2013-11-15T08:44:36-06:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182702685 450 CLARKSON AVENUE MSC 80 BROOKLYN NY 11203 KATHY LINTEN 7182702685 2013-11-14 1 SANDERS DAVIES P01325852 9143818900 2013-11-14 2012 2016-03-07 17:11:31Z KATHY LINTEN 450 CLARKSON AVENUE MSC 80 BROOKLYN NY 11203 75168937 0 X WWW.DOWNSTATE.EDU/PHYSICANS X 1993 NY TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF SUNY HEALTH SCIENCE CENTER AT BROOKLYN. 18 0 616 0 0 0 0 0 73574706 75137520 69376 31417 0 0 73644082 75168937 0 0 0 0 50274835 49102752 0 0 0 22796997 23999056 73071832 73101808 572250 2067129 24919585 27101107 20979545 21093938 3940040 6007169 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 68419317 75137520 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. 68419317 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 1 160 0 616 1 0 0 0 0 0 0 0 0 0 0 X 18 0 0 0 0 0 0 0 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 80 BROOKLYN NY 11203 ALAN SHALITA 5.00 32.50 X 0 246424 0 ANTONIO ALFONSO 5.00 32.50 X 0 1064983 0 ARNOLD STRASHUN 5.00 32.50 X 0 495364 0 DANIEL ROSENBAUM 5.00 32.50 X 0 366923 0 DOUGLAS LAZZARO 10.00 27.50 X X 5345 320083 0 JEFFREY BORER 5.00 32.50 X 0 624035 0 JEFFREY WEISS 5.00 32.50 X 0 56690 0 JOHN DANIAS 5.00 32.50 X 0 277993 0 LANCE WAGNER 5.00 32.50 X 315890 219167 37500 MARVIN ROTMAN 5.00 32.50 X 193557 304169 0 MICHAEL LUCCHESI 5.00 32.50 X 165000 506218 24750 OVADIA ABULAFIA 5.00 32.50 X 0 559303 0 RICHARD CRUMMER 5.00 32.50 X 72450 164107 3622 RICHARD ROSENFELD 5.00 32.50 X 107512 522752 0 STANLEY FISCHER 5.00 32.50 X 0 492648 0 STEPHEN GOLDFINGER 5.00 32.50 X 0 408300 0 SUZANNE MIRRA 10.00 27.50 X X 0 427996 0 WILLIAM URBAN 10.00 27.50 X X 49668 226808 0 KATHY LINTEN 37.50 0.00 X 220077 0 43767 MARILYN SOTIRIADIS 37.50 0.00 X 160385 0 48439 RICHARD MULRY 37.50 0.00 X 411250 0 48255 JAMES COTTRELL 20.00 17.50 X 404500 413806 37500 AZIZ IBRAHIM 37.50 0.00 X 449047 0 63976 HUNTZ LIU 37.50 0.00 X 441538 21988 58624 SHOBIT RASTOGI 37.50 0.00 X 418992 164449 0 BRADLEY PHILLIPS 37.50 0.00 X 431069 53208 0 MICHAEL EHRENHAUS 37.50 0.00 X 423976 86087 0 4270256 8023501 366433 132 0 1 0 ACADEMIC HEALTH PROFESSIONAL INSURANCE A PO BOX 027886 NEW YORK NY 10087 MALPRACTICE INSURANCE 4280132 AETNA PO BOX 7247-0233 PHILADELPHIA PA 19170 HEALTH & DENTAL INSURANCE 2032230 ATHENA HEALTH SERVICES 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 1442852 SPRINGFIELD SERVICE CORP 2960 PROFESSIONAL DRIVE SPRINGFIELD IL 62703 BILLING SERVICES 1015359 PHYSICIANS RECIPROCAL INSURERS 111 E SHORE RD PO BOX 4300 MANHASSET NY 11030 BILLING SERVICES 747472 32 PATIENT 621110 62531871 62531871 OTHER THAN CLINICAL 621990 12605649 12605649 75137520 31417 31417 75168937 75137520 0 31417 X 2105633 1313922 791711 39335562 38187889 1147673 2244684 2104406 140278 2919020 2520702 398318 2497853 2362357 135496 100255 79780 20475 119898 8100 111798 8430563 8310554 120009 69238 44767 24471 3055926 2222191 833735 524137 82020 442117 1674235 1333247 340988 376526 367138 9388 104163 23522 80641 386500 379256 7244 5386387 5333259 53128 PRESIDENT'S TAX 1940664 1940664 MEDICAL SUPPLIES 587272 569545 17727 PROFESSIONAL DEV. 576490 571423 5067 PURCHASED SERVICES-MOA 500093 500093 0 166709 164482 2227 73101808 68419317 4682491 0 5973218 9352874 4971333 4896875 12173471 11232006 459044 330251 3767604 2478503 1342519 1289101 24919585 27101107 17285993 17222336 1079932 692089 2260110 2970280 353510 209233 20979545 21093938 X 3940040 6007169 3940040 6007169 24919585 27101107 2067129 0 X X 0 1 X 1 0 X SUNY HEALTH SCIENCE CENTER AT BROOKLYN BROOKLYN NY 3767604 2478503 1289101 1289101 CAPITAL LEASE OBLIGATIONS 209233 209233 X 75168937 0 75168937 0 75168937 73101808 0 73101808 0 73101808 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: UPB RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT UPB HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. UPB IS NO LONGER SUBJECT U.S. FEDERAL, STATE OR LOCAL INCOME TAX AUDITS FOR PERIODS PRIOR TO 2009. X 0 0 0 0 0 0 0 0 0 ALAN SHALITA 0 246424 0 0 0 0 0 0 0 0 0 246424 0 0 ANTONIO ALFONSO 0 1064983 0 0 0 0 0 0 0 0 0 1064983 0 0 ARNOLD STRASHUN 0 495364 0 0 0 0 0 0 0 0 0 495364 0 0 DANIEL ROSENBAUM 0 366923 0 0 0 0 0 0 0 0 0 366923 0 0 DOUGLAS LAZZARO 5345 320083 0 0 0 0 0 0 0 0 5345 320083 0 0 JEFFREY BORER 0 624035 0 0 0 0 0 0 0 0 0 624035 0 0 JOHN DANIAS 0 277993 0 0 0 0 0 0 0 0 0 277993 0 0 LANCE WAGNER 315890 219167 0 0 0 0 37500 0 0 0 353390 219167 0 0 MARVIN ROTMAN 193557 304169 0 0 0 0 0 0 0 0 193557 304169 0 0 MICHAEL LUCCHESI 165000 506218 0 0 0 0 24750 0 0 0 189750 506218 0 0 OVADIA ABULAFIA 0 559303 0 0 0 0 0 0 0 0 0 559303 0 0 RICHARD CRUMMER 72450 164107 0 0 0 0 3622 0 0 0 76072 164107 0 0 RICHARD ROSENFELD 107512 522752 0 0 0 0 0 0 0 0 107512 522752 0 0 STANLEY FISCHER 0 492648 0 0 0 0 0 0 0 0 0 492648 0 0 STEPHEN GOLDFINGER 0 408300 0 0 0 0 0 0 0 0 0 408300 0 0 SUZANNE MIRRA 0 427996 0 0 0 0 0 0 0 0 0 427996 0 0 WILLIAM URBAN 49668 226808 0 0 0 0 0 0 0 0 49668 226808 0 0 KATHY LINTEN 202885 0 0 0 17192 0 33012 0 10755 0 263844 0 0 0 MARILYN SOTIRIADIS 160385 0 0 0 0 0 24058 0 24381 0 208824 0 0 0 RICHARD MULRY 334375 0 0 0 76875 0 37500 0 10755 0 459505 0 0 0 JAMES COTTRELL 404500 413806 0 0 0 0 37500 0 0 0 442000 413806 0 0 AZIZ IBRAHIM 449047 0 0 0 0 0 37500 0 26476 0 513023 0 0 0 HUNTZ LIU 441538 21988 0 0 0 0 37500 0 21124 0 500162 21988 0 0 SHOBIT RASTOGI 418992 164449 0 0 0 0 0 0 0 0 418992 164449 0 0 BRADLEY PHILLIPS 431069 53208 0 0 0 0 0 0 0 0 431069 53208 0 0 MICHAEL EHRENHAUS 423976 86087 0 0 0 0 0 0 0 0 423976 86087 0 0 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 18 THE 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST OF THE ORGANIZATION AND THROUGH WWW.GUIDESTAR.COM. 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. OTHER FEES FORM 990, PART IX, LINE 11G BILLING SERVICES: PROGRAM SERVICE EXPENSES 3,258,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,258,032. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 300,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,589. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 158,682. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,682. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,319,420. MANAGEMENT AND GENERAL EXPENSES 22,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,342,259. CREDENTIALING: PROGRAM SERVICE EXPENSES 51,979. MANAGEMENT AND GENERAL EXPENSES 38,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,700. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 58,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,449. MEDICAL TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 178,735. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,735. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 43,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,117. 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 170 (B) (1) (A) (V) N/A 0 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION INC 450 CLARKSON AVENUE BROOKLYN NY 11203 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 TO PROVIDE EDUCATIONALLY RELATED AUXILIARY SERVICES NY 501(C)(3) 7 SUNY DOWNSTATE 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0