2019-11-15T13:56:11-06:00 2018-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2018-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER STREET BUFFALO NY 14215 STEVEN SCHWAITZBERG MD PRESIDENT 7168292859 2019-11-07 1 CHRISTINA HEIM P01360063 7166302400 2019-11-07 72.45.217.66 2019-11-07 10:15:24 ES P 9EF7FE056D34465340A7603B3F96AF2A54496CDE 3CAB4B20C9077208CE704FCC9099C88110051BC5 2018 2020-03-31 21:24:44Z STEVEN SCHWAITZBERG MD 462 GRIDER STREET BUFFALO NY 14215 19852839 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 0 112 0 0 25901 109240 0 15112492 19740600 21848 24580 46593 87659 15290173 19852839 0 0 0 0 12142153 16609858 0 0 0 2953399 3088762 15095552 19698620 194621 154219 11255512 12195287 2672199 3481320 8583313 8713967 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 18287224 19852839 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 18287224 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 22 0 112 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 1 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 450223 312716 8030 AARON HOFFMAN MD DIRECTOR 40.00 X 79819 78037 0 MACIEJ DRYJSKI MD DIRECTOR 40.00 X 393000 69339 78321 CARROLL HARMON MD PHD DIRECTOR 40.00 X 0 147920 23321 JEFFREY BREWER MD DIRECTOR 40.00 X 712605 47398 78321 WILLIAM FLYNN MD VICE PRESIDENT 40.00 X X 588818 83706 78321 RAPHAEL BLOCHLE MD COMPLIANCE OFFICER & TREASURER 40.00 X X 559822 47392 78321 CLAIRICE COOPER MD SECRETARY 40.00 X X 417669 22658 39996 JAMES MILLS CHIEF FINANCIAL OFFICER 40.00 X 150152 0 0 WEIDUM ALAN GUO MD PHYSICIAN 40.00 X 770659 50455 102321 JAMES LUKAN MD PHYSICIAN 40.00 X 1085790 54811 74692 MOLLY MOORE MD PHYSICIAN 40.00 X 614660 45540 21144 JEFFREY JORDAN MD PHYSICIAN 40.00 X 727674 45053 21144 MICHAEL CHOPKO MD PHYSICIAN 40.00 X 595560 50740 64315 SUNIL PATEL MD FORMER TREASURER (TERM APRIL 2018) 40.00 X 316571 0 0 7463022 1055765 668247 34 1 1 0 0 CONTRACT REVENUE 624100 12726180 12726180 FEES FOR SERVICE 624100 3188121 3188121 GRADUATE MEDICAL EDUCATION REVENU 624100 2468951 2468951 SALARY SUPPORT 624100 1316855 1316855 MEDICAID SUPPLEMENT 624100 29493 29493 11000 11000 19740600 24580 24580 MISCELLANEOUS REVENUE 624100 87659 87659 87659 19852839 19828259 0 24580 3352108 3251545 100563 11179976 10317274 862702 845615 777966 67649 586660 533861 52799 645499 587404 58095 99658 99658 40657 32526 8131 14124 11299 2825 109798 87838 21960 57146 57146 318031 254425 63606 491059 469888 21171 120191 114181 6010 10959 10959 117352 115005 2347 79288 63430 15858 CHIEF ADMINISTRATIVE OF 641981 641981 MALPRACTICE INSURANCE 464902 464902 MEALS AND ENTERTAINMENT 136290 109032 27258 BOOKS, DUES AND SUBSCRI 106877 106877 280449 279685 764 19698620 18287224 1411396 0 6745831 4661577 20424 526796 931478 941602 2061870 2218929 353974 257481 720867 298077 536833 422790 415495 2900914 189607 265198 11255512 12195287 2374345 3273799 297854 207521 2672199 3481320 X 0 0 0 0 8583313 8713967 8583313 8713967 11255512 12195287 154219 -23565 0 X X 0 1 X 1 0 X 109240 109240 13205646 14491559 14816846 15112492 19740600 77367143 13205646 14491559 14816846 15221732 19740600 77476383 0 1346746 1437638 1204589 913578 2461758 7364309 1346746 1437638 1204589 913578 2461758 7364309 70112074 15563 18318 18372 21848 24580 98681 15563 18318 18372 21848 24580 98681 49277 25327 101286 46593 87659 310142 13270486 14535204 14936504 15290173 19852839 77885206 0.90020 0.89140 0.00130 0.00120 X 179763 13149 166614 488989 268517 220472 52115 16411 35704 422790 M&T SECURITIES 402786 F HSBC SECURITIES 2498128 F 2900914 19829274 -23565 -23565 19852839 0 19852839 19698620 0 19698620 0 19698620 X 0 0 0 1 0 1 0 0 0 STEVEN SCHWAITZBERG MD PRESIDENT 450223 296216 0 0 0 16500 0 0 0 8030 450223 320746 0 0 AARON HOFFMAN MD DIRECTOR 79819 59537 0 0 0 18500 0 0 0 0 79819 78037 0 0 MACIEJ DRYJSKI MD DIRECTOR 393000 44839 0 0 0 24500 55000 0 0 23321 448000 92660 0 0 CARROLL HARMON MD PHD DIRECTOR 0 138695 0 0 0 9225 0 0 0 23321 0 171241 0 0 JEFFREY BREWER MD DIRECTOR 712605 45801 0 0 0 1597 55000 0 0 23321 767605 70719 0 0 WILLIAM FLYNN MD VICE PRESIDENT 588818 83706 0 0 0 0 55000 0 0 23321 643818 107027 0 0 RAPHAEL BLOCHLE MD COMPLIANCE OFFICER & TREASURER 559822 27301 0 0 0 20091 55000 0 0 23321 614822 70713 0 0 CLAIRICE COOPER MD SECRETARY 417669 21780 0 0 0 878 38500 0 0 1496 456169 24154 0 0 JAMES MILLS CHIEF FINANCIAL OFFICER 150152 0 0 0 0 0 0 0 0 0 150152 0 0 0 WEIDUM ALAN GUO MD PHYSICIAN 770659 21125 0 0 0 29330 55000 24000 0 23321 825659 97776 0 0 JAMES LUKAN MD PHYSICIAN 1085790 36311 0 0 0 18500 55000 0 0 19692 1140790 74503 0 0 MOLLY MOORE MD PHYSICIAN 614660 25270 0 0 0 20270 0 0 0 21144 614660 66684 0 0 JEFFREY JORDAN MD PHYSICIAN 727674 43292 0 0 0 1761 0 0 0 21144 727674 66197 0 0 MICHAEL CHOPKO MD PHYSICIAN 595560 49173 0 0 0 1567 55000 0 0 9315 650560 60055 0 0 SUNIL PATEL MD FORMER TREASURER (TERM APRIL 2018) 316571 0 0 0 0 0 0 0 0 0 316571 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 4 AFTER 10 NEW MEMBERS, ANOTHER DIRECTOR IS ADDED TO THE BOARD. 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. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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