2023-05-12T08:52:50-05:00 2022-06-30 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 10001 990 2021-07-01 116434538 STONY BROOK SURGICAL HOLDING CORPORATION % SB CLINICAL PRAC MGMT PLAN I STON 6314442055 PO Box 1554 Stony Brook NY 11790 WAYNE WALTZER VICE CHAIRPERSON 6314442055 2023-05-08 true WAYNE WALTZER 999009999 P01962945 2127734931 3 2021 2023-04-26 12:10:37Z Raphael Davis MD PO Box 1554 Stony Brook NY 11790 642558 false X n/a X 1993 NY Acquire, hold, and collect income on property and remit the entire amount, after the payment of expenses, to Stony Brook Clinical Practice Management Plan. 2 0 0 0 0 0 0 0 617523 642558 0 0 0 0 617523 642558 0 0 0 0 0 0 0 0 0 304139 320423 304139 320423 313384 322135 5324341 5627961 136276 117761 5188065 5510200 ACQUIRE, HOLD, AND COLLECT INCOME ON PROPERTY AND REMIT THE ENTIRE AMOUNT, AFTER THE PAYMENT OF EXPENSES, TO STONY BROOK CLINICAL PRACTICE MANAGEMENT PLAN. false false The organization acquires, holds and collects income on property and remits the entire amount, after the payment of expenses, to Stony Brook Clinical Practice Management Plan. false false false false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false X 2 0 false false false false true true true true true false false true true true true true true false false false NY X SB CLINICAL PRAC MGMT PLAN I 6314442055 PO BOX 1554 Stony Brook NY 11790 RAPHAEL DAVIS TREASURER/Pres as of 6/15/22 1.0 49.0 X X 0 1437093 96015 MARGARET MCGOVERN Director (FMR TERM 5/1/2018) 0.0 10.0 X 0 1096208 125581 TONG GAN SECRETARY 1.0 49.0 X X 0 908691 80359 Todd Griffin PRESIDENT (Till 6/15/22) 1.0 49.0 X X 0 715664 92875 KENNETH SHROYER SECRETARY (TERM 3/20/19) 0.0 10.0 X 0 633930 101984 Mark Talamini Frm. President(TERM 4/5/2021) 0.0 10.0 X 0 261570 731 0 5053156 497545 0 true true false none 0 0 RENTAL REVENUE 531120 642558 642558 642558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 642558 642558 0 0 0 0 0 0 0 0 0 0 0 87101 0 40978 0 0 0 0 0 0 0 0 2910 0 0 0 0 0 46495 14556 OTHER FACILITY EXPENSE 977 CORPORATE TAXES 250 REPAIRS & MAINTENANCE 127156 320423 4644426 4982347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150531 162724 1842992 1360102 529384 482890 0 0 0 0 0 0 0 0 0 0 5324341 5627961 136276 117761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136276 117761 X 5188065 5510200 0 0 5188065 5510200 5324341 5627961 322135 X false true X true false 320000 320000 1394837 1231947 162890 128155 128155 0 482890 false false false Todd Griffin PRESIDENT (Till 6/15/22) 0 563054 0 150000 0 2610 0 70670 0 22205 0 808539 0 0 TONG GAN SECRETARY 0 719294 0 186787 0 2610 0 57338 0 23021 0 989050 0 0 RAPHAEL DAVIS TREASURER/Pres as of 6/15/22 0 1307523 0 125659 0 3911 0 72993 0 23022 0 1533108 0 0 MARGARET MCGOVERN Director (FMR TERM 5/1/2018) 0 844751 0 248847 0 2610 0 82473 0 43108 0 1221789 0 0 KENNETH SHROYER SECRETARY (TERM 3/20/19) 0 547026 0 84294 0 2610 0 74530 0 27454 0 735914 0 0 Mark Talamini Frm. President(TERM 4/5/2021) 0 255000 0 5700 0 870 0 0 0 731 0 262301 0 0 FORM 990, PART VI, QUESTION 6 The corporation has a single member. The member of the corporation shall take part in discussions of any subject that may properly come before it and shall have such other additional rights and privileges and be subject to such other duties and restrictions as set forth in the not-for-profit corporation law of the State of New York and in the Bylaws. FORM 990, PART VI, QUESTION 7A According to the Bylaws, the Member shall have the sole right to elect all members of the Board of Directors. Directors shall be elected by the affirmative vote of the Member at the annual meeting. The number of Directors of the corporation shall be fixed by the Member at each annual meeting or at any meeting called for that purpose, provided that no decrease shall shorten the term of any incumbent Director, and provided that any change in number of Directors shall require the affirmative vote of the Member. FORM 990, PART VI, QUESTION 7B Per the Bylaws, the Member shall have the sole power to dismiss the corporation's investment adviser, if any, following reasonable notice and terminate its interest in the corporation by selling or exchanging its interests in the corporation to any organization described in Section 501(c)(25) of the code so long as the sale or exchange does not increase the number of beneficiaries of the corporation above 35. FORM 990, PART VI, QUESTION 11B 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, QUESTION 12C The purpose of the conflict of interest policy is to protect the organization'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, QUESTION 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. New York State 1 Commerce Plz 99 Washington Ave Albany NY 12231 146013200 Government NY 501(C)(1) N/A NA false Stony Brook Urology UFPC PO Box 1554 Stony Brook NY 11790 112644371 Healthcare NY 501(C)(3) 10 NYS 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) N/A 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 Stony 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 SB CLINICAL PRACTICE MANAGEMENT PLAN INC PO BOX 1554 STONY BROOK NY 11790 461787308 MGMT ACTIVITY NY 501(C)(3) 10 NA 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 Radiology UFPC PO Box 1554 Stony Brook NY 11790 112548304 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 SB HLTHCARE IPA LLC PO Box 1554 STNY BRK NY 11790 113499101 healthcare NY CPMP Related 0 0 false 0 0.00000 Nicolls Indemnity Solutions SPC 27 HOSPITAL RD CAYMAN CORP CTR GRAND CAYMAN CJ KY1-9008 981378568 SELF-INSURANCE CJ CPMP C CORP 0 0 0.00000 false false false false false false false false false false true false false false false false false false false false STATE OF NEW YORK J 642558 FMV