2014-05-15T09:14:36-05:00 2013-06-30 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2012-07-01 900603487 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC PHYS 6466723651 1901 FIRST AVENUE - 16TH FLOOR NEW YORK NY 10029 ANTHONY MERDITA CFO 6466723651 2014-05-14 1 THOMAS LANNING P00851654 2122970400 2012 2015-11-30 17:44:51Z LUIS R MARCUS MD 1901 FIRST AVENUE - 16TH FLOOR NEW YORK NY 10029 469104278 0 X WWW.PAGNY.ORG X 2010 NY TO ENHANCE THE ACCESSIBILITY, QUALITY, AND COST-EFFCIENCY OF HEALTH CARE SERVICES. 18 0 2804 0 0 0 1390168 238117 396922833 468803893 9656 4965 25630 57303 398348287 469104278 5000 6603 0 0 371431792 426799914 0 0 0 35269429 42421685 406706221 469228202 -8357934 -123924 8648319 11328502 28085828 29405494 -19437509 -18076992 NON-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. 0 0 473532718 6603 468818723 PROVIDED PROFESSIONAL MEDICAL SERVICES TO THE METROPOLITAN NEW YORK CITY AREA UNDER AFFILIATION AGREEMENTS WITH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION. 473532718 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 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 1 125 0 1 2804 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 0 1 1 0 0 0 NY X JOHN MCDERMOTT 7189187259 1400 PELHAM PARKWAY BRONX NY 10461 AKINOLA O FISHER MD 40.00 X X 256900 0 44572 ASHOK KHANNA MD 40.00 X 323008 0 45475 BIJAN SAFAI MD 40.00 X X 208508 0 18766 DENNIS GREENBAUM MD 40.00 X 321508 0 49865 DOUGLAS SIMON MD 40.00 X 249142 0 44540 EDWARD CHEW MD 40.00 X 267333 0 45008 FERNANDO A JARA MD 40.00 X 384133 0 51756 JEFFREY GOLDBERG DO 40.00 X 268626 0 45776 LEAQUE AHMED MD 40.00 X 589728 0 57091 PARDHA VALLURU MD 40.00 X 252096 0 41361 PAUL GENNIS MD 40.00 X 328251 0 44708 RAJESH VERMA MD 40.00 1.00 X X 309877 0 40352 RIYAD BASIR MD 40.00 X 452016 0 48446 ROBERT FARRIS MD 40.00 X 197174 0 53623 ROGER CHIRURGI MD 40.00 X 294588 0 22050 SARI KAMINSKY MD 40.00 X 252680 0 52506 SCOTT ROGGE MD 40.00 X 302551 0 44708 WILLIAM B CASPE MD 40.00 X X 350688 0 45108 ANTHONY MIRDITA 40.00 X 0 0 0 DORIANNE GLORIA 40.00 X 210116 0 27582 FRANK MADDALENA 40.00 X 24188 0 0 HEIDI ARONIN 40.00 X 18568 0 1640 LEONARD WEIL 40.00 X 26665 0 2395 WALTER RAMOS 40.00 X 0 0 0 AMED RAWANDUZY MD 40.00 X 586500 0 56322 RAMNATH KAPPOR 40.00 X 589319 0 42306 JONATHAN MAYS 40.00 X 558272 0 43256 LEONARD GOLDEN MD 40.00 1.00 X 556786 0 46293 OLGA BAUMAN-FISHKIN 40.00 X 596139 0 50306 8775360 0 1065811 2243 0 1 0 PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK NY 10036 LEGAL 595781 HASHMAT & RAJU MD PLLC 1 HANSON PL BROOKLYN BROOKLYN NY 11243 PHYSICIANS SERVICES 423500 LITTLER MENDELSON PC PO BOX 45547 SAN FRANSISCO CA 94145 LEGAL 219104 STANLEY KOGUAN MD PLLC 613 HALF MOON BAY DRIVE CROTON ON HUSDON NY 10520 PHYSICIANS SERVICES 204996 MICHAEL J ALBERTSON MD 360 EAST 65TH ST NEW YORK NY 10065 PHYSICIANS SERVICES 139500 18 238117 238117 REVENUE FROM NEW YORK 621110 417041306 417041306 FEE-FOR-SERVICE PLANS 621110 50999769 50999769 OTHER MEDICAL REVENUE 621110 762818 762818 468803893 4965 4965 OTHER 900099 42473 42473 AUXILLARY INCOME 621110 14830 14830 57303 469104278 468818723 0 47438 6603 6603 6498362 6418777 79585 341886008 337936960 3949048 18596814 18325027 271787 39680074 38868236 811838 20138656 19726628 412028 524826 524826 272000 272000 37423165 36613203 809962 1000 717 283 664581 476188 188393 206677 148089 58588 42647 30558 12089 83854 60083 23771 1708604 1224256 484348 394105 282386 111719 RECRUITMENT 566688 449178 117510 ARBITRATION 124159 88963 35196 EQUIPMENT 96923 69448 27475 ALLOC OF CORP EXPENSES 0 12585408 -12585408 312456 222010 90446 469228202 473532718 -4304516 0 3158999 10162828 5489320 1040395 0 125279 8648319 11328502 27133477 28601232 952351 804262 28085828 29405494 X -19437509 -18076992 -19437509 -18076992 8648319 11328502 -123924 1484441 0 X X 0 1 X 1 0 X 1390168 238117 1628285 93114668 396922833 468803893 958841394 93114668 398313001 469042010 960469679 0 0 0 960469679 9656 4965 14621 9656 4965 14621 125812 25630 57303 208745 93240480 398348287 469104278 960693045 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2010 AMOUNT: $ 125,812. 2011 AMOUNT: $ 25,630. 2012 AMOUNT: $ 57,303. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO DOWNTOWN BRONX MEDICAL ASSOCIATES, PC 804262 804262 X 469104278 0 469104278 0 469104278 469228202 0 469228202 0 469228202 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PAGNY 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. X X X X X 0 0 0 0 0 0 0 0 0 AKINOLA O FISHER MD 256360 0 0 0 540 0 22050 0 22522 0 301472 0 0 0 ASHOK KHANNA MD 321028 0 0 0 1980 0 22050 0 23425 0 368483 0 0 0 BIJAN SAFAI MD 208508 0 0 0 0 0 18766 0 0 0 227274 0 0 0 DENNIS GREENBAUM MD 316936 0 0 0 4572 0 22050 0 27815 0 371373 0 0 0 DOUGLAS SIMON MD 247594 0 0 0 1548 0 22050 0 22490 0 293682 0 0 0 EDWARD CHEW MD 267009 0 0 0 324 0 22050 0 22958 0 312341 0 0 0 FERNANDO A JARA MD 383305 0 0 0 828 0 23000 0 28756 0 435889 0 0 0 JEFFREY GOLDBERG DO 267336 0 0 0 1290 0 22050 0 23726 0 314402 0 0 0 LEAQUE AHMED MD 589188 0 0 0 540 0 23000 0 34091 0 646819 0 0 0 PARDHA VALLURU MD 250806 0 0 0 1290 0 22050 0 19311 0 293457 0 0 0 PAUL GENNIS MD 325188 0 0 0 3063 0 22050 0 22658 0 372959 0 0 0 RAJESH VERMA MD 309337 0 0 0 540 0 22050 0 18302 0 350229 0 0 0 RIYAD BASIR MD 450468 0 0 0 1548 0 22050 0 26396 0 500462 0 0 0 ROBERT FARRIS MD 189758 0 0 0 7416 0 18423 0 35200 0 250797 0 0 0 ROGER CHIRURGI MD 294588 0 0 0 0 0 22050 0 0 0 316638 0 0 0 SARI KAMINSKY MD 252680 0 0 0 0 0 22050 0 30456 0 305186 0 0 0 SCOTT ROGGE MD 300175 0 0 0 2376 0 22050 0 22658 0 347259 0 0 0 WILLIAM B CASPE MD 347625 0 0 0 3063 0 22050 0 23058 0 395796 0 0 0 DORIANNE GLORIA 209426 0 0 0 690 0 18927 0 8655 0 237698 0 0 0 AMED RAWANDUZY MD 581928 0 0 0 4572 0 22050 0 34272 0 642822 0 0 0 RAMNATH KAPPOR 584747 0 0 0 4572 0 22050 0 20256 0 631625 0 0 0 JONATHAN MAYS 558002 0 0 0 270 0 23000 0 20256 0 601528 0 0 0 LEONARD GOLDEN MD 555958 0 0 0 828 0 22050 0 24243 0 603079 0 0 0 OLGA BAUMAN-FISHKIN 595599 0 0 0 540 0 22050 0 28256 0 646445 0 0 0 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. THE ORGANIZATION'S APPLICATION FOR EXEMPT STATUS IS PENDING WITH THE IRS AT THE TIME OF FILING. 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 SELECTED MEMEBERS OF THE GOVERNING BODY WILL REVIEW THE 990 BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. NEW YORK MEDICAL ALLIANCE UFPC 1400 PELHAM PARKWAY SOUTH BRONX NY 10461 134169311 MEDICAL SERVICES NY 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0