2023-09-21T12:07:22-05:00 2022-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2022-01-01 161280696 UB FAMILY MEDICINE INC UBFA 7168984744 77 GOODELL STREET BUFFALO NY 14203 HENRY MCWILLIAMS CHIEF FINANCIAL OFFICER 7168984744 2023-09-21 1 HENRY MCWILLIAMS 999009999 0 EUGENE G KERSHNER P00601324 7166302400 2023-09-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANDREA MANYON MD 77 GOODELL STREET BUFFALO NY 14203 12844931 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 0 125 0 0 0 23250 28377 12928879 12607721 267884 102529 113721 106304 13333734 12844931 0 0 0 0 9193133 9530462 0 0 0 3883274 3718756 13076407 13249218 257327 -404287 4803274 4749577 2161934 3099975 2641340 1649602 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 12085905 12607721 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. 12085905 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 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 16 0 1 125 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 167379 69338 5074 KIMBERLY WILKINS MD SECRETARY 40.00 X X 227093 0 6894 DIANA WILKINS MD VICE PRESIDENT 40.00 X X 65805 65362 2055 RANJIT SINGH MD TREASURER 40.00 X X 95960 123535 2960 HENRY MCWILLIAMS CFO 40.00 X 182376 0 18400 ROBERT MACEK MD PHYSICIAN 40.00 X 247974 0 20368 MOHAMMADREZA AZADFARD MD PHYSICIAN 40.00 X 295327 0 16222 TILDABETH DOSCHER MD PHYSICIAN 40.00 X 527183 0 20371 SARAH ABDELSAYED MD PHYSICIAN 40.00 X 249633 0 12573 ARTHUR WEISSMAN MD PHYSICIAN 40.00 X 246324 0 16986 DAVID HOLMES MD PHYSICIAN 40.00 X 229560 71644 6968 2534614 329879 128871 9 0 1 0 0 28377 28377 CONTRACT REVENUE 621110 5804732 5804732 FEE FOR SERVICE 621110 4470947 4470947 GRADUATE MEDICAL EDUCATION REVENU 621110 2298042 2298042 SALARY SUPPORT 621110 20000 20000 MEDICAID SUPPLEMENT 621110 14000 14000 12607721 102529 102529 OTHER INCOME 621110 106304 106304 106304 12844931 12714025 0 102529 986588 950113 36475 7129483 6448766 680717 334660 301194 33466 444812 400331 44481 634919 571427 63492 47749 47749 7040 6336 704 42644 38380 4264 32090 32090 12224 12224 334387 300948 33439 398823 358941 39882 35025 31523 3502 16696 16696 26910 24219 2691 221731 215120 6611 CONTRACTUAL SERVICES 1370858 1233772 137086 CAO'S FUND 428941 428941 CLINICAL SUPPLIES 385297 385297 RESIDENTS EXPENSE 136346 136346 221995 209937 12058 13249218 12085905 1163313 0 123021 287014 543 1947 1585886 1113947 150400 136233 164359 134364 703590 566406 164094 137184 2427487 1940606 187484 998282 4803274 4749577 1168633 930135 42500 0 45 463641 950756 1706199 2161934 3099975 X 2641340 1649602 2641340 1649602 4803274 4749577 -404287 -587451 0 X X 0 1 X 1 0 X 10813 1668126 23250 28377 1730566 12427556 12805972 11967786 12928879 12607721 62737914 12427556 12816785 13635912 12952129 12636098 64468480 0 388803 442900 281669 743894 509534 2366800 388803 442900 281669 743894 509534 2366800 62101680 79274 86291 119032 269871 102529 656997 79274 86291 119032 269871 102529 656997 355245 329564 337745 113721 106304 1242579 12862075 13232640 14092689 13335721 12844931 66368056 0.93570 0.93470 0.00990 0.00950 X 412105 324417 87688 154574 114851 39723 136911 127138 9773 137184 WELLS FARGO 1940606 F 1940606 MALPRACTICE CAPITAL CONTRIBUTIONS 167335 SECURITY DEPOSITS 20149 RIGHT-OF-USE ASSETS 810798 998282 DUE TO UB ASSOCIATES 47523 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 859872 OPERATING LEASE LIABILITIES 798804 1706199 12257480 -587451 -587451 12844931 0 12844931 0 0 0 0 0 X X X 0 0 0 0 0 0 0 0 0 TILDABETH DOSCHER MD PHYSICIAN 527183 0 0 0 0 0 15815 0 4556 0 547554 0 0 0 MOHAMMADREZA AZADFARD MD PHYSICIAN 295327 0 0 0 0 0 8860 0 7362 0 311549 0 0 0 DAVID HOLMES MD PHYSICIAN 229560 71644 0 0 0 0 6887 0 81 0 236528 71644 0 0 ROBERT MACEK MD PHYSICIAN 247974 0 0 0 0 0 7439 0 12929 0 268342 0 0 0 ARTHUR WEISSMAN MD PHYSICIAN 246324 0 0 0 0 0 7390 0 9596 0 263310 0 0 0 SARAH ABDELSAYED MD PHYSICIAN 249633 0 0 0 0 0 7489 0 5084 0 262206 0 0 0 ANDREA MANYON MD PRESIDENT 167379 69338 0 0 0 0 5021 0 53 0 172453 69338 0 0 KIMBERLY WILKINS MD SECRETARY 227093 0 0 0 0 0 6813 0 81 0 233987 0 0 0 RANJIT SINGH MD TREASURER 95960 123535 0 0 0 0 2879 0 81 0 98920 123535 0 0 HENRY MCWILLIAMS CFO 182376 0 0 0 0 0 5471 0 12929 0 200776 0 0 0 RANJIT SINGH MD PHYSICIAN OVERPAYMENT OF SALARY X 150400 136233 0 1 1 136233 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 428941 MARKET VALUE STATE OF NEW YORK E 859872 MARKET VALUE