Civic Intelligence

Stony Brook Preventive Medicine Services Univ Faculty Practice Corp

990 • Fiscal year 2017 • EIN 11-2822992

Jul 01, 2016 to Jun 30, 2017 • Filed on May 10, 2018

PO Box 1554Stony Brook, NY 11790

(631) 444-2055

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2017

Liabilities / Revenue

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

71st percentile

14%

Higher net margin than 71% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

99th percentile

$410,502

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 58.3% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

11th percentile

-26%

Faster revenue growth than 11% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $700,654 (-100%) from 2016

Net Assets

Flat

$0

Flat from 2016

Liabilities

Down

$0

Down $700,654 (-100%) from 2016

Revenue

Down

$703,667

Down $249,068 (-26%) from 2016

Expenses

Down

$602,577

Down $96,700 (-14%) from 2016

Net Income

Down

$101,090

Down $152,368 (-60%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2010: $507,984Liabilities 2010: $507,984Net Assets 2010: $02010Assets 2011: $605,930Liabilities 2011: $605,930Net Assets 2011: $02011Assets 2012: $560,935Liabilities 2012: $560,935Net Assets 2012: $02012Assets 2013: $646,279Liabilities 2013: $646,279Net Assets 2013: $02013Assets 2014: $605,124Liabilities 2014: $605,124Net Assets 2014: $02014Assets 2015: $447,196Liabilities 2015: $447,196Net Assets 2015: $02015Assets 2016: $700,654Liabilities 2016: $700,654Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2010: $821,4612010Revenue 2011: $1,061,843Expenses 2011: $963,896Net Income 2011: $97,9472011Revenue 2012: $1,122,346Expenses 2012: $1,167,341Net Income 2012: -$44,9952012Revenue 2013: $1,104,791Expenses 2013: $1,019,447Net Income 2013: $85,3442013Revenue 2014: $995,364Expenses 2014: $1,036,521Net Income 2014: -$41,1572014Revenue 2015: $996,451Expenses 2015: $1,154,379Net Income 2015: -$157,9282015Revenue 2016: $952,735Expenses 2016: $699,277Net Income 2016: $253,4582016Revenue 2017: $703,667Expenses 2017: $602,577Net Income 2017: $101,0902017

Highlighted filing

2017

Revenue$703,667
Expenses$602,577
Net Income$101,090
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 10, 2018
Return Version
2016v3.1
Gross Receipts
$703,667
Mission and Program Overview

Mission

Provide clinical instruction to and supervision of medical school students, interns and residents and, incident thereto, rendering professional services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$700,654$0▼ $700,654
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$700,654$0▼ $700,654
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$700,654$0▼ $700,654
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$700,654$0▼ $700,654
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$700,654$0▼ $700,654
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Iris GranekPresident & DirectorFT$47,803$66,417$114,220
Raja JaberSecretary & DirectorFT$64,805$10,199$75,004
David GrahamDirectorFT$53,165$10,054$63,219

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$702,741
Investment Income
$0
Other Revenue
$926
Change in Net Assets
$101,090
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$403,422
Salaries, Compensation, and Employee Benefits$199,155
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$324,000$76,000-$400,000
Current Officers, Directors, Trustees, and Key Employees$156,549$8,239-$164,788
Other Salaries and Wages$16,263--$16,263
Pension Plan Contributions$8,272--$8,272
Payroll Taxes$8,221--$8,221
Office Expenses$3,317--$3,317
Other Employee Benefits$1,611--$1,611
Insurance$105--$105
Total Functional Expenses$518,338$84,239$0$602,577
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Question 11B

An electronic version of form 990 was provided to the officers and directors prior to filing. Management performs a review of form 990 prior to filing, addressing any questions made by the governing body.

Form 990, Part VI, Question 12C

The purpose of the conflict of interest policy is to protect the ufpc's interest when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director of the ufpc or might result in a possible excess benefit transaction. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board of committee members shall decide if a conflict of interest exists. Compliance with this policy is monitored through internal payment policies and annual representations. The reviews, at a minimum, include the following subjects: a. Whether compensation arrangements and benefits are reasonable, based on competent survey information, and the result of arm's length bargaining. B. Whether partnerships, joint ventures, and arrangements with management organizations conform to the ufpc's written policies, are properly recorded, reflect reasonable investment or payment for goods and services, further educational purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction. A voting member of the governing board who has a compensation conflict is precluded from voting on matters pertaining to that member's compensation. If there are violations to the policy, the committee or governing board shall take appropriate disciplinary and corrective action.

Form 990, Part VI, Questions 15A & 15B

Began at inception: each physician is a member of the school of medicine's faculty and a new york state employee providing services at the university, and reports to the chairman of his/her department and the dean of the school of medicine, who in turn reports to the president of the university. The dean of the school of medicine is responsible for hiring and terminating each physician, determining each physician's compensation (which is subject to the limitations in article xvi as described below), and also appoints the chairperson of the school of medicine's department of anaesthesiology, (i) who is one of the directors; and (ii) who in turn selects its other two directors. Consequently, the directors must act in a manner which will not jeopardize their employment with the medical school and the university in order to remain on the board. As a result, new york state, through the suny system, the university, the medical school, and cpmp (as explained below) exercises substantial control over operations, which are also subject to originating documents (i.e., certificate of reincorporation and bylaws), which state the purpose as furthering the university's educational mission. All physicians enter into employment arrangements with the ufpc. As a result, each physician receives compensation and benefits from the ufpc and the state of new york (because such physician is also a university employee). The dean of the school of medicine determines each physician's compensation, in consultation with such physician's departmental chairperson. Documentation regarding such compensation determination is maintained by the dean's office. Each physician is compensated based on traditional factors such as training, experience, qualifications, and general market conditions. Subject to the limitations described below, employment agreements with physicians typically allow an individual physician to receive non-fixed compensation, based on amounts collected which are attributable to such physician's direct patient care services. The organization generally determines a physician's compensation to equal an amount between the 50th and 75th percentile of comparable physician compensation, as reported in the association of american medical college's (the "aamc's") compensation data reference materials. Each physician is also subject to article xvi, which at all times governs such physician's compensation. Under the terms of article xvi, the maximum amount of compensation payable to any physician (including compensation from all other source exclusive of fringe benefits) is not to exceed 250% of that individual's maximum state basic annual salary for his/her academic rank (the "250% rule"). In special circumstances relating to recruitment, the university president (or his/her designee) may authorize a physician to receive greater than 250% of the maximum state basic annual salary for such physician's rank, provided that such compensation is in the best interest of the university and the hospital. Such additional compensation shall not extend beyond a two year period. Also, with the approval of the chancellor of the suny system (or his/her designee) the maximum allowable compensation payable to a physician may exceed 275% of such individual's maximum state basic annual salary (e.g., in the case of physicians providing services in difficult to retain specialties). In making recommendations with respect to such exceptions to the "250% rule", the president of the university considers the competition for physicians in a particular specialty as indicated by the aamc's compensation data, and other revenue generated by the physician's clinical activities. Such exceptions, pursuant to the terms of article xvi, shall not exceed 5% of the total number of physicians on a system-wide basis. Also, subject to the terms of article xvi, a portion of each physician's compensation may be used to purchase a retirement benefit for the benefit of physicians.

Form 990, Part VI, Question 19

All governing documents will not be disclosed outside of the organization. The conflict of interest policy and financial statements also will not be disclosed outside of the organization.

Form 990, Part VII

The mission of the reporting organization is to support the educational mission of the state university of new york school of medicine at stony brook (the "medical school") by providing clinical instruction to and supervision of medical school students, interns and residents and, incident thereto, rendering professional services. Each physician is an employee of the reporting organization and a new york state employee providing services as a member of the medical school's faculty. Hours worked by the physicians listed in part vii relate to the entire mission of the reporting organization which includes supporting the mission of the medical school.

Filing and Contact Details

Filer

Filer Name
Stony Brook Preventive Medicine
EIN
11-2822992
In Care Of
% SB CLINICAL PRAC MGMT PLAN I
Phone
6314442055
Address
PO Box 1554, Stony Brook, NY 11790

Signing Officer

Name
Iris Granek Md
Title
President & Director
Phone
6314442055
Signed
2018-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Iris Granek MD
Formed
1986
Legal Domicile
Ny
Voting Board Members
3
Independent Board Members
0
Employees
6
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
5 TIMES SQUARE, NEW YORK, NY 10036-6530
Preparer
Laura Kielczewski
Phone
2127733000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Per dissolution of entity on date of 12/12/2016 all income and cash was transferred over to stony brook family and preventive medicine, university faculty practice corporation. The cash transfer to that entity was a total of $-101,090 for net income during the year.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Iris Granek
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Raja Jaber
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2David Graham
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0President & Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Secretary & Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Director
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE OFFICERS RECEIVED COMPENSATION OVER BASE SALARY INCLUDING THE BONUS DETERMINED AT THE ORGANIZATIONS DISCRETION OR BASED SPECIFICALLY ON BONUS PLANS SET BY THE ENTITY, DETERMINED AS REASONABLE. THIS BENEFIT IS SUBJECT TO THE GUIDELINES FOR NONFIXED PAYMENTS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART I, LINE 7
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