2023-11-15T23:06:44-06:00 2021-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2021-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182708357 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 MATTHEW MIELCZAREK CHIEF FINANCIAL OFFICER 7182708357 2023-11-15 1 MATTHEW MIELCZAREK 999009999 GARRETT M HIGGINS P00543209 2122862600 2023-11-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z WILLIAM URBAN MD 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 73513797 0 X WWW.DOWNSTATE.EDU/PHYSICIANS X 1993 NY TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF SUNY HEALTH SCIENCE CENTER AT BROOKLYN. 18 0 527 5 0 0 0 6161570 60574824 67237113 14214 115114 0 0 60589038 73513797 0 0 0 0 44900174 48402618 0 0 0 18893121 20281901 63793295 68684519 -3204257 4829278 41439443 32675457 37433540 25717864 4005903 6957593 X TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT BROOKLYN BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS, INTERNS, RESIDENTS AND FELLOWS OF THE UNIVERSITY. 0 0 64606705 0 67237113 UNIVERSITY PHYSICIANS OF BROOKLYN("UPB") PROVIDES MEDICAL CARE TO ITS PATIENTS AS WELL AS FURTHERS THE EDUCATIONAL OBJECTIVES OF THE STATE UNIVERSITY OF NEW YORK THROUGH CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS, INTERNS, RESIDENTS, AND FELLOWS OF THE UNIVERSITY. THE CORPORATION IS FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE EDUCATIONAL OBJECTIVES OF DOWNSTATE UNIVERSITY MEDICAL CENTER BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION TO APPROXIMATELY 2,000 STUDENTS AND 950 RESIDENTS AND FELLOWS OF THE UNIVERSITY IN 55 MEDICAL SPECIALTIES AND TO ENGAGE IN THE PROFESSION OF MEDICINE. SPECIFICALLY, THE CLINICAL PRACTICE MANAGEMENT PLAN (CPMP) IS A MULTI-SPECIALTY ACADEMIC FACULTY PRACTICE PLAN COMPRISED OF 15 DEPARTMENTS WITH APPROXIMATELY 300 PHYSICIANS. UPB IS RESPONSIBLE FOR PROVIDING PAYROLL, ACCOUNTING, AND CONSULTING, AS WELL AS FINANCIAL STATEMENTS TO THE BOARD OF DIECTORS ON A MONTHLY BASIS. 64606705 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 527 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 0 1 0 0 1 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X MATTHEW MIELCZAREK CFO 7182708357 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 MORO SALIFU MD COUNSELLOR & PHYSICIAN 10.50 27.00 X X 240852 611373 24795 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 10.00 27.50 X X 199931 545049 27468 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 8.75 28.75 X X 136850 454572 24795 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYSICIAN 6.50 31.00 X X 107411 519594 24795 AUDREE BENDO MD DIRECTOR AND PHYSICIAN 19.75 17.75 X X 246040 222126 24795 STANLEY FISHER MD PAST PRESIDENT 0.50 37.00 X X 0 281711 24795 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 4.00 33.50 X X 53154 436520 24795 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 13.00 24.50 X 212280 395640 24795 FRANCIS CHARLES BRUNICARDI DIRECTOR AND PHYSICIAN 5.75 31.75 X 128048 704523 24795 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 171185 24795 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 10.25 27.25 X 150000 398708 24795 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 14.75 22.75 X 142208 218590 37594 ALAN FEIT DIRECTOR AND PHYSICIAN 4.50 33.00 X 27176 259421 10031 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 1.50 36.00 X 16500 416493 24795 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 377324 24795 AYMAN FANOUS MD DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 252312 24795 ALEXANDER SCHWARTZMAN MD DIRECTOR AND PHYSICIAN 2.00 35.50 X 34559 585750 31857 LLEWELLYN HYACINTHE DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 437495 24795 LORI DONNELL EXECUTIVE DIRECTOR 19.75 17.75 X 206846 188712 25734 ALAN DZIJA CFO 37.50 0.00 X 253352 0 17829 MARSHALL LIEBERMAN ADMINISTATOR 37.50 0.00 X 241801 0 34970 LAUREN GABELMAN PART TIME COO & ADMINISTRATOR 3.00 34.50 X 15450 180200 0 ROMAN SHINDER MD PHYSICIAN 37.50 0.00 X 744754 0 0 WILLIAM KWON MD PHYSICIAN 37.50 0.00 X 509950 0 38199 COLIN WOON PHYSICIAN 37.50 0.00 X 437009 0 55440 LAWRENCE LAI MD PHYSICIAN 37.50 0.00 X 433445 0 45299 CHRISTOPHER CHAPMAN PHYSICIAN 37.50 0.00 X 428603 0 52884 EVE FABER FORMER DIRECTOR AND PHYSICIAN 10.75 26.75 X 93904 235622 33246 5060123 7892920 757681 18 1 1 0 MAIMONIDES MEDICAL CENTER 4802 10TH AVE BROOKLYN NY 11219 CONTRACT LABOR 844800 ATHENAHEALTH ONE MOODY STREET WALTHAM MA 02453 BILLING SERVICE 681630 RESEARCH FOUNDATION 450 CLARKSON AVENUE BROOKLYN NY 11203 CONTRACT LABOR 657875 HEALTHCARE TRANSITIONS MANAGEMENT INC 1 JOHN STREET SUITE 102 BABYLON NY 11702 BILLING SERVICE 385929 ADVANTEDGE HEALTHCARE SOLUTIONS INC PO BOX 638564 CINCINNATI OH 452638564 BILLING SERVICE 356233 14 6161570 6161570 PATIENT SERVICE REVENUE 621110 38883167 38883167 CONTRACTED SERVICES AND OTHER 621990 28353946 28353946 67237113 115114 115114 73513797 67237113 0 115114 X 2641580 2528615 112965 102335 97959 4376 40066687 38353272 1713415 948918 908338 40580 2659018 2545308 113710 1984080 1899233 84847 139526 139526 129235 129235 7325748 6756378 569370 76425 67213 9212 884233 777656 106577 136726 120246 16480 2090739 1304435 786304 407271 358181 49090 194625 171166 23459 5812495 5811467 1028 PRESIDENT'S TAX 1611089 1611089 ADMINISTRATIVE EXPENSES 867508 762945 104563 MEDICAL SUPPLIES 500127 439845 60282 DUES 106154 93359 12795 68684519 64606705 4077814 0 11507604 11281293 3213550 3717723 24704172 16091099 1000466 714793 6019377 5148828 1013651 870549 41439443 32675457 29198767 23777787 1923303 1790077 6311470 150000 37433540 25717864 X 4005903 6957593 4005903 6957593 41439443 32675457 4829278 -1877588 0 X X 0 0 0 X 6161570 6161570 69234939 66804919 66165209 60574824 67237113 330017004 69234939 66804919 66165209 60574824 73398683 336178574 0 0 0 336178574 58920 4050 81104 14214 115114 273402 58920 4050 81104 14214 115114 273402 69293859 66808969 66246313 60589038 73513797 336451976 0.99920 0.99940 0.00080 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1293526 756556 536970 4725851 4392272 333579 870549 ECONOMIC IMPACT DISASTER LOAN 150000 150000 X 0 0 0 0 0 0 0 0 0 MORO SALIFU MD COUNSELLOR & PHYSICIAN 240852 611373 0 0 0 0 0 0 0 24795 240852 636168 0 0 FRANCIS CHARLES BRUNICARDI DIRECTOR AND PHYSICIAN 125000 704523 0 0 3048 0 0 0 0 24795 128048 729318 0 0 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 193750 545049 0 0 6181 0 17437 0 0 10031 217368 555080 0 0 ROMAN SHINDER MD PHYSICIAN 744754 0 0 0 0 0 0 0 0 0 744754 0 0 0 ALEXANDER SCHWARTZMAN MD DIRECTOR AND PHYSICIAN 34559 585750 0 0 0 0 7062 0 0 24795 41621 610545 0 0 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYSICIAN 107411 519594 0 0 0 0 0 0 0 24795 107411 544389 0 0 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 212280 395640 0 0 0 0 0 0 0 24795 212280 420435 0 0 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 136850 454572 0 0 0 0 0 0 0 24795 136850 479367 0 0 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 150000 398708 0 0 0 0 0 0 0 24795 150000 423503 0 0 WILLIAM KWON MD PHYSICIAN 509197 0 0 0 753 0 26100 0 12099 0 548149 0 0 0 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 53000 436520 0 0 154 0 0 0 0 24795 53154 461315 0 0 AUDREE BENDO MD DIRECTOR AND PHYSICIAN 246040 222126 0 0 0 0 0 0 0 24795 246040 246921 0 0 COLIN WOON PHYSICIAN 436709 0 0 0 300 0 0 0 55440 0 492449 0 0 0 CHRISTOPHER CHAPMAN PHYSICIAN 428345 0 0 0 258 0 0 0 52884 0 481487 0 0 0 LAWRENCE LAI MD PHYSICIAN 431800 0 0 0 1645 0 0 0 45299 0 478744 0 0 0 LLEWELLYN HYACINTHE DIRECTOR AND PHYSICIAN 0 437495 0 0 0 0 0 0 0 24795 0 462290 0 0 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 16500 416493 0 0 0 0 0 0 0 24795 16500 441288 0 0 LORI DONNELL EXECUTIVE DIRECTOR 204866 188712 0 0 1980 0 12450 0 13284 0 232580 188712 0 0 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0 377324 0 0 0 0 0 0 0 24795 0 402119 0 0 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 142208 218590 0 0 0 0 12799 0 0 24795 155007 243385 0 0 EVE FABER FORMER DIRECTOR AND PHYSICIAN 93904 235622 0 0 0 0 8451 0 0 24795 102355 260417 0 0 STANLEY FISHER MD PAST PRESIDENT 0 281711 0 0 0 0 0 0 0 24795 0 306506 0 0 ALAN FEIT DIRECTOR AND PHYSICIAN 27176 259421 0 0 0 0 0 0 0 10031 27176 269452 0 0 AYMAN FANOUS MD DIRECTOR AND PHYSICIAN 0 252312 0 0 0 0 0 0 0 24795 0 277107 0 0 MARSHALL LIEBERMAN ADMINISTATOR 237991 0 0 0 3810 0 0 0 34970 0 276771 0 0 0 ALAN DZIJA CFO 247171 0 0 0 6181 0 15000 0 2829 0 271181 0 0 0 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0 171185 0 0 0 0 0 0 0 24795 0 195980 0 0 LAUREN GABELMAN PART TIME COO & ADMINISTRATOR 15000 179750 0 0 450 450 0 0 0 0 15450 180200 0 0 LAUREN GABELMAN SEE SCH L. PART V 15450 EMPLOYMENT 0 SCH L, PART IV, COLUMN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:FAMILY MEMBER OF WILLAM URBAN, MD, BOARD PRESIDENT. FORM 990, PART VI, SECTION A, LINE 2 LAUREN GABELMAN HAS A FAMILY RELATIONSHIP WITH WILLIAM URBAN, MD. FORM 990, PART VI, SECTION A, LINE 5 DURING THE YEAR THE ORGANIZATION DISCOVERED A DIVERSION OF ASSETS. THE ORGANIZATION TOOK STEPS TO INVESTIGATE THE DIVERSION, INCLUDING NOTIFYING THE AUTHORITIES AND HIRING OUTSIDE PROFESSIONALS TO INVESTIGATE THE DIVERSION AND QUANTIFY IT. IT IS ANTICIPATED THAT THE DIVERSION WILL EXCEED 5% OF THE ORGANIZATIONS GROSS ASSETS AT THE END OF THE YEAR. THEREFORE, IT IS BEING DISCLOSED ON THE RETURN. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. THE MEMBERS VOTE FOR OFFICERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS VOTE FOR OFFICERS AND THE PRESIDENT CAN APPOINT AN OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE UNIVERSITY PHYSICIANS OF BROOKLYN, INC. BOARD OF DIRECTORS DID NOT REVIEW THE RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE EMPLOYEES OF THE STATE UNIVERSITY OF NEW YORK. AS NOTED IN THE MISSION STATEMENT, UPB PROVIDES SERVICES AND SUPPORT TO THE OBJECTIVES OF SUNY. AS THE BOARD MEMBERS ARE EMPLOYEES OF SUNY, UPB HONORS THE CONFLICT OF INTEREST STATEMENTS MAINTAINED BY THEIR COMPLIANCE DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 225,755. MANAGEMENT AND GENERAL EXPENSES 28,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,762. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,169,720. MANAGEMENT AND GENERAL EXPENSES 393,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,562,924. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,088,183. MANAGEMENT AND GENERAL EXPENSES 114,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,202,490. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 272,892. MANAGEMENT AND GENERAL EXPENSES 33,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 306,744. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,999,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,999,828. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF FINANCIAL STATEMENT FROM THE PRIOR YEAR. SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE BROOKLYN NY 11203 COLLEGE OF MEDICINE AND HEALTH SCIENCES NY N/A 0 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION INC 450 CLARKSON AVENUE BROOKLYN NY 11203 112418771 TO AID THE STUDENTS AND FACULTY OF SUNY DOWNSTATE NY 501(C)(3) 7 SUNY DOWNSTATE 0 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC 450 CLARKSON AVENUE BROOKLYN NY 11203 111704590 TO PROVIDE EDUCATIONALLY RELATED AUXILIARY SERVICES NY 501(C)(3) 9 SUNY DOWNSTATE 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0