2023-11-15T16:05:06-06:00 2022-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990 2022-01-01 161591241 UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC UNIV 7168296102 77 GOODELL STREET SUITE 550 BUFFALO NY 14203 KEVIN GIBBONS MD AUTHORIZED SIGNER/REPRESENTATIVE 7168296102 2023-11-15 1 KEVIN GIBBONS MD 999009999 0 EUGENE G KERSHNER P00601324 7166302400 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN GIBBONS MD 77 GOODELL STREET SUITE 550 BUFFALO NY 14203 798962 0 X N/A X 2000 NY UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. IS COMMITTED TO ENCOURAGE AND ASSIST THE FACULTY OF THE DEPARTMENT OF ANESTHESIOLOGY AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO WITHIN THE JACOBS SCHOOL OF MEDICINE IN THE DELIVERY OF HEALTH CARE, IMPROVE THE ABILITY OF THE FACULTY TO PERFORM CLINICAL RESEARCH, MAXIMIZE RESOURCES TO FOSTER ACADEMIC, RESEARCH AND CLINICAL PROGRAMS, RECRUIT AND RETAIN TARGETED TEACHING PHYSICIANS, AND ENCOURAGE AND SUPPORT THE PERSONAL GROWTH AND PROFESSIONAL DEVELOPMENT OF THE FACULTY OF THE DEPARTMENT OF ANESTHESIOLOGY. UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. IS ALSO INTENDED TO PROVIDE FINANCIAL SUPPORT FOR DEVELOPMENT AND GROWTH OF THE DEPARTMENT OF ANESTHESIOLOGY, EXPENSE OF PRACTICE, AND THE RESEARCH AND ACADEMIC MISSIONS OF THE DEPARTMENT. 4 0 0 0 0 0 0 0 776420 787684 10428 11278 1688 0 788536 798962 0 0 0 0 0 0 0 0 0 777413 910207 777413 910207 11123 -111245 1424512 1204094 14948 40397 1409564 1163697 X EXISTS TO TRAIN MEDICAL STUDENTS, RESIDENTS AND FELLOWS IN THE PRACTICE OF ANESTHESIOLOGY, PERIOPERTIVE MEDICINE, PAIN MEDICINE, PEDIATRIC ANESTHESIOLOGY, CARDIAC ANESTHESIOLOGY, AND CRITICAL CARE MEDICINE. DEVELOPING AN ACTIVE BASIC AND TRANSLATIONAL RESEARCH PROGRAM IS ONE OF THE HIGHEST PRIORITIES. ALSO SUPPORTS THE GENERAL MISSION OF THE JACOBS SCHOOL OF MEDICINE AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO. 0 0 798072 787684 TRAIN MEDICAL STUDENTS, RESIDENTS, AND FELLOWS IN THE PRACTICE OF ANESTHESIOLOGY, PERIOPERATIVE MEDICINE, PAIN MEDICINE, PEDIATRIC ANESTHESIOLOGY, CARDIAC ANESTHESIOLOGY, AND CRITICAL CARE MEDICINE. TOTAL RESIDENTS AND FELLOWS: 49 (STUDENT NUMBER VARIES). 15097 PATIENT HEALTH CARE 813169 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 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 1 0 0 0 1 16 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X X SAMANTHA TARCZYNSKI 7168782998 77 GOODELL STREET SUITE 310 BUFFALO NY 14203 X MARK J LEMA MD PRESIDENT 16.00 X X 0 0 0 NADER D NADER MD VP & COMPLIANCE OFFICER 8.00 X X 0 0 0 ENAS ELDESOUKI MD SECRETARY 40.00 X X 0 0 0 JAHAN PORHOMAYON MD TREASURER 40.00 X X 0 0 0 GEOFFREY HOBIKA MD DIRECTOR 40.00 X 0 0 0 0 0 0 1 0 0 0 0 GRADUATE MEDICAL EDUCA 624100 787684 787684 787684 11278 11278 798962 787684 0 11278 4246 4246 22668 22668 15004 4501 10503 4699 4699 4872 4872 7194 7194 CONTRACTUAL SERVICES 444760 400284 44476 RESIDENT EXPENSE 355826 355826 BOOKS, DUES AND SUBSCRI 16799 16799 OTHER PROFESSIONAL EXPE 15097 15097 19042 11091 7951 910207 813169 97038 0 524934 442503 19306 18882 65244 13213 67148 91165 43230 13803 15427 29427 722499 598950 9954 9954 1424512 1204094 14948 40397 14948 40397 X 1409564 1163697 1409564 1163697 1424512 1204094 -111245 -134622 0 X X 0 1 X 1 0 X 742530 793016 768947 776420 787684 3868597 742530 793016 768947 776420 787684 3868597 0 0 0 3868597 9306 21313 13110 10428 11278 65435 9306 21313 13110 10428 11278 65435 1543 1688 3231 751836 815872 782057 788536 798962 3937263 0.98260 0.98290 0.01660 0.01620 X 43230 13803 29427 29427 INVESTMENTS 598950 F 598950 664340 -134622 -134622 798962 0 798962 910207 0 910207 0 910207 X 1 1 X X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CERTAIN MANAGEMENT FUNCTIONS TO A RELATED PARTY, UB ASSOCIATES, INC. IN EXCHANGE FOR A FEE FOR THE YEAR ENDED DECEMBER 31, 2020. THESE FEES TOTALED $5,837. 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, MAIL OR 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 STATEMENTS ARE SIGNED AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION IS GOVERNED BY ARTICLE XVI OF THE STATE UNIVERSITY OF NEW YORK. 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 SINCE THE PRIOR YEAR. 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 STATE OF NEW YORK ONE COMMERCE PLAZA 99 WASHINGTON A ALBANY NY 12231 146013200 GOVERNMENT NY 501(C)(1) 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 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 UNIVERSITY AT BUFFALO FOUNDATION P 444760 MARKET VALUE