2013-11-15T08:12:11-06:00 2012-12-31 161003516 BROCK SCHECHTER & POLAKOFF LLP 726 EXCHANGE STREET SUITE 822 BUFFALO NY 14210 990 2012-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER ST BUFFALO NY 14215 WILLIAM FLYNN JR MD 7168292859 2013-11-14 1 THOMAS P GROGAN P00038022 7168545034 2013-11-14 2012 2016-02-25 16:41:14Z WILLIAM FLYNN JR MD 462 GRIDER ST BUFFALO NY 14215 15974752 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. 8 0 93 0 0 0 0 0 14082377 13506397 20300 14647 2246990 2453708 16349667 15974752 0 0 0 0 13221655 13396339 0 0 0 2693805 3118067 15915460 16514406 434207 -539654 7112362 7171710 1614457 2196596 5497905 4975114 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 14454951 15960105 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 14454951 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 27 0 1 93 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 1 0 0 1 0 1 0 1 1 0 NY X X JAMES MILLS 7168983875 462 GRIDER STREET BUFFALO NY 14215 JEFFREY BREWER MD 2.00 X X 514147 37765 17050 JAMES LUKAN MD 1.00 X 518744 46881 67365 MERRILL DAYTON MD 5.00 X X 391350 210267 71279 WILLIAM FLYNN MD 2.00 X 373259 56830 67050 LINDA HARRIS MD 2.00 X X 310204 53564 67365 CHARLES WILES MD 2.00 X 250670 65750 17050 ALAN POSNER MD 2.00 X 298376 134961 67365 MACIEJ DRYJSKI MD 2.00 X 303514 63718 89550 JOHN BUTSCH MD 40.00 X 403182 43762 17050 JOHN GIBBS MD 40.00 X 380002 0 12824 AARON HOFFMAN MD 40.00 X 376377 38675 5045 MICHAEL CHOPKO MD 40.00 X 357479 45208 57279 MARK LAFTAVI MD 40.00 X 354726 52463 84050 JAMES HASSETT MD 40.00 X 137419 154337 33050 4969449 1004181 673372 27 1 1 0 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 PHYSICIAN SERVICES 122299 ERIE COUNTY MEDICAL CENTER 462 GRIDER ST BUFFALO NY 14215 RENT, SALARY REIMBURSEMENT REPAYMENTS 115000 2 FEES FROM SERVICE 624100 9387318 9387318 CONTRACT REVENUE 624100 3972302 3972302 SALARY SUPPORT 624100 146777 146777 13506397 14647 14647 GME REVENUE 624100 2294884 2294884 MISCELLANEOUS INCOME 624100 158824 158824 2453708 15974752 15960105 0 14647 3260264 2904238 356026 8193178 7097971 1095207 870073 696058 174015 549712 439770 109942 523112 418490 104622 13125 10500 2625 344875 275900 68975 8966 7173 1793 138936 111149 27787 393738 354364 39374 113253 113253 2900 2900 54389 48950 5439 86327 69062 17265 CAO'S FUND 607696 607696 0 MALPRACTICE INSURANCE 521076 521076 0 RESIDENT EXPENSE 174474 174474 0 CONTRACTUAL SERVICES 137056 130203 6853 521256 471724 49532 16514406 14454951 2059455 0 4336168 4093684 1417525 842601 610318 786341 176488 128239 1146396 911784 164934 234612 233614 257097 173315 829136 7112362 7171710 1500120 1489209 60905 0 0 707387 53432 0 1614457 2196596 X 0 0 0 0 5497905 4975114 5497905 4975114 7112362 7171710 -539654 16863 0 X X 0 1 X 1 0 X 14801626 14492447 15428378 14082377 13506397 72311225 14801626 14492447 15428378 14082377 13506397 72311225 0 1791287 1836681 1809452 5437420 1791287 1836681 1809452 5437420 66873805 60757 31771 25604 20300 14647 153079 60757 31771 25604 20300 14647 153079 53156 53669 116033 2246990 2453708 4923556 14915539 14577887 15570015 16349667 15974752 77387860 0.86410 0.91550 0.00200 0.00270 X SCHEDULE 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. 1146396 911784 234612 234612 MALPRACTICE CAPITAL CONTRIBUTIONS 185827 INVESTMENT IN PARTNERSHIP 3237 DEPOSITS 3700 ELECTRONIC HEALTHCARE SYSTEM ACCESS 636372 829136 X 15991615 16863 16863 15974752 0 15974752 16514406 0 16514406 0 16514406 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 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. X 0 0 0 0 0 0 0 0 0 JEFFREY BREWER MD 514147 37765 0 0 0 0 0 0 0 17050 514147 54815 0 0 JAMES LUKAN MD 518744 46881 0 0 0 0 50000 0 0 17365 568744 64246 0 0 MERRILL DAYTON MD 391350 210267 0 0 0 0 50000 14000 0 7279 441350 231546 0 0 WILLIAM FLYNN MD 373259 56830 0 0 0 0 50000 0 0 17050 423259 73880 0 0 LINDA HARRIS MD 310204 53564 0 0 0 0 50000 0 0 17365 360204 70929 0 0 CHARLES WILES MD 250670 65750 0 0 0 0 0 0 0 17050 250670 82800 0 0 ALAN POSNER MD 298376 134961 0 0 0 0 50000 0 0 17365 348376 152326 0 0 MACIEJ DRYJSKI MD 303514 63718 0 0 0 0 50000 22500 0 17050 353514 103268 0 0 JOHN BUTSCH MD 403182 43762 0 0 0 0 0 0 0 17050 403182 60812 0 0 JOHN GIBBS MD 380002 0 0 0 0 0 0 0 12824 0 392826 0 0 0 AARON HOFFMAN MD 376377 38675 0 0 0 0 0 0 0 5045 376377 43720 0 0 MICHAEL CHOPKO MD 357479 45208 0 0 0 0 50000 0 0 7279 407479 52487 0 0 MARK LAFTAVI MD 354726 52463 0 0 0 0 50000 17000 0 17050 404726 86513 0 0 JAMES HASSETT MD 137419 154337 0 0 0 0 0 16000 0 17050 137419 187387 0 0 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 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. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. 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