2024-10-30T08:35:57-05:00 2023-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2023-01-01 161280696 UB FAMILY MEDICINE INC UBFA 7168984744 77 GOODELL STREET BUFFALO NY 14203 HENRY MCWILLIAMS CHIEF FINANCIAL OFFICER 7168984744 2024-10-25 1 1 EUGENE G KERSHNER P00601324 7166302400 2024-10-25 2023 2024-10-15 13:58:12Z ANDREA MANYON MD 77 GOODELL STREET BUFFALO NY 14203 14258392 0 X WWW.UBFAMMED.COM X 1984 NY UB FAMILY MEDICINE, INC. IS COMMITTED TO ENCOURAGE AND ASSIST THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE AT THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO IN THE DELIVERY OF HEALTH CARE. THE ORGANIZATION ALSO IS COMMITTED TO IMPROVING THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZING THEIR RESOURCES TO FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUITING AND RETAINING TARGETED TEACHING PHYSICIANS, AND ENCOURAGING AND SUPPORTING THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE. UB FAMILY MEDICINE, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR THE DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF FAMILY MEDICINE. 22 0 282 0 0 0 28377 26481 12607721 14043051 102529 70275 106304 39141 12844931 14178948 0 0 0 0 9530462 9811182 0 0 0 3718756 3884986 13249218 13696168 -404287 482780 4749577 5675321 3099975 3125560 1649602 2549761 X UB FAMILY MEDICINE, INC. IS COMMITTED TO ENCOURAGE AND ASSIST THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE AT THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO IN THE DELIVERY OF HEALTH CARE. THE ORGANIZATION ALSO IS COMMITTED TO IMPROVING THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZING THEIR RESOURCES TO FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUITING AND RETAINING TARGETED TEACHING PHYSICIANS, AND ENCOURAGING AND SUPPORTING THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE. UB FAMILY MEDICINE, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR THE DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF FAMILY MEDICINE. 0 0 12450681 14043051 UB FAMILY MEDICINE, INC. IS COMMITTED TO ENCOURAGE AND ASSIST THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE AT THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO IN THE DELIVERY OF HEALTH CARE. THE ORGANIZATION ALSO IS COMMITTED TO IMPROVING THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZING THEIR RESOURCES TO FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUITING AND RETAINING TARGETED TEACHING PHYSICIANS, AND ENCOURAGING AND SUPPORTING THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF FAMILY MEDICINE. UB FAMILY MEDICINE, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR THE DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF FAMILY MEDICINE. 12450681 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 282 1 0 0 0 0 0 0 0 0 0 0 X 22 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X HENRY MCWILLIAMS CFO 7168884707 77 GOODELL STREET BUFFALO NY 14203 ANDREA MANYON MD PRESIDENT 40.00 X X 169942 185597 5151 KIMBERLY WILKINS MD SECRETARY 40.00 X X 226516 0 6945 DIANA WILKINS MD VICE PRESIDENT 40.00 X X 72569 72676 2258 RANJIT SINGH MD TREASURER 40.00 X X 47001 141534 1491 HENRY MCWILLIAMS CFO 40.00 X 209508 0 20667 ROBERT MACEK MD PHYSICIAN 40.00 X 290904 0 23134 TILDABETH DOSCHER MD PHYSICIAN 40.00 X 263362 0 6065 ARTHUR WEISSMAN MD PHYSICIAN 40.00 X 274574 0 18199 DAVID HOLMES MD PHYSICIAN 40.00 X 189824 78999 5776 HUI TUNG TONY LIN MD PHYSICIAN 40.00 X 305964 0 14230 FREDERICK MICHAEL ELLIOTT MD PHYSICIAN 1.00 X 265082 0 13241 2315246 478806 117157 9 0 1 0 CHANGE HEALTHCARE PO BOX 74526 ATLANTA GA 30374 PATIENT BILLING SERVICES 239091 1 26481 26481 CONTRACT REVENUE 621110 6538262 6538262 FEE FOR SERVICE 621110 4834758 4834758 GRADUATE MEDICAL EDUCATION REVENU 621110 2512031 2512031 SALARY SUPPORT 621110 144000 144000 MEDICAID SUPPLEMENT 621110 14000 14000 14043051 74404 74404 75315 79444 -4129 -4129 -4129 OTHER INCOME 621110 39141 39141 39141 14178948 14078063 0 74404 1016440 806932 209508 7451623 6902936 548687 327169 294452 32717 385154 346639 38515 630796 567716 63080 47749 47749 8250 7425 825 48981 44083 4898 39265 39265 5524 5524 394773 355296 39477 396938 357244 39694 12225 11003 1222 54858 54858 25786 23207 2579 247957 242961 4996 CONTRACTUAL SERVICES 1433502 1290152 143350 CHIEF ADMINISTRATIVE OF 402005 402005 CLINICAL SUPPLIES 388404 388404 RESIDENTS EXPENSE 141574 141574 237195 223863 13332 13696168 12450681 1245487 0 287014 320 1947 477404 1113947 1437682 136233 43410 134364 139651 739301 592192 137184 147109 1940606 2418313 998282 1011432 4749577 5675321 930135 1038485 463641 427063 1706199 1660012 3099975 3125560 X 1649602 2549761 1649602 2549761 4749577 5675321 482780 417379 0 X X 0 1 X 1 0 X 10813 1668126 23250 28377 26481 1757047 12805972 11967786 12928879 12607721 14043051 64353409 12816785 13635912 12952129 12636098 14069532 66110456 0 442900 281669 743894 509534 622860 2600857 442900 281669 743894 509534 622860 2600857 63509599 86291 119032 269871 102529 74404 652127 86291 119032 269871 102529 74404 652127 329564 337745 113721 106304 39141 926475 13232640 14092689 13335721 12844931 14183077 67689058 0.93830 0.93570 0.00960 0.00990 X 412105 332295 79810 183869 128677 55192 143327 131220 12107 147109 WELLS FARGO 2418313 F 2418313 MALPRACTICE CAPITAL CONTRIBUTIONS 167335 SECURITY DEPOSITS 20149 RIGHT-OF-USE ASSETS 823948 1011432 DUE TO UB ASSOCIATES 20782 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 822633 OPERATING LEASE LIABILITIES 816597 1660012 14596327 417379 417379 14178948 0 14178948 13696168 0 13696168 0 13696168 X X X 0 0 0 0 0 0 0 0 0 ANDREA MANYON MD PRESIDENT 169942 185597 0 0 0 0 5098 0 53 0 175093 185597 0 0 HUI TUNG TONY LIN MD PHYSICIAN 305964 0 0 0 0 0 9179 0 5051 0 320194 0 0 0 ROBERT MACEK MD PHYSICIAN 290904 0 0 0 0 0 8727 0 14407 0 314038 0 0 0 ARTHUR WEISSMAN MD PHYSICIAN 274574 0 0 0 0 0 8237 0 9962 0 292773 0 0 0 FREDERICK MICHAEL ELLIOTT MD PHYSICIAN 265082 0 0 0 0 0 7952 0 5289 0 278323 0 0 0 DAVID HOLMES MD PHYSICIAN 189824 78999 0 0 0 0 5695 0 81 0 195600 78999 0 0 TILDABETH DOSCHER MD PHYSICIAN 263362 0 0 0 0 0 791 0 5274 0 269427 0 0 0 KIMBERLY WILKINS MD SECRETARY 226516 0 0 0 0 0 6795 0 150 0 233461 0 0 0 HENRY MCWILLIAMS CFO 209508 0 0 0 0 0 6285 0 14382 0 230175 0 0 0 RANJIT SINGH MD TREASURER 47001 141534 0 0 0 0 1410 0 81 0 48492 141534 0 0 RANJIT SINGH MD PHYSICIAN OVERPAYMENT OF SALARY X 150400 43410 0 1 1 43410 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 GOVERNING BODY ARE SUBJECT TO RATIFICATION BY MEMBERS. 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 COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK. MARKETPLACE COMPARISONS TO COMPENSATION PAID BY SIMILAR ORGANIZATIONS 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. FORM 990, PART XII, LINE 2C THEIR PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. STATE OF NEW YORK ONE COMMERCE PLAZA ALBANY NY 12231 146013200 GOVERNMENT NY 501(C)(1) 0 UNIVERSITY GYNECOLOGISTS & OBSTETRICIANS INC 239 BRYANT STREET BUFFALO NY 14222 161485974 PROVIDES HEALTH CARE SERVICES TO WOMEN AND SUPPORTS THE UNIVERSITY NY 501(C)(3) LINE 11 0 UNIVERSITY ORTHOPAEDIC SERVICES INC 5500 MAIN STREET SUITE 107 WILLIAMSVILLE NY 14221 161406947 PROVIDES ORTHOPAEDIC SERVICES TO PATIENTS AND PROVIDES CLINICAL NY 501(C)(3) LINE 11 0 UNIVERSITY AT BUFFALO SURGEONS INC 462 GRIDER STREET BUFFALO NY 14215 800033443 PROVIDES SURGICAL AND MEDICAL SERVICES NY 501(C)(3) LINE 11 0 ACADEMIC MEDICINE SERVICES INC 4498 MAIN STREET AMHERST NY 14226 161455134 PROVIDES HEALTH CARE SERVICES AND SUPPORTS UNIVERSITY ACTIVITIES NY 501(C)(3) LINE 11 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 STATE OF NEW YORK P 402005 MARKET VALUE STATE OF NEW YORK E 822633 MARKET VALUE