2017-06-15T15:31:44-05:00 2016-07-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2015-08-01 112418771 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION HEAL 7182703148 450 CLARKSON AVENUE NO MS1281 BROOKLYN NY 11203 MELANIE GEHEN TREASURER 7182703148 2017-06-15 1 GARRETT M HIGGINS P00543209 9143818900 2017-06-15 2015 2021-01-29 14:40:06Z ASTRA DOWELL 450 CLARKSON AVENUE NO MS1281 BROOKLYN NY 11203 34095031 0 X WWW.DOWNSTATE.EDU/FINANCE/DEPARTMENTS/HSCB X 1976 NY TO ESTABLISH, OPERATE, MANAGE, PROMOTE, AND CULTIVATE EDUCATIONAL RELATED ACTIVITIES FOR THE STUDENTS AND FACULTY OF THE SUNY DOWNSTATE MEDICAL CENTER AND TO AID THE STUDENTS, FACULTY, AND ADMINISTRATION. IN ADDITION, TO UPGRADE AND EXPAND FACILITIES TO ADVANCE THE INSTITUTION'S MISSION. 7 0 231 17 0 0 3007262 702518 22044657 8799338 11591626 3694278 -740993 -232518 35902552 12963616 172433 222975 0 0 14072106 4350779 0 0 0 13900529 15499557 28145068 20073311 7757484 -7109695 154794756 138716279 15546942 11193384 139247814 127522895 X TO ESTABLISH, OPERATE, MANAGE, PROMOTE, AND CULTIVATE EDUCATIONAL RELATED ACTIVITIES FOR THE STUDENTS AND FACULTY OF THE SUNY DOWNSTATE MEDICAL CENTER. IN ADDITION, THE FOUNDATION PROVIDES AID TO THE STUDENTS, FACULTY, AND ADMINISTRATION OF THE CENTER TO FURTHER THEIR EDUCATION AND STUDIES, WORK, LIVING, AND CO-CURRICULAR ACTIVITIES IN COLLABORATION AND COORDINATION WITH THE EDUCATIONAL GOALS OF THE CENTER. 0 0 6955642 6955642 IN JANUARY 2011, THE ORGANIZATION FORMED STAFFCO OF BROOKLYN, LLC ("STAFFCO"), A PROFESSIONAL EMPLOYER ORGANIZATION TO THE STATE UNIVERSITY OF NY HEALTH SCIENCE CENTER AT BROOKLYN, INC. STAFFCO IS A STAFF LEASING COMPANY THAT PROVIDED PAYROLL AND FRINGE BENEFIT SERVICES FOR LESS THAN 400 EMPLOYEES DURING FISCAL YEAR 2015 OF THE LONG ISLAND COLLEGE HOSPITAL ("LICH"), AN ENTITY OWNED BY SUNY DOWNSTATE MEDICAL CENTER. 1249007 1843696 THE HSCB FOUNDATION SUPPORTS THE RECRUITMENT OF ADMINISTRATIVE POSITIONS AT DOWNSTATE MEDICAL CENTER AND DEPARTMENT CHAIRS IN THE COLLEGE OF MEDICINE. IN ADDITION, CONSULTING SERVICES INCLUDE PUBLIC RELATIONS, ADVICE ON FUND-RAISING, STUDENT PSYCHOLOGICAL EVALUATIONS, ORGANIZATIONAL IMPROVEMENTS, IMPLEMENTATION OF THE FEDERAL GOVERNMENT MEDICAID WAIVER KNOWN AS DELIVERY SYSTEM REFORM INCENTIVE PAYMENT OR DSRIP, AND LEGAL SERVICES ARE PROVIDED BY THE FOUNDATION.THE ORGANIZATION ALSO OPERATES RENTAL PROPERTIES, AND A FACULTY AND STUDENT PARKING LOT ON THE SUNY DOWNSTATE CAMPUS. 321276 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION HOLDS SEVERAL MEDICAL AND SCIENTIFIC SYMPOSIUMS AND CONFERENCES ON CAMPUS. THESE CONFERENCES ARE OPEN TO THE PUBLIC AS WELL AS TO THE MEMBERS OF THE MEDICAL AND SCIENTIFIC COMMUNITY. IN ADDITION, THE FOUNDATION PROVIDES SUPPORT TO THE FACULTY WHO ARE INVITED AS SPEAKERS FOR SYMPOSIUMS AND CONFERENCES THAT ARE HELD OFF-CAMPUS, AND FOR PROFESSIONAL MEETINGS. THE FOUNDATION ALSO PROVIDES SUPPORT FOR PROFESSIONAL PROGRAMS AND EXAMS THAT WILL FURTHER THE DEVELOPMENT OF THE FACULTY.THE FOUNDATION PROVIDES SUPPORT TO SEVERAL COMMUNITY, DEPARTMENT AND CENTER-WIDE PROGRAMS. SOME OF THOSE PROGRAMS ARE: BROOKLYN FREE CLINIC; THE CHILDREN'S CENTER AT BROOKLYN; DELIVERY SYSTEM REFORM INCENTIVE PAYMENT OR DSRIP, INFANT AND CHILD LEARNING CENTER; THE ARTHUR ASHE INSTITUTE, AND MANY MORE PROGRAMS. 676232 222975 266411 THE FOUNDATION SUPPORTS SCHOLARSHIPS, HONORARIUMS AND FELLOWSHIPS IN ACCORDANCE WITH THE REQUIREMENTS OF DONATIONS RECEIVED FOR THE PURPOSE. THE ENDOWMENT FUND THE FOUNDATION HAS HELPED TO SUPPORT THESE SCHOLARSHIPS AND FELLOWSHIPS. THE SCHOLARSHIPS ARE AWARDED TO CURRENT STUDENTS, AND FACULTY OF SUNY DOWNSTATE. THE MONEY CAN BE USED FOR TUITION, ROOM AND BOARD, OR ANY OTHER EDUCATIONAL EXPENSE. 676232 222975 266411 9202157 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 94 0 231 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X X MELANIE GEHEN 7182703148 450 CLARKSON AVENUE MS1281 BROOKLYN NY 11203 ASTRA BAIN-DOWELL PRESIDENT 2.00 35.50 X X 0 553899 29543 JOHN F WILLIAMS JR MD VICE PRESIDENT THRU SEPT 2016 0.10 37.40 X X 0 303810 34774 MELANIE GEHEN TREASURER 7.50 30.00 X X 0 483777 21850 ALAN JEFFREY ROSEN ASST TREASURER & DIRECTOR 7.00 30.50 X X 0 152166 18258 FRANCI SCHARF SECRETARY & DIRECTOR 7.00 30.50 X X 0 150140 33191 JOANNE BRADLEY DIRECTOR 14.00 23.50 X 0 301315 45076 MARK STEWART DIRECTOR 0.10 37.40 X 0 220792 37483 FRANK E LUCENTE DIRECTOR 0.10 37.40 X 0 249205 45575 BERNARD ELLISON AVP & CONTROLLER AT STAFFC 37.50 0.00 X 183265 0 15394 ISRAEL MALDONADO SENIOR DIRECTOR SECURITY DEPARTMENT 37.50 0.00 X 125654 0 5586 SANDRA YU-CLARSON ASSISTANT CONTROLLER 37.50 0.00 X 113718 0 4671 VIVIAN CHU TEACHING HOSPITAL FINANCIAL ANALYST 37.50 0.00 X 104428 0 13279 ALAN DZIJA FORMER DIRECTOR 0.00 37.50 X 0 351783 21262 IAN L TAYLOR FORMER DIRECTOR 0.00 37.50 X 0 474835 28372 527065 3241722 354314 4 1 1 0 COMMAND SECURITY CORPORATION 512 HERNDON PARKWAY STE A HERNDON VA 20170 TEMPORARY AGENCY - SECURITY 871153 VENABLE LLP 1270 AVENUE OF THE AMERICAS 24TH FL NEW YORK NY 10020 ATTORNEY 440386 CHARLES W CAMMACK ASSOCIATES 2 RECTOR STREET 23RD FL NEW YORK NY 10006 HEALTH AND PENSION CONSULTANTS 116845 KRONOS INCORPORATED 297 BILLERICA ROAD CHELMSFORD MA 01824 PAYROLL SOFTWARE 112304 GUIDANCE MEDICAL PERSONNEL 29 BROADWAY 13TH FL NEW YORK NY 10006 TEMPORARY AGENCY 107747 5 192794 509724 702518 STAFFING SERVICE 561330 6955642 6955642 CLINICAL PRACTICE PROGRAM 621399 1843696 1843696 8799338 2400763 2400763 1072043 1501513 -429470 -429470 -429470 20923417 19629902 1293515 1293515 1293515 PARKING LOT FEES 812930 190682 190682 OTHER INCOME 900099 6270 6270 196952 12963616 8799338 0 3461760 222975 222975 2878094 2878094 582661 582661 229619 229619 660405 660405 312688 312688 105303 105303 430121 430121 11984 11984 8161 8161 235049 153374 81675 55677 55677 83186 65731 17455 123285 123285 332838 332838 2048427 1811947 236480 BAD DEBT EXPENSE 9125814 9125814 PURCHASED SERVICES 1506931 1506931 ACADEMIC PROGRAM SUPPOR 477738 477738 MAINTENANCE 291296 291296 351059 80737 270322 20073311 9202157 10871154 0 3559868 2399545 6284854 6326368 5008454 4629928 1066048 660387 1772902 336498 46121668 10128748 37278484 35992920 68860940 67929249 18643087 18800285 528836 805955 11791283 835144 154794756 138716279 1503244 937597 8535961 8392992 5507737 1862795 15546942 11193384 X 92545055 50759055 18584719 52771790 28118040 23992050 139247814 127522895 154794756 138716279 X -7109695 -4362673 -252551 X X 0 1 X 1 0 X 2685419 5204795 14663768 3007262 702518 26263762 2685419 5204795 14663768 3007262 702518 26263762 1715073 24548689 3411603 3479031 3545478 3960937 3472806 17869855 180067 179291 168310 195940 196952 920560 45054177 476253422 0.54490 0.64290 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PARKING LOT FEES - 2011 AMOUNT: $ 180,067. 2012 AMOUNT: $ 179,291. 2013 AMOUNT: $ 168,310. 2014 AMOUNT: $ 195,940. 2015 AMOUNT: $ 190,682. MISCELLANEOUS FEES - 2015 AMOUNT: $ 6,270. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 16640401 1400946 10146520 1359945 26827922 16527397 4645924 1653600 6060000 126520 16640401 14172078 5730078 2645193 6004045 15907 16527397 12935839 1000000 3683694 3428327 19128 14172078 13695477 10000 2664428 3415397 18669 12935839 1.00000 0 0 2507318 2507318 42647823 9621628 33026195 322841 109918 212923 643686 397202 246484 35992920 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 12271612 F ALTERNATIVE INVESTMENTS 6528673 F 18800285 ANNUITY OBLIGATIONS 39317 FUNDING ADVANCES PAYABLE 1823478 1862795 X PART V, LINE 4: THE ENDOWMENT FUND WAS SET UP TO PROVIDE SCHOLARSHIPS, FELLOWSHIPS, AWARDS, AND RESEARCH PROFESSORSHIPS. THE ORGANIZATION AWARDS VARIOUS STUDENTS, AND PROFESSORS MONEY TO COMPLETE OR FURTHER THEIR STUDIES. IN ADDITION, THE ENDOWMENT FUND PROVIDES SUPPORT TO THE UNIVERSITY HOSPITAL IN ORDER FOR IT TO MEET ITS MISSION. PART X, LINE 2: THE FOUNDATION AND STAFFCO RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION AND STAFFCO HAVE NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION AND STAFFCO ARE NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO JULY 31, 2013. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 6528673 0 0 0 0 0 0 6528673 0 6528673 0 0 1 0 0 0 PART IV, LINE 3 DURING THE FISCAL YEAR END 7/31/2016, THE ORGANIZATION DID NOT MEET THE REQUIRED OWNERSHIP PERCENTAGE REQUIRED TO FILE FORM 5471. 1 SCHOLARSHIPS, INTERNSHIPS, FELLOWSHIPS, AND AWARDS TO HELP STUDENTS FURTHER THEIR EDUCATION. 274 222975 PART I, LINE 2: IN ORDER TO MONITOR THE USE OF SCHOLARSHIPS AND FELLOWSHIPS, THE ORGANIZATION REQUIRES EVERY ELIGIBLE PERSON TO FILL OUT AND SUBMIT AN APPLICATION. THE ORGANIZATION THEN REVIEWS THE SUBMITTED APPLICATION, AND DETERMINES WHICH APPLICANTS WILL BE RECEIVING THE SCHOLARSHIP OR FELLOWSHIPS. FOR AN APPLICANT TO RECEIVE A FELLOWSHIP AWARD, THEY MUST SUBMIT A FORM SIGNED BY THEIR SPONSOR. ONCE THE ORGANIZATION RECEIVES THAT FORM, THE APPLICANT WILL RECEIVE THE FIRST HALF OF THE STIPEND AWARDED TO THEM. IN ORDER TO RECEIVE THE SECOND HALF OF THEIR STIPEND, THEY WILL NEED TO SUBMIT A PROGRESS REPORT TO THE ALUMNI OFFICE WITHIN 2 MONTHS AFTER THE COMPLETION OF THEIR PROJECT. THE SCHOLARSHIPS ARE AWARDED TO ELIGIBLE, CURRENT STUDENTS OF THE COLLEGE OF MEDICINE. THE MONEY MAY BE USED FOR TUITION, ROOM AND BOARD OR ANY OTHER EDUCATIONAL EXPENSES. 0 0 0 0 0 0 0 0 0 ASTRA BAIN-DOWELL PRESIDENT 0 553899 0 0 0 0 0 20400 0 9143 0 583442 0 0 JOHN F WILLIAMS JR MD VICE PRESIDENT THRU SEPT 2016 0 303810 0 0 0 0 0 20400 0 14374 0 338584 0 0 MELANIE GEHEN TREASURER 0 483777 0 0 0 0 0 20400 0 1450 0 505627 0 0 ALAN JEFFREY ROSEN ASST TREASURER & DIRECTOR 0 152166 0 0 0 0 0 11393 0 6865 0 170424 0 0 FRANCI SCHARF SECRETARY & DIRECTOR 0 150140 0 0 0 0 0 19879 0 13312 0 183331 0 0 JOANNE BRADLEY DIRECTOR 0 301315 0 0 0 0 0 38505 0 6571 0 346391 0 0 MARK STEWART DIRECTOR 0 220792 0 0 0 0 0 29663 0 7820 0 258275 0 0 FRANK E LUCENTE DIRECTOR 0 249205 0 0 0 0 0 37755 0 7820 0 294780 0 0 BERNARD ELLISON AVP & CONTROLLER AT STAFFC 183265 0 0 0 0 0 15394 0 0 0 198659 0 0 0 ALAN DZIJA FORMER DIRECTOR 0 351783 0 0 0 0 0 20400 0 862 0 373045 0 0 IAN L TAYLOR FORMER DIRECTOR 0 474835 0 0 0 0 0 20400 0 7972 0 503207 0 0 PART I, LINE 3 COMPENSATION FOR THE OFFICERS LISTED ON PART VII IS DETERMINDED BY SUNY HEALTH SCIENCE CENTER OF BROOKLYN (DOWNSTATE MEDICAL CENTER), WHICH FOLLOWS NEW YORK STATE POLICY. FORM 990, PART VI, SECTION A, LINE 6 PERSONS MAY BE ELECTED TO MEMBERSHIP IN THE CORPORATION BY A MAJORITY VOTE OF THE EXISTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A AT EACH ANNUAL MEETING OF MEMBERS THE MEMBERSHIP SHALL ELECT DIRECTORS TO HOLD OFFICE UNTIL THE NEXT ANNUAL MEETING. EACH DIRECTOR SHALL HOLD OFFICE UNTIL THE EXPIRATION OF THE TERM FOR WHICH HE WAS ELECTED AND UNTIL HIS SUCCESSOR HAS BEEN ELECTED AND SHALL HAVE QUALIFIED OR UNTIL HIS PRIOR RESIGNATION OR REMOVAL. FORM 990, PART VI, SECTION B, LINE 11 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT, IT IS ELECTRONICALLY PRESENTED TO BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO DIRECTORS AND OFFICERS OF THE ORGANIZATION. A COPY OF THE POLICY IS SENT TO THE BOARD/OFFICERS ANNUALLY, REQUESTING AFFIRMATION OF COMPLIANCE WITH THE POLICY VIA SIGNATURE ON POLICY STATEMENT/ REQUEST FOR DISCLOSURE OF ANY REAL OR POTENTIAL CONFLICTS. IF A CONFLICT OF INTEREST EXISTS, THE DIRECTOR OR OFFICER MAY NOT PARTICIPATE IN ANY VOTE ON ANY MATTER RELATING TO THE CONFLICT OF INTEREST. THE MINUTES OF THE BOARD SHALL REFLECT THE ACTIONS OF THE BOARD OF DIRECTORS AND THE AFFECTED DIRECTOR OR OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE EXEMPT ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FORM 990 AS WELL AS THE FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT 450 CLARKSON AVE, BOX 1219, BROOKLYN, NY 11203 OR BY CALLING THE ORGANIZATION DIRECTLY AT (718)270-3148. FORM 990, PART XI, LINE 9: INCREASE IN VALUE OF BENEFICIAL INTERST IN PERPETUAL TRUSTS 356,204. ACTUARIAL GAIN ON ANNUITY OBLIGATIONS BAD DEBT RECOVERY -608,755. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. STAFFCO OF BROOKLYN LLC 450 CLARKSON AVE 1280 BROOKLYN NY 11203 112418771 PROVIDE PROFESSIONAL AND NON-PROFESSIONAL STAFFING NY 6955642 2459331 THE HEALTH SCIENCE CENTER AT BROOKLYN FOUNDATION SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE BROOKLYN NY 11203 146013200 FOUR-YEAR COLLEGE NY LINE 2 N/A 0 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC 450 CLARKSON AVENUE BOX 1219 BROOKLYN NY 11203 111704590 PROVIDES EDUCATIONALLY RELATED AUXILIARY SERVICES TO SUNY DOWNSTATE NY 501(C)(3) LINE 9 SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 0 UNIVERSITY PHYSICIANS OF BROOKLYN INC 450 CLARKSON AVENUE MSC 80 BROOKLYN NY 11203 113190652 TO PROVIDE MEDICAL CARE AND SUPPORT SUNY HEALTH SCIENCE CENTER NY 501(C)(3) LINE 9 SUNY HEALTH SCIENCE CENTER AT BROOKLYN DBA SUNY DOWNSTATE MEDICAL CENTER 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0