2019-04-13T22:31:45-05:00 2018-06-30 272393605 DRISCOLL AND DESIMONE LLC 11 EAGLE DRIVE RINGOES NJ 08551 990 2017-07-01 222095812 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW J UNIV 9739726713 30 BERGEN STREET SUITE 1207 NEWARK NJ 07107 SIMI BAKSHI CFO 9739726713 2019-04-13 1 P01260803 6097862544 2019-04-13 69.248.231.254 2019-04-13 22:31:42 ED P 2702CEABEEACC3EBF624D5D3F203BC0E1247C703 2702CEABEEACC3EBF624D5D3F203BC0E1247C703 2017 2019-02-21 02:37:17Z SIMI BAKSHI 30 BERGEN STREET SUITE 1207 NEWARK NJ 07107 144110920 0 X N/A X 1984 NJ SUPPORTS RUTGERS NEW JERSEY MEDICAL SCHOOL 31 0 40 0 0 0 0 0 121613218 131011148 1149936 1007268 2012373 12092504 124775527 144110920 0 0 0 0 5752210 6050334 0 0 0 117160205 130072325 122912415 136122659 1863112 7988261 65330024 78393977 43460978 48495101 21869046 29898876 SUPPORTS RUTGERS NEW JERSEY MEDICAL SCHOOL 0 0 102230016 144110920 AMBULATORY AND PRIMARY HEALTH CARE. 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BY VIRTUE OF THE POSITION OF THESE INDIVIDUALS ON THE ORGANIZATION'S BOARD, THEY HAVE A SIGNIFICANT VOICE IN THE DIRECTION OF THE INCOME AND ASSETS OF THE ORGANIZATION SINCE THEY HOLD THE AUTHORITY TO VOTE ON SUCH ACTIONS. PART IV, SECTION E, LINE 1C: THE ORGANIZATION SUPPORTS THE RUGERS NJ MEDICAL SCHOOL BY PROVIDING AMBULATORY AND PRIMARY HEALTH CARE SERVICES AND ADMINISTRATIVE SUPPORT. 5175891 5132305 43586 469551 469551 0 43586 144110920 0 144110920 0 144110920 136122659 0 136122659 0 136122659 X X X 0 0 0 0 0 0 0 0 0 SEENA AISNER DIRECTOR 0 427743 0 0 0 0 0 0 0 0 0 427743 0 0 JOHN BACH DIRECTOR 0 284825 0 0 0 0 0 0 0 0 0 284825 0 0 VLADISLAV BARGMAN DIRECTOR 0 420884 0 0 0 0 0 0 0 0 0 420884 0 0 JOSEPH BENEVENIA MD DIRECTOR 0 1364975 0 0 0 0 0 0 0 0 0 1364975 0 0 KRISTIN WONG MD DIRECTOR 0 244898 0 0 0 0 0 0 0 0 0 244898 0 0 CHANTAL BRAZEAU DIRECTOR 0 292186 0 0 0 0 0 0 0 0 0 292186 0 0 MICHAEL CURI DIRECTOR 0 843465 0 0 0 0 0 0 0 0 0 843465 0 0 LISA DEVER DIRECTOR 0 309795 0 0 0 0 0 0 0 0 0 309795 0 0 JEAN ANDERSON ELOY MD DIRECTOR 0 1550429 0 0 0 0 0 0 0 0 0 1550429 0 0 LARRY FROHMAN DIRECTOR 0 310091 0 0 0 0 0 0 0 0 0 310091 0 0 LISA GITTENS-WILLIAMS DIRECTOR 0 418604 0 0 0 0 0 0 0 0 0 418604 0 0 IRA GOLDSTEIN DIRECTOR 0 1548763 0 0 0 0 0 0 0 0 0 1548763 0 0 DENNIS GRECH DIRECTOR 0 418076 0 0 0 0 0 0 0 0 0 418076 0 0 JOE HUANG DIRECTOR 0 769970 0 0 0 0 0 0 0 0 0 769970 0 0 ROBERT JOHNSON DIRECTOR 0 659238 0 0 0 0 0 0 0 0 0 659238 0 0 SOHAIL CONTRACTOR MD DIRECTOR 0 913313 0 0 0 0 0 0 0 0 0 913313 0 0 DAVID KLYDE DIRECTOR 0 568346 0 0 0 0 0 0 0 0 0 568346 0 0 ERIN ZERBO MD DIRECTOR 0 229923 0 0 0 0 0 0 0 0 0 229923 0 0 DAVID MARKS DIRECTOR 0 428086 0 0 0 0 0 0 0 0 0 428086 0 0 IONA MONTEIRO DIRECTOR 0 312747 0 0 0 0 0 0 0 0 0 312747 0 0 SUNIL PATEL MD DIRECTOR 0 418932 0 0 0 0 0 0 0 0 0 418932 0 0 SOLY BAREDES MD DIRECTOR 0 711510 0 0 0 0 0 0 0 0 0 711510 0 0 DOUGLAS OPLER DIRECTOR 0 179747 0 0 0 0 0 0 0 0 0 179747 0 0 RIACHID ASSINA MD DIRECTOR 0 1874063 0 0 0 0 0 0 0 0 0 1874063 0 0 ANOTHONY ROSANIA DIRECTOR 0 348480 0 0 0 0 0 0 0 0 0 348480 0 0 MICHAEL SIRKIN DIRECTOR 0 1514360 0 0 0 0 0 0 0 0 0 1514360 0 0 MICHAEL VIVES BOARD MEMBER 0 1061253 0 0 0 0 0 0 0 0 0 1061253 0 0 MICHAEL SAULICH CEO 530481 0 0 0 0 0 0 0 0 0 530481 0 0 0 DANIEL RODRIQUEZ-CORREA MD DIRECTOR 0 401020 0 0 0 0 0 0 0 0 0 401020 0 0 J MICHAEL GOWER MD BOARD MEMBER 0 558822 0 0 0 0 0 0 0 0 0 558822 0 0 SIMI BAKSHI CFO 458281 0 0 0 0 0 0 0 0 0 458281 0 0 0 DAVID HAIER COO 427746 0 0 0 0 0 0 0 0 0 427746 0 0 0 JOANNE GORDON CCO 211618 0 0 0 0 0 0 0 0 0 211618 0 0 0 MATHEW JACOB DIRECTOR OF ACCOUNTING 163318 0 0 0 0 0 0 0 0 0 163318 0 0 0 MOHAMMED RAQEEB DIRECTOR OF IT 162557 0 0 0 0 0 0 0 0 0 162557 0 0 0 DONNA L CONLIN-SAWLER HR MANAGER 191681 0 0 0 0 0 0 0 0 0 191681 0 0 0 VANESSA NOZIGLIA DIRECTOR OF VALUE BASED PERFORMANCE 106744 0 0 0 0 0 0 0 0 0 106744 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B COPY OF FORM 990 IS REVIEWED BY THE GOVERNING BODY AFTER IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS, OFFICERS AND TRUSTEES ARE REQUIRED TO DISCLOSE ANNUAL CONFLICT OF INTEREST IN THEIR POSITIONS WITHIN THE AREAS RELATED TO THEIR ROLE IN DIRECTING POLICY MAKING DECISIONS. IF CONFLICTS ARE DISCOVERED OR DISCLOSED, THEY ARE REVIEWED BY THE EXECUTIVE COMMITTEE AND LEGAL COUNSEL. DICIPLINARY ACTION, IF REQUIRED, IS TAKEN. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES BASED ON BENCHMARKING DATA AND REGIONAL INDUSTRY STANDARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 376428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376428. TELEPHONE EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71164. TRAINING AND TRAVEL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 163884. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163884. ELECTRONIC HEALTH RECORDS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2972536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2972536. BILLING AND COLLECTION SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10059901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10059901. MISCELLANEOUS G&A: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 128915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128915. SUPPORT TO RUTGERS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2128732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2128732. SOFTWARE LICENSE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 530001. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 530001. MEDICAID ACCESS TO PHYSICIAN SVC PROGRAM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9237722. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9237722. FORM 990 PART XII LINE C THE BOARD OF DIRECTORS PROVIDES OVERSIGHT OVER THE SELECTION OF THE AUDITOR AND PROGRESSION OF THE AUDIT. FORM 990 PART XI LINE 9 THIS ADJUSTMENT IS THE REVERSAL OF AN ADJUSTMENT MADE ON THE PRIOR YEAR 990 RETURN. 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