2014-11-13T14:18:46-06:00 2013-12-31 161003516 BROCK SCHECHTER & POLAKOFF LLP 726 EXCHANGE STREET SUITE 822 BUFFALO NY 14210 990 2013-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER ST BUFFALO NY 14215 WILLIAM FLYNN JR MD PRESIDENT 7168292859 2014-10-21 1 THOMAS P GROGAN P00038022 7168545034 2014-10-21 2013 2015-11-30 17:44:51Z WILLIAM FLYNN JR 462 GRIDER ST BUFFALO NY 14215 14930666 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. 4 0 72 0 0 0 0 0 13506397 14824556 14647 13940 2453708 92170 15974752 14930666 0 0 0 0 13396339 10951625 0 0 0 3118067 2686692 16514406 13638317 -539654 1292349 7171710 7908029 2196596 1942308 4975114 5965721 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 11869894 14916726 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 11869894 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 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 23 0 1 72 1 0 0 0 0 0 0 0 0 0 0 X 4 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 JEFFREY BREWER MD COMPLIANCE 2.00 X X 465555 38548 22265 JAMES LUKAN MD DIRECTOR 1.00 X 627974 48476 74625 WILLIAM FLYNN MD PRESIDENT 2.00 X 324916 66472 79542 LINDA HARRIS MD SECRETARY 2.00 X X 314172 55368 77300 CHARLES WILES MD VICE PRESIDENT 2.00 X 242316 67260 24162 ALAN POSNER MD TREASURER 2.00 X 329716 139343 88015 MACIEJ DRYJSKI MD DIRECTOR 2.00 X 336790 65163 78456 JAMES MILLS CFO 40.00 X 115197 0 12365 JOHN BUTSCH MD PHYSICIAN 40.00 X 348270 41408 22063 JOHN GIBBS MD PHYSICIAN 40.00 X 334445 0 63499 RAPHAEL BLOCHLE MD PHYSICIAN 40.00 X 379308 43548 73265 MICHAEL CHOPKO MD PHYSICIAN 40.00 X 364784 46605 62458 MARK LAFTAVI MD PHYSICIAN 40.00 X 354726 53553 76946 MERRILL DAYTON MD FORMER OFFICER 5.00 X 300796 216887 74306 JAMES HASSETT MD FORMER OFFICER 40.00 X 110099 158649 42368 4949064 1041280 871635 21 1 1 0 ERIE COUNTY MEDICAL CENTER 462 GRIDER ST BUFFALO NY 14215 RENT, SALARY REIMBURSEMENT REPAYMENTS 135000 1 FEES FROM SERVICE 624100 8088727 8088727 CONTRACT REVENUE 624100 3183915 3183915 GRADUATE MEDICAL EDUCATION REVENU 624100 2253313 2253313 SALARY SUPPORT 624100 572683 572683 MEDICAID SUPPLEMENT 624100 563510 563510 162408 162408 14824556 13940 13940 MISCELLANEOUS INCOME 624100 92170 92170 92170 14930666 14916726 0 13940 2896439 2581295 315144 6340422 5440252 900170 752685 602148 150537 534243 427394 106849 427836 342269 85567 26682 21346 5336 13595 10876 2719 128564 102851 25713 6070 4856 1214 278525 222820 55705 397808 358027 39781 65724 65724 1070 1070 83946 75551 8395 50639 40511 10128 MALPRACTICE INSURANCE 531073 531073 CAO'S FUND 454270 454270 RESIDENT EXPENSE 129004 129004 CONTRACTUAL SERVICES 125686 119402 6284 394036 339155 54881 13638317 11869894 1768423 0 4093684 4980868 842601 841349 786341 863666 128239 74037 1159664 995731 234612 163933 257097 298560 829136 685616 7171710 7908029 1489209 1446334 707387 495974 2196596 1942308 X 0 0 0 0 4975114 5965721 4975114 5965721 7171710 7908029 1292349 35298 -337040 0 X 0 1 X 0 0 X 14492447 15428378 14082377 13506397 14824556 72334155 14492447 15428378 14082377 13506397 14824556 72334155 0 1791287 1836681 1809452 2616130 8053550 1791287 1836681 1809452 2616130 8053550 64280605 31771 25604 20300 14647 13940 106262 31771 25604 20300 14647 13940 106262 53669 116033 2246990 2453708 92170 4962570 14577887 15570015 16349667 15974752 14930666 77402987 0.83050 0.86410 0.00140 0.00200 X LINE 12 EXPLANATION MISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTH CARE RELATED ORGANIZATIONS AND PRODUCT SALES THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION. 1159664 995731 163933 163933 MALPRACTICE CAPITAL CONTRIBUTIONS 185827 INVESTMENT IN PARTNERSHIP 3801 DEPOSITS 3700 ELECTRONIC HEALTHCARE SYSTEM ACCESS 492288 685616 X 14965964 35298 35298 14930666 0 14930666 13638317 0 13638317 0 13638317 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PRACTICE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PRACTICE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PRACTICE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PRACTICE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PRACTICE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. X 0 0 0 1 0 1 0 0 0 JEFFREY BREWER MD COMPLIANCE 465555 37119 0 0 0 1429 0 3810 0 18455 465555 60813 0 0 JAMES LUKAN MD DIRECTOR 627974 46899 0 0 0 1577 51000 5257 0 18368 678974 72101 0 0 WILLIAM FLYNN MD PRESIDENT 324916 66472 0 0 0 0 51000 10087 0 18455 375916 95014 0 0 LINDA HARRIS MD SECRETARY 314172 55368 0 0 0 0 51000 7932 0 18368 365172 81668 0 0 CHARLES WILES MD VICE PRESIDENT 242316 65120 0 0 0 2140 0 5707 0 18455 242316 91422 0 0 ALAN POSNER MD TREASURER 329716 139343 0 0 0 0 51000 18647 0 18368 380716 176358 0 0 MACIEJ DRYJSKI MD DIRECTOR 336790 42163 0 0 0 23000 51000 9001 0 18455 387790 92619 0 0 JOHN BUTSCH MD PHYSICIAN 348270 40055 0 0 0 1353 0 3608 0 18455 348270 63471 0 0 JOHN GIBBS MD PHYSICIAN 334445 0 0 0 0 0 51000 0 12499 0 397944 0 0 0 RAPHAEL BLOCHLE MD PHYSICIAN 379308 24619 0 0 0 18929 51000 3810 0 18455 430308 65813 0 0 MICHAEL CHOPKO MD PHYSICIAN 364784 45176 0 0 0 1429 51000 3809 0 7649 415784 58063 0 0 MARK LAFTAVI MD PHYSICIAN 354726 36053 0 0 0 17500 51000 7491 0 18455 405726 79499 0 0 MERRILL DAYTON MD FORMER OFFICER 300796 199424 0 0 0 17463 51000 15657 0 7649 351796 240193 0 0 JAMES HASSETT MD FORMER OFFICER 110099 137049 0 0 0 21600 0 23913 0 18455 110099 201017 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 11 A 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 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. UB ASSOCIATES INC UB DOWNTOWN GATEWAY BUILDING 77 GOO BUFFALO NY 14203 161559460 PROVIDE ADMINISTRATIVE SUPPORT FOR THE SUNY BUFFALO MEDICAL SCHOOLS NY 501(C)(3) LINE 9 N/A 0 STATE OF NEW YORK ONE COMMERCE PLAZA 99 WASHINGTON A ALBANY NY 12231 146013200 GOVERNMENT NY 501(C)(1) N/A 0 UNIVERSITY AT BUFFALO FOUNDATION INC PO BOX 900 BUFFALO NY 14226 160865182 PROVIDES SUPPORT FOR AND PROMOTES THE ACTIVITIES OF THE UNIVERSITY NY 501(C)(3) LINE 9 N/A 0 UB FAMILY MEDICINE INC 77 GOODELL STREET BUFFALO NY 14203 161280696 PROVIDES MEDICAL SERVICES AND SUPPORTS THE UNIVERSITY EDUCATION NY 501(C)(3) LINE 9 N/A 0 ACADEMIC MEDICINE SERVICES INC 4498 MAIN STREET SUITE 23 AMHERST NY 14226 161455134 PROVIDES MEDICAL SERVICES AND SUPPORTS THE UNIVERSITY EDUCATION NY 501(C)(3) LINE 9 N/A 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 STATE OF NEW YORK E 21332 MARKET VALUE STATE OF NEW YORK P 454270 MARKET VALUE