2022-09-14T08:39:25-05:00 2021-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2021-01-01 161426208 UNIVERSITY PSYCHIATRIC PRACTICE INC UNIV 7168984535 ERIE CO MEDICAL CENTER 462 G 1168 BUFFALO NY 14215 DR STEVEN DUBOVSKY PRESIDENT 7168545034 2022-08-23 1 DR STEVEN DUBOVSKY 999009999 EUGENE G KERSHNER P00601324 7166302400 2022-08-23 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DR STEVEN DUBOVSKY ERIE CO MEDICAL CENTER 462 G 1168 BUFFALO NY 14215 31172868 0 X HTTP://MEDICINE.BUFFALO.EDU/PSYCHIATRY X 1992 NY TO 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. 4 0 83 0 0 0 3883405 3929061 16601875 16547612 137526 1813777 112978 161138 20735784 22451588 2100 1000 0 0 17926126 18053273 0 0 0 2122976 1661363 20051202 19715636 684582 2735952 19794952 21543229 2986684 3020438 16808268 18522791 THE 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. 0 0 17095144 1000 16708750 UNIVERSITY PSYCHIATRIC PRACTICE, INC. PROVIDES COMPREHENSIVE MENTAL HEALTH EVALUATION AND TREATMENT FOR CHILDREN, ADOLESCENTS, ADULTS, AND SENIOR CITIZENS. OUR ALLIANCES WITH HOSPITALS AND HEALTH CARE ORGANIZATIONS IN THE AREA AND WITH DEPARTMENTS OF PSYCHIATRY AROUND THE COUNTRY ENABLE US TO PROVIDE A FULL RANGE OF SERVICES FOR THE MOST COMPLEX PROBLEMS. OUR THREE LARGEST PROGRAMS INCLUDE CONTRACTS WITH ERIE COUNTY MEDICAL CENTER AND ERIE COUNTY DEPARTMENT OF MENTAL HEALTH AND A GRANT WITH THE OFFICE OF MENTAL HEALTH FOR CHILD & ADOLESCENT PSYCHIATRY FOR PRIMARY CARE. THE NUMBER OF CLIENTS/PATIENTS SERVED IS 28,500. 17095144 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 37 0 1 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X AMY BEREK 7168985941 ECMC 462 GRIDER ST BUFFALO NY 14215 STEVEN DUBOVSKY MD PRESIDENT 40.00 X X 463643 0 9718 JEFFREY ANKER MD VICE PRESIDENT 40.00 X X 388551 0 8700 DORI MARSHALL MD TREASURER 40.00 X X 556187 0 8700 MICHAEL GUPPENBERGER MD SECRETARY 40.00 X X 535455 0 22966 AMY BEREK CHIEF FINANCIAL OFFICER 40.00 X 280922 0 22002 BALWANT NAGRA MD PSYCHIATRIST 40.00 X 676283 0 23053 HONG YU MD PSYCHIATRIST 40.00 X 517884 0 22966 MICHAEL CUMMINGS MD PSYCHIATRIST 40.00 X 760619 0 8700 JOSHNA SINGH MD PSYCHIATRIST 40.00 X 365228 0 8700 YOGESH BAKAHI MD PSYCHIATRIST 40.00 X 344833 0 8700 4889605 0 144205 49 0 1 0 0 3752718 176343 3929061 CONTRACT REVENUE 621110 13124817 13124817 FEES FOR SERVICES 621110 2369843 2369843 GRADUATE MEDICAL EDUCATION REVENU 621110 895946 895946 SALARY SUPPORT 621110 143176 143176 MEDICAID SUPPLEMENT 621110 13830 13830 16547612 179770 179770 10355287 8721280 1634007 1634007 1634007 MISCELLANEOUS INCOME 621110 161138 161138 161138 22451588 16708750 0 1813777 1000 1000 2224759 2002283 222476 13847538 12203771 1643767 395191 316153 79038 845698 676558 169140 740087 592070 148017 71383 71383 31603 31603 27042 27042 45534 45534 91527 73222 18305 177510 142008 35502 20531 18478 2053 11974 11974 106627 15994 90633 CONTRACTUAL SERVICES 408820 327056 81764 CHIEF ADMINISTRATIVE OF 394258 394258 MALPRACTICE INSURANCE 150681 150681 MEALS AND ENTERTAINMENT 35960 30566 5394 87913 80427 7486 19715636 17095144 2620492 0 11730008 11858022 81770 326482 657373 1537052 68438 84542 91836 58223 45587 33613 7170606 7661355 41170 42163 19794952 21543229 2858543 2932604 128141 87834 2986684 3020438 X 16808268 18522791 16808268 18522791 19794952 21543229 2735952 -1021429 0 X X 0 0 0 X 3946171 3972238 4230199 3883405 3929061 19961074 15274911 17031348 15793456 16601875 16547612 81249202 19221082 21003586 20023655 20485280 20476673 101210276 0 0 0 101210276 123448 138007 312629 130777 134236 839097 123448 138007 312629 130777 134236 839097 76184 88167 88828 112978 161138 527295 19420714 21229760 20425112 20729035 20772047 102576668 0.98670 0.98580 0.00820 0.00810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43214 10030 33184 48622 48193 429 33613 INVESTMENTS 7661355 F 7661355 MALPRACTICE INSURANCE ASSESSMENT 18627 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 69207 87834 21384625 -1021429 -1021429 22406054 45534 45534 22451588 19670102 0 19670102 45534 45534 19715636 X X 0 0 0 0 0 0 0 0 0 MICHAEL CUMMINGS MD PSYCHIATRIST 720619 0 40000 0 0 0 8700 0 0 0 769319 0 0 0 BALWANT NAGRA MD PSYCHIATRIST 646283 0 30000 0 0 0 8700 0 14353 0 699336 0 0 0 DORI MARSHALL MD TREASURER 521187 0 35000 0 0 0 8700 0 0 0 564887 0 0 0 MICHAEL GUPPENBERGER MD SECRETARY 490455 0 45000 0 0 0 8700 0 14266 0 558421 0 0 0 HONG YU MD PSYCHIATRIST 502884 0 15000 0 0 0 8700 0 14266 0 540850 0 0 0 STEVEN DUBOVSKY MD PRESIDENT 403643 0 60000 0 0 0 8700 0 1018 0 473361 0 0 0 JEFFREY ANKER MD VICE PRESIDENT 358551 0 30000 0 0 0 8700 0 0 0 397251 0 0 0 JOSHNA SINGH MD PSYCHIATRIST 345228 0 20000 0 0 0 8700 0 0 0 373928 0 0 0 YOGESH BAKAHI MD PSYCHIATRIST 304833 0 40000 0 0 0 8700 0 0 0 353533 0 0 0 AMY BEREK CHIEF FINANCIAL OFFICER 230922 0 50000 0 0 0 17008 0 4994 0 302924 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 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 11B 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 12C THE ORGANIZATION REQUIRES DISCLOSURE OF ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C EXPLANATION THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UB ASSOCIATES INC UB DOWNTOWN GATEWAY BUILDING 77 GOO BUFFALO NY 14203 161559460 PROVIDE ADMIN SUPPORT TO SUNY BUFFALO MEDICAL SCHOOL PRACTICE PLAN NY 501(C)(3) LINE 11 N/A 0 STATE OF NEW YORK ONE COMMERCE PLAZA 99 WASHINGTON AV ALBANY NY 12231 146013200 GOVERNMENT NY 501(C)(1) N/A 0 UNIVERSITY AT BUFFALO FOUNDATION INC PO BOX 900 BUFFALO NY 14226 160865182 PROVIDES SUPPORT FOR AND PROMOTES THE ACTIVITIES OF THE UNIVERSITY NY 501(C)(3) LINE 11 N/A 0 UNIVERSITY NEUROLOGY INC 77 GOODELL STREET BUFFALO NY 14203 161359213 PROVIDES MEDICAL SERVICES AND SUPPORTS THE UNIVERSITY EDUCATION NY 501(C)(3) LINE 11 N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 STATE OF NEW YORK P 394258 MARKET VALUE STATE OF NEW YORK E 69207 MARKET VALUE UNIVERSITY OF BUFFALO K 47514 MARKET VALUE