2018-11-15T16:04:43-06:00 2017-12-31 271728945 PKF O'CONNOR DAVIES LLP 665 FIFTH AVENUE NEW YORK NY 10022 990 2017-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182708357 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 ALAN DZIJA CHIEF FINANCIAL OFFICER 7182708357 2018-11-15 1 GARRETT M HIGGINS P00543209 2122862600 2018-11-15 65.51.112.58 2018-11-15 16:04:42 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9616F4B14A694591D1E716C270910E6FA5556DA3 2017 2019-02-21 02:37:17Z WILLIAM URBAN MD 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 69293859 0 X WWW.DOWNSTATE.EDU/PHYSICIANS X 1993 NY TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF SUNY HEALTH SCIENCE CENTER AT BROOKLYN. 16 0 561 6 0 0 0 0 73548444 69234939 51966 58920 0 0 73600410 69293859 0 0 0 0 47184504 42060200 0 0 0 25500146 24811161 72684650 66871361 915760 2422498 26240482 36818044 20051690 26122849 6188792 10695195 X THE ORGANIZATION'S PRIMARY MISSION IS TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT BROOKLYN BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS, INTERNS, RESIDENTS AND FELLOWS OF THE UNIVERSITY. 0 0 61872655 69234939 UNIVERSITY PHYSICIANS OF BROOKLYN("UPB") PROVIDES MEDICAL CARE TO ITS PATIENTS AS WELL AS FURTHERS THE EDUCATIONAL OBJECTIVES OF THE STATE UNIVERSITY OF NEW YORK THROUGH CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS, INTERNS, RESIDENTS, AND FELLOWS OF THE UNIVERSITY. THE CORPORATION IS FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE EDUCATIONAL OBJECTIVES OF DOWNSTATE UNIVERSITY MEDICAL CENTER BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION TO APPROXIMATELY 1,700 STUDENTS AND 920 RESIDENTS AND FELLOWS OF THE UNIVERSITY IN 55 MEDICAL SPECIALTIES AND TO ENGAGE IN THE PROFESSION OF MEDICINE. SPECIFICALLY, THE CLINICAL PRACTICE MANAGEMENT PLAN (CPMP) IS A MULTI-SPECIALTY ACADEMIC FACULTY PRACTICE PLAN COMPRISED OF 18 DEPARTMENTS WITH APPROXIMATELY 300 PHYSICIANS. UPB IS RESPONSIBLE FOR PROVIDING PAYROLL, ACCOUNTING, BILLING, MANAGED CARE CONTRACTING, PURCHASING AND STAFFING SERVICES TO THESE DEPARTMENTS IN SUPPORT OF THE STATE UNIVERSITY OF NEW YORK AND ITS DOWNSTATE UNIVERSITY MEDICAL CENTER. 61872655 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 262 0 561 1 0 0 0 0 0 0 0 0 0 0 X 16 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X ALAN DZIJA CFO 7182708357 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 WILLIAM URBAN MD PRESIDENT AND PHYSICIAN 2.50 35.00 X X 30704 422509 21769 DEBORAH REEDE MD VICE-PRESIDENT AND PHYSICIAN 9.50 28.00 X X 199931 589082 8673 RICHARD ROSENFELD MD SECRETARY/TREASURER AND PHYSICIAN 8.00 29.50 X X 138720 510655 21769 DAVID SCHWARTZ MD DIRECTOR AND PHYSICIAN 30.00 7.50 X 480457 116605 32269 JAMES CONTRELL MD DIRECTOR AND PHYSICIAN 20.00 17.50 X 365631 331194 45619 ERIC SHRIER MD DIRECTOR AND PHYSICIAN 22.50 15.00 X 261252 173920 21769 MORO SALIFU MD DIRECTOR AND ASSOCIATE PROFESSOR 10.00 27.50 X 221512 592056 21769 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 10.50 27.00 X 210000 523321 45269 ALEXANDER SCHWARTZMAN MD PROFESSOR AND DIRECTOR 13.00 24.50 X 182000 347381 29044 ALLA AKIVIS MD DIRECTOR 15.00 22.50 X 146317 221806 21769 AYMAN FANOUS MD DIRECTOR 1.50 36.00 X 0 307215 21769 STANLEY FISHER MD DIRECTOR AND PAST PRESIDENT 1.50 36.00 X X 0 454616 21769 JENNY LIBIEM MD DIRECTOR 1.50 36.00 X 0 429223 21769 DANIEL ROSENBAUM MD DIRECTOR 1.50 36.00 X 0 383832 21769 STEPHEN WADOWSKI MD DIRECTOR 1.50 36.00 X 0 341622 21769 JEFFREY WEISS MD DIRECTOR 1.50 36.00 X 0 61566 0 STEPHEN FUHRO CFO (THRU JULY, 2017) 37.50 0.00 X 160885 0 22348 ALAN DZIJA CFO (STARTING JULY, 2017) 37.50 0.00 X 106958 0 0 LAUREN GABELMAN INTERIM COO 27.50 10.00 X 45695 143410 450 KWAME OHEMENG MD PHYSICIAN 37.50 0.00 X 445014 0 58934 ROMAN SHINDER MD PHYSICIAN 37.50 0.00 X 435496 0 0 NATALYA CHERNICHENKO MD PHYSICIAN 33.00 4.50 X 411377 53362 0 MARINA BORUK MD PHYSICIAN 33.00 4.50 X 378654 52954 21769 MOHAMMED HOSSAIN MD PHYSICIAN 37.50 0.00 X 367617 0 0 4588220 6056329 482065 115 0 1 0 ATHENAHEALTH 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICE 984667 CONIFER HEALTH SOLUTIONS 3560 DALLAS PARKWAY FRISCO TX 75034 BILLING SERVICES 761827 ADVANTEDGE HEALTHCARE SOLUTIONS 30 TECHNOLOGY DRIVE WARREN NJ 07059 BILLING SERVICES 592272 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 CONTRACT LABOR 401929 BILL OF HEALTH 17 SQUADRON BLVD NEW CITY NY 10956 BILLING SERVICE 256573 32 PATIENT SERVICE REVENUE 621110 51075151 51075151 CONTRACTED SERVICES AND OTHER 621990 18159788 18159788 69234939 58920 58920 69293859 69234939 0 58920 X 2637985 2440793 197192 57078 52811 4267 33429932 30931009 2498923 1058727 979586 79141 2929683 2710686 218997 1946795 1801270 145525 2444712 2261967 182745 115464 106833 8631 78575 72702 5873 8662093 8014591 647502 1191978 1102876 89102 188843 174727 14116 1820030 1683981 136049 834820 772416 62404 53457 49461 3996 326246 301859 24387 5228635 4837789 390846 PRESIDENT'S TAX 1730332 1600988 129344 PROFESSIONAL DEV. 1446364 1338247 108117 MEDICAL SUPPLIES 689612 638063 51549 66871361 61872655 4998706 0 8790830 12795883 3219260 3835881 12540397 18554890 279441 388638 5451650 4208898 1410554 1242752 26240482 36818044 17905341 23433876 675896 1689253 1470453 999720 20051690 26122849 X 6188792 10695195 6188792 10695195 26240482 36818044 2422498 2083905 0 X X 0 0 0 X 73182706 68892992 65647474 73548444 69234939 350506555 73182706 68892992 65647474 73548444 69234939 350506555 0 0 0 350506555 35347 13858 12037 51966 58920 172128 35347 13858 12037 51966 58920 172128 73218053 68906850 65659511 73600410 69293859 350678683 0.99950 0.99960 0.00050 0.00040 X 5451650 4208898 1242752 1242752 X 0 0 0 0 0 0 0 0 0 WILLIAM URBAN MD PRESIDENT AND PHYSICIAN 30704 422509 0 0 0 0 0 0 0 21769 30704 444278 0 0 DEBORAH REEDE MD VICE-PRESIDENT AND PHYSICIAN 193750 589082 0 0 6181 0 0 0 0 8673 199931 597755 0 0 RICHARD ROSENFELD MD SECRETARY/TREASURER AND PHYSICIAN 138720 510655 0 0 0 0 0 0 0 21769 138720 532424 0 0 DAVID SCHWARTZ MD DIRECTOR AND PHYSICIAN 479167 116605 0 0 1290 0 10500 0 0 21769 490957 138374 0 0 JAMES CONTRELL MD DIRECTOR AND PHYSICIAN 365631 331194 0 0 0 0 23850 0 0 21769 389481 352963 0 0 ERIC SHRIER MD DIRECTOR AND PHYSICIAN 261252 173920 0 0 0 0 0 0 0 21769 261252 195689 0 0 MORO SALIFU MD DIRECTOR AND ASSOCIATE PROFESSOR 221512 592056 0 0 0 0 0 0 0 21769 221512 613825 0 0 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 210000 523321 0 0 0 0 23500 0 0 21769 233500 545090 0 0 ALEXANDER SCHWARTZMAN MD PROFESSOR AND DIRECTOR 182000 347381 0 0 0 0 7275 0 0 21769 189275 369150 0 0 ALLA AKIVIS MD DIRECTOR 146317 221806 0 0 0 0 0 0 0 21769 146317 243575 0 0 AYMAN FANOUS MD DIRECTOR 0 307215 0 0 0 0 0 0 0 21769 0 328984 0 0 STANLEY FISHER MD DIRECTOR AND PAST PRESIDENT 0 454616 0 0 0 0 0 0 0 21769 0 476385 0 0 JENNY LIBIEM MD DIRECTOR 0 429223 0 0 0 0 0 0 0 21769 0 450992 0 0 DANIEL ROSENBAUM MD DIRECTOR 0 383832 0 0 0 0 0 0 0 21769 0 405601 0 0 STEPHEN WADOWSKI MD DIRECTOR 0 341622 0 0 0 0 0 0 0 21769 0 363391 0 0 STEPHEN FUHRO CFO (THRU JULY, 2017) 160141 0 0 0 744 0 0 0 22348 0 183233 0 0 0 LAUREN GABELMAN INTERIM COO 45695 143410 0 0 0 0 450 0 0 0 46145 143410 0 0 KWAME OHEMENG MD PHYSICIAN 444417 0 0 0 597 0 23850 0 35084 0 503948 0 0 0 ROMAN SHINDER MD PHYSICIAN 435431 0 0 0 65 0 0 0 0 0 435496 0 0 0 NATALYA CHERNICHENKO MD PHYSICIAN 411377 53362 0 0 0 0 0 0 0 0 411377 53362 0 0 MARINA BORUK MD PHYSICIAN 378654 52954 0 0 0 0 0 0 0 21769 378654 74723 0 0 MOHAMMED HOSSAIN MD PHYSICIAN 364675 0 0 0 2942 0 0 0 0 0 367617 0 0 0 LAUREN GABELMAN SEE SCH L. PART V 46145 EMPLOYMENT 0 JEREMY WADOWSKI SEE SCH L. PART V 10933 EMPLOYMENT 0 SCH L, PART IV, COLUMN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:FAMILY MEMBER OF WILLAM URBAN, MD, BOARD PRESIDENT.FAMILY MEMBER OF STEPHEN WADOWSKI, MD, BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. THE MEMBERS VOTE FOR OFFICERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS VOTE FOR OFFICERS AND THE PRESIDENT CAN APPOINT AN OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE UNIVERSITY PHYSICIANS OF BROOKLYN, INC. BOARD OF DIRECTORS DID NOT REVIEW THE RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE EMPLOYEES OF THE STATE UNIVERSITY OF NEW YORK. AS NOTED IN THE MISSION STATEMENT, UPB PROVIDES SERVICES AND SUPPORT TO THE OBJECTIVES OF SUNY. AS THE BOARD MEMBERS ARE EMPLOYEES OF SUNY, UPB HONORS THE CONFLICT OF INTEREST STATEMENTS MAINTAINED BY THEIR COMPLIANCE DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G BILLING SERVICES: PROGRAM SERVICE EXPENSES 2,524,953. MANAGEMENT AND GENERAL EXPENSES 203,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,728,945. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 5,421,765. MANAGEMENT AND GENERAL EXPENSES 438,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,859,791. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 67,873. MANAGEMENT AND GENERAL EXPENSES 5,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,357. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF FINANCIAL STATEMENT FROM THE PRIOR YEAR. SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE BROOKLYN NY 11203 COLLEGE OF MEDICINE AND HEALTH SCIENCES NY N/A 0 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION INC 450 CLARKSON AVENUE BROOKLYN NY 11203 112418771 TO AID THE STUDENTS AND FACULTY OF SUNY DOWNSTATE NY 501(C)(3) 7 SUNY DOWNSTATE 0 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC 450 CLARKSON AVENUE BROOKLYN NY 11203 111704590 TO PROVIDE EDUCATIONALLY RELATED AUXILIARY SERVICES NY 501(C)(3) 9 SUNY DOWNSTATE 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 1 0 0 0 0