SB CLINICAL PRACTICE MANAGEMENT PLAN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SB CLINICAL PRACTICE MANAGEMENT PLAN INC (EIN 46-1787308)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-10
IRS object ID
201811309349300931
Schema version
2016v3.1
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)
Return2018-05-10T15:53:10-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100366530ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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)
PersonMARK TALAMINI MDPersonNm
Person TitlePRESIDENT & DIRECTORPersonTitleTxt
Phone6314442055PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2127733000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK TALAMINI MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1554AddressLine1Txt
CitySTONY BROOKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11790ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$207,011,411GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$152,264,385PYProgramServiceRevenueAmt
CY Program Service Revenue$206,789,111CYProgramServiceRevenueAmt
PY Investment Income$49,116PYInvestmentIncomeAmt
CY Investment Income$205,997CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$152,313,501PYTotalRevenueAmt
CY Total Revenue$206,995,108CYTotalRevenueAmt
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$83,380,918PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$91,531,120CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$69,351,353PYOtherExpensesAmt
CY Other Expenses$103,062,160CYOtherExpensesAmt
PY Total Expenses$152,732,271PYTotalExpensesAmt
CY Total Expenses$194,593,280CYTotalExpensesAmt
PY Revenues Less Expenses-$418,770PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,401,828CYRevenuesLessExpensesAmt
Total Assets BOY$78,846,318TotalAssetsBOYAmt
Total Assets EOY$108,459,479TotalAssetsEOYAmt
Total Liabilities BOY$78,846,318TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,459,479TotalLiabilitiesEOYAmt
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$190,016,724ExpenseAmt
Revenue$206,789,111RevenueAmt
DescCOLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME.Desc
Total Program Service Expenses$190,016,724TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARGARET M MCGOVERN MD PHD
CHAIRPERSON0.050.0Yes (X)Yes (X)$0$763,638$96,180
KENNETH R SHROYER MD PHD
VICE CHAIRPERSON0.050.0Yes (X)Yes (X)$0$592,766$72,794
RAPHAEL DAVIS MD
SECRETARY0.050.0Yes (X)Yes (X)$0$1,155,671$79,793
CARLOS DE LOS SANTOS
DIRECTOR0.050.0Yes (X)$0$113,859$45,769
Evan Jones MD-MPH
DIRECTOR0.050.0Yes (X)$0$1,193,469$67,242
Mark C Henry MD
DIRECTOR0.050.0Yes (X)$0$536,028$68,238
Jeffrey Trilling MD
DIRECTOR (TERM 12/12/16)0.050.0Yes (X)$0$299,502$54,599
Vincent W Yang MD PhD
DIRECTOR0.050.0Yes (X)$0$673,473$58,668
Dennis Choi MD PhD
DIRECTOR0.050.0Yes (X)$0$584,773$48,985
Todd Griffin MD
DIRECTOR0.050.0Yes (X)$0$624,212$71,655
Patrick Sibony MD
DIRECTOR0.050.0Yes (X)$0$606,984$78,105
Wesley Carrion MD
DIRECTOR0.050.0Yes (X)$0$418,971$46,475
Iris A Granek MD
DIRECTOR0.050.0Yes (X)$0$361,873$48,629
Ramin V Parsey MD PhD
DIRECTOR0.050.0Yes (X)$0$614,210$33,553
Mark E Schweitzer MD
DIRECTOR0.050.0Yes (X)$0$777,321$41,850
Mark Talamini MD
DIRECTOR0.050.0Yes (X)$0$1,012,535$46,784
Wayne Waltzer MD
DIRECTOR0.050.0Yes (X)$0$880,813$80,620
TONG J GAN
DIRECTOR0.050.0Yes (X)$0$731,295$47,009
SAMUEL RYU
DIRECTOR0.050.0Yes (X)$0$666,905$64,726
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,608,298TotReportableCompRltdOrgAmt
Total Other Compensation$1,151,674TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ASPIRION HEALTH RESOURCES
PO BOX 1437COLUMBUSOH31902BILLING SERVICES$840,000
PRICEWATERHOUSECOOPERSLLP
PO BOX 7247-8001PHILADELPHIAPA191708001COLLECTION SERVICES$885,195
THE RESEARCH FOUNDATION
PO BOX 9ALBANYNY122010009PAYROLL SERVICES$1,075,671
VERALON
1628 JOHN P KENNEDY BLVDPHILADELPHIAPA19103CONSULTING FIRM$994,610
NATIONAL RECRUITING GROUP
PO BOX 2062HICKSVILLENY11767RECRUITING SERVICES$1,279,334
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMANAGEMENT FEESDesc
Business900099BusinessCd
Total Revenue Column$206,789,111TotalRevenueColumnAmt
Related Or Exempt Func Income$206,789,111RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$206,789,111TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,416TotalRevenueColumnAmt
Exclusion$166,416ExclusionAmt

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$55,884SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,303SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$39,581SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,581TotalRevenueColumnAmt
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$206,995,108TotalRevenueColumnAmt
Related Or Exempt Func Income$206,789,111RelatedOrExemptFuncIncomeAmt
Exclusion$166,416ExclusionAmt

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$64,223,671TotalAmt
Program Services$61,012,487ProgramServicesAmt
Management And General$3,211,184ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,307,449TotalAmt
Program Services$25,942,077ProgramServicesAmt
Management And General$1,365,372ManagementAndGeneralAmt

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$322,415TotalAmt
Program Services$322,415ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$166,824TotalAmt
Program Services$166,824ProgramServicesAmt

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$11,554TotalAmt
Program Services$11,554ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,107,473TotalAmt
Program Services$34,107,473ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$405,608TotalAmt
Program Services$405,608ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,844,715TotalAmt
Program Services$3,844,715ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,857,306TotalAmt
Program Services$5,857,306ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,612,842TotalAmt
Program Services$9,612,842ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,864,687TotalAmt
Program Services$1,864,687ProgramServicesAmt

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$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,145,224TotalAmt
Program Services$3,145,224ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,299,016TotalAmt
Program Services$24,299,016ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL EXPENSES$11,704,613$11,704,613
CLINICAL PRACTICE RESEARCH$4,514,826$4,514,826
DUES AND LICENSE FEES$2,057,190$2,057,190
REPAIRS AND MAINTENANCE$1,147,867$1,147,867

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$194,593,280TotalAmt
Program Services$190,016,724ProgramServicesAmt
Management And General$4,576,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,996,740BOYAmt
EOY$8,363,661EOYAmt

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$1,840,364BOYAmt
EOY$2,189,384EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,381,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,491,649LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,542,174BOYAmt
EOY$32,889,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,342,726BOYAmt
EOY$4,343,833EOYAmt

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$42,124,314BOYAmt
EOY$60,672,644EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,846,318BOYAmt
EOY$108,459,479EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,894,528BOYAmt
EOY$2,708,165EOYAmt

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$74,951,790BOYAmt
EOY$105,751,314EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,846,318BOYAmt
EOY$108,459,479EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

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

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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$78,846,318BOYAmt
EOY$108,459,479EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,401,828ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$26,853NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,374,975OtherChangesInNetAssetsAmt
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
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$158,851,365CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$173,045,014CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$173,384,254CurrentTaxYearMinus1YearAmt
Current Tax Year$206,789,111CurrentTaxYearAmt
Total$712,069,744TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158,851,365CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$173,045,014CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$173,384,254CurrentTaxYearMinus1YearAmt
Current Tax Year$206,789,111CurrentTaxYearAmt
Total$712,069,744TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$117,138,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,127,014CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,832,157CurrentTaxYearMinus1YearAmt
Current Tax Year$119,281,312CurrentTaxYearAmt
Total$486,379,069TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$117,138,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,127,014CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,832,157CurrentTaxYearMinus1YearAmt
Current Tax Year$119,281,312CurrentTaxYearAmt
Total$486,379,069TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$225,690,675PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$148,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$135,359CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,485CurrentTaxYearMinus1YearAmt
Current Tax Year$166,416CurrentTaxYearAmt
Total$580,446TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$148,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$135,359CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,485CurrentTaxYearMinus1YearAmt
Current Tax Year$166,416CurrentTaxYearAmt
Total$580,446TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158,999,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$173,180,373CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$173,514,739CurrentTaxYearMinus1YearAmt
Current Tax Year$206,955,527CurrentTaxYearAmt
Total$712,650,190TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct

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$30,512,435OtherCostOrOtherBasisAmt
Depreciation$3,674,028DepreciationAmt
Book Value$26,842,407BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,508,099OtherCostOrOtherBasisAmt
Depreciation$6,976,434DepreciationAmt
Book Value$3,531,665BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,357,072OtherCostOrOtherBasisAmt
Depreciation$7,841,187DepreciationAmt
Book Value$2,515,885BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,889,957TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO UFPCS$57,951,534
ADVANCES - HOSPITAL$2,721,110
FieldValueIRS element (for citing)
Total Book Value Other Assets$60,672,644TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLINICAL PRACTICE RESERVE$87,440,762
CAPITAL LEASE$18,310,552
FieldValueIRS element (for citing)
Total Liability$105,751,314TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationThe Plan adopted the provisions pertaining to uncertain tax provisions of Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC") Topic 740, Income Taxes, and has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.ExplanationTxt

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 (19 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
MARGARET M MCGOVERN MD PHD
CHAIRPERSON$0$691,848$0$67,500$0$4,290$0$68,082$0$28,098$0$859,818$0$0
KENNETH R SHROYER MD PHD
VICE CHAIRPERSON$0$514,316$0$75,000$0$3,450$0$58,270$0$14,524$0$665,560$0$0
RAPHAEL DAVIS MD
SECRETARY$0$1,152,221$0$0$3,450$0$14,095$0$65,698$0$1,235,464$0$0
CARLOS DE LOS SANTOS
DIRECTOR$0$113,859$0$0$0$0$0$24,000$0$21,769$0$159,628$0$0
Evan Jones MD-MPH
DIRECTOR$0$602,084$0$586,909$0$4,476$0$54,540$0$12,702$0$1,260,711$0$0
Mark C Henry MD
DIRECTOR$0$532,578$0$0$3,450$0$55,024$0$13,214$0$604,266$0$0
Jeffrey Trilling MD
DIRECTOR (TERM 12/12/16)$0$296,052$0$0$3,450$0$42,039$0$12,560$0$354,101$0$0
Vincent W Yang MD PhD
DIRECTOR$0$613,773$0$56,250$0$3,450$0$47,818$0$10,850$0$732,141$0$0
Dennis Choi MD PhD
DIRECTOR$0$513,823$0$67,500$0$3,450$0$37,142$0$11,843$0$633,758$0$0
Todd Griffin MD
DIRECTOR$0$541,569$0$79,193$0$3,450$0$61,525$0$10,130$0$695,867$0$0
Patrick Sibony MD
DIRECTOR$0$553,534$0$50,000$0$3,450$0$66,955$0$11,150$0$685,089$0$0
Wesley Carrion MD
DIRECTOR$0$392,935$0$19,000$0$7,036$0$31,560$0$14,915$0$465,446$0$0
Iris A Granek MD
DIRECTOR$0$308,423$0$50,000$0$3,450$0$37,798$0$10,831$0$410,502$0$0
Ramin V Parsey MD PhD
DIRECTOR$0$610,760$0$0$3,450$0$22,579$0$10,974$0$647,763$0$0
Mark E Schweitzer MD
DIRECTOR$0$723,871$0$50,000$0$3,450$0$31,800$0$10,050$0$819,171$0$0
Mark Talamini MD
DIRECTOR$0$909,085$0$100,000$0$3,450$0$37,100$0$9,684$0$1,059,319$0$0
Wayne Waltzer MD
DIRECTOR$0$714,360$0$163,003$0$3,450$0$68,008$0$12,612$0$961,433$0$0
TONG J GAN
DIRECTOR$0$643,754$0$84,091$0$3,450$0$36,407$0$10,602$0$778,304$0$0
SAMUEL RYU
DIRECTOR$0$663,455$0$0$3,450$0$52,846$0$11,880$0$731,631$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, QUESTION 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, QUESTION 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, QUESTION 19ALL GOVERNING DOCUMENTS WILL NOT BE DISCLOSED OUTSIDE OF THE ORGANIZATION. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ALSO WILL NOT BE DISCLOSED OUTSIDE OF THE ORGANIZATION.
Form 990, Part XI, Line 9ALLOCATION TO CLINICAL PRACTICE RESERVE = $-12,216,278 DISPOSAL OF ASSETS = $-158,697
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER OPERATING TOTAL FEES:11198131
FORM 990 PART IX LINE 11GDESCRIPTION:SCHOOL OF MEDICINE CHARGE TOTAL FEES:22909342

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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
STONY BROOK FAMILY MEDICAL GROUP 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
STONY BROOK PREVENTIVE MED SRVC UFPC
PO BOX 1554STONY BROOKNY11790112822992HEALTHCARENY501(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
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 OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Stony Brook Surgical Holding Corporation
L$305,783
Stony Brook CPMP Realty Corporation
M$76,846

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