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DOWNTOWN BRONX MEDICAL ASSOCIATES PC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DOWNTOWN BRONX MEDICAL ASSOCIATES PC (EIN 06-1578286)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201441359349300224
Schema version
2012v2.0
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)
Timestamp2014-05-15T05:39:58-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MUHLSTOCK & ASSOCIATES CPAS PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17 PENN PLAZA SUITE 914AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100013967ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061578286EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOWNTOWN BRONX MEDICAL ASSOCIATES PCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDOWNNameControl
Phone7185796200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1234 EAST 149TH STREETAddressLine1
CityBRONXCity
StateNYState
ZIP Code10451ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBALAVENKATESH KANNA MDName
TitleBoard MemberTitle
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRUCE DANOFFName
PTINP00616771PTIN
Phone2126877711Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts25514361GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO BE THE CLINICAL SERVICE PROVIDER AT LINCOLN MEDICAL HEALTH CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year29716959ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25655602ProgramServiceRevenuePriorYear
Program Service Revenue CY25385602ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year239191OtherRevenuePriorYear
Other Revenue Current Year128759OtherRevenueCurrentYear
Total Revenue Prior Year55611752TotalRevenuePriorYear
Total Revenue Current Year25514361TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43942356SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14770168OtherExpensePriorYear
Other Expenses Current Year23489773OtherExpensesCurrentYear
Total Expenses Prior Year58712524TotalExpensesPriorYear
Total Expenses Current Year23489773TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3100772RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2024588RevenuesLessExpensesCY
Total Assets BOY23910094TotalAssetsBOY
Total Assets EOY16614371TotalAssetsEOY
Total Liabilities BOY14198260TotalLiabilitiesBOY
Total Liabilities EOY4548962TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9711834NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12065409NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO BE THE CLINICAL SERVICE PROVIDER AT LINCOLN MEDICAL HEALTH CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense23362077Expense
Revenue25385602Revenue
DescriptionFACULTY PRACTICE PLAN - PRIVATE INSURANCE AND SELF PAY PATIENT REVENUEDescription
Total Program Service Expense23362077TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDOWNTOWN BRONX MEDICAL ASSOCNamePerson
Telephone Number7185796200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1234 EAST 149TH STREET 8D-200AddressLine1
CityBRONXCity
StateNYState
ZIP Code10451ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
MIKLOS LOSONCZY MD PhD
BOARD OF DIRECT0.0040.00X030115929000
VIHREN DIMITROV
BOARD OF DIRECT0.0040.00X028644920000
SOULA PRIOVOLOS MD
BOARD OF DIRECT0.0040.00X037256042125
RANDOLPH NUNEZ MD
BOARD OF DIRECT0.0040.00X018726725135
ALBERTO VELASCO MD
BOARD OF DIRECT0.0040.00X042316937500
ANITA SONI MD
President0.0040.00X040358543000X
NEHAD SHABAREK MD
BOARD OF DIRECT0.0040.00X045368720000
MELISSA SCHORI MD MBA
BOARD OF DIRECT0.0040.00X040205643000
BENAMANAHALI RAJEGOWDA MD
BOARD OF DIRECT0.0040.00X024096843000
HARVEY SASKEN MD
BOARD OF DIRECT0.0040.00X025427031747
JAY YELON DO
FORMER DIRECT0.0040.00X051597737500
PAUL MOH MD
Vice President0.0040.00X038465343000X
RAY MERCADO DO
BD OF DIRECTOR0.0040.00X047651343000
HOWARD LEVY MD
BOARD OF DIRECT0.0040.00X025243643000
SHEFALI KHANNA MD
SECRET./TREAS.0.0040.00X031877937500X
BALAVENKATESH KANNA MD
BOARD OF DIRECT0.0040.00X032050120000
FERNANDO JARA MD
BOARD OF DIRECT0.0040.00X036705643000
MENACHEN GOLD MD
BOARD OF DIRECT0.0040.00X047666437500
DIMITRIS GIANNARIS MD
BOARD OF DIRECT0.0040.00X023501030160
AKINOLA FISHER MD
BOARD OF DIRECT0.0040.00X028257820000
MALVINA ELMADJAN MD
BOARD OF DIRECT0.0040.00X033864237500
RIYAD BASIR MD
BOARD OF DIRECT0.0040.00X042744043000
SARWAT AMER MD
BOARD OF DIRECT0.0040.00X046123243000
TRANICE JACKSON MD
FORMER DIRECTOR0.000.00000X
VALERIE KATZ MD
FORMER DIRECTOR0.000.00000X
AMY HOFFMAN MD
FORMER DIRECTOR0.000.00000X
SWATI DAVE-SHARMA MD
FORMER DIRECTOR0.000.00000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs8182651TotalReportableCompFrmRltdOrgs
Total Other Compensation812667TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPRIVATE FACULTY PRACTICEDescription
Total Revenue Column25385602TotalRevenueColumn
Related Or Exempt Function Income25385602RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25385602TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE118914118914
GRANT REVENUE98459845
FieldValueIRS element (for citing)
Total Other Revenue128759TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25514361TotalRevenueColumn
Related Or Exempt Function Income25514361RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6775Total
Management And General6775ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7500Total
Management And General7500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1695Total
Management And General1695ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total250000Total
Program Services250000ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2047Total
Management And General2047ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2000Total
Management And General2000ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18054Total
Management And General18054ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PC CONTRACTS5445154451
BANK FEES6702167021
BILLING SERVICE20576262057626
CONTRACTED SERVICES2100000021000000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22604Total
Management And General22604ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23489773Total
Program Services23362077ProgramServices
Management And General127696ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7110591BOY
EOY4524085EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3609870BOY
EOY12005723EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis288508LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec204045LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30055BOY
EOY84463EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13159578BOY
EOY100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23910094BOY
EOY16614371EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12780596BOY
EOY383023EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1417664BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY4165939EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14198260BOY
EOY4548962EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9711834BOY
EOY12065409EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9711834BOY
EOY12065409EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23910094BOY
EOY16614371EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2024588ReconcilationRevenueExpenses
Reconcilation Prior Adjustment328987ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years405204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years408899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years506328CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year239191CurrentTaxYearMinus1Year
Current Tax Year128759CurrentTaxYear
Total1688381Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69026843CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75958910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75693717CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29716959CurrentTaxYearMinus1Year
Total250396429Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69432047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76367809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76200045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29956150CurrentTaxYearMinus1Year
Current Tax Year128759CurrentTaxYear
Total252084810Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170252084810PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years90908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years633CurrentTaxYearMinus3Years
Total91541Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16977323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24811471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23522282CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25655602CurrentTaxYearMinus1Year
Current Tax Year25385602CurrentTaxYear
Total116352280Total
FieldValueIRS element (for citing)
Total Support368528631TotalSupport
Public Support Pertcentage1700.68400PublicSupportPertcentage170
Public Support Pertcent Prior Year0.74670PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis216735OtherCostOrOtherBasis
Depreciation179414Depreciation
Book Value37321BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71773OtherCostOrOtherBasis
Depreciation24631Depreciation
Book Value47142BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings84463TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to affiliated companiesDescription
Amount$4,165,939Amount
FieldValueIRS element (for citing)
Total Of Amounts4165939TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgs
VIHREN DIMITROV
BOARD OF DIRECT28644920000306449
SOULA PRIOVOLOS MD
BOARD OF DIRECT3725602000041468522125
SHEFALI KHANNA MD
SECRET./TREAS.3187792000035627917500
SARWAT AMER MD
BOARD OF DIRECT4612322000050423223000
RIYAD BASIR MD
BOARD OF DIRECT4274402000047044023000
RAY MERCADO DO
BD OF DIRECTOR4765132000051951323000
RANDOLPH NUNEZ MD
BOARD OF DIRECT187267200002124025135
PAUL MOH MD
Vice President3846532000042765323000
NEHAD SHABAREK MD
BOARD OF DIRECT45368720000473687
MIKLOS LOSONCZY MD PhD
BOARD OF DIRECT301159200003301599000
MENACHEN GOLD MD
BOARD OF DIRECT4766642000051416417500
MELISSA SCHORI MD MBA
BOARD OF DIRECT4020562000044505623000
MALVINA ELMADJAN MD
BOARD OF DIRECT3386422000037614217500
JAY YELON DO
FORMER DIRECT5159772000055347717500
HOWARD LEVY MD
BOARD OF DIRECT2524362000029543623000
HARVEY SASKEN MD
BOARD OF DIRECT2542702000028601711747
FERNANDO JARA MD
BOARD OF DIRECT3670562000041005623000
DIMITRIS GIANNARIS MD
BOARD OF DIRECT2350102000026517010160
BENAMANAHALI RAJEGOWDA MD
BOARD OF DIRECT2409682000028396823000
BALAVENKATESH KANNA MD
BOARD OF DIRECT32050120000340501
ANITA SONI MD
President4035852000044658523000
ALBERTO VELASCO MD
BOARD OF DIRECT4231692000046066917500
AKINOLA FISHER MD
BOARD OF DIRECT28257820000302578

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableMADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE BOARD OF DIRECTORS EXECUTIVE COMMITTEE APPROVE COMPENSATION FOR PHYSICIANS AND KEY ADMINISTRATIVE POSITIONS.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD OF DIRECTORS EXECUTIVE COMMITTEE APPROVE COMPENSATION.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA MEMBER OF THE BOARD REVIEWS AND APPROVES FORM 990 BEFORE IT IS FILED.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersTHE BOARD OF DIRECTORS EXECUTIVE COMMITTEE APPROVE MAJOR DECISIONS ON BEHALF OF SHAREHOLDERS.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyTHE BOARD OF DIRECTORS EXECUTIVE COMMITTEE REPRESENT THE SHAREHOLDERS IN MANAGEMENT DECISIONS.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderEACH PHYSICIAN IS A MEMBER OF THE CORPORATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN AFFILIATE GROUP OF NY PCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O 55 WEST 125TH STREET SUITE 1001AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10027ZIPCode
FieldValueIRS element (for citing)
EIN900603487EIN
Primary ActivitiesPHYSICIAN AND MEDICAL SERVICESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusexemptPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncome
GENERATIONS MEDICAL SERVICES PC
234 EAST 149TH STREET 8D200BRONXNY10451204815780MEDICAL SERVICESNYyesC corp310001.00000false
PHY-CARE SOLUTIONS INC
234 EAST 149TH STREET 8D200BRONXNY10451202549494MEDICAL BILLINGNYyesC corp23711541.00000false2040000
DOWNTOWN BRONX DENTAL ASSOCIATES PC
C/O 55 WEST 125TH STREET SUITE 1001NEW YORKNY10027364360763DENTALNYyesC corp321741.00000false1371982
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN AFFILIATE GROUP OF NY PCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved21000000AmountInvolved