FURP.ORG / PUBLIC DATA EXPLORER

UNIVERSITY AT BUFFALO SURGEONS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY AT BUFFALO SURGEONS INC (EIN 80-0033443)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349301278
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)
Timestamp2013-11-15T08:12:11-06:00Timestamp
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)
EIN800033443EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY AT BUFFALO SURGEONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone7168292859Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1462 GRIDER STAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM FLYNN JR MDName
TitlePRESIDENT ELECTTitle
Phone7168292859Phone
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 TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM FLYNN JR MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1462 GRIDER STAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15974752GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UBMD.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionUNIVERSITY 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees93TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14082377ProgramServiceRevenuePriorYear
Program Service Revenue CY13506397ProgramServiceRevenueCY
Investment Income Prior Year20300InvestmentIncomePriorYear
Investment Income Current Year14647InvestmentIncomeCurrentYear
Other Revenue Prior Year2246990OtherRevenuePriorYear
Other Revenue Current Year2453708OtherRevenueCurrentYear
Total Revenue Prior Year16349667TotalRevenuePriorYear
Total Revenue Current Year15974752TotalRevenueCurrentYear
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 Year13221655SalariesEtcPriorYear
Salaries Etc Current Year13396339SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2693805OtherExpensePriorYear
Other Expenses Current Year3118067OtherExpensesCurrentYear
Total Expenses Prior Year15915460TotalExpensesPriorYear
Total Expenses Current Year16514406TotalExpensesCurrentYear
Revenues Less Expenses Prior Year434207RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-539654RevenuesLessExpensesCY
Total Assets BOY7112362TotalAssetsBOY
Total Assets EOY7171710TotalAssetsEOY
Total Liabilities BOY1614457TotalLiabilitiesBOY
Total Liabilities EOY2196596TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5497905NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4975114NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUNIVERSITY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14454951Expense
Revenue15960105Revenue
DescriptionTHE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS.Description
Total Program Service Expense14454951TotalProgramServiceExpense
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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Member0BsnssRltnshpThruFamilyMember
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 With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees93NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
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 Line1JAMES MILLSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7168983875TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1462 GRIDER STREETAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JEFFREY BREWER MD
COMPLIANCE2.00XX5141473776517050
JAMES LUKAN MD
DIRECTOR1.00X5187444688167365
MERRILL DAYTON MD
PRESIDENT/DIRECTOR5.00XX39135021026771279
WILLIAM FLYNN MD
DIRECTOR2.00X3732595683067050
LINDA HARRIS MD
SECRETARY2.00XX3102045356467365
CHARLES WILES MD
VICE PRESIDENT2.00X2506706575017050
ALAN POSNER MD
TREASURER2.00X29837613496167365
MACIEJ DRYJSKI MD
DIRECTOR2.00X3035146371889550
JOHN BUTSCH MD
PHYSICIAN40.004031824376217050X
JOHN GIBBS MD
PHYSICIAN40.00380002012824X
AARON HOFFMAN MD
PHYSICIAN40.00376377386755045X
MICHAEL CHOPKO MD
PHYSICIAN40.003574794520857279X
MARK LAFTAVI MD
PHYSICIAN40.003547265246384050X
JAMES HASSETT MD
FORMER OFFICER40.0013741915433733050X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4969449TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1004181TotalReportableCompFrmRltdOrgs
Total Other Compensation673372TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOCUMTENENSCOM
PO BOX 405547ATLANTAGA30384PHYSICIAN SERVICES122299
ERIE COUNTY MEDICAL CENTER
462 GRIDER STBUFFALONY14215RENT, SALARY REIMBURSEMENT REPAYMENTS115000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEES FROM SERVICE62410093873189387318
CONTRACT REVENUE62410039723023972302
SALARY SUPPORT624100146777146777
FieldValueIRS element (for citing)
Total Program Service Revenue13506397TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14647TotalRevenueColumn
Exclusion$14,647ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GME REVENUE62410022948842294884
MISCELLANEOUS INCOME624100158824158824
FieldValueIRS element (for citing)
Total Other Revenue2453708TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15974752TotalRevenueColumn
Related Or Exempt Function Income15960105RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,647ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3260264Total
Program Services2904238ProgramServices
Management And General356026ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8193178Total
Program Services7097971ProgramServices
Management And General1095207ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total870073Total
Program Services696058ProgramServices
Management And General174015ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total549712Total
Program Services439770ProgramServices
Management And General109942ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total523112Total
Program Services418490ProgramServices
Management And General104622ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13125Total
Program Services10500ProgramServices
Management And General2625ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total344875Total
Program Services275900ProgramServices
Management And General68975ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8966Total
Program Services7173ProgramServices
Management And General1793ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total138936Total
Program Services111149ProgramServices
Management And General27787ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total393738Total
Program Services354364ProgramServices
Management And General39374ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total113253Total
Program Services113253ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2900Total
Program Services2900ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total54389Total
Program Services48950ProgramServices
Management And General5439ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total86327Total
Program Services69062ProgramServices
Management And General17265ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CAO'S FUND6076966076960
MALPRACTICE INSURANCE5210765210760
RESIDENT EXPENSE1744741744740
CONTRACTUAL SERVICES1370561302036853

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total521256Total
Program Services471724ProgramServices
Management And General49532ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16514406Total
Program Services14454951ProgramServices
Management And General2059455ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4336168BOY
EOY4093684EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1417525BOY
EOY842601EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY610318BOY
EOY786341EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY176488BOY
EOY128239EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1146396LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec911784LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY164934BOY
EOY234612EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY233614BOY
EOY257097EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173315BOY
EOY829136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7112362BOY
EOY7171710EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1500120BOY
EOY1489209EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY60905BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY707387EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53432BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1614457BOY
EOY2196596EOY
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)
BOY5497905BOY
EOY4975114EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5497905BOY
EOY4975114EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7112362BOY
EOY7171710EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-539654ReconcilationRevenueExpenses
Reconciliation Unrealized Invest16863ReconciliationUnrealizedInvest
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 Years14801626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14492447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15428378CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14082377CurrentTaxYearMinus1Year
Current Tax Year13506397CurrentTaxYear
Total72311225Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14801626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14492447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15428378CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14082377CurrentTaxYearMinus1Year
Current Tax Year13506397CurrentTaxYear
Total72311225Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1791287CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1836681CurrentTaxYearMinus1Year
Current Tax Year1809452CurrentTaxYear
Total5437420Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1791287CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1836681CurrentTaxYearMinus1Year
Current Tax Year1809452CurrentTaxYear
Total5437420Total
FieldValueIRS element (for citing)
Public Support Total50966873805PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20300CurrentTaxYearMinus1Year
Current Tax Year14647CurrentTaxYear
Total153079Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20300CurrentTaxYearMinus1Year
Current Tax Year14647CurrentTaxYear
Total153079Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53156CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53669CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years116033CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2246990CurrentTaxYearMinus1Year
Current Tax Year2453708CurrentTaxYear
Total4923556Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14915539CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14577887CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15570015CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16349667CurrentTaxYearMinus1Year
Current Tax Year15974752CurrentTaxYear
Total77387860Total
FieldValueIRS element (for citing)
Public Support Percentage5090.86410PublicSupportPercentage509
Prior Year Support Percentage0.91550PriorYearSupportPercentage
Investment Income Percentage0.00200InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00270PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: 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 EDUCATION REVENUE INCLUDES INCOME FROM AN AFFILIATED ORGANIZATION TO SUPPORT THE MEDICAL STUDENTS.GeneralExplanation

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1146396OtherCostOrOtherBasis
Depreciation911784Depreciation
Book Value234612BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings234612TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
MALPRACTICE CAPITAL CONTRIBUTIONS185827
INVESTMENT IN PARTNERSHIP3237
DEPOSITS3700
ELECTRONIC HEALTHCARE SYSTEM ACCESS636372
FieldValueIRS element (for citing)
Total Book Value Other Assets829136TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt15991615TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16863NetUnrealizedGainsInvestments
Revenue Not Rptd F99016863RevenueNotRptdF990
Revenue Subtotal15974752RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015974752TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16514406TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16514406ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016514406TotalExpensesPerForm990

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)
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (14 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
JEFFREY BREWER MD
COMPLIANCE514147377650000000170505141475481500
JAMES LUKAN MD
DIRECTOR5187444688100005000000173655687446424600
MERRILL DAYTON MD
PRESIDENT/DIRECTOR391350210267000050000140000727944135023154600
WILLIAM FLYNN MD
DIRECTOR3732595683000005000000170504232597388000
LINDA HARRIS MD
SECRETARY3102045356400005000000173653602047092900
CHARLES WILES MD
VICE PRESIDENT250670657500000000170502506708280000
ALAN POSNER MD
TREASURER298376134961000050000001736534837615232600
MACIEJ DRYJSKI MD
DIRECTOR303514637180000500002250001705035351410326800
JOHN BUTSCH MD
PHYSICIAN403182437620000000170504031826081200
JOHN GIBBS MD
PHYSICIAN3800020000000128240392826000
AARON HOFFMAN MD
PHYSICIAN37637738675000000050453763774372000
MICHAEL CHOPKO MD
PHYSICIAN357479452080000500000072794074795248700
MARK LAFTAVI MD
PHYSICIAN35472652463000050000170000170504047268651300
JAMES HASSETT MD
FORMER OFFICER137419154337000001600001705013741918738700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 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 2CTHE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 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 ADMINISTRATIVE SUPPORT FOR THE SUNY BUFFALO MEDICAL SCHOOLSNY501(C)(3)LINE 9N/A0
STATE OF NEW YORK
ONE COMMERCE PLAZA 99 WASHINGTON AALBANYNY12231146013200GOVERNMENTNY501(C)(1)N/A0
UNIVERSITY AT BUFFALO FOUNDATION INC
PO BOX 900BUFFALONY14226160865182PROVIDES SUPPORT FOR AND PROMOTES THE ACTIVITIES OF THE UNIVERSITYNY501(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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UB ASSOCIATES INC
K335725MARKET VALUE
UB ASSOCIATES INC
P185100MARKET VALUE
UB ASSOCIATES INC
E795666MARKET VALUE
STATE OF NEW YORK
E41218MARKET VALUE
STATE OF NEW YORK
P617679MARKET VALUE
UNIVERSITY AT BUFFALO FOUNDATION INC
P19758MARKET VALUE
UNIVERSITY AT BUFFALO FOUNDATION INC
L146777MARKET VALUE
UNIVERSITY AT BUFFALO FOUNDATION INC
D26535MARKET VALUE
STATE OF NEW YORK
O1264734MARKET VALUE