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← STONY BROOK FAMILY AND PREVENTIVE MEDICINE UNIV FACULTY PRACTICE COR

Form 990 for tax year 2023

Filed by STONY BROOK FAMILY AND PREVENTIVE MEDICINE UNIV FACULTY PRACTICE COR.

Totals

Total revenue
$16,342,677
Total expenses
$17,103,142
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$16,317,492
Investment income
$0
Other revenue
$25,185
Total assets, end of year
$1,748,071
Total liabilities, end of year
$1,748,071
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$15,695,497
Management and general expenses
$1,407,645
Fundraising expenses
$0
Program service expenses (Part III)
$15,695,497

Program services were 91.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $16,317,492 · related or exempt $16,317,492

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: OTHER INTEREST (COMMON PAYMASTER, CLAIMS

    total $25,185 · excluded $25,185

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $25,185

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $602,902 · program services $572,757 · management and general $30,145

  • 7 · Other salaries and wages

    total $3,078,570 · program services $3,078,570

  • 8 · Pension plan contributions

    total $432,744 · program services $432,744

  • 9 · Other employee benefits

    total $21,510 · program services $21,510

  • 10 · Payroll taxes

    total $184,718 · program services $184,718

  • 11a · Fees: management

    total $7,250,000 · program services $5,872,500 · management and general $1,377,500

  • 11g · Fees: other

    total $5,514,260 · program services $5,514,260 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $18,438 · program services $18,438

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,508,535 · end of year $1,748,071

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,508,535 · end of year $1,748,071

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

PROVIDE CLINICAL INSTRUCTION TO AND SUPERVISION OF MEDICAL SCHOOL STUDENTS, INTERNS AND RESIDENTS AND, INCIDENT THERETO, RENDERING PROFESSIONAL SERVICES.

Activities or mission (Part I)

PROVIDE CLINICAL INSTRUCTION TO AND SUPERVISION OF MEDICAL STUDENTS, INTERNS AND RESIDENTS AND, INCIDENT THERETO, RENDERING PROFESSIONAL SERVICES.

  • THE ORGANIZATION PROVIDES SERVICES IN THE FIELD OF FAMILY AND PREVENTIVE MEDICINE TO PATIENTS AND PROVIDES CLINICAL INSTRUCTION TO AND SUPERVISION OF SCHOOL OF MEDICINE STUDENTS AND HOSPITAL RESIDENTS.

    Expenses $15,695,497 · Revenue $16,317,492

As filed on the 2023 return.

Listed in Part VII

  • Howard Sussman

    DIRECTOR/SECRETARY/TREASURER

    Total calculated
    $326,333
    From this org
    $153,576
    From related orgs
    $116,317
    Other
    $56,440
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $147,108 + $116,317 related
    Bonus
    $4,500
    Other
    $1,968
    Deferred
    $18,193 + $15,121 related
    Nontaxable benefits
    $588 + $22,538 related
    Filer's total
    $172,357 + $153,976 related

  • Iris Granek

    President & Director (Till 10/23)

    Total calculated
    $182,805
    From this org
    $142,093
    From related orgs
    $0
    Other
    $40,712
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $64,700
    Bonus
    $75,000
    Other
    $2,393
    Deferred
    $16,764
    Nontaxable benefits
    $1,410 + $22,538 related
    Filer's total
    $160,267 + $22,538 related

  • Sritha Rajupet

    President & Director

    Total calculated
    $367,088
    From this org
    $223,181
    From related orgs
    $94,280
    Other
    $49,627
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $216,337 + $94,280 related
    Bonus
    $4,500
    Other
    $2,344
    Deferred
    $26,501
    Nontaxable benefits
    $588 + $22,538 related
    Filer's total
    $250,270 + $116,818 related

  • Vivica Vollmer

    DIRECTOR

    Total calculated
    $267,565
    From this org
    $160,601
    From related orgs
    $57,303
    Other
    $49,661
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $127,978 + $57,303 related
    Bonus
    $31,068
    Other
    $1,555
    Deferred
    $19,086 + $7,449 related
    Nontaxable benefits
    $588 + $22,538 related
    Filer's total
    $180,275 + $87,290 related

  • Astha A Muttreja

    FAMILY PHYSICIAN

    Total calculated
    $297,985
    From this org
    $188,574
    From related orgs
    $63,872
    Other
    $45,539
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $160,882 + $63,872 related
    Bonus
    $25,890
    Other
    $1,802
    Deferred
    $22,413
    Nontaxable benefits
    $588 + $22,538 related
    Filer's total
    $211,575 + $86,410 related

  • Farah Haq

    FAMILY PHYSICIAN

    Total calculated
    $309,960
    From this org
    $92,721
    From related orgs
    $163,966
    Other
    $53,273
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $90,910 + $163,966 related
    Bonus
    $0
    Other
    $1,811
    Deferred
    $12,553 + $16,397 related
    Nontaxable benefits
    $1,785 + $22,538 related
    Filer's total
    $107,059 + $202,901 related

  • Jeanine Morelli

    FAMILY PHYSICIAN

    Total calculated
    $311,738
    From this org
    $181,215
    From related orgs
    $74,545
    Other
    $55,978
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $167,758 + $74,545 related
    Bonus
    $11,630
    Other
    $1,827
    Deferred
    $21,527 + $9,691 related
    Nontaxable benefits
    $2,222 + $22,538 related
    Filer's total
    $204,964 + $106,774 related

  • Jedan Phillips

    FAMILY PHYSICIAN

    Total calculated
    $336,575
    From this org
    $120,169
    From related orgs
    $158,469
    Other
    $57,937
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $97,417 + $158,469 related
    Bonus
    $21,000
    Other
    $1,752
    Deferred
    $14,210 + $20,601 related
    Nontaxable benefits
    $588 + $22,538 related
    Filer's total
    $134,967 + $201,608 related

  • Lovedhi Aggarwal

    FAMILY PHYSICIAN

    Total calculated
    $347,344
    From this org
    $223,754
    From related orgs
    $74,073
    Other
    $49,517
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $199,297 + $74,073 related
    Bonus
    $22,265
    Other
    $2,192
    Deferred
    $26,587
    Nontaxable benefits
    $392 + $22,538 related
    Filer's total
    $250,733 + $96,611 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 7 Non-fixed payments
THE OFFICERS RECEIVED COMPENSATION OVER BASE SALARY INCLUDING THE BONUS DETERMINED AT THE ORGANIZATION'S DISCRETION OR BASED SPECIFICALLY ON BONUS PLANS SET BY THE ENTITY, DETERMINED AS REASONABLE. THIS BENEFIT IS SUBJECT TO THE GUIDELINES FOR NONFIXED PAYMENTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SB HLTHCARE IPA LLC

    Related · HEALTHCARE · NY

    Directly controlled by CPMP

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • NICOLLS INDEMNITY SOLUTIONS SPC

    C Corporation · SELF-INSURANCE · CJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202521339349306647

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