY CORP | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 113285712 | RLTY HOLDING | NY | 501(c)(25) | Yes (true) | CPMP | ||
| STONY BROOK SURGICAL HOLDING CORP | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 116434538 | RLTY HOLDING | NY | 501(c)(25) | Yes (true) | CPMP | ||
| STONY BROOK EMERGENCY PHYSICIANS UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 113066770 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| SB FAMILY AND PREVENTIVE MEDICINE UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112552321 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK INTERNISTS UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112558775 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| NEW YORK SPINE AND BRAIN SURGERY UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112645930 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| NEUROLOGY ASSOC OF STONY BROOK UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112587430 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| UNIV ASSOC IN OBST & GYNECOLOGY UFPC | |||||||||||
| PO BOX 1554 | SOTNY BROOK | NY | 11790 | 112569522 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK PATHOLOGISTS UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112647243 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK OPHTHALMOLOGY UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112658697 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112593061 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK CHILDREN'S SERVICE UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112571524 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK PSYCHIATRIC ASSOCIATES UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112590096 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK RADIATION ONCOLOGY UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112664726 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK SURGICAL ASSOCIATES UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112552333 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK UROLOGY UFPC | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112644371 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
| STONY BROOK RADIOLOGY | |||||||||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | 112548304 | HEALTHCARE | NY | 501(c)(3) | false | 10 | NYS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SB HLTHCARE IPA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1554 | AddressLine1Txt |
| City | STONY BROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11790 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113499101 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SB CPMP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 1.0000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICOLLS INDEMNITY SOLUTIONS SPC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 981378568 | EIN |
| Primary Activities | SELF-INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CPMP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $20,032,208 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $139,631,252 | ShareOfEOYAssetsAmt |
| Ownership | 1.0000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STONY BROOK SURGICAL HOLDING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $86,191 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments