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PHYSICIAN AFFILIATE GROUP OF NEW YORK PC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC (EIN 90-0603487)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201421359349302247
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T09:14:36-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900603487EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN AFFILIATE GROUP OF NEW YORK PCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHYSNameControl
Phone6466723651Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 FIRST AVENUE - 16TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10029ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANTHONY MERDITA CFOName
TitleCEOTitle
Phone6466723651Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLUIS R MARCUS MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11901 FIRST AVENUE - 16TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10029ZIPCode
FieldValueIRS element (for citing)
Gross Receipts469104278GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PAGNY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE ACCESSIBILITY, QUALITY, AND COST-EFFCIENCY OF HEALTH CARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees2804TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1390168ContributionsGrantsPriorYear
Contributions Grants Current Year238117ContributionsGrantsCurrentYear
Program Service Revenue Prior Year396922833ProgramServiceRevenuePriorYear
Program Service Revenue CY468803893ProgramServiceRevenueCY
Investment Income Prior Year9656InvestmentIncomePriorYear
Investment Income Current Year4965InvestmentIncomeCurrentYear
Other Revenue Prior Year25630OtherRevenuePriorYear
Other Revenue Current Year57303OtherRevenueCurrentYear
Total Revenue Prior Year398348287TotalRevenuePriorYear
Total Revenue Current Year469104278TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6603GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year371431792SalariesEtcPriorYear
Salaries Etc Current Year426799914SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year35269429OtherExpensePriorYear
Other Expenses Current Year42421685OtherExpensesCurrentYear
Total Expenses Prior Year406706221TotalExpensesPriorYear
Total Expenses Current Year469228202TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8357934RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-123924RevenuesLessExpensesCY
Total Assets BOY8648319TotalAssetsBOY
Total Assets EOY11328502TotalAssetsEOY
Total Liabilities BOY28085828TotalLiabilitiesBOY
Total Liabilities EOY29405494TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-19437509NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-18076992NetAssetsOrFundBalancesEOY
Mission DescriptionNON-PROFIT "AFFILIATE" ORGANIZATION OF PHYSICIANS AND ALLIED HEALTH PROFESSIONALS PROVIDING CLINICAL CARE AND RELATED SUPPORT SERVICES FOR/TO 6 PUBLIC BENEFIT HHC-OWNED CITY HOSPITALS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense473532718Expense
Grants6603Grants
Revenue468818723Revenue
DescriptionPROVIDED PROFESSIONAL MEDICAL SERVICES TO THE METROPOLITAN NEW YORK CITY AREA UNDER AFFILIATION AGREEMENTS WITH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION.Description
Total Program Service Expense473532718TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096125NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2804NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN MCDERMOTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7189187259TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11400 PELHAM PARKWAYAddressLine1
CityBRONXCity
StateNYState
ZIP Code10461ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
AKINOLA O FISHER MD
PRESIDENT40.00XX256900044572
ASHOK KHANNA MD
BOARD MEMBER40.00X323008045475
BIJAN SAFAI MD
TREASURER40.00XX208508018766
DENNIS GREENBAUM MD
BOARD MEMBER40.00X321508049865
DOUGLAS SIMON MD
BOARD MEMBER40.00X249142044540
EDWARD CHEW MD
BOARD MEMBER40.00X267333045008
FERNANDO A JARA MD
BOARD MEMBER40.00X384133051756
JEFFREY GOLDBERG DO
BOARD MEMBER40.00X268626045776
LEAQUE AHMED MD
BOARD MEMBER40.00X589728057091
PARDHA VALLURU MD
BOARD MEMBER40.00X252096041361
PAUL GENNIS MD
BOARD MEMBER40.00X328251044708
RAJESH VERMA MD
SECRETARY40.00XX3098770403521.00
RIYAD BASIR MD
BOARD MEMBER40.00X452016048446
ROBERT FARRIS MD
BOARD MEMBER40.00X197174053623
ROGER CHIRURGI MD
BOARD MEMBER40.00X294588022050
SARI KAMINSKY MD
BOARD MEMBER40.00X252680052506
SCOTT ROGGE MD
BOARD MEMBER40.00X302551044708
WILLIAM B CASPE MD
VICE PRESIDENT40.00XX350688045108
ANTHONY MIRDITA
CHIEF FINANCIAL OFFICER40.00X000
DORIANNE GLORIA
CHIEF HUMAN RESOURES OFFICER40.00X210116027582
FRANK MADDALENA
CHIEF OPERATING OFFICER40.00X2418800
HEIDI ARONIN
CHIEF OPERATING OFFICER40.00X1856801640
LEONARD WEIL
CHIEF FINANCIAL OFFICER40.00X2666502395
WALTER RAMOS
GENERAL COUNSEL40.00X000
AMED RAWANDUZY MD
DOCTOR40.00586500056322X
RAMNATH KAPPOR
DOCTOR40.00589319042306X
JONATHAN MAYS
DOCTOR40.00558272043256X
LEONARD GOLDEN MD
DOCTOR40.005567860462931.00X
OLGA BAUMAN-FISHKIN
DOCTOR40.00596139050306X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8775360TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1065811TotalOtherCompensation
Number Individuals GT100 K2243NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROSKAUER ROSE LLP
11 TIMES SQUARENEW YORKNY10036LEGAL595781
HASHMAT & RAJU MD PLLC
1 HANSON PL BROOKLYNBROOKLYNNY11243PHYSICIANS SERVICES423500
LITTLER MENDELSON PC
PO BOX 45547SAN FRANSISCOCA94145LEGAL219104
STANLEY KOGUAN MD PLLC
613 HALF MOON BAY DRIVECROTON ON HUSDONNY10520PHYSICIANS SERVICES204996
MICHAEL J ALBERTSON MD
360 EAST 65TH STNEW YORKNY10065PHYSICIANS SERVICES139500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
All Other Contributions238117AllOtherContributions
Total Contributions238117TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE FROM NEW YORK621110417041306417041306
FEE-FOR-SERVICE PLANS6211105099976950999769
OTHER MEDICAL REVENUE621110762818762818
FieldValueIRS element (for citing)
Total Program Service Revenue468803893TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4965TotalRevenueColumn
Exclusion$4,965ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER90009942473$42,473
AUXILLARY INCOME6211101483014830
FieldValueIRS element (for citing)
Total Other Revenue57303TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column469104278TotalRevenueColumn
Related Or Exempt Function Income468818723RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$47,438ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6603Total
Program Services6603ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6498362Total
Program Services6418777ProgramServices
Management And General79585ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total341886008Total
Program Services337936960ProgramServices
Management And General3949048ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total18596814Total
Program Services18325027ProgramServices
Management And General271787ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39680074Total
Program Services38868236ProgramServices
Management And General811838ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total20138656Total
Program Services19726628ProgramServices
Management And General412028ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total524826Total
Management And General524826ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total272000Total
Management And General272000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37423165Total
Program Services36613203ProgramServices
Management And General809962ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1000Total
Program Services717ProgramServices
Management And General283ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total664581Total
Program Services476188ProgramServices
Management And General188393ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total206677Total
Program Services148089ProgramServices
Management And General58588ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total42647Total
Program Services30558ProgramServices
Management And General12089ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total83854Total
Program Services60083ProgramServices
Management And General23771ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1708604Total
Program Services1224256ProgramServices
Management And General484348ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total394105Total
Program Services282386ProgramServices
Management And General111719ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RECRUITMENT566688449178117510
ARBITRATION1241598896335196
EQUIPMENT969236944827475
ALLOC OF CORP EXPENSES012585408-12585408

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total312456Total
Program Services222010ProgramServices
Management And General90446ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total469228202Total
Program Services473532718ProgramServices
Management And General-4304516ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3158999BOY
EOY10162828EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5489320BOY
EOY1040395EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY125279EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8648319BOY
EOY11328502EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27133477BOY
EOY28601232EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY952351BOY
EOY804262EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28085828BOY
EOY29405494EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-19437509BOY
EOY-18076992EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-19437509BOY
EOY-18076992EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8648319BOY
EOY11328502EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-123924ReconcilationRevenueExpenses
Reconcilation Prior Adjustment1484441ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1390168CurrentTaxYearMinus1Year
Current Tax Year238117CurrentTaxYear
Total1628285Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years93114668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year396922833CurrentTaxYearMinus1Year
Current Tax Year468803893CurrentTaxYear
Total958841394Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years93114668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year398313001CurrentTaxYearMinus1Year
Current Tax Year469042010CurrentTaxYear
Total960469679Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509960469679PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year9656CurrentTaxYearMinus1Year
Current Tax Year4965CurrentTaxYear
Total14621Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year9656CurrentTaxYearMinus1Year
Current Tax Year4965CurrentTaxYear
Total14621Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years125812CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25630CurrentTaxYearMinus1Year
Current Tax Year57303CurrentTaxYear
Total208745Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years93240480CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year398348287CurrentTaxYearMinus1Year
Current Tax Year469104278CurrentTaxYear
Total960693045Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2010 AMOUNT: $ 125,812. 2011 AMOUNT: $ 25,630. 2012 AMOUNT: $ 57,303.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO DOWNTOWN BRONX MEDICAL ASSOCIATES, PCDescription
Amount$804,262Amount
FieldValueIRS element (for citing)
Total Of Amounts804262TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt469104278TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal469104278RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990469104278TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt469228202TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal469228202ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990469228202TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationPAGNY HAS APPLIED FOR TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SUBSEQUENT TO JUNE 30, 2013, THE INTERNAL REVENUE SERVICE HAS APPROVED THEIR APPLICATION FOR TAX EXEMPT STATUS. UNRELATED BUSINESS INCOME, OF WHICH PAGNY HAD NONE FOR THE YEAR ENDED JUNE 30, 2013, WOULD BE SUBJECT TO FEDERAL INCOME TAXES. CONSEQUENTLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT ANY PROVISION FOR INCOME TAXES. PAGNY HAS NO UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2013. 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 ASSOCIATED WITH TAX MATTERS AS GENERAL AND ADMINISTRATIVE EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF ASSETS, LIABILITIES AND NET DEFICIT. THERE WERE NO INTEREST OR PENALTIES FOR THE YEAR ENDED JUNE 30, 2013.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AKINOLA O FISHER MD
PRESIDENT2563600005400220500225220301472000
ASHOK KHANNA MD
BOARD MEMBER32102800019800220500234250368483000
BIJAN SAFAI MD
TREASURER2085080000018766000227274000
DENNIS GREENBAUM MD
BOARD MEMBER31693600045720220500278150371373000
DOUGLAS SIMON MD
BOARD MEMBER24759400015480220500224900293682000
EDWARD CHEW MD
BOARD MEMBER2670090003240220500229580312341000
FERNANDO A JARA MD
BOARD MEMBER3833050008280230000287560435889000
JEFFREY GOLDBERG DO
BOARD MEMBER26733600012900220500237260314402000
LEAQUE AHMED MD
BOARD MEMBER5891880005400230000340910646819000
PARDHA VALLURU MD
BOARD MEMBER25080600012900220500193110293457000
PAUL GENNIS MD
BOARD MEMBER32518800030630220500226580372959000
RAJESH VERMA MD
SECRETARY3093370005400220500183020350229000
RIYAD BASIR MD
BOARD MEMBER45046800015480220500263960500462000
ROBERT FARRIS MD
BOARD MEMBER18975800074160184230352000250797000
ROGER CHIRURGI MD
BOARD MEMBER2945880000022050000316638000
SARI KAMINSKY MD
BOARD MEMBER25268000000220500304560305186000
SCOTT ROGGE MD
BOARD MEMBER30017500023760220500226580347259000
WILLIAM B CASPE MD
VICE PRESIDENT34762500030630220500230580395796000
DORIANNE GLORIA
CHIEF HUMAN RESOURES OFFICER209426000690018927086550237698000
AMED RAWANDUZY MD
DOCTOR58192800045720220500342720642822000
RAMNATH KAPPOR
DOCTOR58474700045720220500202560631625000
JONATHAN MAYS
DOCTOR5580020002700230000202560601528000
LEONARD GOLDEN MD
DOCTOR5559580008280220500242430603079000
OLGA BAUMAN-FISHKIN
DOCTOR5955990005400220500282560646445000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE 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. THE ORGANIZATION'S APPLICATION FOR EXEMPT STATUS IS PENDING WITH THE IRS AT THE TIME OF FILING.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ARE GIVEN ONE VOTE AT THE ANNUAL MEETING TO ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11SELECTED MEMEBERS OF THE GOVERNING BODY WILL REVIEW THE 990 BEFORE FILING.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS ARE AVAILABLE BY REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NEW YORK MEDICAL ALLIANCE UFPCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11400 PELHAM PARKWAY SOUTHAddressLine1
CityBRONXCity
StateNYState
ZIP Code10461ZIPCode
FieldValueIRS element (for citing)
EIN134169311EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg