2014-09-30T14:25:33-05:00 2013-12-31 161003516 BROCK SCHECHTER & POLAKOFF LLP 726 EXCHANGE STREET SUITE 822 BUFFALO NY 14210 990 2013-01-01 161485974 UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS UNIV 7168818050 239 BRYANT STREET BUFFALO NY 14222 VANESSA BARNABEI CHAIRMAN 7168818050 2014-08-20 1 THOMAS P GROGAN P00038022 7168545034 2014-08-19 2013 2015-11-30 17:44:51Z VANESSA BARNABEI 239 BRYANT STREET BUFFALO NY 14222 4537778 0 X WWW.UBMD.COM X 1995 NY THE 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 OF STUDENTS,INTERNS AND RESIDENTS AND RENDERING PROFESSIONAL SERVICES AND FURTHER TO PRACTICE THE PROFESSION OF MEDICINE. 6 0 33 0 0 0 0 0 2376875 4437466 14731 9745 1648071 90567 4039677 4537778 0 0 0 0 3972265 3792976 0 0 0 1493819 1643212 5466084 5436188 -1426407 -898410 3401246 2320353 1284224 1049746 2117022 1270607 TO 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. 0 0 4566959 4528033 THE 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. 4566959 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 8 0 1 33 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 0 NY X X JOHN GARBAY 7168787578 219 BRYANT ST 3RD FLOOR ANNEX BUFFALO NY 14222 LATA SANTHAKUMAR VICE PRESIDENT 40.00 X X 201676 42073 38595 FAYE JUSTICIA-LINDE SECRETARY 40.00 X X 206640 49710 27978 AMOL LELE ASSISTANT DIRECTOR 40.00 X X 282526 122823 48164 WILLIAM DILLON ASSISTANT DIRECTOR 40.00 X X 0 133967 38486 VANESSA BARNABEI PRESIDENT 40.00 X X 211932 294577 48214 MAJID SHAMAN TREASURER 40.00 X X 219751 47997 29150 TAECHIN YU ASSISTANT DIRECTOR 40.00 X 261890 53690 45675 JOHN GARBAY CFO, COO 40.00 X 116752 0 19817 MANDEEP BRAR HIGHEST PAID 40.00 X 289088 64431 50813 CHRISTIAN DOLENSEK HIGHEST PAID 40.00 X 242051 0 30514 ARMINDA MAURICIO HIGHEST PAID 40.00 X 101434 0 8115 BEMAN KHULPATEEA HIGHEST PAID 40.00 X 196886 0 26901 TOVA ABLOVE HIGHEST PAID 40.00 X 101633 11642 13952 ARMANDO ARROYO PHYSICIAN (FORMER PRESIDENT) 40.00 X 13740 13250 3823 PANKAJ SINGHAL PHYSICIAN 40.00 X 176465 33518 25103 DENNIS MAURICIO FORMER DIRECTOR 40.00 X 92262 24287 10306 2714726 891965 465606 13 1 1 0 0 GRADUATE MEDICAL EDUCA 624100 1804780 1804780 CONTRACT REVENUE 624100 1528107 1528107 FEES FOR SERVICES 624100 886314 886314 SALARY SUPPORT 624100 138893 138893 HITECH INCENTIVE FUNDS 624100 42500 42500 36872 36872 4437466 9745 9745 MISCELLANEOUS INCOME 624100 90567 90567 90567 4537778 4528033 0 9745 1315932 1296473 19459 2047583 1626398 421185 174276 136705 37571 196446 155192 41254 58739 46404 12335 6235 6235 51113 51113 39564 39564 11653 11653 112631 84473 28158 186269 163654 22615 90617 90617 7427 2525 4902 145725 139896 5829 34858 34858 MALPRACTICE INSURANCE 314502 314502 0 CONTRACTUAL SERVICES 181283 181283 0 CAO'S FUND 127605 0 127605 CLINICAL SUPPLIES AND F 126839 126839 0 206891 190345 16546 5436188 4566959 869229 0 1246796 451747 32837 32623 350090 238342 131122 143673 710770 312036 519028 398734 379863 440967 741510 614267 3401246 2320353 671934 250024 227931 439344 384359 360378 1284224 1049746 X 0 0 0 0 2117022 1270607 2117022 1270607 3401246 2320353 -898410 51995 0 X X 0 1 X 1 0 X 5445202 3443531 3144709 4016219 4437466 20487127 5445202 3443531 3144709 4016219 4437466 20487127 0 68502 67374 135876 68502 67374 135876 20351251 12135 25346 21741 14731 9745 83698 12135 25346 21741 14731 9745 83698 7865 9767 8727 90567 116926 5457337 3476742 3176217 4039677 4537778 20687751 0.98370 0.80390 0.00400 0.00360 X SCHEDULE A, PART III, LINE 12: MISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTH CARE RELATED ORGANIZATIONS, INSURANCE SETTLEMENTS, AND SALARY REIMBURSEMENTS THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION. 220448 85064 135384 488372 226501 261871 1950 471 1479 398734 OTHER INVESTMENTS - M&T 440967 F 440967 MALPRACTICE CAPITAL CONTRIBUTIONS 211880 SECURITY DEPOSIT 8145 LONG-TERM PREPAIDS 33600 ELECTRONIC HEALTHCARE SYSTEM ACCESS 360642 614267 DUE TO UBA 360378 360378 X 4589773 51995 51995 4537778 0 4537778 5436188 0 5436188 0 5436188 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 0 0 0 0 0 0 LATA SANTHAKUMAR VICE PRESIDENT 201676 23038 0 0 0 19035 16134 4093 0 18368 217810 64534 0 0 FAYE JUSTICIA-LINDE SECRETARY 206640 48189 0 0 0 1521 16531 4057 0 7390 223171 61157 0 0 AMOL LELE ASSISTANT DIRECTOR 282526 122823 0 0 0 0 22602 18096 0 7466 305128 148385 0 0 WILLIAM DILLON ASSISTANT DIRECTOR 0 133967 0 0 0 0 0 20031 0 18455 0 172453 0 0 VANESSA BARNABEI PRESIDENT 211932 256998 0 0 0 37579 16755 13004 0 18455 228687 326036 0 0 MAJID SHAMAN TREASURER 219751 46527 0 0 0 1470 17580 3921 0 7649 237331 59567 0 0 TAECHIN YU ASSISTANT DIRECTOR 261890 53690 0 0 0 0 20951 6356 0 18368 282841 78414 0 0 MANDEEP BRAR HIGHEST PAID 289088 41431 0 0 0 23000 23127 9231 0 18455 312215 92117 0 0 CHRISTIAN DOLENSEK HIGHEST PAID 242051 0 0 0 0 0 19364 0 11150 0 272565 0 0 0 BEMAN KHULPATEEA HIGHEST PAID 196886 0 0 0 0 0 15751 0 11150 0 223787 0 0 0 ARMANDO ARROYO PHYSICIAN (FORMER PRESIDENT) 13740 10460 0 0 0 2790 1099 1351 0 1373 14839 15974 0 0 PANKAJ SINGHAL PHYSICIAN 176465 15036 0 0 0 18482 14117 0 0 10986 190582 44504 0 0 DENNIS MAURICIO FORMER DIRECTOR 92262 23512 0 0 0 775 0 2067 0 8239 92262 34593 0 0 MILAN YIM-YU SPOUSE OF TAECHIN YU 44407 OFFICE RENTAL (6161 TRANSIT RD.) 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CERTAIN MANAGEMENT FUNCTIONS TO A RELATED PARTY, UB ASSOCIATES, INC. IN EXCHANGE FOR A FEE. 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 A, LINE 7B CERTAIN 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 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 THE ORGANIZATION REQUIRES DISCLOSURE OF ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 PHYSICIAN 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE TO THIS PROCESS SINCE THE PRIOR YEAR. UB ASSOCIATES INC UB DOWNTOWN GATEWAY BUILDING 77 GOO BUFFALO NY 14203 161559460 PROVIDE ADMIN SUPPORT TO SUNY BUFFALO MEDICAL SCHOOL PRACTICE PLAN 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 UB FAMILY MEDICINE INC 77 GOODELL ST BUFFALO NY 14203 161280696 PROVIDES MEDICAL SERVICES NY 501(C)(3) LINE 9 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 UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC 239 BRYANT ST BUFFALO NY 14222 161238821 PROVIDES MEDICAL SERVICES NY 501(C)(3) LINE 9 N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 STATE OF NEW YORK P 127607 MARKET VALUE