2023-11-15T16:09:51-06:00 2022-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2022-01-01 800921947 UBMD DERMATOLOGY INC UBMD 7163230058 77 GOODELL STREET SUITE 310 BUFFALO NY 14203 ANNE CURTIS MD PRESIDENT 7163230058 2023-11-15 1 ANNE CURTIS MD 999009999 0 EUGENE G KERSHNER P00601324 7166302400 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANNE CURTIS MD 77 GOODELL STREET SUITE 310 BUFFALO NY 14203 143 0 X N/A X 2013 NY UBMD DERMATOLOGY, INC. IS COMMITTED TO PROVIDING EDUCATIONAL EXPERIENCES AND TRAINING IN A CLINICAL CONTEXT TO STUDENTS, INTERNS AND RESIDENTS OF THE JACOBS SCHOOL OF MEDICINE, ENCOURAGING AND ASSISTING THE FACULTY OF THE DEPARTMENT OF DERMATOLOGY AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO IN THE DELIVERY OF HEALTH CARE, IMPROVING THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZING 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 DERMATOLOGY. UBMD DERMATOLOGY, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR THE DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF DERMATOLOGY, TO HELP COVER THE EXPENSES OF ITS CLINICAL PRACTICE, AND TO PROMOTE THE RESEARCH AND ACADEMIC MISSIONS OF THE DEPARTMENT. 2 0 0 0 0 0 0 0 0 143 5 0 0 0 5 143 0 0 0 0 0 0 0 0 0 219446 89241 219446 89241 -219441 -89098 23061 14793 1271368 1352197 -1248307 -1337404 X UBMD DERMATOLOGY, INC. IS COMMITTED TO PROVIDING EDUCATIONAL EXPERIENCES AND TRAINING IN A CLINICAL CONTEXT TO STUDENTS, INTERNS AND RESIDENTS OF THE JACOBS SCHOOL OF MEDICINE, ENCOURAGING AND ASSISTING THE FACULTY OF THE DEPARTMENT OF DERMATOLOGY AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO IN THE DELIVERY OF HEALTH CARE, IMPROVING THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZING 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 DERMATOLOGY. UBMD DERMATOLOGY, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR THE DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF DERMATOLOGY, TO HELP COVER THE EXPENSES OF ITS CLINICAL PRACTICE, AND TO PROMOTE THE RESEARCH AND ACADEMIC MISSIONS OF THE DEPARTMENT. 0 0 143 EDUCATE AND TRAIN STUDENTS, INTERNS AND RESIDENTS IN THE PRACTICE OF DERMATOLOGY AT THE JACOBS SCHOOL OF MANAGEMENT AND FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUITING AND RETAINING TARGETED TEACHING PHYSICIANS, AND ENCOURAGE AND SUPPORT THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF DERMATOLOGY. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 X 2 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X SAMANTHA TARCZYNSKI 7168782998 77 GOODELL STREET BUFFALO NY 14203 X ANNE CURTIS MD CHAIR/PRESIDENT 0.00 X X 0 0 0 ANIMESH A SINHA MD PHD SECRETARY 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 FEE FOR SERVICE 621400 143 143 143 143 143 0 0 11030 11030 3852 3852 19166 19166 54441 54441 745 745 CHIEF ADMINISTRATIVE OF 7 7 89241 0 89241 0 11916 7897 4249 0 133666 133666 0 0 6896 6896 23061 14793 1271368 1352197 1271368 1352197 X -1248307 -1337404 -1248307 -1337404 23061 14793 -89098 0 X X 0 0 0 X 1863 1863 93144 129038 117676 143 340001 93144 129038 119539 143 341864 0 5775 12461 9425 27661 5775 12461 9425 27661 314203 115 177 40 332 115 177 40 332 31 31 93290 129215 119579 143 342227 0.91810 0.90630 0.00100 0.00100 X 120403 120403 0 13263 13263 0 0 MALPRACTICE CAPITAL CONTRIBUTIONS 6896 6896 CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE 25899 DUE TO RELATED PARTIES 1326298 1352197 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 EMAIL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES DISCLOSURE OF ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. CONFLICT OF INTEREST POLICY 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 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. PART XII, LINE 2C EXPLANATION THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. STATE OF NEW YORK ONE COMMERCE PLAZA 99 WASHINGTON A ALBANY NY 12231 146013200 GOVERNMENT NY 501(C)(1) N/A 0 UB ASSOCIATES INC 77 GOODELL STREET BUFFALO NY 14203 164559460 PROVIDE ADMIN SUPPORT TO SUNY BUFFALO MEDICAL SCHOOL PRACTICE PLANS NY 501(C)(3) LINE 9 N/A 0 UNIVERSITY AT BUFFALO FOUNDATION PO BOX 900 BUFFALO NY 14226 160865182 PROVIDES SUPPORT FOR AND PROMOTES THE ACTIVITIES OF THE UNIVERSITY NY 501(C)(3) LINE 9 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 STATE OF NEW YORK E MARKET VALUE STATE OF NEW YORK P