STONY BROOK ANESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORP: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- STONY BROOK ANESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORP (EIN 11-2553515)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-06
- IRS object ID
- 201201279349300410
- Schema version
- 2010v3.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-06T15:46:08-04:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112553515 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STONY BROOK ANAESTHESIOLOGY | BusinessNameLine1 |
| Business Name Line2 | University Faculty Practice Corporation | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STON | NameControl |
| Phone | 6314442055 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1554 | AddressLine1 |
| City | Stony Brook | City |
| State | NY | State |
| ZIP Code | 11790 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter Glass | Name |
| Title | President | Title |
| Date Signed | 2012-04-27 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Peter S A Glass MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1554 | AddressLine1 |
| City | Stony Brook | City |
| State | NY | State |
| ZIP Code | 11790 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28164527 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | n/a | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Provide clinical instruction to and supervision of medical school students, interns and residents and, incident thereto, rendering professional services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 57 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24722206 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 28148239 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23996 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16288 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24746202 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28164527 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15940492 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17692049 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8433752 | OtherExpensePriorYear |
| Other Expenses Current Year | 10496413 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24374244 | TotalExpensesPriorYear |
| Total Expenses Current Year | 28188462 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 371958 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -23935 | RevenuesLessExpensesCY |
| Total Assets BOY | 1188185 | TotalAssetsBOY |
| Total Assets EOY | 1164249 | TotalAssetsEOY |
| Total Liabilities BOY | 1188185 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1164249 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 0 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 0 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide clinical instruction to and supervision of medical school students, interns and residents and, incident thereto, rendering professional services. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 25949544 | Expense |
| Revenue | 28148239 | Revenue |
| Description | The organization provides services in the field of Anaesthesiology to patients and provides clinical instruction to and supervision of School of Medicine students and Hospital Residents. | Description |
| Total Program Service Expense | 25949544 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 57 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CLINICAL PRACTICE MGMT PLAN | NamePerson |
| Telephone Number | 6314442055 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1554 | AddressLine1 |
| City | Stony Brook | City |
| State | NY | State |
| ZIP Code | 11790 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Peter S A Glass | ||||||||
| President & Director | 50.0 | X | X | 497525 | 171615 | 56235 | ||
| Steven Vitkun | ||||||||
| Secretary & Director | 50.0 | X | X | 130177 | 91593 | 36623 | ||
| Kenneth Rosenfeld | ||||||||
| Director | 50.0 | X | 394629 | 121608 | 53536 | |||
| F Barry Florence | ||||||||
| Anaesthesiologist | 50.0 | 328774 | 190416 | 53717 | X | |||
| Daryn Moller | ||||||||
| Anaesthesiologist | 50.0 | 356703 | 55380 | 43233 | X | |||
| Slawomir Olesak | ||||||||
| Anaesthesiologist | 50.0 | 353864 | 50943 | 43300 | X | |||
| Ronald Jasiewicz | ||||||||
| Anaesthesiologist | 50.0 | 351374 | 47972 | 43346 | X | |||
| Christopher Gallagher | ||||||||
| Anaesthesiologist | 50.0 | 332232 | 66672 | 40977 | X | |||
| Robert Katz | ||||||||
| Anaesthesiologist | 50.0 | 285198 | 71261 | 46867 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3030476 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 867460 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 417834 | TotalOtherCompensation |
| Number Individuals GT100 K | 52 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | none | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Of Contractor | AddressOfContractor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Business Code | 621111 | BusinessCode |
| Total Revenue Column | 28148239 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28148239 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 28148239 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16288 | TotalRevenueColumn |
| Exclusion | $16,288 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28164527 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28148239 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $16,288 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1098361 | Total |
| Program Services | 1043443 | ProgramServices |
| Management And General | 54918 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14416936 | Total |
| Program Services | 14416936 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1454896 | Total |
| Program Services | 1454896 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82154 | Total |
| Program Services | 82154 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 639702 | Total |
| Program Services | 639702 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10400000 | Total |
| Program Services | 8216000 | ProgramServices |
| Management And General | 2184000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88109 | Total |
| Program Services | 88109 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10271 | Total |
| Program Services | 10271 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1909 | Total |
| Program Services | 1909 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| pension admin fees | -3949 | -3949 |
| All other expenses | 73 | 73 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28188462 | Total |
| Program Services | 25949544 | ProgramServices |
| Management And General | 2238918 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188185 | BOY |
| EOY | 1164249 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188185 | BOY |
| EOY | 1164249 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188185 | BOY |
| EOY | 1164249 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188185 | BOY |
| EOY | 1164249 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188185 | BOY |
| EOY | 1164249 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -23935 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 23935 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20171437 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22240337 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22347664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24722206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28148239 | CurrentTaxYear |
| Total | 117629883 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20171437 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22240337 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22347664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24722206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28148239 | CurrentTaxYear |
| Total | 117629883 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus1 Year | 60126 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1256328 | CurrentTaxYear |
| Total | 1316454 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus1 Year | 60126 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1256328 | CurrentTaxYear |
| Total | 1316454 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 116313429 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45608 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40973 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39217 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23996 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16288 | CurrentTaxYear |
| Total | 166082 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45608 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40973 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39217 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23996 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16288 | CurrentTaxYear |
| Total | 166082 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20217045 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22281310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22386881 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24746202 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28164527 | CurrentTaxYear |
| Total | 117795965 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Peter S A Glass | |||||||||||||
| 407938 | 171615 | 80750 | 0 | 8838 | 0 | 0 | 0 | 26609 | 29626 | 524134 | 201241 | 0 | 0 |
| Steven Vitkun | |||||||||||||
| 115947 | 91593 | 11280 | 0 | 2950 | 0 | 0 | 0 | 15848 | 20774 | 146025 | 112367 | 0 | 0 |
| Kenneth Rosenfeld | |||||||||||||
| 345384 | 121608 | 45360 | 0 | 3885 | 0 | 0 | 0 | 28342 | 25193 | 422971 | 146801 | 0 | 0 |
| F Barry Florence | |||||||||||||
| 278049 | 190416 | 41700 | 0 | 9025 | 0 | 0 | 0 | 24433 | 29284 | 353207 | 219700 | 0 | 0 |
| Daryn Moller | |||||||||||||
| 249804 | 55380 | 103235 | 0 | 3665 | 0 | 0 | 0 | 29926 | 13307 | 386629 | 68687 | 0 | 0 |
| Slawomir Olesak | |||||||||||||
| 280871 | 50943 | 68940 | 0 | 4053 | 0 | 0 | 0 | 29042 | 14258 | 382906 | 65201 | 0 | 0 |
| Ronald Jasiewicz | |||||||||||||
| 261292 | 47972 | 86285 | 0 | 3797 | 0 | 0 | 0 | 29468 | 13878 | 380842 | 61850 | 0 | 0 |
| Christopher Gallagher | |||||||||||||
| 271384 | 66672 | 56795 | 0 | 4053 | 0 | 0 | 0 | 27874 | 13103 | 360106 | 79775 | 0 | 0 |
| Robert Katz | |||||||||||||
| 264755 | 71261 | 15970 | 0 | 4473 | 0 | 0 | 0 | 29093 | 17775 | 314291 | 89036 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, Line 7 | ReturnReference |
| Explanation | EMPLOYEES ARE REIMBURSED FOR BUSINESS EXPENSES THAT RELATE TO THE PRACTICE OF MEDICINE. THE TOTAL AMOUNT REIMBURSABLE IN A GIVEN FISCAL YEAR IS DETERMINED BY THE RESPECTIVE CHAIRPERSON. ALL REIMBURSEMENTS ARE SUBJECT TO APPROVAL BY THE CHAIRPERSON OR THEIR DESIGNEE. FOR AN EXPENSE TO BE ELIGIBLE FOR REIMBURSEMENT, IT MUST BE ALLOWABLE "IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND ALLOWABLE TO A PRACTITIONER AS A DEDUCTIBLE COST OR EXPENSE UNDER CURRENT FEDERAL INTERNAL REVENUE SERVICE GUIDELINES." DOCUMENTATION OF EXPENSES FOLLOWS IRS GUIDELINES. EXPENSES ARE NOT PROCESSED UNLESS THEY HAVE COMPLETE DOCUMENTATION. EXPENDITURES THAT ARE OVER $5,000, UNPRECEDENTED, OR UNUSUAL, WILL REQUIRE PRIOR APPROVAL FROM THE PURCHASING AND ASSET MANAGEMENT COMMITTEE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Question 11B | AN ELECTRONIC VERSION OF FORM 990 WAS PROVIDED TO THE OFFICERS AND DIRECTORS PRIOR TO FILING. MANAGEMENT PERFORMS A REVIEW FOR FORM 990 PRIOR TO FILING, ADDRESSING ANY QUESTIONS MADE BY THE GOVERNING BODY. |
| Description of Process to Monitor Transactions for Conflicts of Interest | Form 990, Part VI, Question 12c | THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE UFPC'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 UFPC 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 UFPC'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. |
| Offices & Positions for Which Process was Used, & Year Process was Begun | Form 990, Part VI, Question 15a & b | BEGAN AT INCEPTION: EACH PHYSICIAN IS A MEMBER OF THE SCHOOL OF MEDICINE'S FACULTY AND A NEW YORK STATE EMPLOYEE PROVIDING SERVICES AT THE UNIVERSITY, AND REPORTS TO THE CHAIRMAN OF HIS/HER DEPARTMENT AND THE DEAN OF THE SCHOOL OF MEDICINE, WHO IN TURN REPORTS TO THE PRESIDENT OF THE UNIVERSITY. THE DEAN OF THE SCHOOL OF MEDICINE IS RESPONSIBLE FOR HIRING AND TERMINATING EACH PHYSICIAN, DETERMINING EACH PHYSICIAN'S COMPENSATION (WHICH IS SUBJECT TO THE LIMITATIONS IN ARTICLE XVI AS DESCRIBED BELOW), AND ALSO APPOINTS THE CHAIRPERSON OF THE SCHOOL OF MEDICINE'S DEPARTMENT OF ANAESTHESIOLOGY, (I) WHO IS ONE OF THE DIRECTORS; AND (II) WHO IN TURN SELECTS ITS OTHER TWO DIRECTORS. CONSEQUENTLY, THE DIRECTORS MUST ACT IN A MANNER WHICH WILL NOT JEOPARDIZE THEIR EMPLOYMENT WITH THE MEDICAL SCHOOL AND THE UNIVERSITY IN ORDER TO REMAIN ON THE BOARD. AS A RESULT, NEW YORK STATE, THROUGH THE SUNY SYSTEM, THE UNIVERSITY, THE MEDICAL SCHOOL, AND CPMP (AS EXPLAINED BELOW) EXERCISES SUBSTANTIAL CONTROL OVER OPERATIONS, WHICH ARE ALSO SUBJECT TO ORIGINATING DOCUMENTS (I.E., CERTIFICATE OF REINCORPORATION AND BYLAWS), WHICH STATE THE PURPOSE AS FURTHERING THE UNIVERSITY'S EDUCATIONAL MISSION. ALL PHYSICIANS ENTER INTO EMPLOYMENT ARRANGEMENTS WITH THE UFPC. AS A RESULT, EACH PHYSICIAN RECEIVES COMPENSATION AND BENEFITS FROM THE UFPC AND THE STATE OF NEW YORK (BECAUSE SUCH PHYSICIAN IS ALSO A UNIVERSITY EMPLOYEE). THE DEAN OF THE SCHOOL OF MEDICINE DETERMINES EACH PHYSICIAN'S COMPENSATION, IN CONSULTATION WITH SUCH PHYSICIAN'S DEPARTMENTAL CHAIRPERSON. DOCUMENTATION REGARDING SUCH COMPENSATION DETERMINATION IS MAINTAINED BY THE DEAN'S OFFICE. EACH PHYSICIAN IS COMPENSATED BASED ON TRADITIONAL FACTORS SUCH AS TRAINING, EXPERIENCE, QUALIFICATIONS, AND GENERAL MARKET CONDITIONS. SUBJECT TO THE LIMITATIONS DESCRIBED BELOW, EMPLOYMENT AGREEMENTS WITH PHYSICIANS TYPICALLY ALLOW AN INDIVIDUAL PHYSICIAN TO RECEIVE NON-FIXED COMPENSATION, BASED ON AMOUNTS COLLECTED WHICH ARE ATTRIBUTABLE TO SUCH PHYSICIAN'S DIRECT PATIENT CARE SERVICES. THE ORGANIZATION GENERALLY DETERMINES A PHYSICIAN'S COMPENSATION TO EQUAL AN AMOUNT BETWEEN THE 50TH AND 75TH PERCENTILE OF COMPARABLE PHYSICIAN COMPENSATION, AS REPORTED IN THE ASSOCIATION OF AMERICAN MEDICAL COLLEGE'S (THE "AAMC'S") COMPENSATION DATA REFERENCE MATERIALS. EACH PHYSICIAN IS ALSO SUBJECT TO ARTICLE XVI, WHICH AT ALL TIMES GOVERNS SUCH PHYSICIAN'S COMPENSATION. UNDER THE TERMS OF ARTICLE XVI, THE MAXIMUM AMOUNT OF COMPENSATION PAYABLE TO ANY PHYSICIAN (INCLUDING COMPENSATION FROM ALL OTHER SOURCE EXCLUSIVE OF FRINGE BENEFITS) IS NOT TO EXCEED 250% OF THAT INDIVIDUAL'S MAXIMUM STATE BASIC ANNUAL SALARY FOR HIS/HER ACADEMIC RANK (THE "250% RULE"). IN SPECIAL CIRCUMSTANCES RELATING TO RECRUITMENT, THE UNIVERSITY PRESIDENT (OR HIS/HER DESIGNEE) MAY AUTHORIZE AN PHYSICIAN TO RECEIVE GREATER THAN 250% OF THE MAXIMUM STATE BASIC ANNUAL SALARY FOR SUCH PHYSICIAN'S RANK, PROVIDED THAT SUCH COMPENSATION IS IN THE BEST INTEREST OF THE UNIVERSITY AND THE HOSPITAL. SUCH ADDITIONAL COMPENSATION SHALL NOT EXTEND BEYOND A TWO YEAR PERIOD. ALSO, WITH THE APPROVAL OF THE CHANCELLOR OF THE SUNY SYSTEM (OR HIS/HER DESIGNEE) THE MAXIMUM ALLOWABLE COMPENSATION PAYABLE TO A PHYSICIAN MAY EXCEED 275% OF SUCH INDIVIDUAL'S MAXIMUM STATE BASIC ANNUAL SALARY (E.G., IN THE CASE OF PHYSICIANS PROVIDING SERVICES IN DIFFICULT TO RETAIN SPECIALTIES). IN MAKING RECOMMENDATIONS WITH RESPECT TO SUCH EXCEPTIONS TO THE "250% RULE", THE PRESIDENT OF THE UNIVERSITY CONSIDERS THE COMPETITION FOR PHYSICIANS IN A PARTICULAR SPECIALTY AS INDICATED BY THE AAMC'S COMPENSATION DATA, AND OTHER REVENUE GENERATED BY THE PHYSICIAN'S CLINICAL ACTIVITIES. SUCH EXCEPTIONS, PURSUANT TO THE TERMS OF ARTICLE XVI, SHALL NOT EXCEED 5% OF THE TOTAL NUMBER OF PHYSICIANS ON A SYSTEM-WIDE BASIS. ALSO, SUBJECT TO THE TERMS OF ARTICLE XVI, A PORTION OF EACH PHYSICIAN'S COMPENSATION MAY BE USED TO PURCHASE A RETIREMENT BENEFIT FOR THE BENEFIT OF PHYSICIANS. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | 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. |
| HOURS DEVOTED TO RELATED ORGANIZATION | FORM 990, PART VII | THE MISSION OF THE REPORTING ORGANIZATION IS TO SUPPORT THE EDUCATIONAL MISSION OF THE STATE UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE AT STONY BROOK (THE "MEDICAL SCHOOL") BY PROVIDING CLINICAL INSTRUCTION TO AND SUPERVISION OF MEDICAL SCHOOL STUDENTS, INTERNS AND RESIDENTS AND, INCIDENT THERETO, RENDERING PROFESSIONAL SERVICES. EACH PHYSICIAN IS AN EMPLOYEE OF THE REPORTING ORGANIZATION AND A NEW YORK STATE EMPLOYEE PROVIDING SERVICES AS A MEMBER OF THE THE MEDICAL SCHOOL'S FACULTY. HOURS WORKED BY THE PHYSICIANS LISTED IN PART VII RELATE TO THE ENTIRE MISSION OF THE REPORTING ORGANIZATION WHICH INCLUDES SUPPORTING THE MISSION OF THE MEDICAL SCHOOL. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | CASH TRANSFER FROM CLINICAL PRACTICE MANAGEMENT PLAN = $23,935 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| New York State | |||||||||
| One Commerce Plaza 99 Washington A | Albany | NY | 12231 | 146013200 | Government | NY | 501 c 1 | N/A | NA |
| Stony Brook Preventive Med Srvc UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112822992 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Ophthalmology UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112658697 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Orthopaedic Associates UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112593061 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Children's Service UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112571524 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Psychiatric Associates UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112590096 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Radiation Oncology UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112664726 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Radiology UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112548304 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Surgical Associates UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112552333 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Urology UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112644371 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Clin Pract Mgmt Realty Corp | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113285712 | Rlty Holding | NY | 501 c 25 | N/A | NYS |
| Stony Brook Dermatology Associates UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113011790 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Surgical Holding Corp | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 116434538 | Rlty Holding | NY | 501 c 25 | N/A | NYS |
| Stony Brook University Physicians UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113559055 | Support Svcs | NY | 501 c 3 | 9 | NYS |
| Clinical Practice Management Plan | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | Mgmt Activity | NY | 501 C 1 | N/A | NA | |
| Stony Brook Emergency Physicians UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113066770 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Family Medical Group UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112552321 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Internists UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112558775 | Healthcare | NY | 501 c 3 | 9 | NYS |
| New York Spine and Brain Surgery UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112645930 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Neurology Assoc of Stony Brook UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112587430 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Univ Assoc in Obst & Gynecology UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112569522 | Healthcare | NY | 501 c 3 | 9 | NYS |
| Stony Brook Pathologists UFPC | |||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 112647243 | Healthcare | NY | 501 c 3 | 9 | NYS |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stony Brook Healthcare IPA LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1554 | AddressLine1 |
| City | Stony Brook | City |
| State | NY | State |
| ZIP Code | 11790 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113499101 | EIN |
| Primary Activity | Healthcare | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CPMP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Suffolk Psychiatric Services PC | ||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113115689 | managed Hlth svc | NY | CPMP | C corp |
| Stony Brook Physicians PC | ||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 201611829 | medical svcs | NY | CPMP | c corp |
| Healthcare Management Services Inc | ||||||||
| PO Box 1554 | Stony Brook | NY | 11790 | 113247917 | medical svcs | NY | CPMP | c corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| State of New York | |
| k | 1537973 |
| Clinical Practice Management Plan | |
| l | 10400000 |
| Clinical Practice Management Plan | |
| l | 23935 |
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