UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INC (EIN 16-1485974)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-10
IRS object ID
201523149349303652
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-10T16:10:20-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161468002PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHIAMPOU TRAVIS BESAW & KERSHNER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line145 BRYANT WOODS NORTHAddressLine1Txt
CityAMHERSTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14228ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161485974EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone7168818050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1239 BRYANT STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVANESSA BARNABEIPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone7168818050PhoneNum
Signature2015-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID A URBANPreparerPersonNm
PTINP00630018PTIN
Phone7166302400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerVANESSA BARNABEIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1239 BRYANT STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14222ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,260,786GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UBMD.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS FORMED FOR THE PURPOSE OF SUPPORTING THE EDUCATIONAL PURPOSE OF THE STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION TO STUDENTS, INTERNS AND RESIDENTS AND RENDERING PROFESSIONAL SERVICES AND FURTHER TO PRACTICE THE PROFESSION OF MEDICINE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee31TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,437,466PYProgramServiceRevenueAmt
CY Program Service Revenue$5,190,147CYProgramServiceRevenueAmt
PY Investment Income$9,745PYInvestmentIncomeAmt
CY Investment Income$10,514CYInvestmentIncomeAmt
PY Other Revenue$90,567PYOtherRevenueAmt
CY Other Revenue$60,125CYOtherRevenueAmt
PY Total Revenue$4,537,778PYTotalRevenueAmt
CY Total Revenue$5,260,786CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,792,976PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,717,981CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,643,212PYOtherExpensesAmt
CY Other Expenses$1,645,662CYOtherExpensesAmt
PY Total Expenses$5,436,188PYTotalExpensesAmt
CY Total Expenses$5,363,643CYTotalExpensesAmt
PY Revenues Less Expenses-$898,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$102,857CYRevenuesLessExpensesAmt
Total Assets BOY$2,320,353TotalAssetsBOYAmt
Total Assets EOY$2,024,510TotalAssetsEOYAmt
Total Liabilities BOY$1,049,746TotalLiabilitiesBOYAmt
Total Liabilities EOY$820,699TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,270,607NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,203,811NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THE HIGHEST QUALITY CARE TO WOMEN OF WESTERN NEW YORK IN THE SPECIALTY AREAS OF GENERAL AND HIGH RISK OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,492,691ExpenseAmt
Revenue$5,250,272RevenueAmt
DescTHE CORPORATION PROVIDED VARIOUS MEDICAL SERVICES TO THE FEMALE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION IN THE AREAS OF OBSTETRICS AND GYNECOLOGY. THE CORPORATION ALSO SUPPORTS THE EDUCATIONAL PURPOSE OF THE STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES BY PROVIDING CLINICAL INSTRUCTION AND SUPERVISION OF STUDENTS,INTERNS AND RESIDENTS.Desc
Total Program Service Expenses$4,492,691TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee31EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN GARBAY KELLY BADURABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168593478PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1WCHOB 219 BRYANT STAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14222ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
VANESSA BARNABEI MD PHD
PRESDIENT40.00Yes (X)Yes (X)$217,725$283,375$55,792
FAYE JUSTICIA-LINDE MD
VICE PRESIDENT40.00Yes (X)Yes (X)$179,084$50,316$25,590
CHRISTIAN DOLENSEK DO
SECRETARY40.00Yes (X)Yes (X)$194,294$39,859$33,588
TOVA ABLOVE MD
TREASURER40.00Yes (X)Yes (X)$304,468$39,243$46,238
WILLIAM DILLON MD
ASSISTANT DIRECTOR40.00Yes (X)$0$127,790$37,279
TAECHIN YU MD
ASSISTANT DIRECTOR40.00Yes (X)Yes (X)$261,215$47,857$45,067
JOHN GARBAY
CFO & COO40.00Yes (X)$118,802$0$10,246
JEFFREY JOHNSON MD
PHYSICIAN40.00$384,167$65,198$49,898Yes (X)
AMOL LELE MD
PHYSICIAN40.00$282,544$117,870$47,484Yes (X)
MANDEEP BRAR MD
PHYSICIAN40.00$230,132$61,219$45,314Yes (X)
LAURA RAYNER MD
PHYSICIAN40.00$119,933$33,122$9,595Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,292,364TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$865,849TotReportableCompRltdOrgAmt
Total Other Compensation$406,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT REVENUE624100$2,147,943$2,147,943
GRADUATE MEDICAL EDUCA624100$1,850,970$1,850,970
FEES FOR SERVICES624100$702,185$702,185
SALARY SUPPORT624100$419,668$419,668
HITECH INCENTIVE FUNDS624100$60,882$60,882

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,499TotalRevenueColumnAmt
Related Or Exempt Func Income$8,499RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,190,147TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,514TotalRevenueColumnAmt
Exclusion$10,514ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$60,125TotalRevenueColumnAmt
Related Or Exempt Func Income$60,125RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$60,125OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,260,786TotalRevenueColumnAmt
Related Or Exempt Func Income$5,250,272RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,514ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,193,562TotalAmt
Program Services$1,974,206ProgramServicesAmt
Management And General$219,356ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$985,967TotalAmt
Program Services$801,957ProgramServicesAmt
Management And General$184,010ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$250,501TotalAmt
Program Services$197,896ProgramServicesAmt
Management And General$52,605ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$238,055TotalAmt
Program Services$188,063ProgramServicesAmt
Management And General$49,992ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,896TotalAmt
Program Services$39,418ProgramServicesAmt
Management And General$10,478ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,650TotalAmt
Management And General$4,650ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,421TotalAmt
Management And General$49,421ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,413TotalAmt
Program Services$12,328ProgramServicesAmt
Management And General$14,085ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,602TotalAmt
Program Services$45,602ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$190,265TotalAmt
Program Services$165,594ProgramServicesAmt
Management And General$24,671ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,582TotalAmt
Program Services$42,582ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,690TotalAmt
Program Services$3,635ProgramServicesAmt
Management And General$7,055ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$147,696TotalAmt
Program Services$141,788ProgramServicesAmt
Management And General$5,908ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$50,183TotalAmt
Management And General$50,183ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MALPRACTICE INSURANCE$320,992$320,992
OFFICE AND BILLING$233,684$175,263$58,421
CAO'S FUND$122,677$122,677
CONTRACTUAL SERVICES$122,226$122,226

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$278,581TotalAmt
Program Services$261,141ProgramServicesAmt
Management And General$17,440ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,363,643TotalAmt
Program Services$4,492,691ProgramServicesAmt
Management And General$870,952ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$451,747BOYAmt
EOY$331,124EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$32,623BOYAmt
EOY$32,380EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$238,342BOYAmt
EOY$225,411EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$143,673BOYAmt
EOY$126,485EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$701,297LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$377,245LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$398,734BOYAmt
EOY$324,052EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$440,967BOYAmt
EOY$487,138EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$614,267BOYAmt
EOY$497,920EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,320,353BOYAmt
EOY$2,024,510EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$250,024BOYAmt
EOY$266,554EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$439,344BOYAmt
EOY$299,321EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$360,378BOYAmt
EOY$254,824EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,049,746BOYAmt
EOY$820,699EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,270,607BOYAmt
EOY$1,203,811EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,270,607BOYAmt
EOY$1,203,811EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,320,353BOYAmt
EOY$2,024,510EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$102,857ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$36,061NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,443,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,144,709CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,016,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,437,466CurrentTaxYearMinus1YearAmt
Current Tax Year$5,190,147CurrentTaxYearAmt
Total$20,232,072TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,443,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,144,709CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,016,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,437,466CurrentTaxYearMinus1YearAmt
Current Tax Year$5,190,147CurrentTaxYearAmt
Total$20,232,072TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$68,502CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67,374CurrentTaxYearMinus1YearAmt
Total$135,876TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$68,502CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67,374CurrentTaxYearMinus1YearAmt
Total$135,876TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$20,096,196PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,731CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,745CurrentTaxYearMinus1YearAmt
Current Tax Year$10,514CurrentTaxYearAmt
Total$82,077TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,731CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,745CurrentTaxYearMinus1YearAmt
Current Tax Year$10,514CurrentTaxYearAmt
Total$82,077TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,767CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,567CurrentTaxYearMinus1YearAmt
Current Tax Year$60,125CurrentTaxYearAmt
Total$177,051TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,476,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,176,217CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,039,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,537,778CurrentTaxYearMinus1YearAmt
Current Tax Year$5,260,786CurrentTaxYearAmt
Total$20,491,200TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98070PublicSupportCY509Pct
Public Support PY5090.98370PublicSupportPY509Pct
Investment Income CY0.00400InvestmentIncomeCYPct
Investment Income PY0.00400InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTHCARE RELATED ORGANIZATIONS, INSURANCE SETTLEMENTS, AND SALARY REIMBURSEMENTS THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,087OtherCostOrOtherBasisAmt
Depreciation$86,624DepreciationAmt
Book Value$108,463BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$504,260OtherCostOrOtherBasisAmt
Depreciation$289,760DepreciationAmt
Book Value$214,500BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,950OtherCostOrOtherBasisAmt
Depreciation$861DepreciationAmt
Book Value$1,089BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$324,052TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER INVESTMENTS - M&TDesc
Book Value$487,138BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$487,138TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
MALPRACTICE CAPITAL CONTRIBUTIONS$220,887
SECURITY DEPOSIT$5,145
LONG-TERM PREPAIDS$16,800
ELECTRONIC HEALTHCARE SYSTEM ACCESS$255,088
FieldValueIRS element (for citing)
Total Book Value Other Assets$497,920TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO UBADesc
Amt$254,824Amt
FieldValueIRS element (for citing)
Total Liability$254,824TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$5,296,847TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$36,061NetUnrealizedGainsInvstAmt
Revenue Not Reported$36,061RevenueNotReportedAmt
Revenue Subtotal$5,260,786RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,260,786TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,363,643TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,363,643ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,363,643TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
VANESSA BARNABEI MD PHD
PRESDIENT$217,725$245,075$0$0$0$38,300$17,418$20,400$0$17,974$235,143$321,749$0$0
FAYE JUSTICIA-LINDE MD
VICE PRESIDENT$179,084$48,766$0$0$0$1,550$14,327$4,133$0$7,130$193,411$61,579$0$0
CHRISTIAN DOLENSEK DO
SECRETARY$194,294$38,369$0$0$0$1,490$15,651$0$1,344$16,593$211,289$56,452$0$0
TOVA ABLOVE MD
TREASURER$304,468$37,678$0$0$0$1,565$24,357$3,576$0$18,305$328,825$61,124$0$0
WILLIAM DILLON MD
ASSISTANT DIRECTOR$0$127,790$0$0$0$0$0$19,305$0$17,974$0$165,069$0$0
TAECHIN YU MD
ASSISTANT DIRECTOR$261,215$47,857$0$0$0$0$20,897$5,865$0$18,305$282,112$72,027$0$0
JEFFREY JOHNSON MD
PHYSICIAN$364,167$62,769$20,000$0$0$2,429$29,133$5,552$0$15,213$413,300$85,963$0$0
AMOL LELE MD
PHYSICIAN$282,544$117,870$0$0$0$0$22,603$17,444$0$7,437$305,147$142,751$0$0
MANDEEP BRAR MD
PHYSICIAN$230,132$38,219$0$0$0$23,000$18,411$8,929$0$17,974$248,543$88,122$0$0
LAURA RAYNER MD
PHYSICIAN$119,933$31,927$0$0$0$1,195$9,595$0$0$0$129,528$33,122$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILAN YIM-YUBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF TAECHIN YURelationshipDescriptionTxt
Transaction$46,539TransactionAmt
TransactionOFFICE RENT (6161 TRANSIT ROAD)TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DELEGATES CERTAIN MANAGEMENT FUNCTIONS TO A RELATED PARTY, UB ASSOCIATES, INC., IN EXCHANGE FOR A FEE.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION HAS MEMBERS THAT MAY ELECT OTHER MEMBERS TO THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN DECISIONS MADE BY THE BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF MEMBERSHIP AND/OR THE STATE UNIVERSITY OF NEW YORK (SUNY) AT BUFFALO.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS GIVEN TO EACH BOARD MEMBER FOR REVIEW BEFORE THE 990 WAS FILED. THIS WAS DONE VIA BOARD MEETING AND EMAIL.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES DISCLOSURE OF ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15PHYSICIAN COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK. NON-PHYSICIAN COMPENSATION IS DETERMINED USING MARKET RATES FOR SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE 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 SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
UNIVERSITY AT BUFFALO ASSOCIATES INC
UB DOWNTOWN GATEWAY BUILDING 77 GOOBUFFALONY14203161559460PROVIDE ADMIN SUPPORT TO SUNY BUFFALO MEDICAL SCHOOL PRACTICE PLANNY501(C)(3)LINE 9N/A0
STATE OF NEW YORK
ONE COMMERCE PLAZA 99 WASHINGTON AVALBANYNY12231146013200GOVERNMENTNY501(C)(1)N/A0
UNIVERSITY AT BUFFALO FAMILY MEDICINE INC
77 GOODELL STREETBUFFALONY14203161280696PROVIDES MEDICAL SERVICESNY501(C)(3)LINE 9N/A0
UNIVERSITY AT BUFFALO FOUNDATION INC
PO BOX 900BUFFALONY14226160865182PROVIDE ADMIN SUPPORT FOR AND PROMOTE THE ACTIVITIES OF THE UNIVERSITYNY501(C)(3)LINE 9N/A0
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
239 BRYANT STREETBUFFALONY14222161238821PROVIDES MEDICAL SERVICESNY501(C)(3)LINE 9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1STATE OF NEW YORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$122,677InvolvedAmt
Method Of Amount DeterminationMARKET VALUEMethodOfAmountDeterminationTxt

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