SB CLINICAL PRACTICE MANAGEMENT PLAN INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SB CLINICAL PRACTICE MANAGEMENT PLAN INC (EIN 46-1787308)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202221329349306822
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2022-05-12T16:39:25-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461787308EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SB Clinical Practice Management Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SB CLINICAL PRAC MGMT PLAN IInCareOfNm
Business Name ControlSBCLBusinessNameControlTxt
Phone6314442055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1554AddressLine1Txt
CitySTONY BROOKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11790ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTodd Griffin MDPersonNm
Person TitlePRESIDENT & DIRECTORPersonTitleTxt
Phone6314442055PhoneNum
Signature2022-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstToddPersonFirstNm
Person LastGriffin MDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA MAYOPreparerPersonNm
PTINP01962945PTIN
Phone2127734931PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTODD GRIFFIN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1554AddressLine1Txt
CitySTONY BROOKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11790ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$269,216,276GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionRESPONSIBLE FOR THE COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$214,536,126PYProgramServiceRevenueAmt
CY Program Service Revenue$269,132,528CYProgramServiceRevenueAmt
PY Investment Income$75,795PYInvestmentIncomeAmt
CY Investment Income$61,123CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$214,611,921PYTotalRevenueAmt
CY Total Revenue$269,193,651CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$112,394,390PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$111,968,327CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$120,671,201PYOtherExpensesAmt
CY Other Expenses$134,489,055CYOtherExpensesAmt
PY Total Expenses$233,065,591PYTotalExpensesAmt
CY Total Expenses$246,457,382CYTotalExpensesAmt
PY Revenues Less Expenses-$18,453,670PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,736,269CYRevenuesLessExpensesAmt
Total Assets BOY$114,712,208TotalAssetsBOYAmt
Total Assets EOY$140,139,431TotalAssetsEOYAmt
Total Liabilities BOY$114,712,208TotalLiabilitiesBOYAmt
Total Liabilities EOY$140,139,431TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionA 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$240,858,965ExpenseAmt
Grant$0GrantAmt
Revenue$269,132,528RevenueAmt
DescCOLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME.Desc
Total Program Service Expenses$240,858,965TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSB CLINICAL PRAC MGMT PLAN IPersonNm
Phone6314442055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1554AddressLine1Txt
CitySTONY BROOKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11790ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAPHAEL DAVIS MD
SECRETARY1.049.0Yes (X)Yes (X)$0$1,372,472$87,525
MARK TALAMINI MD
CHAIRPERSON (THRU 4/5/21)1.049.0Yes (X)Yes (X)$0$1,114,634$61,516
EVAN JONES MD-MPH
DIRECTOR1.049.0Yes (X)$0$1,078,432$74,710
APOSTOLOS TASSIOPOULOS
DIRECTOR1.049.0Yes (X)$0$984,886$66,370
MARGARET M MCGOVERN MD PHD
FORMER DIRECTOR (thru 5/1/18)1.049.0$0$908,900$103,348Yes (X)
WAYNE WALTZER MD
DIRECTOR1.049.0Yes (X)$0$918,700$89,339
LAWRENCE HURST
DIRECTOR1.049.0Yes (X)$0$883,731$96,446
SAMUEL RYU
DIRECTOR1.049.0Yes (X)$0$780,558$78,782
TONG J GAN
VICE CHAIRPERSON1.049.0Yes (X)Yes (X)$0$769,011$55,036
ROBERT HONKANEN MD
DIRECTOR1.049.0Yes (X)$0$734,296$64,410
VINCENT W YANG MD PHD
DIRECTOR1.049.0Yes (X)$0$718,913$70,473
RAMIN V PARSEY MD PHD
DIRECTOR1.049.0Yes (X)$0$735,114$45,761
MARK C HENRY MD
DIRECTOR1.049.0Yes (X)Yes (X)$0$608,758$84,613
TODD GRIFFIN MD
CHAIRPERSON1.049.0Yes (X)Yes (X)$0$607,117$78,067
KENNETH R SHROYER MD PHD
DIRECTOR1.049.0Yes (X)$0$600,602$84,287
ELAINE GOULD
DIRECTOR1.049.0Yes (X)$0$599,493$69,163
CAROLYN MILANA MD
DIRECTOR1.049.0Yes (X)$0$544,379$74,140
PATRICIA COYLE MD
DIRECTOR (thru 9/1/20)1.049.0Yes (X)$0$469,838$82,689
DENNIS CHOI MD PHD
FORMER DIRECTOR (thru 6/30/19)1.049.0$0$433,873$49,004Yes (X)
IRIS A GRANEK MD
DIRECTOR1.049.0Yes (X)$0$389,171$64,726
PATRICK SIBONY MD
FORMER DIRECTOR (thru 3/28/18)1.049.0$0$338,353$64,027Yes (X)
MARK E SCHWEITZER MD
FORMER DIRECTOR (thru 4/28/20)1.049.0$0$214,603$15,253Yes (X)
MARC HALTERMAN MD
DIRECTOR1.049.0Yes (X)$0$148,207$25,011
CARLOS DE LOS SANTOS
FMR DIRECTOR (thru 1/13/20)1.049.0$0$113,859$0Yes (X)
ALAN TURNER
Director1.049.0Yes (X)$0$109,261$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,177,161TotReportableCompRltdOrgAmt
Total Other Compensation$1,584,696TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
J BOISEN CONSULTING LLC
12223 HERSHEY BEACHGALVESTONTX77554CONSULTING SERVICES$162,141
Allen Norin
140 RIVERSIDE DRIVE APT 6DNEW YORKNY10024MEDICAL SERVICES$121,763
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES900099$267,275,688$267,275,688
RENTAL531120$1,856,840$1,856,840
FieldValueIRS element (for citing)
Total Program Service Revenue$269,132,528TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$83,748SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,625SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$61,123SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,123TotalRevenueColumnAmt
Exclusion$61,123ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$269,193,651TotalRevenueColumnAmt
Related Or Exempt Func Income$269,132,528RelatedOrExemptFuncIncomeAmt
Exclusion$61,123ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,143,176TotalAmt
Program Services$78,986,017ProgramServicesAmt
Management And General$4,157,159ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,825,151TotalAmt
Program Services$27,383,893ProgramServicesAmt
Management And General$1,441,258ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$414,770TotalAmt
Program Services$414,770ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$331,853TotalAmt
Program Services$331,853ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,365TotalAmt
Program Services$12,365ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$48,403,019TotalAmt
Program Services$48,403,019ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$439,025TotalAmt
Program Services$439,025ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,041,463TotalAmt
Program Services$2,041,463ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,524,600TotalAmt
Program Services$5,524,600ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,362,351TotalAmt
Program Services$13,362,351ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$75,700TotalAmt
Program Services$75,700ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,815,381TotalAmt
Program Services$1,815,381ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,427,341TotalAmt
Program Services$4,427,341ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,525,093TotalAmt
Program Services$27,525,093ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL EXPENSES$14,133,291$14,133,291
CLINICAL PRACTICE RESEARCH$9,652,585$9,652,585
DUES AND LICENSE FEES$1,816,516$1,816,516
REPAIRS AND MAINTENANCE$4,513,702$4,513,702

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$246,457,382TotalAmt
Program Services$240,858,965ProgramServicesAmt
Management And General$5,598,417ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,904,697BOYAmt
EOY$4,651,604EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,380BOYAmt
EOY$27,254EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$67,970,460LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec-$34,836,320LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,242,508BOYAmt
EOY$33,134,140EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,631,328BOYAmt
EOY$4,630,451EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,920,295BOYAmt
EOY$97,695,982EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$114,712,208BOYAmt
EOY$140,139,431EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,645,523BOYAmt
EOY$8,817,965EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,066,685BOYAmt
EOY$131,321,466EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,712,208BOYAmt
EOY$140,139,431EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$114,712,208BOYAmt
EOY$140,139,431EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$22,736,269ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,659NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$22,757,928OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations17SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (17 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
STONY BROOK ANAESTHESIOLOGY UFPC
11255351510false$0$0
STONY BROOK CHILDREN'S SERVICE UFPC
11257152410false$0$0
STONY BROOK DERMATOLOGY ASSOCIATES UFPC
11301179010false$0$0
STONY BROOK EMERGENCY PHYSICIANS UFPC
11306677010false$0$0
STONY BROOK FAMILY AND PREVENTIVE MEDICINE UFPC
11255232110false$0$0
STONY BROOK INTERNISTS UFPC
11255877510false$0$0
NEUROLOGY ASSOCIATES OF STONY BROOK UFPC
11258743010false$0$0
NEW YORK SPINE AND BRAIN SURGERY UFPC
11264593010false$0$0
UNIVERSITY ASSOCIATES IN OBST & GYNECOLOGY UFPC
11256952210false$0$0
STONY BROOK OPHTHALMOLOGY UFPC
11265869710false$0$0
STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC
11259306110false$0$0
STONY BROOK PATHOLOGISTS UFPC
11264724310false$0$0
STONY BROOK PSYCHIATRIC ASSOCIATES UFPC
11259009610false$0$0
STONY BROOK RADIATION ONCOLOGY UFPC
11266472610false$0$0
STONY BROOK RADIOLOGY UFPC
11254830410false$0$0
STONY BROOK SURGICAL ASSOCIATES UFPC
11255233310false$0$0
STONY BROOK UROLOGY UFPC
11264437110false$0$0
FieldValueIRS element (for citing)
Supported Organizations Total17SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Section A, line 1:FormAndLineReferenceDesc
ExplanationPer 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,965,552OtherCostOrOtherBasisAmt
Depreciation$12,344,994DepreciationAmt
Book Value$29,620,558BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,376,883OtherCostOrOtherBasisAmt
Depreciation$12,445,860DepreciationAmt
Book Value$931,023BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,628,025OtherCostOrOtherBasisAmt
Depreciation$10,045,466DepreciationAmt
Book Value$2,582,559BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,134,140TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO UFPCS$93,127,211
ADVANCES - HOSPITAL$68,771
INVEST IN NICOLLS INDEMNITY$4,500,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$97,695,982TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLINICAL PRACTICE RESERVE$114,294,325
CAPITAL LEASE$17,027,141
FieldValueIRS element (for citing)
Total Liability$131,321,466TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Specific Services ProvidedCaptive InsuranceSpecificServicesProvidedTxt
Region Total Expenditures$4,500,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$4,500,000SubtotalSpentAmt
Total Spent$4,500,000TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TONG J GAN
VICE CHAIRPERSON$0$715,438$0$50,745$0$2,828$0$39,083$0$15,953$0$824,047$0$0
EVAN JONES MD-MPH
DIRECTOR$0$615,547$0$460,275$0$2,610$0$58,461$0$16,249$0$1,153,142$0$0
MARK C HENRY MD
DIRECTOR$0$543,260$0$62,670$0$2,828$0$65,371$0$19,242$0$693,371$0$0
IRIS A GRANEK MD
DIRECTOR$0$336,343$0$50,000$0$2,828$0$48,810$0$15,916$0$453,897$0$0
VINCENT W YANG MD PHD
DIRECTOR$0$658,522$0$57,563$0$2,828$0$54,557$0$15,916$0$789,386$0$0
MARC HALTERMAN MD
DIRECTOR$0$147,772$0$0$0$435$0$10,897$0$14,114$0$173,218$0$0
RAPHAEL DAVIS MD
SECRETARY$0$1,304,615$0$65,029$0$2,828$0$70,659$0$16,866$0$1,459,997$0$0
TODD GRIFFIN MD
CHAIRPERSON$0$554,289$0$50,000$0$2,828$0$62,930$0$15,137$0$685,184$0$0
ROBERT HONKANEN MD
DIRECTOR$0$653,890$0$77,541$0$2,865$0$49,284$0$15,126$0$798,706$0$0
LAWRENCE HURST
DIRECTOR$0$812,298$0$68,605$0$2,828$0$76,455$0$19,991$0$980,177$0$0
KENNETH R SHROYER MD PHD
DIRECTOR$0$534,352$0$63,422$0$2,828$0$66,295$0$17,992$0$684,889$0$0
CAROLYN MILANA MD
DIRECTOR$0$491,683$0$50,000$0$2,696$0$57,919$0$16,221$0$618,519$0$0
RAMIN V PARSEY MD PHD
DIRECTOR$0$672,234$0$60,000$0$2,880$0$30,480$0$15,281$0$780,875$0$0
ELAINE GOULD
DIRECTOR$0$576,796$0$20,364$0$2,333$0$52,856$0$16,307$0$668,656$0$0
SAMUEL RYU
DIRECTOR$0$707,480$0$70,250$0$2,828$0$62,729$0$16,053$0$859,340$0$0
APOSTOLOS TASSIOPOULOS
DIRECTOR$0$856,558$0$125,500$0$2,828$0$51,056$0$15,314$0$1,051,256$0$0
WAYNE WALTZER MD
DIRECTOR$0$798,622$0$117,250$0$2,828$0$73,136$0$16,203$0$1,008,039$0$0
DENNIS CHOI MD PHD
FORMER DIRECTOR (thru 6/30/19)$0$420,946$0$9,872$0$3,055$0$31,627$0$17,377$0$482,877$0$0
PATRICK SIBONY MD
FORMER DIRECTOR (thru 3/28/18)$0$287,246$0$48,166$0$2,941$0$48,012$0$16,015$0$402,380$0$0
MARGARET M MCGOVERN MD PHD
FORMER DIRECTOR (thru 5/1/18)$0$794,948$0$111,124$0$2,828$0$72,682$0$30,666$0$1,012,248$0$0
CARLOS DE LOS SANTOS
FMR DIRECTOR (thru 1/13/20)$0$113,859$0$0$0$0$0$0$0$0$0$113,859$0$0
MARK TALAMINI MD
CHAIRPERSON (THRU 4/5/21)$0$1,061,806$0$50,000$0$2,828$0$45,600$0$15,916$0$1,176,150$0$0
PATRICIA COYLE MD
DIRECTOR (thru 9/1/20)$0$376,617$0$90,393$0$2,828$0$62,953$0$19,736$0$552,527$0$0
MARK E SCHWEITZER MD
FORMER DIRECTOR (thru 4/28/20)$0$213,080$0$0$0$1,523$0$0$0$15,253$0$229,856$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11BAN 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 12CSB 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 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9ALLOCATION TO CLINICAL PRACTICE RESERVE = -$22,757,928 LINE 9 TOTAL CHANGE IN NET ASSETS = -$22,757,928
FORM 990 PART IX LINE 11GDESCRIPTION:SCHOOL OF MEDICINE CHARGE TOTAL FEES:33272699
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER OPERATING TOTAL FEES:15130320

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NEW YORK STATE
1 COMMERCE PLZ 99 WASHINGTONALBANYNY12231146013200GOVERNMENTNY501(C)(1)N/ANAfalse
STONY BROOK ANAESTHESIOLOGY UFPC
PO BOX 1554STONY BROOKNY11790112553515HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK DERMATOLOGY ASSOCIATES UFPC
PO BOX 1554STONY BROOKNY11790113011790HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK CLIN PRACT MGMT REALTY CORP
PO BOX 1554STONY BROOKNY11790113285712RLTY HOLDINGNY501(C)(25)N/ACPMPYes (true)
STONY BROOK SURGICAL HOLDING CORP
PO BOX 1554STONY BROOKNY11790116434538RLTY HOLDINGNY501(C)(25)N/ACPMPYes (true)
STONY BROOK EMERGENCY PHYSICIANS UFPC
PO BOX 1554STONY BROOKNY11790113066770HEALTHCARENY501(C)(3)10NYSfalse
SB Family and Preventive Medicine UFPC
PO BOX 1554STONY BROOKNY11790112552321HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK INTERNISTS UFPC
PO BOX 1554STONY BROOKNY11790112558775HEALTHCARENY501(C)(3)10NYSfalse
NEW YORK SPINE AND BRAIN SURGERY UFPC
PO BOX 1554STONY BROOKNY11790112645930HEALTHCARENY501(C)(3)10NYSfalse
NEUROLOGY ASSOC OF STONY BROOK UFPC
PO BOX 1554STONY BROOKNY11790112587430HEALTHCARENY501(C)(3)10NYSfalse
UNIV ASSOC IN OBST & GYNECOLOGY UFPC
PO BOX 1554SOTNY BROOKNY11790112569522HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK PATHOLOGISTS UFPC
PO BOX 1554STONY BROOKNY11790112647243HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK OPHTHALMOLOGY UFPC
PO BOX 1554STONY BROOKNY11790112658697HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK ORTHOPAEDIC ASSOCIATES UFPC
PO BOX 1554STONY BROOKNY11790112593061HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK CHILDREN'S SERVICE UFPC
PO BOX 1554STONY BROOKNY11790112571524HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK PSYCHIATRIC ASSOCIATES UFPC
PO BOX 1554STONY BROOKNY11790112590096HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK RADIATION ONCOLOGY UFPC
PO BOX 1554STONY BROOKNY11790112664726HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK SURGICAL ASSOCIATES UFPC
PO BOX 1554STONY BROOKNY11790112552333HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK UROLOGY UFPC
PO BOX 1554STONY BROOKNY11790112644371HEALTHCARENY501(C)(3)10NYSfalse
STONY BROOK RADIOLOGY
PO BOX 1554STONY BROOKNY11790112548304HEALTHCARENY501(C)(3)10NYSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SB HLTHCARE IPA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1554AddressLine1Txt
CitySTONY BROOKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11790ZIPCd
FieldValueIRS element (for citing)
EIN113499101EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SB CPMPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership1.00000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Nicolls Indemnity Solutions SPCBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line127 HOSPITAL RD CAYMAN CORP CTRAddressLine1Txt
CityGRAND CAYMANCityNm
CountryCJCountryCd
Foreign PostalKY1-9008ForeignPostalCd
FieldValueIRS element (for citing)
EIN981378568EIN
Primary ActivitiesSELF-INSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CPMPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC-CORPEntityTypeTxt
Share Of Total Income$15,480,449ShareOfTotalIncomeAmt
Share Of EOY Assets$83,221,885ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Stony Brook Surgical Holding Corporation
L$313,384
Stony Brook CPMP Realty Corporation
M$21,751

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