2024-10-02T12:35:47-05:00 2023-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2023-01-01 161494924 UNIVERSITY EMERGENCY MEDICAL SERVICES INC UNIV 7166459708 77 GOODELL STREET SUITE 340 BUFFALO NY 14203 ROBERT MCCORMACK MD PRESIDENT 7166459708 2024-10-02 1 0 EUGENE G KERSHNER P00601324 7166302400 2024-10-02 2023 2024-10-15 13:58:12Z ROBERT MCCORMACK MD 77 GOODELL STREET SUITE 340 BUFFALO NY 14203 71170544 0 X N/A X 1996 NY TO PROVIDE PRIMARY EMERGENCY CARE MEDICAL SERVICES IN WNY AND CLINICAL INSTRUCTION AND SUPERVISION TO THE STUDENTS OF THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO. 9 0 292 15 0 0 1309336 1279733 53993444 69333632 0 35802 402152 521377 55704932 71170544 0 0 0 0 48887869 52559361 0 0 0 8579045 17025986 57466914 69585347 -1761982 1585197 13502775 16079293 3743659 4734980 9759116 11344313 TO PROVIDE PRIMARY EMERGENCY CARE MEDICAL SERVICES IN WNY AND CLINICAL INSTRUCTION AND SUPERVISION TO THE STUDENTS OF THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO. 0 0 63272984 69333632 THE CORPORATION PROVIDES EMERGENCY MEDICAL SERVICES TO THE WNY POPULATION. IT EXISTS TO TRAIN MEDICAL STUDENTS, RESIDENTS AND FELLOWS IN THE PRACTICE OF EMERGENCY MEDICINE AND ALSO SUPPORTS THE GENERAL MISSION OF THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO. 63272984 1 0 0 0 0 0 0 0 0 0 1 0 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 21 0 1 292 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 NY X JACQUELINE O'LAY 7166459708 77 GOODELL STREET SUITE 340 BUFFALO NY 14203 ROBERT MCCORMACK MD PRESIDENT 40.00 X X 511367 0 42203 GREGORY DIFRANCESCO MD DIRECTOR 40.00 X 596991 0 44850 CHRISTIAN DEFAZIO MD DIRECTOR 40.00 X 350921 0 42203 JENNIFER ROGERS MD SECRETARY 40.00 X X 551896 0 40703 MICHAEL MANKA JR MD DIRECTOR 40.00 X 526594 0 42203 BRIAN MONACO MD DIRECTOR 40.00 X 327815 0 57889 BINDESH PATEL MD VICE PRESIDENT 40.00 X 355082 0 52906 JENNIFER CALDWELL MD TREASURER 40.00 X X 295208 0 49119 DANIEL FAHEY MD DIRECTOR 40.00 X 502702 0 39600 JACQUELINE O'LAY CFO 40.00 X 182821 0 40855 MICHAEL FILICE MD PHYSICIAN 40.00 X 515726 0 61391 SCOTT BELOTE MD PHYSICIAN 40.00 X 622101 0 60289 MELISSA DESANTIS MD PHYSICIAN 40.00 X 505532 0 48745 ALEXANDER LJUNGBERG DO PHYSICIAN 40.00 X 478115 0 56641 JOSHUA LYNCH MD PHYSICIAN 40.00 X 615942 0 39600 6938813 0 719197 15 0 1 0 PRACTICEFIRST 275 NORTHPOINTE PKWY STE 50 AMHERST NY 14228 BILLING 1555830 LOGIXHEALTH 8 OAK PARK DR BEDFORD MA 01730 CODING 997866 MUSHTAQ KAHN 7121 SALT ROAD CLARENCE NY 14032 PHYSICIAN 353360 GREGORY COLLINS 4820 DARBY ROAD AVON NY 14414 PHYSICIAN 181750 MEDICAL AMBASSADORS 189 SUNRISE HILL LN AUBURNDALE FL 33823 STAFFING 166368 5 690841 588892 1279733 FEE FOR SERVICE 621110 41350523 41350523 CONTRACT REVENUE 621110 25344196 25344196 GRADUATE MEDICAL EDUCATION REVENU 621110 1920936 1920936 MEDICAID SUPPLEMENT 621110 550000 550000 SALARY SUPPORT 621110 167977 167977 69333632 35802 35802 MISCELLANEOUS INCOME 621110 521377 521377 521377 71170544 69855009 0 35802 4201397 3724618 476779 39630266 36473412 3156854 4570245 3884708 685537 1919286 1631393 287893 2238167 1902442 335725 198926 198926 34515 34515 18167 18167 49416 49416 6675782 6475509 200273 125460 125460 900177 900177 11230 11230 2039883 1859231 180652 CONTRACTUAL SERVICES 4102456 3692210 410246 CAO'S FUND 2169013 2169013 BOOKS DUES AND SUBSCRIP 192213 192213 LICENSE FEES 119003 119003 389745 249055 140690 69585347 63272984 6312363 0 4983248 12579 6017740 7897105 9425905 278626 290503 254576 147923 117883 106653 225913 225913 13502775 16079293 3593877 4545133 2500 0 147282 189847 3743659 4734980 X 9759116 11344313 9759116 11344313 13502775 16079293 1585197 0 X X 0 1 X 1 1 1 X 641474 1497842 1125198 1309336 1279733 5853583 47909922 48600860 53847005 53993444 69333632 273684863 48551396 50098702 54972203 55302780 70613365 279538446 0 1840890 332811 2603136 2504103 2640445 9921385 1840890 332811 2603136 2504103 2640445 9921385 269617061 66554 28674 4356 35802 135386 66554 28674 4356 35802 135386 462547 279626 451705 402152 521377 2117407 49080497 50407002 55428264 55704932 71170544 281791239 0.95680 0.95820 0.00050 0.00040 X LINE 12 EXPLANATION MISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTH CARE RELATED ORGANIZATIONS AND PRODUCT SALES THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION. 165549 58961 106588 50234 50234 0 38793 38728 65 106653 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 189847 189847 71170544 0 71170544 0 71170544 69585347 0 69585347 0 69585347 X 0 0 0 0 0 0 0 0 0 SCOTT BELOTE MD PHYSICIAN 517423 0 104678 0 0 0 39600 0 20689 0 682390 0 0 0 JOSHUA LYNCH MD PHYSICIAN 485264 0 130678 0 0 0 39600 0 0 0 655542 0 0 0 GREGORY DIFRANCESCO MD DIRECTOR 442313 0 154678 0 0 0 39600 0 5250 0 641841 0 0 0 JENNIFER ROGERS MD SECRETARY 409718 0 142178 0 0 0 39600 0 1103 0 592599 0 0 0 MICHAEL FILICE MD PHYSICIAN 411048 0 104678 0 0 0 39600 0 21791 0 577117 0 0 0 MICHAEL MANKA JR MD DIRECTOR 446594 0 80000 0 0 0 39600 0 2603 0 568797 0 0 0 MELISSA DESANTIS MD PHYSICIAN 440854 0 64678 0 0 0 39600 0 9145 0 554277 0 0 0 ROBERT MCCORMACK MD PRESIDENT 401367 0 110000 0 0 0 39600 0 2603 0 553570 0 0 0 DANIEL FAHEY MD DIRECTOR 438024 0 64678 0 0 0 39600 0 0 0 542302 0 0 0 ALEXANDER LJUNGBERG DO PHYSICIAN 412437 0 65678 0 0 0 39600 0 17041 0 534756 0 0 0 BINDESH PATEL MD VICE PRESIDENT 300082 0 55000 0 0 0 39600 0 13306 0 407988 0 0 0 CHRISTIAN DEFAZIO MD DIRECTOR 280921 0 70000 0 0 0 39600 0 2603 0 393124 0 0 0 BRIAN MONACO MD DIRECTOR 292815 0 35000 0 0 0 39600 0 18289 0 385704 0 0 0 JENNIFER CALDWELL MD TREASURER 260208 0 35000 0 0 0 35813 0 13306 0 344327 0 0 0 JACQUELINE O'LAY CFO 149821 0 33000 0 0 0 22566 0 18289 0 223676 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 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 DIRECTORS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY WHICH IS MONITORED ON AN ONGOING BASIS BY THE DEPARTMENT ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE. 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 THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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