2015-05-12T09:07:17-05:00 2014-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2013-07-01 461787308 SB Clinical Practice Management Plan Inc % SB CLINICAL PRAC MGMT PLAN I SBCL 6314442055 PO BOX 1554 Suite STONY BROOK NY 11790 MARGARET MCGOVERN PRESIDENT 2015-05-04 2013 2016-02-25 16:41:14Z X MARGARET MCGOVERN PO BOX 1554 STONY BROOK NY 11790 141108251 false X N/A X 2013 NY RESPONSIBLE FOR THE COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. 19 0 0 0 0 0 0 0 0 140960065 0 79632 0 0 0 141039697 0 0 0 0 0 75889582 0 0 0 0 55447530 0 131337112 0 9702585 0 60910684 0 60910684 0 0 A 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. false false 127533635 140960065 COLLECTION AND DISBURSEMENT OF MEMBERS' CLINICAL PRACTICE INCOME. 127533635 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 false 0 false false false false false false false false false false false X 19 0 false true false false false false false true true false false true true true true true true false false false NY X SB CLINICAL PRAC MGMT PLAN I 6314442055 PO BOX 1554 STONY BROOK NY 11790 MARGARET M MCGOVERN MD PHD CHAIRPERSON 0.0 50.0 X X 0 685551 93908 KENNETH R SHROYER MD PHD VICE CHAIRPERSON 0.0 50.0 X X 0 512507 61666 RAPHAEL DAVIS MD SECRETARY 0.0 50.0 X X 0 1067643 72953 Kenneth Rosenfeld MD DIRECTOR (EFF 8/15/13) 0.0 50.0 X 0 612446 63147 Peter Glass MD DIRECTOR (TERM 8/15/13) 0.0 50.0 X 0 474115 38574 Evan Jones MD-MPH DIRECTOR 0.0 50.0 X 0 1008713 58919 Mark C Henry MD DIRECTOR 0.0 50.0 X 0 611352 81111 Jeffrey Trilling MD DIRECTOR 0.0 50.0 X 0 366391 59496 Vincent W Yang MD PhD DIRECTOR 0.0 50.0 X 0 614072 54318 Dennis Choi MD PhD DIRECTOR 0.0 50.0 X 0 470734 49373 Todd Griffin MD DIRECTOR 0.0 50.0 X 0 544565 71747 Patrick Sibony MD DIRECTOR 0.0 50.0 X 0 512472 76538 Wesley Carrion MD DIRECTOR 0.0 50.0 X 0 607474 40087 Iris A Granek MD DIRECTOR 0.0 50.0 X 0 269026 30713 Ramin V Parsey MD PhD DIRECTOR 0.0 50.0 X 0 485181 38279 Yusuf Hannun MD DIRECTOR (TERM 1/12/14) 0.0 50.0 X 0 616947 52187 Mark E Schweitzer MD DIRECTOR 0.0 50.0 X 0 356669 59177 Mark Talamini MD DIRECTOR 0.0 50.0 X 0 140292 18451 Wayne Waltzer MD DIRECTOR 0.0 50.0 X 0 797846 89396 Peter R Brink PhD Director 0.0 50.0 X 0 281678 18455 SAMUEL RYU DIRECTOR (EFF 4/4/14) 0.0 50.0 X 0 0 0 TAMARA WEISS DIRECTOR (TERM 4/4/14) 0.0 50.0 X 0 354235 51913 0 11389909 1180408 0 false true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 EMR IMPLEMENTATION 8914309 THE RESEARCH FOUNDATION PO BOX 9 ALBANY NY 122010009 PAYROLL SERVICES 7073747 LEWIS COMMUNICATIONS INC 600 CORPORATE PARKWAY STE 200 BIRMINGHAM AL 35242 ADVERTISING SERVICES 641749 STONY BROOK COMMUNITY MEDICAL PC 45 RESEARCH WAY SUITE 204 EAST SETAUKET NY 117336401 CONTRACT PHYS EXP 401764 NATIONAL RECRUITING GROUP PO BOX 2062 HICKSVILLE NY 11767 RECRUITING SERVICES 345915 26 0 MANAGEMENT FEES 900099 140960065 140960065 140960065 148186 148186 0 0 0 0 0 0 68554 -68554 -68554 -68554 0 0 0 0 141039697 140960065 79632 0 0 0 0 0 0 53914437 51218715 2695722 0 21975145 20876388 1098757 0 47360 38362 8998 215730 215730 369718 369718 0 0 0 5216859 5216859 344325 344325 2177037 2177037 4196488 4196488 0 7159844 7159844 1884821 1884821 0 0 0 0 1739558 1739558 21453851 21453851 MEDICAL EXPENSES 3204647 3204647 CLINIC PRACTICE RESEARCH 3151513 3151513 DUES AND LICENSE FEES 1781554 1781554 REPAIRS AND MAINTENANCE 1121520 1121520 1382705 1382705 131337112 127533635 3803477 0 0 8062928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1799443 23646857 19829976 0 3816881 0 4298277 0 0 0 0 0 0 0 42933155 0 60910684 0 1546993 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59363691 0 60910684 X 0 0 0 0 0 0 0 0 0 60910684 X 9702585 -2068 -9700517 X false true X true false X 0 0 0 0 0 0 140960065 140960065 0 0 0 0 0 0 0 140960065 140960065 0 117138586 117138586 117138586 117138586 23821479 148186 148186 0 148186 148186 0 0 0 0 0 0 141108251 141108251 X 0.00000 0 0 0 5543282 4422749 1120533 8254929 6543231 1711698 9848646 8863996 984650 3816881 ADVANCES TO UFPCS 42933155 42933155 0 ADVANCES - 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DELEGATES CONTROL OVER VARIOUS MANAGEMENT DUTIES TO NAVIGANT CONSULTING, INC. (NAVIGANT). In a leadership role, Navigant has various responsibilities that involve working closely with the President of the Board of SB CLINICAL PRACTICE MANAGEMENT PLAN, INC. to effectively manage the organization's operations ensuring all support systems are optimized, oversight of a business plan is maintained, and the management process meets its annual goals. FORM 990, PART VI, QUESTION 11B AN ELECTRONIC VERSION OF FORM 990 WAS PROVIDED TO THE OFFICERS AND DIRECTORS PRIOR TO FILING. MANAGEMENT PERFOMS A REVIEW of FORM 990 PRIOR TO FILING, ADDRESSING ANY QUESTIONS MADE BY THE GOVERNING BODY. Form 990, Part VI, Question 12c SB 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 19 ALL 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. PART XI, LINE 9 Allocation to Clinical Practice Reserve - ($9,700,517) NEW YORK STATE 1 Commerce Plz 99 Washington Ave Albany NY 12231 146013200 Government NY 501(C)(1) N/A NA false Stony Brook Anaesthesiology UFPC PO Box 1554 Stony Brook NY 11790 112553515 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Dermatology Associates UFPC PO Box 1554 Stony Brook NY 11790 113011790 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Clin Pract Mgmt Realty Corp PO Box 1554 Stony Brook NY 11790 113285712 Rlty Holding NY 501(C)(25) N/A NYS true Stony Brook Surgical Holding Corp PO Box 1554 Stony Brook NY 11790 116434538 Rlty Holding NY 501(C)(25) N/A NYS true Stony Brook University Physicians UFPC PO Box 1554 Stony Brook NY 11790 113559055 Support Svcs NY 501(C)(3) 9 NYS true Stony Brook Radiology PO Box 1554 Stony Brook NY 11790 112548304 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Emergency Physicians UFPC PO Box 1554 Stony Brook NY 11790 113066770 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Family Medical Group UFPC PO Box 1554 Stony Brook NY 11790 112552321 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Internists UFPC PO Box 1554 Stony Brook NY 11790 112558775 Healthcare NY 501(C)(3) 9 NYS true New York Spine and Brain Surgery UFPC PO Box 1554 Stony Brook NY 11790 112645930 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Preventive Med Srvc UFPC PO Box 1554 Stony Brook NY 11790 112822992 Healthcare NY 501(C)(3) 9 NYS true Neurology Assoc of Stony Brook UFPC PO Box 1554 Stony Brook NY 11790 112587430 Healthcare NY 501(C)(3) 9 NYS true Univ Assoc in Obst & Gynecology UFPC PO Box 1554 Stony Brook NY 11790 112569522 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Pathologists UFPC PO Box 1554 Stony Brook NY 11790 112647243 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Ophthalmology UFPC PO Box 1554 Stony Brook NY 11790 112658697 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Orthopaedic Associates UFPC PO Box 1554 Stony Brook NY 11790 112593061 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Children's Service UFPC PO Box 1554 Stony Brook NY 11790 112571524 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Psychiatric Associates UFPC PO Box 1554 Stony Brook NY 11790 112590096 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Radiation Oncology UFPC PO Box 1554 Stony Brook NY 11790 112664726 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Surgical Associates UFPC PO Box 1554 Stony Brook NY 11790 112552333 Healthcare NY 501(C)(3) 9 NYS true Stony Brook Urology UFPC PO Box 1554 Stony Brook NY 11790 112644371 Healthcare NY 501(C)(3) 9 NYS true SB HLTHCARE IPA LLC PO BOX 1554 STNY BRK NY 11790 113499101 HEALTHCARE NY CPMP false false SUFFOLK PSYCHIATRIC SERVICES PC PO BOX 1554 STONY BROOK NY 11790 113115689 MANAGED HLTH NY CPMP C CORP true false false false false false false false false false false false true false false false false false false false STONY BROOK ANAESTHESIOLOGY L 12700000 FMV STONY BROOK ANAESTHESIOLOGY L 815164 FMV STONY BROOK CHILDREN'S SERVICE L 13300000 FMV STONY BROOK CHILDREN'S SERVICE L 1129412 FMV STONY BROOK DERMATOLOGY ASSOCIATES L 3100000 FMV STONY BROOK DERMATOLOGY ASSOCIATES L 510509 FMV STONY BROOK PATHOLOGISTS L 276938 FMV STONY BROOK PATHOLOGISTS L 1100000 FMV UNIV ASSOC IN OBGYN L 12000000 FMV UNIV ASSOC IN OBGYN L 1345094 FMV STONY BROOK FAMILY MEDICAL GROUP L 3700000 FMV STONY BROOK FAMILY MEDICAL GROUP L 881345 FMV NEW YORK SPINE AND BRAIN SURGERY L 9600000 FMV NEW YORK SPINE AND BRAIN SURGERY L 212699 FMV STONY BROOK PSYCHIATRIC ASSOCIATES L 3400000 FMV STONY BROOK PSYCHIATRIC ASSOCIATES L 299692 FMV STONY BROOK EMERGENCY PHYSICIANS L 7000000 FMV STONY BROOK EMERGENCY PHYSICIANS L 199973 FMV STONY BROOK INTERNISTS L 34300000 FMV STONY BROOK INTERNISTS L 3211356 FMV NEUROLOGY ASSOCIATES OF STONY BROOK L 5500000 FMV NEUROLOGY ASSOCIATES OF STONY BROOK L 497268 FMV STONY BROOK OPHTHALMOLOGY L 995723 FMV STONY BROOK OPHTHALMOLOGY L 4200000 FMV STONY BROOK ORTHOPAEDIC ASSOCIATES L 1144624 FMV STONY BROOK ORTHOPAEDIC ASSOCIATES L 10900000 FMV STONY BROOK PREVENTIVE MEDICINE L 800000 FMV STONY BROOK PREVENTIVE MEDICINE L 41157 FMV STONY BROOK RADIATION ONCOLOGY L 900000 FMV STONY BROOK RADIATION ONCOLOGY L 22790 FMV STONY BROOK RADIOLOGY L 9000000 FMV STONY BROOK RADIOLOGY L 209324 FMV STONY BROOK SURGICAL ASSOCIATES L 2637391 FMV STONY BROOK SURGICAL ASSOCIATES L 15200000 FMV STONY BROOK UROLOGY L 144582 FMV STONY BROOK UROLOGY L 4500000 FMV