2017-11-22T12:23:35-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 665 FIFTH AVENUE NEW YORK NY 10022 990 2016-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182702685 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 STANLEY FISHER CFO 7182702685 2017-11-22 1 GARRETT M HIGGINS P00543209 2122862600 2017-11-22 65.51.112.58 2017-11-22 12:44:29 ES P 8A2132EDD6189675F9F87A04A1E474E8E200C641 7BA56FF327DF6CE66E5B3B670A4D710D6BB1380E 2016 2017-02-10 21:41:12Z STANLEY FISHER 450 CLARKSON AVENUE MSC 1285 BROOKLYN NY 11203 73600410 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. 18 0 612 7 0 0 0 0 65647474 73548444 12037 51966 0 0 65659511 73600410 0 0 0 0 46789980 47184504 0 0 0 21458085 25500146 68248065 72684650 -2588554 915760 25662054 26240482 20389022 20051690 5273032 6188792 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 67251395 73548444 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 921 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. 67251395 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 0 0 0 0 0 0 0 1 0 0 0 1 172 0 612 1 0 0 0 0 0 0 0 0 0 0 X 18 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X DANIEL ROSENBAUM SECRETARYTREASURER 7182702685 450 CLARKSON AVE MSC 1285 BROOKLYN NY 11203 DANIEL ROSENBAUM SECRETARY/ TREASUER 5.00 32.50 X X 0 376450 20141 DOUGLAS LAZZARO PAST PRESIDENT 5.00 32.50 X X 65082 426785 20141 STANLEY FISHER PRESIDENT 5.00 32.50 X X 0 501873 20141 WILLIAM URBAN VICE CHAIR AND PHYSICIAN 5.00 32.50 X X 1286 435040 20141 ANTONIO ALFONSO COUNSELOR AND DIRECTOR 5.00 32.50 X 70431 511236 20141 DAVID SCHWARTZ DIRECTOR AND PHYSICIAN 26.00 11.50 X 259186 112233 20141 DEBORAH REEDE COUNSELOR AND DIRECTOR 9.50 28.00 X 197560 578099 7833 EDWARD HEILMAN DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 100603 20141 EVE FABER DIRECTOR AND PHYSICIAN 17.00 20.50 X 166078 196408 44742 JEFFREY WEISS DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 62051 0 JAMES COTTRELL MD DIRECTOR AND PHYSICIAN 19.00 18.50 X 365631 357602 40016 JENNY LIBIEN DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 397669 25141 JOHN DANIAS DIRECTOR AND PHYSICIAN 12.50 25.00 X 95400 191032 21891 MICHAEL LUCCHESI DIRECTOR AND PHYSICIAN 8.50 29.00 X 150000 519734 37241 MORO SALIFU COUNSELOR AND DIRECTOR 11.00 26.50 X 234627 582942 20141 OVADIA ABULAFIA DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 553865 20141 RICHARD ROSENFELD DIRECTOR AND PHYSICIAN 8.50 29.00 X 142497 500337 20141 STEPHEN GOLDFINGER DIRECTOR AND PHYSICIAN 5.00 32.50 X 0 425620 24742 PETER GOUWS EXECUTIVE DIRECTOR THRU 1/4/16 27.50 10.00 X 1564 1565 0 STEVE FUHRO CFO 37.50 X 316348 0 37114 AZIZ IBRAHIM PHYSICIAN 37.50 X 408997 0 48121 HUNTZ LIU PHYSICIAN 33.00 4.50 X 412875 57982 46618 JOSHUA SILVERMAN PHYSICIAN 33.00 4.50 X 549574 76275 17762 DAVID SELIGSOHN MD PHYSICIAN 37.50 X 394242 0 37329 ROMAN SHINDER PHYSICIAN 37.50 X 456388 0 0 4287766 6965401 589960 111 0 1 0 COMPHEALTH ASSOCIATES INC PO BOX 972625 DALLAS TX 75397 CONTRACT LABOR 1187240 CONIFER HEALTH SOLUTIONS 3560 DALLAS PKWY FRISCO TX 75034 CONSULTING SERVICES 949946 ATHENA HEALTH SERVICES 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 856029 3 PATIENT SERVICE REVENUE 621110 50632522 50632522 CONTRACTED SERVICES AND OTHER 621990 22915922 22915922 73548444 51966 51966 73600410 73548444 0 51966 X 2159801 1998353 161448 37433327 34635146 2798181 73250 67775 5475 4496452 4160337 336115 3021674 2795801 225873 9766039 9036017 730022 1657620 1533711 123909 217096 200868 16228 1281881 1186059 95822 71423 66084 5339 337052 311857 25195 5360500 4959797 400703 PRESIDENT'S TAX 4696756 4345668 351088 PROFESSIONAL DEV. 1610214 1489850 120364 MEDICAL SUPPLIES 501565 464072 37493 72684650 67251395 5433255 0 8670006 8790830 4493927 3219260 10775592 12540397 170809 279441 5108928 3698374 1551720 1410554 25662054 26240482 17846474 17905341 593597 675896 1948951 1470453 20389022 20051690 X 5273032 6188792 5273032 6188792 25662054 26240482 915760 0 X X 0 0 0 X 75137520 73182706 68892992 65647474 73548444 356409136 75137520 73182706 68892992 65647474 73548444 356409136 0 0 0 356409136 31417 35347 13858 12037 51966 144625 31417 35347 13858 12037 51966 144625 75168937 73218053 68906850 65659511 73600410 356553761 0.99960 0.99950 0.00040 0.00050 X 5108928 3698374 1410554 1410554 X 0 0 0 0 0 0 0 0 0 DANIEL ROSENBAUM SECRETARY/ TREASUER 0 376450 0 0 0 0 0 0 0 20141 0 396591 0 0 DOUGLAS LAZZARO PAST PRESIDENT 65082 426785 0 0 0 0 0 0 0 20141 65082 446926 0 0 STANLEY FISHER PRESIDENT 0 501873 0 0 0 0 0 0 0 20141 0 522014 0 0 WILLIAM URBAN VICE CHAIR AND PHYSICIAN 1286 435040 0 0 0 0 0 0 0 20141 1286 455181 0 0 ANTONIO ALFONSO COUNSELOR AND DIRECTOR 68000 487236 0 0 2431 24000 0 0 0 20141 70431 531377 0 0 DAVID SCHWARTZ DIRECTOR AND PHYSICIAN 258814 88233 0 0 372 24000 0 0 0 20141 259186 132374 0 0 DEBORAH REEDE COUNSELOR AND DIRECTOR 193750 554099 0 0 3810 24000 0 0 0 7833 197560 585932 0 0 EVE FABER DIRECTOR AND PHYSICIAN 166078 196408 0 0 0 0 20000 0 0 24742 186078 221150 0 0 JAMES COTTRELL MD DIRECTOR AND PHYSICIAN 365631 333602 0 0 0 24000 19875 0 0 20141 385506 377743 0 0 JENNY LIBIEN DIRECTOR AND PHYSICIAN 0 382005 0 0 0 15664 0 0 0 25141 0 422810 0 0 JOHN DANIAS DIRECTOR AND PHYSICIAN 95373 191032 0 0 27 0 0 0 0 21891 95400 212923 0 0 MICHAEL LUCCHESI DIRECTOR AND PHYSICIAN 150000 501734 0 0 0 18000 17100 0 0 20141 167100 539875 0 0 MORO SALIFU COUNSELOR AND DIRECTOR 234627 571459 0 0 0 11483 0 0 0 20141 234627 603083 0 0 OVADIA ABULAFIA DIRECTOR AND PHYSICIAN 0 529865 0 0 0 24000 0 0 0 20141 0 574006 0 0 RICHARD ROSENFELD DIRECTOR AND PHYSICIAN 142497 482337 0 0 0 18000 0 0 0 20141 142497 520478 0 0 STEPHEN GOLDFINGER DIRECTOR AND PHYSICIAN 0 425620 0 0 0 0 0 0 0 24742 0 450362 0 0 STEVE FUHRO CFO 315658 0 0 0 690 0 0 0 37114 0 353462 0 0 0 AZIZ IBRAHIM PHYSICIAN 403513 0 0 0 5484 0 19875 0 28246 0 457118 0 0 0 HUNTZ LIU PHYSICIAN 412425 57982 0 0 450 0 33500 0 13118 0 459493 57982 0 0 JOSHUA SILVERMAN PHYSICIAN 549574 62293 0 0 0 13982 0 0 0 17762 549574 94037 0 0 DAVID SELIGSOHN MD PHYSICIAN 393810 0 0 0 432 0 19875 0 17454 0 431571 0 0 0 ROMAN SHINDER PHYSICIAN 456323 0 0 0 65 0 0 0 0 0 456388 0 0 0 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 OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 9,036,017. MANAGEMENT AND GENERAL EXPENSES 730,022. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,766,039. 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