EXECUTIVE DIRECTOR

2012-12-11T14:19:39-06:00 2011-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2011-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182702685 450 CLARKSON AVENUE BOX 80 BROOKLYN NY 11203 RICHARD MULRY EXECUTIVE DIRECTOR 7182702685 2012-12-11 1 THOMAS HORAN P00584809 9143818900 2011 2016-02-24 21:20:13Z RICHARD MULRY 450 CLARKSON AVENUE BOX 80 BROOKLYN NY 11203 73644082 0 X WWW.DOWNSTATE.EDU/PHYSICANS X 1993 NY TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF SUNY HEALTH SCIENCE CENTER AT BROOKLYN. 19 0 615 0 0 0 0 0 73407287 73574706 115164 69376 0 0 73522451 73644082 0 0 0 0 50372112 50274835 0 0 0 22401553 22796997 72773665 73071832 748786 572250 25290454 24919585 21922664 20979545 3367790 3940040 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 68767514 UNIVERSITY PHYSICIANS OF BROOKLYN 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. 68767514 1 0 0 0 0 0 0 0 0 0 1 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 0 1 169 0 1 615 1 0 0 0 0 0 0 0 0 0 0 X 19 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X KATHY LINTEN CFO 7182702685 450 CLARKSON AVE BOX 80 BROOKLYN NY 11203 ALAN SHALITA DIRECTOR AND PHYSICIAN 5.00 X 0 241612 0 ANTONIO ALFONSO DIRECTOR AND PHYSICIAN 5.00 X 0 775895 0 ARNOLD STRASHUN DIRECTOR AND PHYSICIAN 5.00 X 0 489740 0 DANIEL ROSENBAUM DIRECTOR AND PHYSICIAN 5.00 X 0 361759 0 DOUGLAS LAZZARO PRESIDENT AND PHYSICIAN 10.00 X X 8174 268891 0 JEFFREY BORER DIRECTOR AND PHYSICIAN 5.00 X 0 617949 0 JEFFREY WEISS DIRECTOR AND PHYSICIAN 5.00 X 0 55634 0 JOHN DANIAS DIRECTOR AND PHYSICIAN 5.00 X 46860 272833 0 LANCE WAGNER DIRECTOR AND PHYSICIAN 5.00 X 311330 214535 36750 MARVIN ROTMAN DIRECTOR AND PHYSICIAN 5.00 X 96060 279974 0 MATTHEW HANSON DIRECTOR AND PHYSICIAN 5.00 X 250380 96062 0 MICHAEL LUCCHESI DIRECTOR AND PHYSICIAN 5.00 X 165000 504969 24750 OVADIA ABULAFIA DIRECTOR AND PHYSICIAN 5.00 X 0 676988 0 RICHARD CRUMMER DIRECTOR AND PHYSICIAN 5.00 X 83579 163218 4179 RICHARD ROSENFELD DIRECTOR AND PHYSICIAN 5.00 X 0 465191 0 STANLEY FISCHER DIRECTOR AND PHYSICIAN 5.00 X 1000 486937 0 STEPHEN GOLDFINGER DIRECTOR AND PHYSICIAN 5.00 X 0 405273 0 SUZANNE MIRRA SECRETARY/TREASURER AND PHYSICIAN 10.00 X X 0 424858 0 WILLIAM URBAN VICE-PRESIDENT AND PHYSICIAN 10.00 X X 52169 225853 0 KATHY LINTEN CFO 37.50 X 114615 0 5294 MARILYN SOTIRIADIS DIR. OF PRACTICE MGMT 37.50 X 155000 0 45752 RICHARD MULRY EXECUTIVE DIRECTOR 37.50 X 338125 0 45678 JAMES COTTRELL VP AND DEAN OF CLINICAL PRACTICE MGMT PLAN AND PHY 20.00 X 365631 0 36750 AZIZ IBRAHIM PHYSICIAN 37.50 X 411558 0 59009 ERIC SHRIER PHYSICIAN 37.50 X 453067 0 0 HUNTZ LIU PHYSICIAN 37.50 X 430000 0 55308 LEENA VARGHESE PHYSICIAN 37.50 X 384323 0 59009 SHOBIT RASTOGI PHYSICIAN 37.50 X 395131 0 0 4062002 7028171 372479 129 0 1 0 ACADEMIC HEALTH PROFESSIONAL INSURANCE A PO BOX 027886 NEW YORK NY 10087 MALPRACTICE INSURANCE 3659832 AETNA PO BOX 7247-0233 PHILADELPHIA PA 19170 HEALTH & DENTAL INSURANCE 2287237 ATHENA HEALTH SERVICES 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 1601551 SPRINGFIELD SERVICE CORP 2960 PROFESSIONAL DRIVE SPRINGFIELD IL 62703 BILLING SERVICES 1319886 PHYSICIANS RECIPROCAL INSURERS 111 EAST SHORE ROAD PO BOX 4300 MANHASSET NY 11030 BILLING SERVICES 922536 37 PATIENT 621110 62305192 62305192 OTHER THAN CLINICAL 621990 11269514 11269514 73574706 69376 69376 73644082 73574706 0 69376 2362798 1645308 717490 39729392 38623411 1105981 2316458 2229458 87000 3096179 2820004 276175 2770008 2633359 136649 1555569 1337897 217672 5098568 5078955 19613 PURCHASED SERVICES 9176932 8137464 1039468 PROFESSIONAL DEVELOPMEN 2647205 2406758 240447 SUPPLIES & OCCUPANCY 2348480 1884657 463823 PRESIDENT'S TAX 1970243 1970243 73071832 68767514 4304318 0 4056000 5973218 6708117 4971333 12732828 12173471 366342 459044 3612850 2270331 1427167 1342519 25290454 24919585 18650842 17285993 427889 1079932 2358402 2260110 485531 353510 21922664 20979545 X 3367790 3940040 3367790 3940040 25290454 24919585 572250 0 X X 0 1 1 X 0 X SUNY HEALTH SCIENCE CENTER AT BROOKLYN BROOKLYN NY 3612850 2270331 1342519 1342519 CAPITAL LEASE OBLIGATIONS 353510 353510 73644082 73071832 572250 572250 73644082 0 73644082 0 73644082 73071832 0 73071832 0 73071832 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UPB RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT UPB HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. UPB IS NO LONGER SUBJECT U.S. FEDERAL, STATE OR LOCAL INCOME TAX AUDITS FOR PERIODS PRIOR TO 2008. 1 X 0 0 0 0 0 0 0 0 0 ALAN SHALITA 0 241612 0 0 0 0 0 0 0 0 0 241612 0 0 ANTONIO ALFONSO 0 775895 0 0 0 0 0 0 0 0 0 775895 0 0 ARNOLD STRASHUN 0 489740 0 0 0 0 0 0 0 0 0 489740 0 0 DANIEL ROSENBAUM 0 361759 0 0 0 0 0 0 0 0 0 361759 0 0 DOUGLAS LAZZARO 8174 268891 0 0 0 0 0 0 0 0 8174 268891 0 0 JEFFREY BORER 0 617949 0 0 0 0 0 0 0 0 0 617949 0 0 JOHN DANIAS 46860 272833 0 0 0 0 0 0 0 0 46860 272833 0 0 LANCE WAGNER 311330 214535 0 0 0 0 36750 0 0 0 348080 214535 0 0 MARVIN ROTMAN 96060 279974 0 0 0 0 0 0 0 0 96060 279974 0 0 MATTHEW HANSON 250380 96062 0 0 0 0 22634 0 0 0 273014 96062 0 0 MICHAEL LUCCHESI 165000 504969 0 0 0 0 24750 0 0 0 189750 504969 0 0 OVADIA ABULAFIA 0 676988 0 0 0 0 0 0 0 0 0 676988 0 0 RICHARD CRUMMER 83579 163218 0 0 0 0 4179 0 0 0 87758 163218 0 0 RICHARD ROSENFELD 0 465191 0 0 0 0 0 0 0 0 0 465191 0 0 STANLEY FISCHER 1000 486937 0 0 0 0 0 0 0 0 1000 486937 0 0 STEPHEN GOLDFINGER 0 405273 0 0 0 0 0 0 0 0 0 405273 0 0 SUZANNE MIRRA 0 424858 0 0 0 0 0 0 0 0 0 424858 0 0 WILLIAM URBAN 52169 225853 0 0 0 0 0 0 0 0 52169 225853 0 0 MARILYN SOTIRIADIS 150000 0 5000 0 0 0 23250 0 22502 0 200752 0 0 0 RICHARD MULRY 338125 0 0 0 0 0 36750 0 8928 0 383803 0 0 0 JAMES COTTRELL 365631 0 0 0 0 0 36750 0 0 0 402381 0 0 0 AZIZ IBRAHIM 411558 0 0 0 0 0 36750 0 22259 0 470567 0 0 0 ERIC SHRIER 453067 0 0 0 0 0 0 0 0 0 453067 0 0 0 HUNTZ LIU 430000 0 0 0 0 0 36750 0 18558 0 485308 0 0 0 LEENA VARGHESE 384323 0 0 0 0 0 36750 0 22259 0 443332 0 0 0 SHOBIT RASTOGI 395131 0 0 0 0 0 0 0 0 0 395131 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE UNIVERSITY PHYSICIANS OF BROOKLYN, INC. FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND ONCE COMPLETED IS REVIEWED BY EXECUTIVE MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT BOARD MEMBERS SIGN A CONFLICT OF INTEREST WAIVER ON A YEARLY BASIS. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST OF THE ORGANIZATION AND THROUGH WWW.GUIDESTAR.COM. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FROM THE ORGANIZATION. 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 TO AID THE STUDENTS AND FACULTY OF SUNY DOWNSTATE NY 501(C)(7) 0 FACULTY STUDENT ASSOCIATION OF DOWNSTATE MEDICAL CENTER INC 450 CLARKSON AVENUE BROOKLYN NY 11203 TO PROVIDE EDUCATIONALLY RELATED AUXILIARY SERVICES NY 501(C)(3) 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0