2012-11-14T15:51:22-06:00 2011-12-31 161003516 BROCK SCHECHTER & POLAKOFF LLP 726 EXCHANGE STREET SUITE 822 BUFFALO NY 14210 990 2011-01-01 800033443 UNIVERSITY AT BUFFALO SURGEONS INC UNIV 7168292859 462 GRIDER ST BUFFALO NY 14215 MERRIL DAYTON MD 7168292859 2012-11-14 1 THOMAS P GROGAN P00038022 7168545034 2012-11-12 2011 2016-02-24 21:20:13Z MERRIL DAYTON MD 462 GRIDER ST BUFFALO NY 14215 16349667 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. 9 0 83 0 0 0 0 0 13475912 14082377 25064 20300 2068499 2246990 15569475 16349667 0 0 0 0 12145964 13221655 0 0 0 2811006 2693805 14956970 15915460 612505 434207 6466554 7112362 1406982 1614457 5059572 5497905 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 13871489 16329367 THE CORPORATION PROVIDED MANY VARIED MEDICAL SERVICES TO THE POPULATION OF WESTERN NEW YORK SEEKING MEDICAL ATTENTION FROM SURGEONS. 13871489 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 1 18 0 1 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 1 0 1 1 0 0 1 0 1 0 1 1 0 NY X X MERRILL DAYTON AND SUE KNOX 7168983875 462 GRIDER STREET BUFFALO NY 14215 MICHAEL CATY MD 1.00 X 357073 0 49000 MERRILL DAYTON MD 5.00 X X 403360 211754 77178 MAHMOUD KULAYLAT MD 2.00 X X 252204 138604 95020 JAMES LUKAN MD 40.00 X X 494754 50917 57592 LINDA HARRIS MD 1.00 X X 328163 59129 60532 ALAN POSNER MD 2.00 X 295190 139314 68450 MACIEJ DRYJSKI MD 2.00 X 368234 67129 111892 WILLIAM FLYNN MD 1.00 X 275970 60217 61174 GREGORY CHERR MD 40.00 X X 218438 87785 56897 TIMOTHY JORDEN MD 40.00 X 506080 0 49000 AARON HOFFMAN MD 40.00 X 397328 0 0 MARK LAFTAVI MD 40.00 X 358216 55834 101416 JOHN BUTSCH MD 40.00 X 353774 47101 8333 KATHRYN BASS MD 40.00 X 350004 54314 58124 JAMES HASSETT MD 40.00 X 160845 158074 42412 CONSTANTINE KARAKOUSIS MD 40.00 X 110147 0 7860 5229780 1130172 904880 33 1 1 0 0 FEES FROM SERVICE 624100 9896547 9896547 CONTRACT REVENUE 624100 4029827 4029827 SALARY SUPPORT 624100 156003 156003 14082377 20300 20300 GME REVENUE 624100 2184640 2184640 MISCELLANEOUS INCOME 624100 62350 62350 2246990 16349667 16329367 0 20300 3425161 3039469 385692 8021394 6938283 1083111 704147 563318 140829 544444 435555 108889 526509 421207 105302 17821 8911 8910 9184 4592 4592 164755 82378 82377 1229 615 614 74584 59667 14917 367901 331111 36790 137892 137892 3983 3983 55023 49521 5502 63650 50920 12730 CAO'S FUND 566070 566070 0 MALPRACTICE INSURANCE 556848 556848 0 RESIDENT EXPENSE 143559 143559 0 CONTRACTUAL SERVICES 116382 110563 5819 414924 367027 47897 15915460 13871489 2043971 0 4164793 4336168 1052959 1417525 506394 610318 185204 176488 1001473 836539 171213 164934 223215 233614 162776 173315 6466554 7112362 1231248 1500120 97925 60905 77809 53432 1406982 1614457 X 0 0 0 0 5059572 5497905 5059572 5497905 6466554 7112362 X 434207 4126 X X 0 1 1 X 0 X 14728000 14801626 14492447 15428378 14082377 73532828 14728000 14801626 14492447 15428378 14082377 73532828 0 1791287 1836681 3627968 1791287 1836681 3627968 69904860 68410 60757 31771 25604 20300 206842 68410 60757 31771 25604 20300 206842 151220 53156 53669 116033 2246990 2621068 14947630 14915539 14577887 15570015 16349667 76360738 0.91550 0.96320 0.00270 0.00330 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. 1001473 836539 164934 164934 CAPITAL LEASE 53432 53432 16349667 15915460 434207 4126 4126 438333 16353793 4126 4126 16349667 0 16349667 15915460 0 15915460 0 15915460 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PRACTICE PLAN HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS. GENERALLY, THE PRACTICE PLAN'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND MOST OF THE STATES THE PRACTICE PLAN OPERATES IN. HOWEVER, THE PRACTICE PLAN IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE PRACTICE PLAN BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. X 0 0 0 0 0 0 0 0 0 MICHAEL CATY MD 357073 0 0 0 0 0 49000 0 0 0 406073 0 0 0 MERRILL DAYTON MD 403360 211754 0 0 0 0 49000 27452 0 726 452360 239932 0 0 MAHMOUD KULAYLAT MD 252204 138604 0 0 0 0 49000 42154 0 3866 301204 184624 0 0 JAMES LUKAN MD 494754 50917 0 0 0 0 47125 6601 0 3866 541879 61384 0 0 LINDA HARRIS MD 328163 59129 0 0 0 0 49000 7666 0 3866 377163 70661 0 0 ALAN POSNER MD 295190 139314 0 0 0 0 49000 18061 0 1389 344190 158764 0 0 MACIEJ DRYJSKI MD 368234 67129 0 0 0 0 49000 59726 0 3166 417234 130021 0 0 WILLIAM FLYNN MD 275970 60217 0 0 0 0 49000 9008 0 3166 324970 72391 0 0 GREGORY CHERR MD 218438 87785 0 0 0 0 41650 11381 0 3866 260088 103032 0 0 TIMOTHY JORDEN MD 506080 0 0 0 0 0 49000 0 0 0 555080 0 0 0 AARON HOFFMAN MD 397328 0 0 0 0 0 0 0 0 0 397328 0 0 0 MARK LAFTAVI MD 358216 55834 0 0 0 0 49000 49250 0 3166 407216 108250 0 0 JOHN BUTSCH MD 353774 47101 0 0 0 0 0 5167 0 3166 353774 55434 0 0 KATHRYN BASS MD 350004 54314 0 0 0 0 49000 5958 0 3166 399004 63438 0 0 JAMES HASSETT MD 160845 158074 0 0 0 0 0 39246 0 3166 160845 200486 0 0 CONSTANTINE KARAKOUSIS MD 110147 0 0 0 0 0 7860 0 0 0 118007 0 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,126. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. 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 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 UB ASSOCIATES INC J 283038 MARKET VALUE UB ASSOCIATES INC O 36188 MARKET VALUE STATE OF NEW YORK O 566070 MARKET VALUE STATE OF NEW YORK E 49776 MARKET VALUE