2023-11-15T23:10:03-06:00 2022-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2022-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182708357 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 MATTHEW MIELCZAREK CHIEF FINANCIAL OFFICER 7182708357 2023-11-15 1 MATTHEW MIELCZAREK 999009999 1 GARRETT M HIGGINS P00543209 2122862600 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM URBAN MD 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 64538147 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. 17 0 512 5 0 0 6161570 0 67237113 64491794 115114 46353 0 0 73513797 64538147 0 0 0 0 48402618 49594104 0 0 0 20281901 21637508 68684519 71231612 4829278 -6693465 32675457 29387829 25717864 29123701 6957593 264128 X 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 67097732 0 64491794 UNIVERSITY PHYSICIANS OF BROOKLYN("UPB") 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 2,000 STUDENTS AND 950 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 15 DEPARTMENTS WITH APPROXIMATELY 300 PHYSICIANS. UPB IS RESPONSIBLE FOR PROVIDING PAYROLL, ACCOUNTING, AND CONSULTING, AS WELL AS FINANCIAL STATEMENTS TO THE BOARD OF DIECTORS ON A MONTHLY BASIS. 67097732 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 181 0 512 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 0 1 0 0 1 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X MATTHEW MIELCZAREK CFO 7182708357 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 8.75 28.75 X X 145720 455416 24795 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 10.00 27.50 X X 199931 545049 27468 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYS 6.50 31.00 X X 109927 520423 24795 MORO SALIFU MD COUNSELLOR & PHYSICIAN 10.50 27.00 X X 251304 612383 24795 AUDREE BENDO MD COUNSELLOR AND PHYSICIAN 19.75 17.75 X X 246040 222964 24795 STANLEY FISHER MD PAST PRESIDENT 0.50 37.00 X X 0 282770 24795 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 4.00 33.50 X X 5454 437504 24795 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 13.00 24.50 X 193464 396371 24795 FRANCIS CHARLES BRUNICARDI DIRECTOR AND PHYSICIAN 5.75 31.75 X 128048 712041 24795 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 172057 24795 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 10.25 27.25 X 11538 399712 24795 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 14.75 22.75 X 180695 229469 37594 ALAN FEIT DIRECTOR AND PHYSICIAN 4.50 33.00 X 38994 298799 10031 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 1.50 36.00 X 100500 417359 24795 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 378264 24795 ALEXANDER SCHWARTZMAN MD DIRECTOR AND PHYSICIAN 2.00 35.50 X 37792 611055 17093 LLEWELLYN HYACINTHE DIRECTOR AND PHYSICIAN 0.25 37.25 X 0 438191 24795 EVE FABER DIRECTOR AND PHYSICIAN 10.75 26.75 X 120302 238519 33246 LORI DONNELL EXECUTIVE DIRECTOR 19.75 17.75 X 206324 190725 16940 ALAN DZIJA CFO 37.50 0.00 X 253202 0 17829 MARSHALL LIEBERMAN ADMINISTATOR 37.50 0.00 X 243556 0 6142 LAUREN GABELMAN PART TIME COO & ADMINISTRA 3.00 34.50 X 15000 185284 450 ROMAN SHINDER MD PHYSICIAN 37.50 0.00 X 892116 0 0 WILLIAM KWON MD PHYSICIAN 37.50 0.00 X 463509 0 38404 COLIN WOON PHYSICIAN 37.50 0.00 X 413125 0 56027 CHRISTOPHER CHAPMAN PHYSICIAN 37.50 0.00 X 458860 0 9945 LAWRENCE LAI MD PHYSICIAN 37.50 0.00 X 478033 0 46692 5193434 7744355 640196 18 0 1 0 MAIMONIDES MEDICAL CENTER 4802 10TH AVE BROOKLYN NY 11219 CONTRACT LABOR 1122659 ATHENAHEALTH ONE MOODY STREET WALTHAM MA 02453 BILLING SERVICE 744933 MODERN MEDICAL CARE OF NY PLLC 8766 23RD AVENUE BROOKLYN NY 112145202 PATIENT PORTAL 555613 STEVE SHAY MEDICAL OFFICE PC 216-09 85TH AVENUE QUEENS VILLAGE NY 11427 MEDICAL SERVICES 369925 PKF O'CONNOR DAVIES 500 MAMARONECK AVE SUITE 301 HARRISON NY 10528 AUDIT SERVICES 252878 12 PATIENT SERVICE REVENUE 621110 35043581 35043581 CONTRACTED SERVICES AND OTHER 621990 29448213 29448213 64491794 46353 46353 64538147 64491794 0 46353 X 2660855 2563950 96905 41664030 40146674 1517356 892786 860272 32514 1963937 1892413 71524 2412496 2324636 87860 300130 291308 8822 289678 281163 8515 9307505 9033911 273594 73005 41569 31436 711227 404972 306255 142117 80921 61196 1758402 1234695 523707 581497 331104 250393 160129 91177 68952 1482954 1482954 PRESIDENT'S TAX 4987441 4986369 1072 MEDICAL SUPPLIES 904170 514834 389336 ADMINISTRATIVE EXPENSES 830141 472682 357459 DUES 109112 62128 46984 71231612 67097732 4133880 0 11281293 9101871 3717723 1080472 16091099 17248790 714793 969272 6282740 5295316 870549 987424 32675457 29387829 23777787 27331696 1790077 1642005 150000 150000 25717864 29123701 X 6957593 264128 6957593 264128 32675457 29387829 -6693465 0 X X 0 0 0 X 6161570 6161570 66804919 66165209 60574824 67237113 64491794 325273859 66804919 66165209 60574824 73398683 64491794 331435429 0 0 0 331435429 4050 81104 14214 115114 46353 260835 4050 81104 14214 115114 46353 260835 66808969 66246313 60589038 73513797 64538147 331696264 0.99920 0.99920 0.00080 0.00080 X 1338684 816520 522164 4944056 4478796 465260 987424 ECONOMIC IMPACT DISASTER LOAN 150000 150000 X 0 0 0 0 0 0 0 0 0 ROMAN SHINDER MD PHYSICIAN 892116 0 0 0 0 0 0 0 0 0 892116 0 0 0 MORO SALIFU MD COUNSELLOR & PHYSICIAN 251304 612383 0 0 0 0 0 0 0 24795 251304 637178 0 0 FRANCIS CHARLES BRUNICARDI DIRECTOR AND PHYSICIAN 125000 712041 0 0 3048 0 0 0 0 24795 128048 736836 0 0 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 193750 545049 0 0 6181 0 17437 0 0 10031 217368 555080 0 0 ALEXANDER SCHWARTZMAN MD DIRECTOR AND PHYSICIAN 37792 611055 0 0 0 0 7062 0 0 10031 44854 621086 0 0 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYS 109927 520423 0 0 0 0 0 0 0 24795 109927 545218 0 0 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 145720 455416 0 0 0 0 0 0 0 24795 145720 480211 0 0 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 193464 396371 0 0 0 0 0 0 0 24795 193464 421166 0 0 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 100500 417359 0 0 0 0 0 0 0 24795 100500 442154 0 0 LAWRENCE LAI MD PHYSICIAN 476879 0 0 0 1154 0 0 0 46692 0 524725 0 0 0 WILLIAM KWON MD PHYSICIAN 462903 0 0 0 606 0 26100 0 12304 0 501913 0 0 0 AUDREE BENDO MD COUNSELLOR AND PHYSICIAN 246040 222964 0 0 0 0 0 0 0 24795 246040 247759 0 0 COLIN WOON PHYSICIAN 412695 0 0 0 430 0 0 0 56027 0 469152 0 0 0 CHRISTOPHER CHAPMAN PHYSICIAN 458590 0 0 0 270 0 0 0 9945 0 468805 0 0 0 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 5300 437504 0 0 154 0 0 0 0 24795 5454 462299 0 0 LLEWELLYN HYACINTHE DIRECTOR AND PHYSICIAN 0 438191 0 0 0 0 0 0 0 24795 0 462986 0 0 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 180695 229469 0 0 0 0 12799 0 0 24795 193494 254264 0 0 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 11538 399712 0 0 0 0 0 0 0 24795 11538 424507 0 0 LORI DONNELL EXECUTIVE DIRECTOR 204344 190725 0 0 1980 0 12450 0 4490 0 223264 190725 0 0 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0 378264 0 0 0 0 0 0 0 24795 0 403059 0 0 EVE FABER DIRECTOR AND PHYSICIAN 120302 238519 0 0 0 0 8451 0 0 24795 128753 263314 0 0 ALAN FEIT DIRECTOR AND PHYSICIAN 38994 298799 0 0 0 0 0 0 0 10031 38994 308830 0 0 STANLEY FISHER MD PAST PRESIDENT 0 282770 0 0 0 0 0 0 0 24795 0 307565 0 0 ALAN DZIJA CFO 247021 0 0 0 6181 0 15000 0 2829 0 271031 0 0 0 MARSHALL LIEBERMAN ADMINISTATOR 239453 0 0 0 4103 0 0 0 6142 0 249698 0 0 0 LAUREN GABELMAN PART TIME COO & ADMINISTRA 15000 185284 0 0 0 0 450 0 0 0 15450 185284 0 0 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0 172057 0 0 0 0 0 0 0 24795 0 196852 0 0 LAUREN GABELMAN SEE SCH L. PART V 15450 EMPLOYMENT 0 SCH L, PART IV, COLUMN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:FAMILY MEMBER OF WILLAM URBAN, MD, BOARD PRESIDENT. FORM 990, PART VI, SECTION A, LINE 2 LAUREN GABELMAN HAS A FAMILY RELATIONSHIP WITH WILLIAM URBAN, MD. FORM 990, PART VI, SECTION A, LINE 5 IN THE PRIOR YEAR THE ORGANIZATION DISCOVERED A DIVERSION OF ASSETS. THE ORGANIZATION TOOK STEPS TO INVESTIGATE THE DIVERSION, INCLUDING NOTIFYING THE AUTHORITIES AND HIRING OUTSIDE PROFESSIONALS TO INVESTIGATE THE DIVERSION AND QUANTIFY IT. IT IS ANTICIPATED THAT THE DIVERSION WILL EXCEED 5% OF THE ORGANIZATIONS GROSS ASSETS AT THE END OF THE YEAR. THEREFORE, IT IS BEING DISCLOSED ON THE RETURN. 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 11B THE UNIVERSITY PHYSICIANS OF BROOKLYN, INC. BOARD OF DIRECTORS DID NOT REVIEW THE RETURN PRIOR TO FILING WITH THE IRS. 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 PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 171,256. MANAGEMENT AND GENERAL EXPENSES 5,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,443. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,996,182. MANAGEMENT AND GENERAL EXPENSES 151,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,147,492. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,490,917. MANAGEMENT AND GENERAL EXPENSES 45,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,536,070. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 284,542. MANAGEMENT AND GENERAL EXPENSES 8,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,159. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,976,605. MANAGEMENT AND GENERAL EXPENSES 59,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,036,467. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 114,409. MANAGEMENT AND GENERAL EXPENSES 3,465. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,874. 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 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0