2014-11-17T11:04:43-06:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 665 FIFTH AVENUE NEW YORK NY 10022 990 2013-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182702685 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 MOHAMED ISHMAEL PRESIDENT 7182702685 2014-11-15 1 GARRETT M HIGGINS P00543209 2122862600 2014-11-14 2013 2015-11-30 17:44:51Z DOUGLAS LAZZARO 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 73218053 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. 19 0 603 0 0 0 0 0 75137520 73182706 31417 35347 0 0 75168937 73218053 0 0 0 0 49102752 48598118 0 0 0 23999056 22746055 73101808 71344173 2067129 1873880 27101107 27888976 21093938 20007927 6007169 7881049 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 66300118 73182706 UNIVERSITY PHYSICIANS OF BROOKLYN 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 921 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. THE CPMP 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. 66300118 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 147 0 603 1 0 0 0 0 0 0 0 0 0 0 X 19 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X KATHY LINTEN CFO 7182702685 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 ALAN SHALITA DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 245962 0 ANTONIO ALFONSO DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 1059597 0 ARNOLD STRASHUN DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 494561 0 DANIEL ROSENBAUM DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 366338 0 DOUGLAS LAZZARO PRESIDENT AND PHYSICIAN 10.00 27.50 X X 3992 355100 0 JEFFREY BORER DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 598159 0 JEFFREY WEISS DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 56631 0 JOHN DANIAS DIRECTOR AND PHYSICIAN 7.00 30.50 X 62868 286680 0 LANCE WAGNER DIRECTOR AND PHYSICIAN 21.00 16.50 X 287139 225355 33500 MARVIN ROTMAN DIRECTOR AND PHYSICIAN 5.00 32.50 X 42821 307599 0 MICHAEL LUCCHESI DIRECTOR AND PHYSICIAN 5.00 32.50 X 188090 529770 28213 OVADIA ABULAFIA DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 542131 0 RICHARD CRUMMER DIRECTOR AND PHYSICIAN 5.00 32.50 X 85238 171567 4262 RICHARD ROSENFELD DIRECTOR AND PHYSICIAN 9.00 28.50 X 164891 510367 0 STANLEY FISCHER DIRECTOR AND PHYSICIAN 5.00 32.50 X 1000 510870 0 STEPHEN GOLDFINGER DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 468548 0 SUZANNE MIRRA SECRETARY/TREASUER&PHYSICIAN 10.00 27.50 X X 0 427267 0 WILLIAM URBAN VICE CHAIR AND PHYSICIAN 12.00 25.50 X X 105776 237218 0 MIRIAM VINCENT DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 361848 0 KATHY LINTEN CFO 37.50 0.00 X 226149 0 45016 MARILYN VIENTOS SOTIRIADIS COO 37.50 0.00 X 182328 0 55649 PETER GOUWS EXECUTIVE DIRECTOR 37.50 0.00 X 97433 0 7662 JAMES COTTRELL DEAN OF CLIN. PRACT. & PHYSICIAN 17.00 20.50 X 365631 431017 38250 AZIZ IBRAHIM PHYSICIAN 37.50 0.00 X 416701 0 61940 HUNTZ LIU PHYSICIAN 35.00 2.50 X 450300 41840 57016 BRADLEY PHILLIPS PHYSICIAN 34.00 3.50 X 394796 52031 0 SANJEEV AGARWAL PHYSICIAN 24.00 13.50 X 418029 235776 0 HELEN LAURO PHYSICIAN 37.50 0.00 X 389888 0 43168 3883070 8516232 374676 128 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN STAFFING 1295423 SPI HEALTHCARE 2960 PROFESSIONAL DRIVE SPRINGFIELD IL 62703 BILLING SERVICES 1262038 ATHENA HEALTH SERVICES 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 1184783 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING 977336 COMPHEALTH ASSOCIATES INC 6440 S MILLROCK DR STE 175 SALT LAKE CITY UT 84121 STAFFING 402727 27 PATIENT SERVICE REVENUE 621110 57294903 57294903 OPERATING REVENUE 621990 15887803 15887803 73182706 35347 35347 73218053 73182706 0 35347 X 1936817 1321362 615455 38977739 37459049 1518690 2260546 2175928 84618 2880385 2521821 358564 2542631 2408043 134588 97770 49392 48378 101653 101653 9051933 8826586 225347 55279 55279 1416827 1133394 283433 637815 141284 496531 1456751 1002546 454205 371715 365383 6332 113479 14636 98843 348875 315334 33541 5090597 5019538 71059 PRESIDENT'S TAX 1968270 1968270 PROFESSIONAL DEV. 800202 780860 19342 PURCHASED SERVICES-MOA 514481 217825 296656 MEDICAL SUPPLIES 480808 480808 239600 42780 196820 71344173 66300118 5044055 0 9352874 8778494 4896875 5565445 11232006 11441025 330251 417298 4513392 2826678 1289101 1686714 27101107 27888976 17222336 16687341 692089 525990 811696 660566 2367817 2134030 21093938 20007927 X 6007169 7881049 6007169 7881049 27101107 27888976 1873880 0 X X 0 1 X 1 0 X 75490703 73407287 73574706 75137520 73182706 370792922 75490703 73407287 73574706 75137520 73182706 370792922 0 0 0 370792922 92299 115164 69376 31417 35347 343603 92299 115164 69376 31417 35347 343603 75583002 73522451 73644082 75168937 73218053 371136525 0.99910 0.99850 0.00090 0.00150 X 4513392 2826678 1686714 1686714 CAPITAL LEASE OBLIGATIONS 80311 NOTES PAYABLE- HSCB FOUNDATION 821487 NOTES PAYABLE - RESEARCH FOUNDATION 1232232 2134030 X 73218053 0 73218053 0 73218053 71344173 0 71344173 0 71344173 PART X, LINE 2: UPB RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT UPB HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. UPB IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR FISCAL PERIODS PRIOR TO 2010. X 0 0 0 0 0 0 0 0 0 ALAN SHALITA DIRECTOR AND PHYSICIAN 0 245962 0 0 0 0 0 0 0 0 0 245962 0 0 ANTONIO ALFONSO DIRECTOR AND PHYSICIAN 0 1059597 0 0 0 0 0 0 0 0 0 1059597 0 0 ARNOLD STRASHUN DIRECTOR AND PHYSICIAN 0 494561 0 0 0 0 0 0 0 0 0 494561 0 0 DANIEL ROSENBAUM DIRECTOR AND PHYSICIAN 0 366338 0 0 0 0 0 0 0 0 0 366338 0 0 DOUGLAS LAZZARO PRESIDENT AND PHYSICIAN 3992 355100 0 0 0 0 0 0 0 0 3992 355100 0 0 JEFFREY BORER DIRECTOR AND PHYSICIAN 0 598159 0 0 0 0 0 0 0 0 0 598159 0 0 JOHN DANIAS DIRECTOR AND PHYSICIAN 62868 286680 0 0 0 0 0 0 0 0 62868 286680 0 0 LANCE WAGNER DIRECTOR AND PHYSICIAN 286330 225355 0 0 809 0 33500 0 0 0 320639 225355 0 0 MARVIN ROTMAN DIRECTOR AND PHYSICIAN 42821 307599 0 0 0 0 0 0 0 0 42821 307599 0 0 MICHAEL LUCCHESI DIRECTOR AND PHYSICIAN 188090 529770 0 0 0 0 28213 0 0 0 216303 529770 0 0 OVADIA ABULAFIA DIRECTOR AND PHYSICIAN 0 542131 0 0 0 0 0 0 0 0 0 542131 0 0 RICHARD CRUMMER DIRECTOR AND PHYSICIAN 85238 171567 0 0 0 0 4262 0 0 0 89500 171567 0 0 RICHARD ROSENFELD DIRECTOR AND PHYSICIAN 164891 510367 0 0 0 0 0 0 0 0 164891 510367 0 0 STANLEY FISCHER DIRECTOR AND PHYSICIAN 1000 510870 0 0 0 0 0 0 0 0 1000 510870 0 0 STEPHEN GOLDFINGER DIRECTOR AND PHYSICIAN 0 468548 0 0 0 0 0 0 0 0 0 468548 0 0 SUZANNE MIRRA SECRETARY/TREASUER&PHYSICIAN 0 427267 0 0 0 0 0 0 0 0 0 427267 0 0 WILLIAM URBAN VICE CHAIR AND PHYSICIAN 105776 237218 0 0 0 0 0 0 0 0 105776 237218 0 0 MIRIAM VINCENT DIRECTOR AND PHYSICIAN 0 361848 0 0 0 0 0 0 0 0 0 361848 0 0 KATHY LINTEN CFO 222386 0 2250 0 1513 0 33500 0 11516 0 271165 0 0 0 MARILYN VIENTOS SOTIRIADIS COO 180000 0 1800 0 528 0 27270 0 28379 0 237977 0 0 0 JAMES COTTRELL DEAN OF CLIN. PRACT. & PHYSICIAN 365631 431017 0 0 0 0 38250 0 0 0 403881 431017 0 0 AZIZ IBRAHIM PHYSICIAN 416701 0 0 0 0 0 33500 0 28440 0 478641 0 0 0 HUNTZ LIU PHYSICIAN 450300 41840 0 0 0 0 38250 0 18766 0 507316 41840 0 0 BRADLEY PHILLIPS PHYSICIAN 394796 52031 0 0 0 0 0 0 0 0 394796 52031 0 0 SANJEEV AGARWAL PHYSICIAN 418029 235776 0 0 0 0 0 0 0 0 418029 235776 0 0 HELEN LAURO PHYSICIAN 389888 0 0 0 0 0 33500 0 9668 0 433056 0 0 0 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 11 THE UNIVERSITY PHYSICIANS OF BROOKLYN, INC. FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND ONCE COMPLETED IS REVIEWED BY EXECUTIVE MANAGEMENT PRIOR TO FILING. 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 2,940,822. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,940,822. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 299,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,567. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 727,631. MANAGEMENT AND GENERAL EXPENSES 50,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 777,956. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,648,462. MANAGEMENT AND GENERAL EXPENSES 33,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,682,005. CREDENTIALING: PROGRAM SERVICE EXPENSES 39,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,376. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 141,479. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,479. MEDICAL TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 122,215. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,215. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 48,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,513. 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 1 0 1 1 0 1 1 0 0 0 0