UNIVERSITY PSYCHIATRIC PRACTICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PSYCHIATRIC PRACTICE INC (EIN 16-1426208)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349301486
Schema version
2011v1.2
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)
Timestamp2012-11-13T10:24:26-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161426208EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PSYCHIATRIC PRACTICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone7168984535Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ERIE COUNTY MEDICAL CENTER 462AddressLine1
Address Line2GRIDER STREET NO 1168AddressLine2
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN DUBOVSKYName
TitleOFFICERTitle
Phone7168984535Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS P GROGANName
PTINP00038022PTIN
Phone7168545034Phone
Date Prepared2012-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ERIE COUNTY MEDICAL CENTER 462AddressLine1
Address Line2GRIDER STREETAddressLine2
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12236016GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMBS.BUFFALO.EDU/PSYCHIATRYWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO ASSIST THE FACULTY OF THE DEPARTMENT OF PSYCHIATRY AT THE UNIVERSITY IN THE DELIVERY OF HEALTH CARE, TO IMPROVE THE ABILITY OF THE FACULTY, TO PERFORM CLINICAL RESEARCH, MAXIMIZE RESOURCES TO FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUIT AND RETAIN TARGETED TEACHING PHYSICIANS AND ENCOURAGE AND SUPPORT THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF PSYCHIATRY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees73TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1024507ContributionsGrantsPriorYear
Contributions Grants Current Year1299719ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9340004ProgramServiceRevenuePriorYear
Program Service Revenue CY9499091ProgramServiceRevenueCY
Investment Income Prior Year99468InvestmentIncomePriorYear
Investment Income Current Year191926InvestmentIncomeCurrentYear
Other Revenue Prior Year1022405OtherRevenuePriorYear
Other Revenue Current Year593579OtherRevenueCurrentYear
Total Revenue Prior Year11486384TotalRevenuePriorYear
Total Revenue Current Year11584315TotalRevenueCurrentYear
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 Year7343692SalariesEtcPriorYear
Salaries Etc Current Year8057409SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2985916OtherExpensePriorYear
Other Expenses Current Year3006129OtherExpensesCurrentYear
Total Expenses Prior Year10329608TotalExpensesPriorYear
Total Expenses Current Year11063538TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1156776RevenuesLessExpensesPriorYear
Revenues Less Expenses CY520777RevenuesLessExpensesCY
Total Assets BOY7343106TotalAssetsBOY
Total Assets EOY7639912TotalAssetsEOY
Total Liabilities BOY1231476TotalLiabilitiesBOY
Total Liabilities EOY1073957TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6111630NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6565955NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CORPORATION ASSISTS THE STATE UNIVERSITY OF NEW YORK AT BUFFALO DEPARTMENT OF PSYCHIATRY, IN THE DELIVERY OF HEALTH CARE, RECRUITMENT AND RETENTION OF TEACHING PHYSICIANS AND SUPPORT OF RESEARCH IN THE FIELD OF PSYCHIATRY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9476784Expense
Grants1299719Grants
Revenue10092670Revenue
DescriptionTHE CORPORATION ASSISTS THE STATE UNIVERSITY OF NEW YORK AT BUFFALO DEPARTMENT OF PSYCHIATRY, IN THE DELIVERY OF HEALTH CARE, RECRUITMENT AND RETENTION OF TEACHING PHYSICIANS AND SUPPORT OF RESEARCH IN THE FIELD OF PSYCHIATRY. IT DOES THIS THROUGH CLASSROOM AND CLINICAL TEACHING FOR 150 RESIDENTS AND MEDICAL STUDENTS.Description
Total Program Service Expense9476784TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 Assets0ReportOtherAssets
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees73NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
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 Approval0DecisionsSubjectToApproval
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 Policy1DocumentRetentionPolicy
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 Line1PAUL CAVARETTABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7168984535TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ECMC462 GRIDER STAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
S DUBOVSKY MD
PRESIDENT40.00X25946425502271083
SK PARK MD
VICE-PRESIDENT40.00X16009304803
D MARSHALL MD
SECRETARY40.00X2127535014111884
C WARREN MD
TREASURER40.00X11715303515
J IMPROTA MD
PHYSICIAN40.001921955136615267X
PAUL CAVARETTA
PLAN ADMINISTRATOR40.00174113017997X
Y BAKAHI MD
PHYSICIAN40.00246053595877382X
H YU MD
PHYSICIAN40.00230547019681X
J HAAK MD
PHYSICIAN40.00157512017499X
M CUMMINGS MD
PHYSICIAN40.002110246057745417X
J HOLT MD
PHYSICIAN40.00202236018841X
B NAGRA MD
PHYSICIAN60.00245863020123X
A TAN MD
PHYSICIAN50.002270395115116609X
R LEO MD
PHYSICIAN40.00224003606466720X
V BROOKS MD
PHYSICIAN40.001795534510111385X
A BELTO MD
PHYSICIAN40.00221752019520X
J ANKER MD
PHYSICIAN40.002243865516738565X
N CERVANTES MD
PHYSICIAN40.00157152017588X
D KAYE MD
PHYSICIAN40.0017042715759631882X
M GUPPENBERGER MD
PHYSICIAN45.00191994018533X
F QURESHI MD
PHYSICIAN40.00169820012747X
K DOBSON MD
PHYSICIAN40.00168902017841X
S HERNANDEZ MD
PHYSICIAN40.00157753017505X
P DELREGNO MD
HIGHEST PAID28.001234405331414481X
B SMITH MD
HIGHEST PAID40.001174125808613060X
R WHITNEY MD
HIGHEST PAID40.00111657017192X
B MILLER MD
HIGHEST PAID40.0011120215577537132X
K CHIAPPONE MD
HIGHEST PAID40.00107212015990X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5072710TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1113529TotalReportableCompFrmRltdOrgs
Total Other Compensation560242TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers Listed0FormersListed
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
DHAM GUPTA
260 MEADOW VIEW LANEWILLIAMSVILLENY14221PSYCHIATRIC SERVICES196450
UNIVERSITY OF ROCHESTER
200 CRITTENDEN BLVDROCHESTERNY14642OMH CONTRACT SERVICES AND SUPPORT146357
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants1299719GovernmentGrants
Total Contributions1299719TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFEES FOR SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column9499091TotalRevenueColumn
Related Or Exempt Function Income9499091RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9499091TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column143418TotalRevenueColumn
Exclusion$143,418ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities700209Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities651701Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities48508Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column48508TotalRevenueColumn
Exclusion$48,508ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GRADUATE MEDICAL EDUCA621110542980542980
MISCELLANEOUS6211105059950599
FieldValueIRS element (for citing)
Total Other Revenue593579TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11584315TotalRevenueColumn
Related Or Exempt Function Income10092670RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$191,926ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4772502Total
Program Services4309626ProgramServices
Management And General462876ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2578845Total
Program Services2272424ProgramServices
Management And General306421ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total85113Total
Program Services63835ProgramServices
Management And General21278ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total286895Total
Program Services143448ProgramServices
Management And General143447ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total334054Total
Program Services167027ProgramServices
Management And General167027ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7122Total
Management And General7122ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8110Total
Management And General8110ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2155Total
Management And General2155ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total727Total
Program Services727ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22595Total
Program Services5649ProgramServices
Management And General16946ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total72152Total
Program Services50203ProgramServices
Management And General21949ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total184765Total
Program Services166289ProgramServices
Management And General18476ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24759Total
Management And General24759ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total51736Total
Program Services7760ProgramServices
Management And General43976ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL SERVICES208603120860310
CAO'S FUND2022240202224
MALPRACTICE INSURANCE87067870670
MEALS & ENTERTAINMENT56452479848468

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total200234Total
Program Services68714ProgramServices
Management And General131520ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11063538Total
Program Services9476784ProgramServices
Management And General1586754ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2974618BOY
EOY3070164EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1197837BOY
EOY1288296EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY200000BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY113179BOY
EOY105789EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis159549LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec105912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62055BOY
EOY53637EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2761892BOY
EOY3088022EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33525BOY
EOY34004EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7343106BOY
EOY7639912EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1098640BOY
EOY1007316EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY132836BOY
EOY66641EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1231476BOY
EOY1073957EOY
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)
BOY6111630BOY
EOY6565955EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6111630BOY
EOY6565955EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7343106BOY
EOY7639912EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses520777ReconcilationRevenueExpenses
Reconcilation Other Changes-66452ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years74130CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year1024507CurrentTaxYearMinus1Year
Current Tax Year1299719CurrentTaxYear
Total2398356Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6217398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7955397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9043592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9340004CurrentTaxYearMinus1Year
Current Tax Year9499091CurrentTaxYear
Total42055482Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6217398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8029527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9043592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10364511CurrentTaxYearMinus1Year
Current Tax Year10798810CurrentTaxYear
Total44453838Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year638827CurrentTaxYearMinus1Year
Current Tax Year594439CurrentTaxYear
Total1233266Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year638827CurrentTaxYearMinus1Year
Current Tax Year594439CurrentTaxYear
Total1233266Total
FieldValueIRS element (for citing)
Public Support Total50943220572PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years124505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105441CurrentTaxYearMinus1Year
Current Tax Year191926CurrentTaxYear
Total587869Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years124505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105441CurrentTaxYearMinus1Year
Current Tax Year191926CurrentTaxYear
Total587869Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54633CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years787310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1022405CurrentTaxYearMinus1Year
Current Tax Year593579CurrentTaxYear
Total2483587Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6367563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8158577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9922482CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11492357CurrentTaxYearMinus1Year
Current Tax Year11584315CurrentTaxYear
Total47525294Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90940PublicSupportPercentage509
Prior Year Support Percentage0.92710PriorYearSupportPercentage
Investment Income Percentage0.01240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01140PriorYrInvestIncomePercentage
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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis159549OtherCostOrOtherBasis
Depreciation105912Depreciation
Book Value53637BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings53637TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value3088022BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities3088022TotalOfBookValueSecurities
Total Revenue11584315TotalRevenue
Total Expenses11063538TotalExpenses
Excess Or Deficit For Year520777ExcessOrDeficitForYear
Net Unrealized GL On Investments-66452NetUnrealizedGLOnInvestments
Total Adjustments-66452TotalAdjustments
Excess Or Deficit Per FS454325ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11584315TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11584315RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011584315TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11063538TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11063538ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011063538TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PRACTICE PLAN HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS. GENERALLY, THE PRACTICE PLANS PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND MOST OF THE STATES THE PRACTICE PLAN DOES BUSINESS IN. HOWEVER, THE PRACTICE PLAN IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE PRACTICE PLAN BEEN CONTACTED BY ANY OF THESE JURISDICTIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
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 (25 entries)

Base 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
S DUBOVSKY MD
23446425502225000000778462573072626724831832100
SK PARK MD
1450930150000004803000164896000
D MARSHALL MD
202753501411000000063835501002191365564200
J IMPROTA MD
177195513661500000057665635038661979616086700
PAUL CAVARETTA
15411302000000052500127470192110000
Y BAKAHI MD
226053595872000000073820002534355958700
H YU MD
22054701000000069340127470250228000
J HAAK MD
14751201000000047520127470175011000
M CUMMINGS MD
1910246057720000000633135220038662173559966300
J HOLT MD
2022360000060940127470221077000
B NAGRA MD
2458630000073760127470265986000
A TAN MD
217039511511000000068116632031662338506094900
R LEO MD
21900360646500000067200002307236064600
V BROOKS MD
16955345101100000005445494809921849985104100
A BELTO MD
2217520000067730127470241272000
J ANKER MD
216886551677500000675828641031662311448697400
N CERVANTES MD
1521520500000048410127470174740000
D KAYE MD
145427157596250000005142235740316617556918433600
M GUPPENBERGER MD
1894940250000057860127470210527000
F QURESHI MD
1698200000000127470182567000
K DOBSON MD
1689020000050940127470186743000
S HERNANDEZ MD
1502530750000047580127470175258000
P DELREGNO MD
11594053314750000037036912038661271436409200
B SMITH MD
10991258086750000035226372031661209346762400
B MILLER MD
101202155775100000003385305810316611458718952200

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 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 15THE EXECUTIVE COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK. THE BOARD OF DIRECTORS AND THE PLAN ADMINISTRATOR MEET ANNUALLY TO DETERMINE COMPENSATION. VARIOUS FORMS OF COMPENSATION DATA ARE CONSIDERED.
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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -66,452.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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
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 Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 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 (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UB ASSOCIATES INC
O35388MARKET VALUE
UB ASSOCIATES INC
J11960MARKET VALUE
STATE OF NEW YORK
O202244MARKET VALUE
STATE OF NEW YORK
E19008MARKET VALUE

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