UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INC (EIN 16-1485974)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349303861
Schema version
2012v2.1
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)
Timestamp2013-11-14T12:55:48-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161003516EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BROCK SCHECHTER & POLAKOFF LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1726 EXCHANGE STREET SUITE 822AddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14210ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161485974EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY GYNECOLOGISTS & OBSTETRICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone7168818050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1239 BRYANT STREETAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14222ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVANESSA BARNABEIName
TitleCHAIRMANTitle
Phone7168818050Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS P GROGANName
PTINP00038022PTIN
Phone7168545034Phone
Date Prepared2013-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVANESSA BARNABEINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1239 BRYANT STREETAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4039677GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UBOBGYN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees36TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1713039ProgramServiceRevenuePriorYear
Program Service Revenue CY2376875ProgramServiceRevenueCY
Investment Income Prior Year21017InvestmentIncomePriorYear
Investment Income Current Year14731InvestmentIncomeCurrentYear
Other Revenue Prior Year1441437OtherRevenuePriorYear
Other Revenue Current Year1648071OtherRevenueCurrentYear
Total Revenue Prior Year3175493TotalRevenuePriorYear
Total Revenue Current Year4039677TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2586020SalariesEtcPriorYear
Salaries Etc Current Year3972265SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1005769OtherExpensePriorYear
Other Expenses Current Year1493819OtherExpensesCurrentYear
Total Expenses Prior Year3591789TotalExpensesPriorYear
Total Expenses Current Year5466084TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-416296RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1426407RevenuesLessExpensesCY
Total Assets BOY4125735TotalAssetsBOY
Total Assets EOY3401246TotalAssetsEOY
Total Liabilities BOY607258TotalLiabilitiesBOY
Total Liabilities EOY1284224TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3518477NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2117022NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4578103Expense
Revenue4024946Revenue
DescriptionTHE 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.Description
Total Program Service Expense4578103TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees36NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN GARBAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7168787578TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1219 BRYANT ST 3RD FLOOR ANNEXAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14222ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ARMANDO ARROYO
PRESIDENT, INTERIM CHAIR40.00XX23690911038956183
DENNIS MAURICIO
VICE PRESIDENT40.00XX3062334376241549
LATA SANTHAKUMAR
SECRETARY40.00XX278747022300
FAYE JUSTICIA-LINDE
TREASURER40.00XX3021874822831144
AMOL LELE
ASSISTANT DIRECTOR40.00X24155511893126386
WILLIAM DILLON
ASSISTANT DIRECTOR40.00X012939817050
VANESSA BARNABEI
PRESIDENT40.00XX32281519845201
MANDEEP BRAR
HIGHEST PAID40.002938676293263059X
MAJID SHAMAN
HIGHEST PAID40.003110634620432134X
CHRISTIAN DOLENSEK
HIGHEST PAID40.002208223238736610X
ARMINDA MAURICIO
HIGHEST PAID40.00190327015226X
PANKAJ SINGHAL
HIGHEST PAID40.001625002086729937X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2576491TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs665082TotalReportableCompFrmRltdOrgs
Total Other Compensation376779TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACT REVENUE62410016473501647350
FEES FOR SERVICES624100729525729525
FieldValueIRS element (for citing)
Total Program Service Revenue2376875TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14731TotalRevenueColumn
Exclusion$14,731ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GRADUATE MEDICAL EDUCA62410016393441639344
MISCELLANEOUS INCOME62410087278727
FieldValueIRS element (for citing)
Total Other Revenue1648071TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4039677TotalRevenueColumn
Related Or Exempt Function Income4024946RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,731ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1507425Total
Program Services1485522ProgramServices
Management And General21903ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2025812Total
Program Services1899000ProgramServices
Management And General126812ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total154548Total
Program Services123638ProgramServices
Management And General30910ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total218757Total
Program Services175006ProgramServices
Management And General43751ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total65723Total
Program Services52578ProgramServices
Management And General13145ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2673Total
Management And General2673ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total102189Total
Management And General102189ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17549Total
Management And General17549ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12849Total
Program Services12849ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total101792Total
Program Services35627ProgramServices
Management And General66165ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total210795Total
Program Services34363ProgramServices
Management And General176432ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35125Total
Program Services35125ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total3041Total
Program Services3041ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total113533Total
Management And General113533ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total28583Total
Management And General28583ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MALPRACTICE INSURANCE3387443387440
CONTRACTUAL SERVICES1150981150980
CAO'S FUND1126060112606
CLINICAL SUPPLIES AND F1044331044330

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total194809Total
Program Services163079ProgramServices
Management And General31730ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5466084Total
Program Services4578103ProgramServices
Management And General887981ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2742532BOY
EOY1246796EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37442BOY
EOY32837EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY296575BOY
EOY350090EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY128904BOY
EOY131122EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis685951LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec166923LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY283569BOY
EOY519028EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY345211BOY
EOY379863EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY291502BOY
EOY741510EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4125735BOY
EOY3401246EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY342542BOY
EOY671934EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY264716BOY
EOY227931EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY384359EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY607258BOY
EOY1284224EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY3518477BOY
EOY2117022EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3518477BOY
EOY2117022EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4125735BOY
EOY3401246EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1426407ReconcilationRevenueExpenses
Reconciliation Unrealized Invest24952ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5594211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5445202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2423183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1713039CurrentTaxYearMinus1Year
Current Tax Year2376875CurrentTaxYear
Total17552510Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5594211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5445202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2423183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1713039CurrentTaxYearMinus1Year
Current Tax Year2376875CurrentTaxYear
Total17552510Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year68502CurrentTaxYear
Total68502Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year68502CurrentTaxYear
Total68502Total
FieldValueIRS element (for citing)
Public Support Total50917484008PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21741CurrentTaxYearMinus1Year
Current Tax Year14731CurrentTaxYear
Total79331Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21741CurrentTaxYearMinus1Year
Current Tax Year14731CurrentTaxYear
Total79331Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1028213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1441437CurrentTaxYearMinus1Year
Current Tax Year1648071CurrentTaxYear
Total4117721Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5599589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5457337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3476742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3176217CurrentTaxYearMinus1Year
Current Tax Year4039677CurrentTaxYear
Total21749562Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80390PublicSupportPercentage509
Prior Year Support Percentage0.88820PriorYearSupportPercentage
Investment Income Percentage0.00360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00600PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12: MISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTH CARE RELATED ORGANIZATIONS AND PRODUCT SALES THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION. GRADUATE MEDICAL REVENUE INCLUDES INCOME FROM AN AFFILIATED ORGANIZATION TO SUPPORT THE MEDICAL STUDENTS.GeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis196159OtherCostOrOtherBasis
Depreciation30690Depreciation
Book Value165469BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis487842OtherCostOrOtherBasis
Depreciation136152Depreciation
Book Value351690BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1950OtherCostOrOtherBasis
Depreciation81Depreciation
Book Value1869BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings519028TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER INVESTMENTS - M&TDescription
Book Value379863BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities379863TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
MALPRACTICE CAPITAL CONTRIBUTIONS211880
SECURITY DEPOSIT8145
LONG-TERM PREPAIDS55289
ELECTRONIC HEALTHCARE SYSTEM ACCESS466196
FieldValueIRS element (for citing)
Total Book Value Other Assets741510TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO UBADescription
Amount$384,359Amount
FieldValueIRS element (for citing)
Total Of Amounts384359TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt4064629TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments24952NetUnrealizedGainsInvestments
Revenue Not Rptd F99024952RevenueNotRptdF990
Revenue Subtotal4039677RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904039677TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5466084TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5466084ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905466084TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACCOUNTING 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, 2012, 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 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARMANDO ARROYO
PRESIDENT, INTERIM CHAIR2369091103890000166332250001705025354214993900
DENNIS MAURICIO
VICE PRESIDENT3062334376200002449900170503307326081200
LATA SANTHAKUMAR
SECRETARY2787470000022300000301047000
FAYE JUSTICIA-LINDE
TREASURER302187482280000241750069693263625519700
AMOL LELE
ASSISTANT DIRECTOR24155511893100001932400706226087912599300
MANDEEP BRAR
HIGHEST PAID293867629320000235092250001705031737610248200
MAJID SHAMAN
HIGHEST PAID311063462040000248550072793359185348300
CHRISTIAN DOLENSEK
HIGHEST PAID2208220000323871798301862702574323238700
ARMINDA MAURICIO
HIGHEST PAID1903270000015226000205553000
PANKAJ SINGHAL
HIGHEST PAID13750020867250000001300010390065471755003780400

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ARMINDA MAURICIO
SPOUSE OF DENNIS MAURICIO190327WAGES0
JOCELYN ARROYO
SPOUSE OF ARMANDO ARROYO21785WAGES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 15COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK.
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 2CTHERE HAS BEEN NO CHANGE TO THIS PROCESS SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UB 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 AALBANYNY12231146013200GOVERNMENTNY501(C)(1)N/A0
UB FAMILY MEDICINE INC
77 GOODELL STBUFFALONY14203161280696PROVIDES MEDICAL SERVICESNY501(C)(3)LINE 9N/A0
UNIVERSITY AT BUFFALO FOUNDATION INC
PO BOX 900BUFFALONY14226160865182PROVIDES SUPPORT FOR AND PROMOTES THE ACTIVITIES OF THE UNIVERSITYNY501(C)(3)LINE 9N/A0
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
239 BRYANT STBUFFALONY14222161238821PROVIDES MEDICAL SERVICESNY501(C)(3)LINE 9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UB ASSOCIATES INC
E410693MARKET VALUE
UB ASSOCIATES INC
K79308MARKET VALUE
UB ASSOCIATES INC
P258052MARKET VALUE
STATE OF NEW YORK
E39833MARKET VALUE
STATE OF NEW YORK
P112606MARKET VALUE
UB FAMILY MEDICINE INC
P64086MARKET VALUE
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
D1625MARKET VALUE
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
Q14625MARKET VALUE
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
P2500MARKET VALUE
UNIVERSITY AT BUFFALO FOUNDATION INC
P44049MARKET VALUE
STATE OF NEW YORK
O819148MARKET VALUE

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