EXECUTIVE DIRECTOR

2011-11-15T11:36:05-06:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2010-01-01 113190652 UNIVERSITY PHYSICIANS OF BROOKLYN INC UNIV 7182702732 450 CLARKSON AVENUE BOX 80 BROOKLYN NY 11203 RICHARD MULRY EXECUTIVE DIRECTOR 7182702732 2011-11-14 1 THOMAS HORAN 9143818900 2010 2016-03-07 17:11:31Z RICHARD MULRY 450 CLARKSON AVENUE BOX 80 BROOKLYN NY 11203 73522451 0 X N/A X 1993 NY TO PROVIDE MEDICAL CARE TO ITS PATIENTS AND SUPPORT THE EDUCATIONAL OBJECTIVES OF SUNY HEALTH SCIENCE CENTER AT BROOKLYN. 19 0 632 0 0 0 0 0 75490703 73407287 92299 115164 0 0 75583002 73522451 0 0 0 0 52780065 50372112 0 0 0 22583284 22401553 75363349 72773665 219653 748786 28105295 25290454 25486291 21922664 2619004 3367790 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 68924400 73407287 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. 68924400 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 0 0 0 0 0 1 163 0 1 632 1 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 THOMAS SHEPARD 7182702685 450 CLARKSON AVE BOX 80 BROOKLYN NY 11203 MICHAEL LUCCHESI PHYSICIAN 40.00 X 185769 0 27865 OVADIA ABULAFIA PHYSICIAN 40.00 X 0 0 0 LANCE WAGNER PHYSICIAN 40.00 X 323193 0 36750 WILLIAM URBAN VICE-CHAIR 40.00 X X 38000 0 0 WILLIAM BRUNKEN PHYSICIAN 40.00 X 31154 0 1558 SUZANNE MIRRA SECRETARY/TREASURER 40.00 X X 0 0 0 STEPHEN ONESTI PHYSICIAN 40.00 X 0 0 0 MARVIN ROTMAN PHYSICIAN 40.00 X 263908 0 0 ALAN SHALITA PHYSICIAN 40.00 X 0 0 0 STANLEY FISHER IMMEDIATE PAST CHAIR 40.00 X 0 0 0 DOUGLAS LAZZARO CHAIR 40.00 X X 13513 0 0 STEPHEN GOLDFINGER PHYSICIAN 40.00 X 0 0 0 WILLIAM MCCORMACK PHYSICIAN 40.00 X 27378 0 0 JOHN LAROSA EX-OFFICIO 40.00 X 304269 0 0 RICHARD CRUMMER PHYSICIAN 40.00 X 75833 0 0 DANIEL ROSENBAUM PHYSICIAN 40.00 X 0 0 0 MATTHEW HANSON PHYSICIAN 40.00 X 223107 0 20303 SALVATORE SCLAFANI PHYSICIAN 40.00 X 207692 0 0 DALE DISTANT PHYSICIAN 40.00 X 28500 0 1425 IVAN COLON PHYSICIAN 40.00 X X X 225000 0 0 IAN TAYLOR EX-OFFICIO 40.00 X 0 0 0 RICHARD MULRY EXECUTIVE DIRECTOR 40.00 X 370000 0 0 THOMAS SHEPARD CFO 40.00 X 217692 0 0 JAMES COTTRELL PHYSICIANS LIASON 40.00 X X 384017 0 36750 MARILYN SOTIRIADIS DIR. PRACTICE MANAGEMENT 40.00 X 179134 0 0 JOHN LAROSA CAMPUS PRESIDENT 40.00 X 304269 0 0 HUNTZ LIU PHYSICIAN 40.00 X 446532 0 24500 AZIZ IBRAHIM PHYSICIAN 40.00 X 413311 0 36750 MICHAEL EHRENHAUS PHYSICIAN 40.00 X 460383 0 0 BRADLEY PHILLIPS PHYSICIAN 40.00 X 382475 0 0 5105129 0 185901 16 0 1 0 ACADEMIC HEALTH PROFESSIONAL INSURANCE A PO BOX 027886 NEW YORK NY 10087 MALPRACTICE INSURANCE 3558223 AETNA PO BOX 7247-0233 PHILADELPHIA PA 19170 HEALTH & DENTAL INSURANCE 1598927 ATHENA HEALTH SERVICES 311 ARSENAL STREET WATERTOWN MA 02472 BILLING SERVICES 1344025 SPRINGFIELD SERVICE CORP 2960 PROFESSIONAL DRIVE SPRINGFIELD IL 62703 BILLING SERVICES 1140211 PHYSICIANS RECIPROCAL INSURERS 111 EAST SHORE ROAD PO BOX 4300 MANHASSET NY 11030 BILLING SERVICES 850006 5 PATIENT 621110 61822184 61822184 OTHER THAN CLINICAL 621990 11585103 11585103 73407287 115164 115164 73522451 73407287 0 115164 2531497 1943805 587692 39670741 38797899 872842 3109849 2992099 117750 2600771 2392050 208721 2459254 2346123 113131 1789283 1491917 297366 4887152 4848985 38167 PURCHASED SERVICES 9043007 7918525 1124482 PROFESSIONAL DEVELOPMEN 2301769 2130269 171500 SUPPLIES & OCCUPANCY 2274537 1956923 317614 PRESIDENT'S TAX 2105805 2105805 72773665 68924400 3849265 0 4503000 4056000 6107052 6708117 14978648 12732828 1074621 366342 3205726 1778559 1441974 1427167 28105295 25290454 21975451 18650842 234152 427889 2445626 2358402 831062 485531 25486291 21922664 X 2619004 3367790 2619004 3367790 28105295 25290454 748786 0 X X 0 1 1 X 0 X SUNY HEALTH SCIENCE CENTER AT BROOKLYN BROOKLYN NY 1640307 1040424 599883 1565419 738135 827284 1427167 CAPITAL LEASE OBLIGATIONS 485531 485531 73522451 72773665 748786 0 748786 73522451 0 73522451 0 73522451 72773665 0 72773665 0 72773665 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 2007. 1 X 0 0 0 0 0 0 0 0 0 MICHAEL LUCCHESI 185769 0 0 0 0 0 27865 0 0 0 213634 0 0 0 LANCE WAGNER 323193 0 0 0 0 0 36750 0 0 0 359943 0 0 0 MARVIN ROTMAN 263908 0 0 0 0 0 0 0 0 0 263908 0 0 0 JOHN LAROSA 304269 0 0 0 0 0 0 0 0 0 304269 0 0 0 MATTHEW HANSON 0 0 223107 0 0 0 20303 0 0 0 243410 0 0 0 SALVATORE SCLAFANI 207692 0 0 0 0 0 0 0 0 0 207692 0 0 0 IVAN COLON 225000 0 0 0 0 0 0 0 0 0 225000 0 0 0 RICHARD MULRY 370000 0 0 0 0 0 0 0 0 0 370000 0 0 0 THOMAS SHEPARD 217692 0 0 0 0 0 0 0 0 0 217692 0 0 0 JAMES COTTRELL 384017 0 0 0 0 0 36750 0 0 0 420767 0 0 0 MARILYN SOTIRIADIS 155769 0 0 0 23365 0 0 0 0 0 179134 0 0 0 JOHN LAROSA 304269 0 0 0 0 0 0 0 0 0 304269 0 0 0 HUNTZ LIU 446532 0 0 0 0 0 24500 0 0 0 471032 0 0 0 AZIZ IBRAHIM 413311 0 0 0 0 0 36750 0 0 0 450061 0 0 0 MICHAEL EHRENHAUS 0 0 460383 0 0 0 0 0 0 0 460383 0 0 0 BRADLEY PHILLIPS 382475 0 0 0 0 0 0 0 0 0 382475 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT AN ACCURATE AND COMPLETE RETURN IS FILED. AFTER THE RETURN HAS BEEN PREPARED, A PAPER COPY IS SUBMITTED TO BOTH THE CFO AND THE BOARD FOR REVEIW. ANY COMMENTS ARE SUMMARIZED AND ADDRESSED. ONCE THIS PROCESS HAS BEEN COMPLETED, THE RETURN IS FILED. 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 POLICY OF AUDIT OVERSIGHT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 SUNY DOWNSTATEUHB L 648000 EXACT DOWNSTATE TECHNOLOGY CENTER I 492000 EXACT RESEARCH FOUNDATION E 104000 EXACT HSCB FOUNDATION E 83000 EXACT