2020-11-16T18:40:08-06:00 2019-12-31 271728945 PKF O'CONNOR DAVIES LLP 665 FIFTH AVENUE NEW YORK NY 10022 990 2019-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182708357 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 ALAN DZIJA CHIEF FINANCIAL OFFICER 7182708357 2020-11-16 1 GARRETT M HIGGINS P00543209 2122862600 2020-11-16 2019 2022-09-23 18:48:47Z WILLIAM URBAN MD 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 66246313 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. 22 0 568 6 0 0 0 0 66804919 66165209 4050 81104 0 0 66808969 66246313 0 0 0 0 42858808 47343931 0 0 0 26936259 22036356 69795067 69380287 -2986098 -3133974 32550456 30293668 24841359 23083508 7709097 7210160 X THE ORGANIZATION'S PRIMARY MISSION IS TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT BROOKLYN BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS, INTERNS, RESIDENTS AND FELLOWS OF THE UNIVERSITY. 0 0 66351727 66165209 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 1,700 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 18 DEPARTMENTS WITH APPROXIMATELY 300 PHYSICIANS. UPB IS RESPONSIBLE FOR PROVIDING PAYROLL, ACCOUNTING, BILLING, MANAGED CARE CONTRACTING, PURCHASING AND STAFFING SERVICES TO THESE DEPARTMENTS IN SUPPORT OF THE STATE UNIVERSITY OF NEW YORK AND ITS DOWNSTATE UNIVERSITY MEDICAL CENTER. 66351727 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 265 0 568 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X ALAN DZIJA CFO 7182708357 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 MORO SALIFU MD DIRECTOR AND PHYSICIAN 10.50 27.00 X 229355 598946 23409 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 9.50 28.00 X X 193750 538446 26746 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 10.00 27.50 X 150000 541953 27909 RAINER GRUESSNER MD DIRECTOR AND PHYSICIAN 16.00 21.50 X 252497 437952 9309 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYSICIAN 8.00 29.50 X X 141651 514718 23409 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 2.50 35.00 X X 172209 443819 23409 ALEXANDER SCHWARTZMAN MD PROFESSOR AND DIRECTOR 13.00 24.50 X 178075 422509 29669 NASSIR MANSOUR MD PHYSICIAN 37.50 X 577193 0 27264 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 12.50 25.00 X 195267 359936 23409 CARLOS PATO MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 550983 9309 JASON MCKEAN MD PHYSICIAN 30.00 7.50 X 477920 27153 12991 AUDREE BENDO MD DIRECTOR AND PHYSICIAN 20.50 17.00 X 246040 217583 45553 ROMAN SHINDER MD PHYSICIAN 37.50 X 498223 0 0 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 3.00 34.50 X 53154 418677 23409 YI-LOONG COLIN WOON MD PHYSICIAN 37.50 X 463890 0 9255 STANLEY FISHER MD DIRECTOR AND PAST PRESIDEN 0.00 37.50 X 0 442696 23409 ERIC SHRIER DO DIRECTOR AND PHYSICIAN 24.00 13.50 X 234218 170632 23409 JAMES CONTRELL MD DIRECTOR AND PHYSICIAN 17.00 20.50 X 152278 238545 37114 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 402102 23409 HUGH SELZNIK MD PHYSICIAN 37.50 X 409171 0 0 LORI DONNELL EXECUTIVE DIRECTOR 19.50 18.00 X 187174 188506 13913 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 365903 23409 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 15.00 22.50 X 120756 223864 34277 AYMAN FANOUS MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 321977 23409 SIMON RABINOWITZ MD DIRECTOR AND PHYSICIAN 5.00 32.50 X 37554 251019 24525 JOSEPH TESTANI ADMINISTATOR 14.50 23.00 X 111339 183037 12699 MARSHALL LIEBERMAN ADMINISTATOR 37.50 X 246066 32191 22271 ALAN DZIJA CFO 37.50 X 253452 0 2729 LAUREN GABELMAN ADMINISTATOR 9.50 28.00 X 50138 155276 5507 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 159508 23409 DAVID SCHWARTZ MD DIRECTOR AND PHYSICIAN 30.00 7.50 X 73212 66592 23409 JEFFREY WEISS MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 66671 0 ANDREW WINER MD DIRECTOR AND PHYSICIAN 0.00 37.50 X 0 54178 0 5704582 8395372 631948 21 1 1 0 DRWANTED 4170 ASHFORD DUNWOODY RD STE 485 ATLANTA GA 30319 RECRUITING AGENCY 1124796 ATHENAHEALTH 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICE 830396 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 CONTRACT LABOR 773761 PHYSICIANS PRN 30 GLENN STREET STE 401 WHITE PLAINS NY 10603 BILLING SERVICES 379144 ADVANTEDGE HEALTHCARE SOLUTIONS 30 TECHNOLOGY DRIVE WARREN NJ 07059 BILLING SERVICES 339407 12 PATIENT SERVICE REVENUE 621110 38519537 38519537 CONTRACTED SERVICES AND OTHER 621990 27645672 27645672 66165209 81104 81104 66246313 66165209 0 81104 X 2437201 2081208 355993 706154 603009 103145 38281241 38058114 223127 860087 845287 14800 2739105 2413125 325980 2320143 2231088 89055 1135547 931547 204000 86792 64811 21981 38890 1915 36975 8109806 7245399 864407 62580 32795 29785 841958 714921 127037 145554 132396 13158 1712158 1364269 347889 227170 218050 9120 1085313 908915 176398 9392 9392 222075 183170 38905 5018451 5017290 1161 PRESIDENT'S TAX 1689396 1689396 MEDICAL SUPPLIES 634841 611059 23782 PROFESSIONAL DEV. 444249 431779 12470 BAD DEBT EXPENSE 316612 316612 255572 255572 69380287 66351727 3028560 0 9442734 7193202 4528030 3333945 17283909 17843103 134198 853883 5806007 4736472 1161585 1069535 32550456 30293668 23838808 21954652 515258 1128856 487293 0 24841359 23083508 X 7709097 7210160 7709097 7210160 32550456 30293668 -3133974 2635037 0 X X 0 0 0 X 65647474 73548444 69234939 66804919 66165209 341400985 65647474 73548444 69234939 66804919 66165209 341400985 0 0 0 341400985 12037 51966 58920 4050 81104 208077 12037 51966 58920 4050 81104 208077 65659511 73600410 69293859 66808969 66246313 341609062 0.99940 0.99960 0.00060 0.00040 X 1240725 582380 658345 4547858 4154092 393766 17424 17424 1069535 X 0 0 0 0 0 0 0 0 0 MORO SALIFU MD DIRECTOR AND PHYSICIAN 229355 586967 0 0 0 11979 0 0 0 23409 229355 622355 0 0 DEBORAH REEDE MD VICE-PRESIDENT & PHYSICIAN 187569 513446 0 0 6181 25000 17437 0 0 9309 211187 547755 0 0 MICHAEL LUCCHESI MD DIRECTOR AND PHYSICIAN 150000 516953 0 0 0 25000 4500 0 0 23409 154500 565362 0 0 RAINER GRUESSNER MD DIRECTOR AND PHYSICIAN 251012 437952 0 0 1485 0 0 0 0 9309 252497 447261 0 0 RICHARD ROSENFELD MD SECRETARY/TREASURER & PHYSICIAN 141651 495718 0 0 0 19000 0 0 0 23409 141651 538127 0 0 WILLIAM URBAN MD PRESIDENT & PHYSICIAN 172209 443819 0 0 0 0 0 0 0 23409 172209 467228 0 0 ALEXANDER SCHWARTZMAN MD PROFESSOR AND DIRECTOR 178075 397509 0 0 0 25000 16027 0 0 13642 194102 436151 0 0 NASSIR MANSOUR MD PHYSICIAN 576743 0 0 0 450 0 0 0 27264 0 604457 0 0 0 JOHN DANIAS MD DIRECTOR AND PHYSICIAN 195267 359936 0 0 0 0 0 0 0 23409 195267 383345 0 0 CARLOS PATO MD DIRECTOR AND PHYSICIAN 0 550983 0 0 0 0 0 0 0 9309 0 560292 0 0 JASON MCKEAN MD PHYSICIAN 477605 27153 0 0 315 0 0 0 5827 7164 483747 34317 0 0 AUDREE BENDO MD DIRECTOR AND PHYSICIAN 246040 217583 0 0 0 0 22144 0 0 23409 268184 240992 0 0 ROMAN SHINDER MD PHYSICIAN 498223 0 0 0 0 0 0 0 0 0 498223 0 0 0 JENNY LIBIEN MD DIRECTOR AND PHYSICIAN 53000 399677 0 0 154 19000 0 0 0 23409 53154 442086 0 0 YI-LOONG COLIN WOON MD PHYSICIAN 463382 0 0 0 508 0 0 0 9255 0 473145 0 0 0 STANLEY FISHER MD DIRECTOR AND PAST PRESIDEN 0 442696 0 0 0 0 0 0 0 23409 0 466105 0 0 ERIC SHRIER DO DIRECTOR AND PHYSICIAN 234218 151632 0 0 0 19000 0 0 0 23409 234218 194041 0 0 JAMES CONTRELL MD DIRECTOR AND PHYSICIAN 152278 213545 0 0 0 25000 13705 0 0 23409 165983 261954 0 0 DANIEL ROSENBAUM MD DIRECTOR AND PHYSICIAN 0 402102 0 0 0 0 0 0 0 23409 0 425511 0 0 HUGH SELZNIK MD PHYSICIAN 407881 0 0 0 1290 0 0 0 0 0 409171 0 0 0 LORI DONNELL EXECUTIVE DIRECTOR 185194 188506 0 0 1980 0 0 0 13913 0 201087 188506 0 0 STEPHEN WADOWSKI MD DIRECTOR AND PHYSICIAN 0 365903 0 0 0 0 0 0 0 23409 0 389312 0 0 ALLA AKIVIS MD DIRECTOR AND PHYSICIAN 120756 223864 0 0 0 0 10868 0 0 23409 131624 247273 0 0 AYMAN FANOUS MD DIRECTOR AND PHYSICIAN 0 321977 0 0 0 0 0 0 0 23409 0 345386 0 0 SIMON RABINOWITZ MD DIRECTOR AND PHYSICIAN 37188 226019 0 0 366 25000 1116 0 0 23409 38670 274428 0 0 JOSEPH TESTANI ADMINISTATOR 110720 183037 0 0 619 0 3322 0 0 9377 114661 192414 0 0 MARSHALL LIEBERMAN ADMINISTATOR 241597 32191 0 0 4469 0 22271 0 0 0 268337 32191 0 0 ALAN DZIJA CFO 247271 0 0 0 6181 0 0 0 2729 0 256181 0 0 0 LAUREN GABELMAN ADMINISTATOR 50000 155276 0 0 138 0 1500 0 4007 0 55645 155276 0 0 EDWARD HEILMAN MD DIRECTOR AND PHYSICIAN 0 159508 0 0 0 0 0 0 0 23409 0 182917 0 0 DAVID SCHWARTZ MD DIRECTOR AND PHYSICIAN 72917 64686 0 0 295 1906 0 0 0 23409 73212 90001 0 0 LAUREN GABELMAN SEE SCH L. PART V 50000 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 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 BILLING SERVICES: PROGRAM SERVICE EXPENSES 2,087,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,087,069. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 36,747. MANAGEMENT AND GENERAL EXPENSES 258,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,306. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,852,323. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,852,323. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 269,260. MANAGEMENT AND GENERAL EXPENSES 605,848. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 875,108. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF FINANCIAL STATEMENT FROM THE PRIOR YEAR. SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE BROOKLYN NY 11203 COLLEGE OF MEDICINE AND HEALTH SCIENCES NY N/A 0 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION INC 450 CLARKSON AVENUE BROOKLYN NY 11203 112418771 TO AID THE STUDENTS AND FACULTY OF SUNY DOWNSTATE NY 501(C)(3) 7 SUNY DOWNSTATE 0 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC 450 CLARKSON AVENUE BROOKLYN NY 11203 111704590 TO PROVIDE EDUCATIONALLY RELATED AUXILIARY SERVICES NY 501(C)(3) 9 SUNY DOWNSTATE 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 1 0 0 0 0