2018-05-15T09:35:19-05:00 2017-06-30 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2016-07-01 900603487 Physician Affiliate Group of New York PC % ANTHONY MIRDITA PHYS 6467142113 55 WEST 125TH STREET 10TH FL NEW YORK NY 10027 ANTHONY MIRDITA CFO 6466723651 2018-05-14 true Kristin Ruffini P00741491 2128858000 2018-05-14 2016 2022-09-23 18:48:47Z LUIS R MARCOS MD 55 WEST 125TH STREET 10TH FL NEW YORK NY 10027 708752599 false X WWW.PAGNY.ORG X 2010 NY to offer responsive and quality healthcare to the New York community while fulfilling the educational and entrepreneurial needs of our members. 20 0 3998 0 0 233050 215275 602168376 690142913 781 12289 18007606 18382122 620409813 708752599 16302 13175 0 0 564299388 622101605 0 0 0 50975456 75672273 615291146 697787053 5118667 10965546 5341360 16306906 0 0 5341360 16306906 X TO PROVIDE ACCOUNTANBLE, RESPONSIVE QUALITY CARE WITH THE HIGHEST DEGREE OF SENSITIVITY TO THE NEEDS OF OUR DIVERSE, MULTILINGUAL POPULATION WHILE FULFILLING THE 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0 52820 RAJESH VERMA MD SECRETARY 40.0 0.0 X X 404010 0 28300 CHINYERE ANYAOGU MD DIRECTOR (AS OF 2/17) 40.0 0.0 X 351181 0 52412 YVETTE CALDERON MD director (thru 12/16) 40.0 0.0 X 392973 0 48018 STEPHEN APFELROTH MD DIRECTOR 40.0 0.0 X 238834 0 48674 LEAQUE AHMED MD DIRECTOR 40.0 0.0 X 923410 0 52840 RIYAD BASIR MD DIRECTOR 40.0 0.0 X 425487 0 51180 STEPHEN BLUMBERG MD DIRECTOR 40.0 0.0 X 215450 0 47325 JOHN CLARK MD THRU 1216 DIRECTOR 40.0 0.0 X 311277 0 37335 ROGER CHIRURGI MD DIRECTOR 35.0 0.0 X 329738 0 27371 Daniel Contractor MD director (as of 5/17) 40.0 0.0 X 480234 0 36556 MICHAEL DEVITA MD DIRECTOR (AS OF 2/17) 40.0 0.0 X 318872 0 27822 ROBERT FAILLACE MD DIRECTOR 40.0 0.0 X 518340 0 52941 JEFFREY GOLDBERG MD DIRECTOR 40.0 0.0 X 338465 0 50407 SARI KAMINSKY MD DIRECTOR 35.0 0.0 X 285676 0 51334 PETER KIM MD DIRECTOR 40.0 0.0 X 306838 0 50477 PAUL MOH MD DIRECTOR 40.0 0.0 X 440959 0 37537 DEEPAK NARAN MD DIRECTOR 40.0 0.0 X 354437 0 50985 LISA ROSS MD AS OF 517 DIRECTOR 40.0 0.0 X 531359 0 52457 PARDHA VALLURU MD DIRECTOR 40.0 0.0 X 262121 0 47800 LUIS R MARCOS MD CHIEF EXECUTIVE OFFICER 40.0 1.0 X 438382 0 55019 MICHAEL J CHAMBERSAS OF 716 CHIEF OPERTING OFFICER 40.0 0.0 X 248298 0 9300 ANTHONY MIRDITA CHIEF FINANCIAL OFFICER 40.0 1.0 X 307588 0 53359 REGINALD D ODOM CHIEF HUMAN RESOURCES OFFICER 40.0 0.0 X 299233 0 52010 DIANA GOELL VOIGT as of 716 GENERAL COUNSEL 40.0 0.0 X 122893 0 14880 DAVID N HOFFMAN thru 417 CHIEF COMPLIANCE OFFICER 40.0 0.0 X 223057 0 49664 JANE D ZIMMERMAN thru 317 CHIEF COMMUNICATIONS OFFICER 24.0 24.0 X 105114 0 29627 OLGA BAUMAN-FISHKIN MD attending physician 40.0 0.0 X 688551 0 49620 AMED RAWANDUZY MD attending physician 40.0 0.0 X 658180 0 52252 RAMNATH KAPOOR MD attending physician 40.0 0.0 X 699853 0 50348 JOHN MCNELIS MD department head 40.0 0.0 X 600395 0 53297 SAMUEL F KIGONGO-MWESEZI MD attending physician 40.0 0.0 X 586035 0 52255 Michelle Stern MD FORMER DIRECTOR 0.0 0.0 X 263494 0 36237 brian donaldson former 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18007607 18382122 37013935 469104278 497425937 524557863 620409814 709103225 2820601117 0.98687 0.99256 0.00001 0.00001 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20250 20250 false SCHEDULE C, part ii-b, line 1i: THE AMOUNT REPRESENTS COMPENSATION PAID TO A GOVERMENT & COMMUNITY RELATIONS STRATEGIES CONSULTING FIRM TO assist the reporting organization in increasing its visibility and strengthening relations with the mayoral administration with the goal of including the reporting organization in planning and implementing reforms within the healthcare system. 0 0 X 708752599 708752599 708752599 697787053 697787053 697787053 PART X, LINE 2 - Income Taxes PAGNY has no unrecognized tax benefits as of June 30, 2017. PAGNY's federal and state income tax returns prior to fiscal year 2012 are closed and PAGNY's management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. If applicable, PAGNY will recognize interest and penalties paid in association with tax matters as part of other than personnel services in the statement of cash receipts and disbursements. There were no interest or penalties for the year ended June 30, 2017. X X X X X true false false false false false false true false BIJAN SAFAI MD PRESIDENT 274369 0 51003 2101 25644 0 24719 0 377836 0 0 0 WILLIAM B CASPE MD VICE PRESIDENT 354015 0 6303 3733 26027 0 26727 0 416805 0 0 0 AKINOLA O FISHER MD TREASURER 297426 0 63238 690 26023 0 26797 0 414174 0 0 0 RAJESH VERMA MD SECRETARY 380565 0 22755 690 26300 0 2000 0 432310 0 0 0 CHINYERE ANYAOGU MD DIRECTOR (AS OF 2/17) 344425 6303 453 26660 0 25752 0 403593 0 0 0 YVETTE CALDERON MD director (thru 12/16) 392389 0 584 23440 0 24578 0 440991 0 0 0 STEPHEN APFELROTH MD DIRECTOR 231931 0 6303 600 22922 0 25752 0 287508 0 0 0 LEAQUE AHMED MD DIRECTOR 584808 0 338152 450 26043 0 26797 0 976250 0 0 0 RIYAD BASIR MD DIRECTOR 373727 0 49780 1980 25428 0 25752 0 476667 0 0 0 STEPHEN BLUMBERG MD DIRECTOR 208847 0 6303 300 21573 0 25752 0 262775 0 0 0 JOHN CLARK MD THRU 1216 DIRECTOR 283890 0 23577 3810 26021 0 11314 0 348612 0 0 0 ROGER CHIRURGI MD DIRECTOR 303778 0 24670 1290 25571 0 1800 0 357109 0 0 0 Daniel Contractor MD director (as of 5/17) 452161 0 27383 690 26031 0 10525 0 516790 0 0 0 MICHAEL DEVITA MD DIRECTOR (AS OF 2/17) 293315 23577 1980 26022 0 1800 0 346694 0 0 0 ROBERT FAILLACE MD DIRECTOR 508227 0 6303 3810 26214 0 26727 0 571281 0 0 0 JEFFREY GOLDBERG MD DIRECTOR 309102 0 27383 1980 26023 0 24384 0 388872 0 0 0 SARI KAMINSKY MD DIRECTOR 249396 0 32470 3810 24607 0 26727 0 337010 0 0 0 PETER KIM MD DIRECTOR 306388 0 0 450 24725 0 25752 0 357315 0 0 0 PAUL MOH MD DIRECTOR 389199 0 49780 1980 26029 0 11508 0 478496 0 0 0 DEEPAK NARAN MD DIRECTOR 325074 0 27383 1980 27397 0 23588 0 405422 0 0 0 LISA ROSS MD AS OF 517 DIRECTOR 504105 25964 1290 26031 0 26426 0 583816 0 0 0 PARDHA VALLURU MD DIRECTOR 232758 0 27383 1980 23416 0 24384 0 309921 0 0 0 LUIS R MARCOS MD CHIEF EXECUTIVE OFFICER 434649 0 0 3733 28222 0 26797 0 493401 0 0 0 MICHAEL J CHAMBERSAS OF 716 CHIEF OPERTING OFFICER 245367 0 0 2931 7500 0 1800 0 257598 0 0 0 ANTHONY MIRDITA CHIEF FINANCIAL OFFICER 291924 0 15000 664 26562 0 26797 0 360947 0 0 0 REGINALD D ODOM CHIEF HUMAN RESOURCES OFFICER 283552 0 15000 681 26258 0 25752 0 351243 0 0 0 DAVID N HOFFMAN thru 417 CHIEF COMPLIANCE OFFICER 222025 0 0 1032 22867 0 26797 0 272721 0 0 0 OLGA BAUMAN-FISHKIN MD attending physician 642291 0 45570 690 26032 0 23588 0 738171 0 0 0 AMED RAWANDUZY MD attending physician 610471 0 23577 24132 26500 0 25752 0 710432 0 0 0 RAMNATH KAPOOR MD attending physician 649150 0 46970 3733 24116 0 26232 0 750201 0 0 0 JOHN MCNELIS MD department head 592802 0 6303 1290 26500 0 26797 0 653692 0 0 0 SAMUEL F KIGONGO-MWESEZI MD attending physician 538185 0 45870 1980 26023 0 26232 0 638290 0 0 0 Michelle Stern MD FORMER DIRECTOR 257125 0 6303 66 25713 0 10524 0 299731 0 0 0 brian donaldson former director 526660 23577 -1500 26059 0 26247 0 601043 0 0 0 PART I, LINE 4a: AMED RAWANDUZY, MD, attending physician, received settlement payment of $20,000 during 2016 which is reported on schedule J, part II, column (B)(iii). part i, line 7: INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) FOR CERTAIN INDIVIDUALS ARE AMOUNTS REPRESENTING A BONUS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S 2016 W-2 AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6: THE ORGANIZATION HAS SHAREHOLDERS, WHO MUST MEET THE FOLLOWING QUALIFICATIONS TO BE A SHAREHOLDER, INDIVIDUALLY DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF NEW YORK, BE A FULL TIME MEMBER OF A MEDICAL STAFF. FORM 990, PART VI, SECTION A, LINE 7A: MEMBERS ARE GIVEN ONE VOTE AT THE ANNUAL MEETING TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11: 990 review process FORM 990 IS PREPARED BY A CPA FIRM FROM FINANCIAL STATEMENTS AS WELL AS INFORMATION FroM THE ORGANIZATION. THE CPA FIRM FURNISHES A DRAFT FORM 990 WHICH IS REVIEWED BY MANAGEMENT. AFTER APPROVAL, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW AND COORDINATE ANY APPROPRIATE CHANGES TO FORM 990 BEFORE IT IS FINALIZED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: Conflict of interest policy monitoring & enforcement PAGNY SET UP HOTLINE, EMAIL AND STEEL BOX TO HAVE ALL EMPLOYEES MONITOR AND ENFORCE COMPLIANCE WITH THE POLICY. ANNUALLY THE BOARD MEMBERS MUST SUBMIT DISCLOSURE STATEMENTS THAT ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. Form 990, Part VI, Section B, line 15: THE ORGANIZATION CONDUCTS A SURVEY OF MARKET DATA AND A COMPARISON OF OTHER SIMILAR ORGANIZATIONS TO DETERMINE CEO AND OTHER OFFICERS SALARY. THE CEOS SALARY IS ALSO APPROVED BY THE BOARD AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19: The organization will make available only those documents required to be disclosed under the public inspection laws. 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