2025-05-13T15:59:23+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-07-01 461787308 SB Clinical Practice Management Plan Inc SBCL 6314442055 PO BOX 1554 STONY BROOK NY 11790 Raphael Davis President & CEO 6314442055 2025-05-13 true Laura Mayo P01962945 2127733000 2025-05-13 2023 2025-03-06 01:10:19Z RAPHAEL DAVIS PO BOX 1554 STONY BROOK NY 11790 290181322 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 288258572 290073170 20532 77355 0 288279104 290150525 0 0 135221018 150229229 0 0 177942944 167583731 313163962 317812960 -24884858 -27662435 336748383 304259792 335094785 331830322 1653598 -27570530 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 310301499 290073170 COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. 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73898537 0 0 379712 379712 1108524 1108524 4746737 4746737 4623994 4623994 1476827 1476827 9709232 9709232 3728093 3728093 34601052 34601052 MEDICAL EXPENSES 18487295 18487295 REPAIRS AND MAINTENANCE 8711679 8711679 CLINICAL PRACTICE RESEARCH 2561316 2561316 DUES AND LICENSE FEES 2345168 2345168 0 0 0 0 317812960 310301499 7511461 0 9228720 7942233 0 0 0 0 13380 2105707 274995855 39617973 247836674 235377882 4540539 4729182 0 0 75129070 54104788 336748383 304259792 8320744 6684792 0 0 326774041 325145530 335094785 331830322 X 1653598 -27570530 1653598 -27570530 336748383 304259792 X -27662435 91905 -1653598 X false true X true X X X 17 STONY BROOK ANAESTHESIOLOGY UFPC 112553515 9 false 14750000 0 STONY BROOK CHILDREN'S SERVICE UFPC 112571524 9 false 31750000 0 STONY BROOK DERMATOLOGY ASSOCIATES UFPC 113011790 9 false 7500000 0 STONY BROOK EMERGENCY PHYSICIANS UFPC 113066770 9 false 15850000 0 STONY BROOK FAMILY AND PREVENTIVE MEDICINE UFPC 112552321 9 false 7250000 0 STONY BROOK INTERNISTS UFPC 112558775 9 false 58500000 0 NEUROLOGY ASSOCIATES OF STONY BROOK UFPC 112587430 9 false 13000000 0 NEW YORK SPINE AND BRAIN SURGERY UFPC 112645930 9 false 12850000 0 UNIVERSITY ASSOCIATES IN OBST & GYNECOLOGY UFPC 112569522 9 false 27500000 0 STONY BROOK OPHTHALMOLOGY UFPC 112658697 9 false 9750000 0 STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC 112593061 9 false 21000000 0 STONY BROOK PATHOLOGISTS UFPC 112647243 9 false 5000000 0 STONY BROOK PSYCHIATRIC ASSOCIATES UFPC 112590096 9 false 8600000 0 STONY BROOK RADIATION ONCOLOGY UFPC 112664726 9 false 1850000 0 STONY BROOK RADIOLOGY UFPC 112548304 9 false 28250000 0 STONY BROOK SURGICAL ASSOCIATES UFPC 112552333 9 false 28850000 0 STONY BROOK UROLOGY UFPC 112644371 9 false 11750000 0 17 304000000 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. 234353801 11885611 222468190 24690808 15957085 8733723 15951246 11775277 4175969 235377882 ADVANCES TO UFPCS 49604788 INVEST IN NICOLLS INDEMNITY 4500000 54104788 CLINICAL PRACTICE RESERVE 92435410 CAPITAL LEASE 213656905 OPERATING LEASE 19053215 325145530 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 TODD GRIFFIN FORMER 0 919488 0 165900 0 2610 0 85212 0 23572 0 1196782 0 0 CAROLYN MILANA DIRECTOR/SECRETARY/TREASURER 0 558247 0 75000 0 2610 0 65204 0 25798 0 726859 0 0 RAPHAEL DAVIS President & DIrector 0 1455203 0 170029 0 2610 0 83210 0 26342 0 1737394 0 0 SYED SHAH Director 0 742062 0 35754 0 2610 0 63920 0 24489 0 868835 0 0 EVAN JONES Director 0 807245 0 290875 0 2610 0 66534 0 24242 0 1191506 0 0 ADAM SINGER Director 0 661310 0 76218 0 2610 0 56160 0 24771 0 821069 0 0 Sritha Rajupet Director 0 310617 0 4500 0 2344 0 26501 0 23126 0 367088 0 0 VINCENT YANG Director 0 769145 0 81824 0 2610 0 74115 0 24292 0 951986 0 0 MARC HALTERMAN Director 0 219475 0 75000 0 2175 0 28392 0 23028 0 348070 0 0 WILLIAM BURKE Director 0 630550 0 53200 0 2610 0 39814 0 23126 0 749300 0 0 ROBERT HONKANEN Director 0 637915 0 247121 0 2610 0 57724 0 23572 0 968942 0 0 JAMES PENNA Director 0 1268307 0 80000 0 2610 0 59153 0 24236 0 1434306 0 0 KENNETH SHROYER Director 0 582007 0 86369 0 2610 0 78478 0 30167 0 779631 0 0 Anissa Abi-Dargham Director 0 756513 0 56250 0 1305 0 33750 0 22832 0 870650 0 0 SAMUEL RYU Director 0 751763 0 86966 0 2610 0 79079 0 24326 0 944744 0 0 ELAINE GOULD Director 0 731313 0 75000 0 2610 0 52768 0 25313 0 887004 0 0 APOSTOLOS TASSIOPOULOS Director 0 1429379 0 89831 0 2610 0 84450 0 23624 0 1629894 0 0 WAYNE WALTZER DIRECTOR 0 986039 0 119211 0 2610 0 86237 0 24442 0 1218539 0 0 ALAN TURNER Director 0 170706 0 0 0 0 0 0 0 0 0 170706 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: 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; STONY BROOK ACO LLC 101 NICOLLS ROAD STONY BROOK NY 11794 842191009 HEALTHCARE NY 5206293 6131285 CPMP 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) 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 981378568 SELF-INSURANCE CJ CPMP C Corporation 20032208 139631252 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 86191 COST