2024-11-14T10:56:30-06:00 2023-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2023-01-01 161492711 UNIVERSITY OPHTHALMOLOGY SERVICES INC UNIV 7168817900 1176 MAIN STREET BUFFALO NY 14209 JAMES REYNOLDS MD PRESIDENT 7168817900 2024-11-12 1 0 EUGENE G KERSHNER P00601324 7166302400 2024-11-12 2023 2024-10-15 13:58:12Z JAMES REYNOLDS MD 1176 MAIN STREET BUFFALO NY 14209 11001493 0 X WWW.SMBS.BUFFALO.EDU/OPHTHALMOLOGY X 1995 NY UNIVERSITY OPHTHALMOLOGY, INC. IS ORGANIZED EXCLUSIVELY FOR THE PURPOSE OF SUPPORTING THE EDUCATIONAL MISSION OF THE JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES OF UNIVERSITY AT BUFFALO, STATE UNIVERSITY OF NEW YORK BY PROVIDING CLINICAL INSTRUCTION, SUPERVISION OF STUDENTS, INTERNS, RESIDENTS AND OTHER OPHTHALMIC SERVICES. 3 0 109 0 0 0 213003 220837 7762491 9671385 52547 174439 343697 807619 8371738 10874280 0 0 0 0 5487666 6085884 0 0 0 3750352 4271788 9238018 10357672 -866280 516608 14839160 14199634 13107436 11923142 1731724 2276492 X UNIVERSITY OPHTHALMOLOGY SERVICES, INC IS ORGANIZED EXCLUSIVELY FOR THE PURPOSE OF SUPPORTING THE EDUCATIONAL MISSION OF THE JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES OF UNIVERSITY AT BUFFALO, STATE UNIVERSITY OF NEW YORK BY PROVIDING CLINICAL INSTRUCTION, SUPERVISION OF STUDENTS, INTERNS AND RESIDENTS AND INCIDENT THERETO, RENDERING PROFESSIONAL MEDICAL SERVICES. 0 0 8422947 9892222 SUPPORT THE EDUCATIONAL MISSION OF SUNY-BUFFALO JACOBS SCHOOL OF MEDICINE BY PROVIDING CLINICAL INSTRUCTION, SUPERVISION OF STUDENTS, INTERNS, RESIDENTS & INCIDENTAL PROFESSIONAL SERVICES. 8422947 1 1 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 20 0 1 109 1 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NY X X DEBORAH KEENAN 7168817900 1176 MAIN STREET BUFFALO NY 14209 JAMES D REYNOLDS MD PRESIDENT 40.00 X X 264805 0 0 SANDRA SIEMINSKI MD VICE PRESIDENT 40.00 X X 354960 0 9049 ANDREW REYNOLDS MD SECRETARY/TREASURER 40.00 X X 358596 0 8710 SHREYA PRABHU MD PHYSICIAN 40.00 X 279858 0 6432 JOHN LILLVIS MD PHD PHYSICIAN 40.00 X 262262 0 8000 VAITHEESWARAN LALGUTI MD PHYSICIAN 40.00 X 242779 0 9005 AVANI DAVE MD PHYSICIAN 40.00 X 170771 0 12679 BRIAN MADOW MD PHYSICIAN 40.00 X 355313 0 2053 2289344 0 55928 8 0 1 0 CFO SOLUTIONS PLUS 45 BRYANT WOODS NORTH AMHERST NY 14228 CONSULTING 149407 1 220837 220837 FEES FOR SERVICE 624100 8897706 8897706 CONTRACT REVENUE 624100 486100 486100 GRADUATE MEDICAL EDUCATION 624100 287579 287579 9671385 24142 24142 277510 127213 150297 150297 150297 MISCELLANEOUS INCOME 621110 737272 737272 INCOME FROM SUBSIDIARY 621110 70347 70347 807619 10874280 10629301 0 24142 978361 782689 195672 4462453 3569962 892491 80295 64236 16059 274153 219322 54831 290622 232498 58124 19135 19135 11198 11198 21100 21100 171646 171646 12797 12797 424235 254541 169694 1290031 1290031 22289 22289 75445 75445 406167 324933 81234 173517 109010 64507 CONTRACTUAL SERVICES 640729 512583 128146 CLINICAL SUPPLIES AND F 515912 515912 CHIEF ADMINISTRATIVE OF 259781 259781 BOOKS, DUES AND SUBSCRI 71274 57019 14255 156532 132696 23836 10357672 8422947 1934725 0 297784 165845 402177 108840 591036 958876 0 39826 13356 19659 10349821 8723561 1766602 1626260 1107675 1350062 10660530 9930266 14839160 14199634 1842839 1427545 1435937 1759233 9828660 8736364 13107436 11923142 X 1731724 2276492 1731724 2276492 14839160 14199634 516608 28160 0 X X 0 1 X 1 0 X 1000 120973 3137 213003 220837 558950 9017827 6018184 8626200 7762491 9671385 41096087 9018827 6139157 8629337 7975494 9892222 41655037 0 1550756 634204 2587518 2632843 3452158 10857479 1550756 634204 2587518 2632843 3452158 10857479 30797558 20857 19446 19106 24837 24142 108388 20857 19446 19106 24837 24142 108388 182648 1033195 956040 343697 737272 3252852 9222332 7191798 9604483 8344028 10653636 45016277 0.68410 0.73140 0.00240 0.00240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5437354 5006725 430629 4854639 3716836 1137803 57828 57828 1626260 INVESTMENTS 1350062 F 1350062 SECURITY DEPOSITS 13708 MALPRACTICE CAPITAL CONTRIBUTIONS 55030 GOODWILL 1827940 RIGHT-OF-USE ASSETS 8033588 9930266 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 697889 OPERATING LEASE LIABILITIES 8038475 8736364 10902440 28160 28160 10874280 0 10874280 10357672 0 10357672 0 10357672 X 0 0 0 1 0 1 0 0 0 ANDREW REYNOLDS MD SECRETARY/TREASURER 358596 0 0 0 0 0 8710 0 0 0 367306 0 0 0 SANDRA SIEMINSKI MD VICE PRESIDENT 354960 0 0 0 0 0 9049 0 0 0 364009 0 0 0 BRIAN MADOW MD PHYSICIAN 355313 0 0 0 0 0 0 0 2053 0 357366 0 0 0 SHREYA PRABHU MD PHYSICIAN 279858 0 0 0 0 0 6432 0 0 0 286290 0 0 0 JOHN LILLVIS MD PHD PHYSICIAN 262262 0 0 0 0 0 5928 0 2072 0 270262 0 0 0 JAMES D REYNOLDS MD PRESIDENT 264805 0 0 0 0 0 0 0 0 0 264805 0 0 0 VAITHEESWARAN LALGUTI MD PHYSICIAN 242779 0 0 0 0 0 700 0 8305 0 251784 0 0 0 AVANI DAVE MD PHYSICIAN 170771 0 0 0 0 0 4833 0 7846 0 183450 0 0 0 PART I, LINE 5 CERTAIN PHYSICIANS PAY IS CALCULATED BASED ON A PRODUCTIVITY MODEL. PART I, LINE 6 CERTAIN PHYSICIANS PAY IS CALCULATED BASED ON A PRODUCTIVITY MODEL. FORM 990, PART VI, SECTION A, LINE 2 DR. JAMES REYNOLDS IS THE FATHER OF DR. ANDREW REYNOLDS. 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 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. THE MEDICAL SCHOOL DEAN APPROVES COMPENSATION EACH YEAR. OTHER EMPLOYEE SALARIES ARE DETERMINED BY MANAGEMENT IN CONJUNCTION WITH INPUT FROM THE PRACTICE PLAN CHAIR AND PRESIDENT. 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: 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)(3) N/A 0 UNIVERSITY AT BUFFALO FOUNDATION INC PO BOX 900 BUFFALO NY 14226 160865182 FINANCIAL MANAGEMENT SERVICES AND ACTIVITIES NY 501(C)(3) LINE 12C, III-FI N/A 0 235 WINDWARD ROAD LLC 4455 GENESEE STREET BUFFALO NY 14221 873645732 PROVIDES LEASED SPACE NY 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 STATE OF NEW YORK P 259781 MARKET VALUE STATE OF NEW YORK E 697889 MARKET VALUE 235 WINDWARD AVENUE K 868445 MARKET VALUE