2021-11-15T08:24:44-06:00 2020-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2020-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER STREET BUFFALO NY 14215 STEVEN SCHWAITZBERG MD PRESIDENT 7168292859 2021-11-09 1 STEVEN SCHWAITZBERG MD 999009999 EUGENE G KERSHNER P00601324 7166302400 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEVEN SCHWAITZBERG MD 462 GRIDER STREET BUFFALO NY 14215 28862815 0 X WWW.UBMD.COM X 1988 NY UNIVERSITY AT BUFFALO SURGEONS, INC., IS A LARGE TEAM OF SURGEONS DEDICATED TO THE IMPROVEMENT OF THE HEALTH OF OUR PATIENTS, CUTTING EDGE RESEARCH, AND THE PROFESSIONAL DEVELOPMENT OF OUR STUDENTS AND RESIDENTS. WE ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE TO OUR PATIENTS REQUIRING A SPECIALIST IN GENERAL, VASCULAR AND ENDOVASCULAR, COLORECTAL, MULTI-ORGAN TRANSPLANT, ADVANCED LAPAROSCOPIC, BARIATRIC AND PEDIATRIC SURGERY, AS WELL AS CRITICAL CARE AND BURN MANAGEMENT. 7 0 137 0 0 0 0 394812 25273099 25759080 147625 91997 852756 2616926 26273480 28862815 0 0 0 0 21568448 23007026 0 0 0 4265482 3615140 25833930 26622166 439550 2240649 13181820 15948834 3914121 4339013 9267699 11609821 X UNIVERSITY AT BUFFALO SURGEONS, INC., IS A LARGE TEAM OF SURGEONS DEDICATED TO THE IMPROVEMENT OF THE HEALTH OF OUR PATIENTS, CUTTING EDGE RESEARCH, AND THE PROFESSIONAL DEVELOPMENT OF OUR STUDENTS AND RESIDENTS. WE ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE TO OUR PATIENTS REQUIRING A SPECIALIST IN GENERAL, VASCULAR AND ENDOVASCULAR, COLORECTAL, MULTI-ORGAN TRANSPLANT, ADVANCED LAPAROSCOPIC, BARIATRIC AND PEDIATRIC SURGERY, AS WELL AS CRITICAL CARE AND BURN MANAGEMENT. 0 0 24734941 28862815 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 24734941 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 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 1 16 0 1 137 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NY X X JAMES MILLS 7168983875 462 GRIDER STREET BUFFALO NY 14215 STEVEN SCHWAITZBERG MD PRESIDENT 40.00 X X 500210 0 0 AARON HOFFMAN MD DIRECTOR 40.00 X 86929 0 0 MACIEJ DRYJSKI MD DIRECTOR 40.00 X 350866 0 57000 CARROLL HARMON MD PHD VICE PRESIDENT 40.00 X X 0 0 0 JEFFREY BREWER MD DIRECTOR 40.00 X 774989 0 57000 RAPHAEL BLOCHLE MD TREASURER 40.00 X X 477583 0 57000 MARK FALVO MD DIRECTOR 40.00 X 378577 0 0 MEEGHAN LAUTNER MD SECRETARY 40.00 X X 311872 0 0 YARON PERRY MD DIRECTOR 40.00 X 581228 0 57000 AHMAD ZAAROURA MD DIRECTOR 40.00 X 355928 0 0 JAMES MILLS CFO 40.00 X 211978 0 32290 JOSEPH MILLS MD COMPLIANCE OFFICER 40.00 X 409568 0 0 JAMES LUKAN MD PHYSICIAN 40.00 X 976504 0 55000 ALAN GUO MD PHYSICIAN 40.00 X 700836 0 57000 JEFFREY JORDAN MD PHYSICIAN 40.00 X 680860 0 0 CLAIRICE COOPER MD PHYSICIAN 40.00 X 630716 0 24000 AJAY PANCHAL MD PHYSICIAN 40.00 X 771028 0 57000 8199672 0 453290 15 0 1 0 0 394812 394812 CONTRACT REVENUE 624100 17504388 17504388 FEES FOR SERVICE 624100 3373841 3373841 GRADUATE MEDICAL EDUCATION REVENU 624100 2639854 2639854 SALARY SUPPORT 624100 2121163 2121163 MEDICAID SUPPLEMENT 624100 119834 119834 25759080 91997 91997 FORGIVENESS OF DEBT 900099 1715440 1715440 MISCELLANEOUS REVENUE 624100 901486 901486 2616926 28862815 28376006 0 91997 4409728 4247760 161968 15879963 14789892 1090071 1133486 993647 139839 710914 623208 87706 872935 765241 107694 126713 126713 18323 14658 3665 13408 10726 2682 377281 301826 75455 35105 35105 220032 176026 44006 503695 490796 12899 51738 49151 2587 14953 14953 89917 88119 1798 117755 94204 23551 MALPRACTICE INSURANCE 901209 901209 CHIEF ADMINISTRATIVE OF 703599 703599 BOOKS, DUES AND SUBSCRI 121415 121415 OTHER PROFESSIONAL EXPE 84576 84576 235421 228830 6591 26622166 24734941 1887225 0 3905612 7591497 493912 1803385 869089 1057164 3878756 2326790 268790 106773 534076 273519 305210 260557 3123305 1984785 337146 817883 13181820 15948834 3800917 4289123 113204 49890 3914121 4339013 X 0 0 0 0 9267699 11609821 9267699 11609821 13181820 15948834 2240649 101473 0 X X 0 1 X 1 0 X 109240 394812 504052 14816846 15112492 19740600 25273099 25759080 100702117 14816846 15221732 19740600 25273099 26153892 101206169 0 1204589 913578 2461758 2650412 2460296 9690633 1204589 913578 2461758 2650412 2460296 9690633 91515536 18372 21848 24580 147625 91997 304422 18372 21848 24580 147625 91997 304422 101286 46593 87659 852756 2616926 3705220 14936504 15290173 19852839 26273480 28862815 105215811 0.86980 0.88980 0.00290 0.00250 X 179763 29707 150056 290632 203442 87190 63681 40370 23311 260557 M&T SECURITIES 575666 F HSBC SECURITIES 1409119 F 1984785 MALPRACTICE CAPITAL CONTRIBUTIONS 361462 DEPOSITS 3700 PATIENT LISTS 202721 INVESTMENT IN LLC 250000 817883 28964288 101473 101473 28862815 0 28862815 26622166 0 26622166 0 26622166 X 0 0 0 1 0 1 0 0 0 JAMES LUKAN MD PHYSICIAN 976504 0 0 0 0 0 55000 0 0 0 1031504 0 0 0 JEFFREY BREWER MD DIRECTOR 774989 0 0 0 0 0 57000 0 0 0 831989 0 0 0 AJAY PANCHAL MD PHYSICIAN 771028 0 0 0 0 0 57000 0 0 0 828028 0 0 0 ALAN GUO MD PHYSICIAN 700836 0 0 0 0 0 57000 0 0 0 757836 0 0 0 JEFFREY JORDAN MD PHYSICIAN 680860 0 0 0 0 0 0 0 0 0 680860 0 0 0 CLAIRICE COOPER MD PHYSICIAN 630716 0 0 0 0 0 24000 0 0 0 654716 0 0 0 YARON PERRY MD DIRECTOR 581228 0 0 0 0 0 57000 0 0 0 638228 0 0 0 RAPHAEL BLOCHLE MD TREASURER 477583 0 0 0 0 0 57000 0 0 0 534583 0 0 0 STEVEN SCHWAITZBERG MD PRESIDENT 500210 0 0 0 0 0 0 0 0 0 500210 0 0 0 JOSEPH MILLS MD COMPLIANCE OFFICER 409568 0 0 0 0 0 0 0 0 0 409568 0 0 0 MACIEJ DRYJSKI MD DIRECTOR 350866 0 0 0 0 0 57000 0 0 0 407866 0 0 0 MARK FALVO MD DIRECTOR 378577 0 0 0 0 0 0 0 0 0 378577 0 0 0 AHMAD ZAAROURA MD DIRECTOR 355928 0 0 0 0 0 0 0 0 0 355928 0 0 0 MEEGHAN LAUTNER MD SECRETARY 311872 0 0 0 0 0 0 0 0 0 311872 0 0 0 JAMES MILLS CFO 181978 0 30000 0 0 0 31797 0 493 0 244268 0 0 0 PART I, LINE 5 SOME OFFICERS, DIRECTORS, KEY EMPLOYEES, OR FIVE HIGHEST PAID EMPLOYEES ARE PHYSICIANS WHOSE INCOME IS PARTIALLY DEPENDENT UPON SERVICES PROVIDED AND THEREFORE DEPENDENT ON THE REVENUE THAT IS DERIVED BY THE ORGANIZATION FROM THESE SERVICES. PART I, LINE 6 SOME OFFICERS, DIRECTORS, KEY EMPLOYEES, OR FIVE HIGHEST PAID EMPLOYEES ARE PHYSICIANS WHOSE INCOME IS PARTIALLY DEPENDENT UPON SERVICES PROVIDED AND THEREFORE DEPENDENT ON THE REVENUE THAT IS DERIVED BY THE ORGANIZATION FROM THESE SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS THAT MAY ELECT OTHER MEMBERS TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS GIVEN TO EACH BOARD MEMBER FOR REVIEW BEFORE THE 990 WAS FILED. THE WAS DONE VIA BOARD MEETING AND EMAIL. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN FPMP EMPLOYMENT AGREEMENT THAT PROHIBITS ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C EXPLANATION THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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