2019-05-14T16:10:07-05:00 2018-06-30 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2017-07-01 900603487 Physician Affiliate Group of New York PC % ANTHONY MIRDITA PHYS 6467142113 55 WEST 125TH STREET 10TH FL NEW YORK NY 10027 ANTHONY MIRDITA CFO 6466723651 2019-05-09 true Angelo Pirozzi P00446022 2128858000 2019-05-09 24.146.152.90 26308920191345000067 2019-05-14 P 1210560841ADC29080D5D665393427DBF2BE5B27 1210560841ADC29080D5D665393427DBF2BE5B27 2017 2019-02-21 02:37:17Z LUIS R MARCOS MD 55 WEST 125TH STREET 10TH FL NEW YORK NY 10027 712538130 false X WWW.PAGNY.ORG X 2010 NY to offer responsive and quality healthcare to the New York community while fulfilling the educational and entrepreneurial needs of our members. 18 0 3700 0 0 462546 215275 179783 690142913 712101598 12289 57181 18382122 199568 708752599 712538130 13175 797864 0 0 622101605 628221509 0 0 0 75672273 74620847 697787053 703640220 10965546 8897910 16306906 25204816 0 0 16306906 25204816 TO PROVIDE ACCOUNTANBLE, RESPONSIVE QUALITY CARE WITH THE HIGHEST DEGREE OF SENSITIVITY TO THE NEEDS OF OUR DIVERSE, MULTILINGUAL POPULATION WHILE FULFILLING THE PROFESSIONAL AND EDUCATIONAL NEEDS OF OUR MEMBERS. false false 689970570 797864 712112498 provided professional services to the metropolitan New York City area under affiliation agreements with the NYC Health + Hospitals, formerly the New York City Health and Hospitals Corporation. 689970570 true true false true false false false false false false false false false false false true true false false false false false false false false false false true false true false false false false false false false false false false false false true true false false false true X 197 0 true 3700 true true true false false false false false false false false false X 18 0 false false false false true true false true true false false true true true true true true true true false NY X ANTHONY MIRDITA 6466723651 55 WEST 125TH STREET 10TH FL NEW YORK NY 10027 X BIJAN SAFAI MD PRESIDENT 26.6 0.0 X X 317893 0 54080 WILLIAM B CASPE MD VICE PRESIDENT 36.0 0.0 X X 368407 0 57899 AKINOLA O FISHER MD TREASURER 40.0 0.0 X X 339011 0 58346 Lisa Ross MD SECRETARY 40.0 0.0 X X 576159 0 47507 ASHOK KHANNA MD DIRECTOR, AS OF 7/12/17 40.0 0.0 X 365839 0 53713 CHINYERE ANYAOGU MD DIRECTOR 40.0 0.0 X 355629 0 58346 STEPHEN APFELROTH MD DIRECTOR 40.0 0.0 X 240335 0 52353 LEAQUE AHMED MD DIRECTOR 40.0 0.0 X 1087037 0 58346 RIYAD BASIR MD DIRECTOR 40.0 0.0 X 411390 0 54778 STEPHEN BLUMBERG MD DIRECTOR 40.0 0.0 X 226405 0 51842 ROGER CHIRURGI MD DIRECTOR 35.0 0.0 X 375737 0 25759 Daniel Contractor MD director 40.0 0.0 X 480694 0 39145 GREGORY GIRSHIN MD DIRECTOR, as of 4/6/18 40.0 0.0 X 486023 0 58346 JEREMY SPERLING MD DIRECTOR, as of 1/10/18 40.0 0.0 X 468933 0 56776 MICHAEL DEVITA MD DIRECTOR 40.0 0.0 X 329939 0 27000 ROBERT FAILLACE MD DIRECTOR, THRU 1/9/18 40.0 0.0 X 574785 0 57899 SARI KAMINSKY MD DIRECTOR 35.0 0.0 X 299218 0 55687 PETER KIM MD DIRECTOR 40.0 0.0 X 387977 0 56263 PAUL MOH MD DIRECTOR, thru 7/11/17 40.0 0.0 X 431533 0 40358 DEEPAK NARAN MD DIRECTOR, THRU 7/11/17 40.0 0.0 X 215718 0 23860 PARDHA VALLURU MD DIRECTOR, THRU 4/5/18 40.0 0.0 X 260558 0 51757 VIHREN DIMITROV DIRECTOR, as of 7/12/17 40.0 0.0 X 358370 0 57651 LUIS R MARCOS MD CHIEF EXECUTIVE OFFICER 40.0 0.0 X 439452 0 57201 MICHAEL J CHAMBERS CHIEF OPERTING OFFICER 40.0 0.0 X 261128 0 26226 ANTHONY MIRDITA CHIEF FINANCIAL OFFICER 40.0 0.0 X 317588 0 58346 REGINALD D ODOM CHIEF HUMAN RESOURCES OFFICER 40.0 0.0 X 304862 0 54961 DIANA GOELL VOIGT GENERAL COUNSEL 40.0 0.0 X 300348 0 47613 MILAN SEN ATTENDING PHYSCIAN 40.0 0.0 X 804215 0 56263 SHERRY MELTON ATTENDING PHYSCIAN 40.0 0.0 X 634351 0 37684 ALI SAFAVI ATTENDING PHYSCIAN 40.0 0.0 X 637016 0 55643 OLGA BAUMAN-FISHKIN MD attending physician 40.0 0.0 X 696970 0 53686 AMED RAWANDUZY MD attending physician 32.0 0.0 X 770934 0 56188 RAJESH VERMA MD SECRETARY 40.0 0.0 X 184940 0 6515 JEFFREY GOLDBERG MD Former DIRECTOR 40.0 0.0 X 336366 0 55169 JOHN CLARK MD former director 40.0 0.0 X 326073 0 39846 DAVID N HOFFMAN fomrer CHIEF COMPLIANCE OFFICE 0.0 0.0 X 149628 0 18539 Michelle Stern MD FORMER DIRECTOR 40.0 0.0 X 265978 0 37866 brian donaldson former director 40.0 0.0 X 544665 0 57899 15932104 0 1817356 1778 true true false City Orthopaedic PLLC 190 Green Lane BEDFORD HILLS NY 10507 PHYSICIANS SERVICES 7194308 Virtual Radiologic Professiona 25983 Network Place CHICAGO IL 606731259 PHYSICIANS SERVICES 4470216 Medicus Psychiatry Services 22 Roulston Road WINDHAM NH 03087 PHYSICIANS SERVICES 3834971 Weatherby Locums Inc PO Box 972633 DALLAS TX 753972633 PHYSICIANS SERVICES 2217480 Generation Neurosurgery 5 East 84th Street NEW YORK NY 10128 PHYSICIANS SERVICES 2250000 33 179783 179783 NYC HEALTH & HOSPITAL 621110 643295831 643295831 FEE-FOR SERVICE PLANS 621110 67173913 67173913 SUPPLEMENTAL FEE-FOR SERVICE PLANS 621110 1597939 1597939 SYMPOSIUM 621110 33915 33915 712101598 57181 57181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AUXILLARY INCOME 621110 10900 10900 OTHER INCOME 900099 188668 188668 199568 712538130 712112498 245849 797864 797864 0 0 0 11863546 9931876 1931670 775182 775182 0 482991116 476747936 6243180 32110203 31568280 541923 67678016 66384863 1293153 32803446 32205329 598117 0 236377 53103 183274 131200 131200 37550 4286 33264 0 0 49352188 49235560 116628 30650 120 30530 311876 19049 292827 342372 81696 260676 0 608861 93220 515641 74503 27628 46875 0 363070 178080 184990 7267 6904 363 0 0 265820 62494 203326 REPAYMENT OF LOAN 18000000 17614181 385819 ACADEMIC EXPENSES 1676067 1668428 7639 RECRUITMENT 1569864 1371676 198188 TEMPORARY HELP 813491 681039 132452 799691 461776 337915 703640220 689970570 13669650 0 0 0 16306906 25204816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16306906 25204816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16306906 25204816 0 0 0 0 16306906 25204816 16306906 25204816 8897910 X false true X true false X 226588 214743 233050 215275 179783 1069439 497197950 524341891 602589875 690493539 712112498 3026735753 0 0 0 497424538 524556634 602822925 690708814 712292281 3027805192 0 0 0 3027805192 1399 1229 781 12289 57181 72879 0 1399 1229 781 12289 57181 72879 0 17586108 18031496 188668 35806272 497425937 524557863 620409814 708752599 712538130 3063684343 0.98829 0.98687 0.00002 0.00001 X false false false false false false false false true 37550 37550 false SCHEDULE C, part ii-b, line 1i: THE VENDOR ASSISTED PAGNY WITH: 1. GOVERNMENT AND COMMUNITY RELATIONS; 2. IDENTIFYING POTENTIAL SOURCES OF FUNDING; 3. OTHER TASKS RELATED TO PHILANTHROPIC FUNDING AS REQUESTED BY PAGNY; 4. REPRESENTATION BEFORE NYC COUNCIL MEMBERS. 0 0 X 712513130 712513130 25000 25000 712538130 703615220 703615220 25000 25000 703640220 PART X, LINE 2 - Income Taxes PAGNY has no unrecognized tax benefits as of June 30, 2018. PAGNY's federal and state income tax returns prior to fiscal year 2014 are closed and PAGNY's management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. If applicable, PAGNY will recognize interest and penalties paid in association with tax matters as part of other than personnel services in the statement of cash receipts and disbursements. There were no interest or penalties for the year ended June 30, 2018. Part XI, LINE 4b, and Part XII, line 4b: The Organization received a Donation on behalf of its related 501(C)(3) Organization, PAGNY Health and Research Foundation, INC., during the previous fiscal year ending June 2017, a transfer of funds was made to the related organization during the current fiscal year ending June 2018. Resulting in the revenue account to show a decrease of Contributions. In order for the Organization to report the correct Amount for Contributions received for the year, a reconciliation was made to recognize the transaction as an expense on the 990. true COMUNILIFE 462 7TH AVENUE 3RD FLOOR NEW YORK NY 10018 133530299 501(c)(3) 10000 SEE PART IV Jacobi Medical Center AUXILIARY INC 1400 PELHAM PARKWAY SOUTH BUILDING BRONX NY 10461 131849594 501(c)(3) 10000 SEE PART IV LINCOLN AUXILIARY INC 234 E 149TH STREET ROOM 2C0 BRONX NY 10451 133040671 501(c)(3) 10000 SEE PART IV PAGNY HEALTH AND RESEARCH FOUNDATION 55 W 125TH STREET ROOM 1001 NEW YORK NY 10027 811318522 501(c)(3) 750000 SEE PART IV 4 Part I, line 2: In fiscal year 2018, Physician Affiliate Group of New York, P.C. ("PAGNY") provided $750,000 in support to PAGNY Health and Research Foundation, Inc (the "foundation"). No further monitoring the gifted funds is required as PAGNY is the sole member of the foundation and there is no danger of those funds being misappropriated for a non-exempt use. In addition, for the grants to outside 501(c) (3) organizations, PAGNY maintains donor acknowledgements from each grant recipient to substantiate the amount of the grant and the tax-exempt status of the grant recipient under section 501(c)(3) of the Internal Revenue Code (i.e., a public charity). In order for a IRC 501(c)(3) organization to maintain its tax exemption it must be organized and operated exclusively for charitable purposes. Since PAGNY only gives grants to 501(c)(3) charitable organizations, no further monitoring is required. Part II, Column (h) purpose of grant or assistance COMUNILIFE: TO SUPPORT HEALTH AND WELLNESS ACTIVITIES Jacobi Medical Center AUXILIARY, INC: TO SUPPORT THE HUMANITARIAN WORK LINCOLN AUXILIARY, INC: TO SUPPORT THE EMERGENCY DEPARTMENT's ACTIVITIES PAGNY HEALTH AND RESEARCH FOUNDATION: TO SUPPORT THE MISSION OF THE PAGNY HEALTH AND RESEARCH FOUNDATION X X X X X true false false false false false false true false BIJAN SAFAI MD PRESIDENT 273822 0 41970 0 2101 0 25339 0 28741 0 371973 0 0 0 WILLIAM B CASPE MD VICE PRESIDENT 357763 0 5136 0 5508 0 27000 0 30899 0 426306 0 0 0 AKINOLA O FISHER MD TREASURER 299045 0 37500 0 2466 0 27000 0 31346 0 397357 0 0 0 RAJESH VERMA MD SECRETARY 174707 0 10101 0 132 0 6515 0 0 0 191455 0 0 0 Lisa Ross MD SECRETARY 541327 0 33542 0 1290 0 27000 0 20507 0 623666 0 0 0 ASHOK KHANNA MD DIRECTOR, AS OF 7/12/17 339029 0 23000 0 3810 0 27000 0 26713 0 419552 0 0 0 CHINYERE ANYAOGU MD DIRECTOR 347726 0 5706 0 2197 0 27000 0 31346 0 413975 0 0 0 STEPHEN APFELROTH MD DIRECTOR 231989 0 5706 0 2640 0 23090 0 29263 0 292688 0 0 0 LEAQUE AHMED MD DIRECTOR 1052805 0 33542 0 690 0 27000 0 31346 0 1145383 0 0 0 RIYAD BASIR MD DIRECTOR 370413 0 37500 0 3477 0 25515 0 29263 0 466168 0 0 0 STEPHEN BLUMBERG MD DIRECTOR 218983 0 5706 0 1716 0 22579 0 29263 0 278247 0 0 0 ROGER CHIRURGI MD DIRECTOR 331041 0 41900 0 2796 0 25759 0 0 0 401496 0 0 0 Daniel Contractor MD director 454628 0 23000 0 3066 0 27000 0 12145 0 519839 0 0 0 GREGORY GIRSHIN MD DIRECTOR, as of 4/6/18 461733 0 23000 0 1290 0 27000 0 31346 0 544369 0 0 0 JEREMY SPERLING MD DIRECTOR, as of 1/10/18 462777 0 5706 0 450 0 27000 0 29776 0 525709 0 0 0 MICHAEL DEVITA MD DIRECTOR 296927 0 31033 0 1979 0 27000 0 0 0 356939 0 0 0 ROBERT FAILLACE MD DIRECTOR, THRU 1/9/18 563493 0 5706 0 5586 0 27000 0 30899 0 632684 0 0 0 JEFFREY GOLDBERG MD Former DIRECTOR 309610 0 23000 0 3756 0 27000 0 28169 0 391535 0 0 0 SARI KAMINSKY MD DIRECTOR 251541 0 43850 0 3827 0 24788 0 30899 0 354905 0 0 0 PETER KIM MD DIRECTOR 374066 0 12009 0 1902 0 27000 0 29263 0 444240 0 0 0 PAUL MOH MD DIRECTOR, thru 7/11/17 392053 0 37500 0 1980 0 27000 0 13358 0 471891 0 0 0 DEEPAK NARAN MD DIRECTOR, THRU 7/11/17 195485 0 18500 0 1733 0 11531 0 12329 0 239578 0 0 0 PARDHA VALLURU MD DIRECTOR, THRU 4/5/18 234199 0 23000 0 3359 0 23588 0 28169 0 312315 0 0 0 VIHREN DIMITROV DIRECTOR, as of 7/12/17 318143 0 37500 0 2727 0 27000 0 30651 0 416021 0 0 0 LUIS R MARCOS MD CHIEF EXECUTIVE OFFICER 435719 0 0 0 3733 0 27000 0 30201 0 496653 0 0 0 MICHAEL J CHAMBERS CHIEF OPERTING OFFICER 257318 0 0 0 3810 0 26226 0 0 0 287354 0 0 0 ANTHONY MIRDITA CHIEF FINANCIAL OFFICER 304298 0 12000 0 1290 0 27000 0 31346 0 375934 0 0 0 REGINALD D ODOM CHIEF HUMAN RESOURCES OFFICER 304172 0 0 0 690 0 27000 0 27961 0 359823 0 0 0 DIANA GOELL VOIGT GENERAL COUNSEL 283000 0 15000 0 2348 0 17542 0 30071 0 347961 0 0 0 MILAN SEN ATTENDING PHYSCIAN 798059 0 5706 0 450 0 27000 0 29263 0 860478 0 0 0 SHERRY MELTON ATTENDING PHYSCIAN 601961 0 31100 0 1290 0 24593 13091 0 672035 0 0 0 ALI SAFAVI ATTENDING PHYSCIAN 596601 0 38435 0 1980 0 26380 0 29263 0 692659 0 0 0 DAVID N HOFFMAN fomrer CHIEF COMPLIANCE OFFICE 98965 0 10000 0 40663 0 8061 0 10478 0 168167 0 0 0 OLGA BAUMAN-FISHKIN MD attending physician 647909 0 46595 0 2466 0 27000 0 26686 0 750656 0 0 0 AMED RAWANDUZY MD attending physician 736313 0 31032 0 3589 0 27000 0 29188 0 827122 0 0 0 JOHN CLARK MD former director 289587 0 31032 0 5454 0 27000 0 12846 0 365919 0 0 0 Michelle Stern MD FORMER DIRECTOR 258072 0 5706 0 2200 0 25721 0 12145 0 303844 0 0 0 brian donaldson former director 510654 0 31033 0 2978 0 27000 0 30899 0 602564 0 0 0 PART I, LINE 4a: David H. HOFFMAN, Former Chief Compliance Officer, received settlement payment of $40,305 during 2017 which is reported on schedule J, part II, column (B)(iii). part i, line 7: INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) FOR CERTAIN INDIVIDUALS ARE AMOUNTS REPRESENTING A BONUS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S 2017 W-2 AND APPROVED BY THE BOARD. FORM 990, PART I, LINE 7B AND PART V, LINE 3A: FORM 990-T WAS FILED EXCLUSIVELY FOR QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS, AND ANY ON-PREMISES ATHLETIC FACILITIES UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU JUNE 30, 2018. FORM 990, PART VI, SECTION A, LINE 6: THE ORGANIZATION HAS SHAREHOLDERS, WHO MUST MEET THE FOLLOWING QUALIFICATIONS TO BE A SHAREHOLDER, INDIVIDUALLY DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF NEW YORK, BE A FULL TIME MEMBER OF A MEDICAL STAFF. FORM 990, PART VI, SECTION A, LINE 7A: Shareholders ARE GIVEN ONE VOTE AT THE ANNUAL MEETING TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11: 990 review process FORM 990 IS PREPARED BY A CPA FIRM FROM FINANCIAL STATEMENTS AS WELL AS INFORMATION FroM THE ORGANIZATION. THE CPA FIRM FURNISHES A DRAFT FORM 990 WHICH IS REVIEWED BY MANAGEMENT. AFTER APPROVAL, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW AND COORDINATE ANY APPROPRIATE CHANGES TO FORM 990 BEFORE IT IS FINALIZED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: PAGNY has a Conflict of Interest Policy which requires all Employees to disclosure actual or potential conflicts of interest. The policy is available to all employees in the employee handbook and affirmatively provided annually to employees. In addition, key persons in the organization are required to submit an annual disclosure statements which are reviewed to determine any conflicts of interest. Form 990, Part VI, Section B, line 15: The Board of Directors of PAGNY do not receive compensation as Officers of the organization; they receive compensation as employees pursuant to an affiliation agreement between PAGNY and NYC Health + Hospitals, which is a public benefit corporation. The organization conducts surveys of executive compensation to compare market data of similar organizations to recommend salaries for the CEO and other top management officials. The CEO's salary is determined by the PAGNY Board of Directors. FORM 990, PART VI, SECTION C, LINE 19: The organization will make available only those documents required to be disclosed under the public inspection laws. 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