NEW YORK SPINE AND BRAIN SURGERY UNIVERSITY FACULTY PRACTICE CORP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: NEW YORK SPINE AND BRAIN SURGERY UNIVERSITY FACULTY PRACTICE CORP (EIN 11-2645930)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-09
IRS object ID: 201131299349301818
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-09T16:52:07-05:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	112645930	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	New York Spine and Brain Surgery	BusinessNameLine1
Business Name Line2	UNIVERSITY FACULTY PRACTICE CORPORATION	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	NEWY	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	Raphael Davis	Name
Title	President	Title
Date Signed	2011-05-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Raphael Davis 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	12353500	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	n/a	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1983	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	10	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	8927200	ProgramServiceRevenuePriorYear
Program Service Revenue CY	12339913	ProgramServiceRevenueCY
Investment Income Prior Year	15840	InvestmentIncomePriorYear
Investment Income Current Year	13587	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	8943040	TotalRevenuePriorYear
Total Revenue Current Year	12353500	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	3028455	SalariesEtcPriorYear
Salaries Etc Current Year	4396772	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	5914585	OtherExpensePriorYear
Other Expenses Current Year	7713847	OtherExpensesCurrentYear
Total Expenses Prior Year	8943040	TotalExpensesPriorYear
Total Expenses Current Year	12110619	TotalExpensesCurrentYear
Revenues Less Expenses CY	242881	RevenuesLessExpensesCY
Total Assets BOY	643723	TotalAssetsBOY
Total Assets EOY	886603	TotalAssetsEOY
Total Liabilities BOY	643723	TotalLiabilitiesBOY
Total Liabilities EOY	886603	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	10414403	Expense
Revenue	12339913	Revenue
Description	The organization provides services in the field of Neurological Surgery to patients and provides clinical instruction to and supervision of School of Medicine students and Hospital residents.	Description
Total Program Service Expense	10414403	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
Balance Sheet Amounts Reported	false	BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	10	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
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

Form990 Part VII Section A Form990PartVIISectionA (8 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
Raphael Davis
President & Director	50.0	X	X	872323	193081	53589
Frederick Gutman
Secretary & Director	50.0	X	X	274744	106047	53398
Michael Egnor
Director	50.0	X		302116	192668	63074
Henry Woo
Neurological Surgeon	50.0			687517	161386	50641	X
Robert Galler
Neurological Surgeon	50.0			592241	90281	48357	X
David Fiorella
Neurological Surgeon	50.0			299081	70153	49643	X
Arthur Rosiello
Neurological Surgeon	50.0			230470	80006	46120	X
George Tyson
Neurological Surgeon	50.0			99726	181385	45927	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3358218	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1075007	TotalReportableCompFrmRltdOrgs
Total Other Compensation	410749	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
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	12339913	TotalRevenueColumn
Related Or Exempt Function Income	12339913	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	12339913	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13587	TotalRevenueColumn
Exclusion	$13,587	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	12353500	TotalRevenueColumn
Related Or Exempt Function Income	12339913	RelatedOrExemptFunctionIncome
Exclusion	$13,587	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	1584325	Total
Program Services	1505109	ProgramServices
Management And General	79216	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	2517237	Total
Program Services	2517237	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	155546	Total
Program Services	155546	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	28112	Total
Program Services	28112	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	111552	Total
Program Services	111552	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7700000	Total
Program Services	6083000	ProgramServices
Management And General	1617000	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	975	Total
Program Services	975	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

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	1716	Total
Program Services	1716	ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
pension admin fees	8395	8395
All other expenses	2761	2761

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	12110619	Total
Program Services	10414403	ProgramServices
Management And General	1696216	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	643723	BOY
EOY	886603	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	643723	BOY
EOY	886603	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	643723	BOY
EOY	886603	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	643723	BOY
EOY	886603	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	643723	BOY
EOY	886603	EOY

Field	Value	IRS element (for citing)
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 Minus3 Years	6773291	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8927000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10704203	CurrentTaxYearMinus1Year
Current Tax Year	12339913	CurrentTaxYear
Total	38744407	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	6773291	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8927000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10704203	CurrentTaxYearMinus1Year
Current Tax Year	12339913	CurrentTaxYear
Total	38744407	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1115132	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2210905	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1814105	CurrentTaxYearMinus1Year
Current Tax Year	2310121	CurrentTaxYear
Total	7450263	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1115132	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2210905	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1814105	CurrentTaxYearMinus1Year
Current Tax Year	2310121	CurrentTaxYear
Total	7450263	Total

Field	Value	IRS element (for citing)
Public Support Total509	31294144	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	15106	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15840	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11318	CurrentTaxYearMinus1Year
Current Tax Year	13587	CurrentTaxYear
Total	55851	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	15106	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15840	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11318	CurrentTaxYearMinus1Year
Current Tax Year	13587	CurrentTaxYear
Total	55851	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	6788397	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8942840	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10715521	CurrentTaxYearMinus1Year
Current Tax Year	12353500	CurrentTaxYear
Total	38800258	Total

Field	Value	IRS element (for citing)
First5 Years509	X	First5Years509

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
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 (8 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
Raphael Davis
708192	193081	150000	0	14131	0	0	0	17909	35681	890232	228762	0	0
Frederick Gutman
273257	106047	0	0	1488	0	0	0	33398	19999	308142	126046	0	0
Michael Egnor
289653	192668	0	0	12463	0	0	0	27454	35620	329570	228288	0	0
Henry Woo
536030	161386	150000	0	1488	0	0	0	29961	20680	717478	182066	0	0
Robert Galler
530754	90281	60000	0	1488	0	0	0	32648	15708	624889	105989	0	0
David Fiorella
245747	70153	49998	0	3336	0	0	0	36262	13381	335343	83534	0	0
Arthur Rosiello
228996	80006	0	0	1474	0	0	0	28180	17940	258650	97946	0	0
George Tyson
99726	181385	0	0	0	0	0	0	11967	33960	111693	215345	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Supplemental Compensation Information	Non-Fixed Payments	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.
First Class/Business Class travel	Schedule J, Part I, 1a	Business class travel was provided to UFPC employee Henry Woo, MD, who was reimbursed for the cost of airfare for an international meeting. The amount reimbursed was not treated as taxable compensation. This benefit is subject to the guidelines for nonfixed payments. 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, require prior approval from the Purchasing and Asset Management Committee. First class/business class airfare is considered unusual and therefore must be approved by the Purchasing and Asset Management Committee.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11	An electronic version of Form 990 was provided to the officers and directors prior to filing. Management perfoms 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 and 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 New York Spine and Brain Surgery, (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.

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 Dermatology Associates UFPC
PO Box 1554	Stony Brook	NY	11790	113011790	Healthcare	NY	501 c 3	9	NYS
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
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
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 Anaesthesiology UFPC
PO Box 1554	Stony Brook	NY	11790	112553515	Healthcare	NY	501 c 3	9	NYS
Stony Brook Clin Pract Mgmt Realty UFPC
PO Box 1554	Stony Brook	NY	11790	113285712	Rlty Holding	NY	501 c 25	N/A	NYS
Stony Brook Surgical Holding Corp UFPC
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 3	N/A	NA

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

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	NA	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	NA	C corp
Stony Brook Physicians PC
PO Box 1554	Stony Brook	NY	11790	201611829	medical svcs	NY	NA	c corp
Healthcare Management Services Inc
PO Box 1554	Stony Brook	NY	11790	113247917	medical svcs	NY	NA	c corp

Field	Value	IRS element (for citing)
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
State of New York
k	2433656
Clinical Practice Management Plan
l	7700000