2020-09-21T10:54:26-05:00 2019-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2019-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER STREET BUFFALO NY 14215 STEVEN SCHWAITZBERG MD PRESIDENT 7168292859 2020-09-21 1 KATHERINE L SIVIC P01251874 7166302400 2020-09-21 72.45.217.66 2020-09-21 11:53:57 ED P 812E703A05D2EECE1009E379DA4D9F674AC58BAB E0A3D748C198A16ABB0B5A932BF1576151154A5F 2019 2021-01-29 14:40:06Z STEVEN SCHWAITZBERG MD 462 GRIDER STREET BUFFALO NY 14215 26273480 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. 6 0 146 0 0 0 0 0 19740600 25273099 24580 147625 87659 852756 19852839 26273480 0 0 0 0 16609858 21568448 0 0 0 3088762 4265482 19698620 25833930 154219 439550 12195287 13181820 3481320 3914121 8713967 9267699 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 24053126 26273480 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 24053126 1 0 0 0 0 0 0 0 0 0 1 1 0 0 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 29 0 1 146 1 0 0 0 0 0 0 0 0 0 0 X 6 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 442712 321613 23409 AARON HOFFMAN MD DIRECTOR 40.00 X 90123 76578 0 MACIEJ DRYJSKI MD DIRECTOR 40.00 X 417772 72590 79409 CARROLL HARMON MD PHD VICE PRESIDENT 40.00 X X 0 153114 23409 JEFFREY BREWER MD DIRECTOR 40.00 X 695528 48457 79409 RAPHAEL BLOCHLE MD TREASURER 40.00 X X 541207 48457 79409 MARK FALVO MD DIRECTOR 40.00 X 373175 52503 0 LIISE KAYLER MD DIRECTOR 40.00 X 379958 84361 9309 ELEANOR FUNG MD SECRETARY 40.00 X X 409634 49541 9309 JAMES MILLS CHIEF FINANCIAL OFFICER 40.00 X 165922 0 24889 MEEGHAN LAUTNER MD COMPLIANCE OFFICER 40.00 X 297805 51483 18980 WEIDUM ALAN GUO MD PHYSICIAN 40.00 X 725187 68978 104409 JAMES LUKAN MD PHYSICIAN 40.00 X 975751 57542 74795 JEFFREY JORDAN MD PHYSICIAN 40.00 X 683216 47232 20395 MICHAEL CHOPKO MD PHYSICIAN 40.00 X 611439 52828 75160 CLAIRICE COOPER MD PHYSICIAN 40.00 X 586142 46723 53395 7395571 1232000 675686 36 0 1 0 6 CONTRACT REVENUE 624100 17291104 17291104 FEES FOR SERVICE 624100 3501002 3501002 GRADUATE MEDICAL EDUCATION REVENU 624100 2701431 2701431 SALARY SUPPORT 624100 1582114 1582114 MEDICAID SUPPLEMENT 624100 197448 197448 25273099 147625 147625 MISCELLANEOUS REVENUE 624100 852756 852756 852756 26273480 26125855 0 147625 3813836 3699421 114415 15281550 14122613 1158937 1014207 933070 81137 590841 537665 53176 868014 789893 78121 81533 81533 13568 10854 2714 12448 9958 2490 392254 313804 78450 30838 30838 254793 203834 50959 507606 485689 21917 209510 199035 10475 11640 11640 117580 115228 2352 85084 68067 17017 MALPRACTICE INSURANCE 1211968 1211968 0 CHIEF ADMINISTRATIVE OF 828122 828122 0 BOOKS, DUES AND SUBSCRI 135817 135817 0 MEALS AND ENTERTAINMENT 131404 105123 26281 241317 240487 830 25833930 24053126 1780804 0 4661577 3905612 526796 493912 941602 869089 2218929 3878756 257481 268790 720867 415657 422790 305210 2900914 3123305 265198 337146 12195287 13181820 3273799 3800917 207521 113204 3481320 3914121 X 0 0 0 0 8713967 9267699 8713967 9267699 12195287 13181820 439550 114182 0 X X 0 1 X 1 0 X 109240 109240 14491559 14816846 15112492 19740600 25273099 89434596 14491559 14816846 15221732 19740600 25273099 89543836 0 1437638 1204589 913578 2461758 2650412 8667975 1437638 1204589 913578 2461758 2650412 8667975 80875861 18318 18372 21848 24580 147625 230743 18318 18372 21848 24580 147625 230743 25327 101286 46593 87659 852756 1113621 14535204 14936504 15290173 19852839 26273480 90888200 0.88980 0.90020 0.00250 0.00130 X 179763 21428 158335 488989 366315 122674 52115 27914 24201 305210 M&T SECURITIES 499236 F HSBC SECURITIES 2624069 F 3123305 26387662 114182 114182 26273480 0 26273480 25833930 0 25833930 0 25833930 X 0 0 0 1 0 1 0 0 0 STEVEN SCHWAITZBERG MD PRESIDENT 442712 304813 0 0 0 16800 0 0 0 23409 442712 345022 0 0 AARON HOFFMAN MD DIRECTOR 90123 57578 0 0 0 19000 0 0 0 0 90123 76578 0 0 MACIEJ DRYJSKI MD DIRECTOR 417772 47590 0 0 0 25000 56000 0 0 23409 473772 95999 0 0 CARROLL HARMON MD PHD VICE PRESIDENT 0 143576 0 0 0 9538 0 0 0 23409 0 176523 0 0 JEFFREY BREWER MD DIRECTOR 695528 46827 0 0 0 1630 56000 0 0 23409 751528 71866 0 0 RAPHAEL BLOCHLE MD TREASURER 541207 27827 0 0 0 20630 56000 0 0 23409 597207 71866 0 0 MARK FALVO MD DIRECTOR 373175 52503 0 0 0 0 0 0 0 0 373175 52503 0 0 LIISE KAYLER MD DIRECTOR 379958 79544 0 0 0 4817 0 0 0 9309 379958 93670 0 0 ELEANOR FUNG MD SECRETARY 409634 47755 0 0 0 1786 0 0 0 9309 409634 58850 0 0 JAMES MILLS CHIEF FINANCIAL OFFICER 165922 0 0 0 0 0 24889 0 0 0 190811 0 0 0 MEEGHAN LAUTNER MD COMPLIANCE OFFICER 297805 11822 0 0 0 39661 0 18980 0 0 297805 70463 0 0 WEIDUM ALAN GUO MD PHYSICIAN 725187 37358 0 0 0 31620 56000 25000 0 23409 781187 117387 0 0 JAMES LUKAN MD PHYSICIAN 975751 38542 0 0 0 19000 55000 0 0 19795 1030751 77337 0 0 JEFFREY JORDAN MD PHYSICIAN 683216 45401 0 0 0 1831 0 0 0 20395 683216 67627 0 0 MICHAEL CHOPKO MD PHYSICIAN 611439 51198 0 0 0 1630 55000 0 0 20160 666439 72988 0 0 CLAIRICE COOPER MD PHYSICIAN 586142 45138 0 0 0 1585 33000 0 0 20395 619142 67118 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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