Liabilities / Assets
54th percentile
Higher debt load relative to assets than 54% of similar nonprofits.
EIN 16-1494924 • 501(c)3 • Buffalo, NY
Profile
To provide primary emergency care medical services in wny and clinical instruction and supervision to the students of the sunyab school of medicine and biomedical sciences.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
54th percentile
Higher debt load relative to assets than 54% of similar nonprofits.
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
35th percentile
Higher net margin than 35% of similar nonprofits.
Top Officer Pay
82nd percentile
Higher top officer pay than 82% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
28th percentile
Faster asset growth than 28% of similar nonprofits.
Revenue Growth
52nd percentile
Faster revenue growth than 52% of similar nonprofits.
Assets
Up$16,144,198
Up $64,905 (+0.4%) from 2023
Liabilities
Down$4,640,611
Down $94,369 (-2.0%) from 2023
Net Assets
Up$11,503,587
Up $159,274 (+1.4%) from 2023
Revenue
Up$77,832,515
Up $6,661,971 (+9.4%) from 2023
Expenses
Up$77,673,241
Up $8,087,894 (+12%) from 2023
Net Income
Down$159,274
Down $1,425,923 (-90%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $9,425,905 | $9,685,874 | ▲ $259,969 |
| Savings and Temporary Cash Investments | $6,017,740 | $5,460,146 | ▼ $557,594 |
| Land, Buildings, and Equipment, Net | $106,653 | $472,104 | ▲ $365,451 |
| Prepaid Expenses and Deferred Charges | $290,503 | $294,958 | ▲ $4,455 |
| Cash and Non-Interest-Bearing Accounts | $12,579 | $5,203 | ▼ $7,376 |
| Total Assets | $16,079,293 | $16,144,198 | ▲ $64,905 |
| Other Assets Total | $225,913 | $225,913 | → $0 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $4,545,133 | $4,450,355 | ▼ $94,778 |
| Other Liabilities | $189,847 | $190,256 | ▲ $409 |
| Total Liabilities | $4,734,980 | $4,640,611 | ▼ $94,369 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $11,344,313 | $11,503,587 | ▲ $159,274 |
| Total Net Assets Fund Balance | $11,344,313 | $11,503,587 | ▲ $159,274 |
| Total Liabilities and Net Assets / Fund Balance | $16,079,293 | $16,144,198 | ▲ $64,905 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $376,682 | $63,223 | $439,905 |
| Leasehold Improvements | $95,357 | $70,192 | $165,549 |
| Other Land Buildings | $65 | $38,728 | $38,793 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Joshua Lynch Md | Physician | FT | $597,227 | $165,532 | $762,759 |
| Scott Belote Md | Physician | FT | $515,107 | $163,933 | $679,040 |
| Melissa Desantis Md | Physician | FT | $480,152 | $145,591 | $625,743 |
| Gregory Difrancesco Md | Director | FT | $436,818 | $171,216 | $608,034 |
| Michael Manka Jr Md | Director | FT | $443,904 | $152,045 | $595,949 |
| Daniel Fahey Md | Physician | FT | $444,672 | $140,416 | $585,088 |
| John Mcnamara Do | Physician | FT | $407,757 | $154,671 | $562,428 |
| Robert Mccormack Md | President | FT | $399,492 | $162,045 | $561,537 |
| Michael Filice Md | Physician | FT | $394,963 | $161,481 | $556,444 |
| Jennifer Rogers Md | Secretary | FT | $383,285 | $141,561 | $524,846 |
| Bindesh Patel Md | Vice President | FT | $288,485 | $123,774 | $412,259 |
| Christian Defazio Md | Director | FT | $278,956 | $132,045 | $411,001 |
| Brian Monaco Md | Director | FT | $288,787 | $97,386 | $386,173 |
| Jennifer Caldwell Md | Treasurer | FT | $207,843 | $83,016 | $290,859 |
| JACQUELINE O'LAY | CFO | FT | $178,375 | $78,536 | $256,911 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Practicefirst | Billing | 2372 SWEET HOME ROAD SUITE 3, Amherst, NY 14228 | $1,818,171 |
| Logixhealth | Coding | 8 OAK PARK DR, Bedford, MA 01730 | $1,071,085 |
| Medical Ambassadors | Staffing | 189 SUNRISE HILL LN, Auburndale, FL 33823 | $273,847 |
| - | Physician | 7121 SALT ROAD, Clarence, NY 14032 | $261,765 |
| - | Physician | 4820 DARBY ROAD, Avon, NY 14414 | $174,300 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $57,908,830 |
| Other Expenses | $19,764,411 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $39,924,885 | $3,936,233 | - | $43,861,118 |
| Office Expenses | $7,922,393 | $245,022 | - | $8,167,415 |
| Pension Plan Contributions | $4,352,696 | $650,403 | - | $5,003,099 |
| Current Officers, Directors, Trustees, and Key Employees | $3,846,878 | $494,457 | - | $4,341,335 |
| Payroll Taxes | $2,166,958 | $323,799 | - | $2,490,757 |
| Insurance | $2,079,753 | $152,543 | - | $2,232,296 |
| Other Employee Benefits | $1,924,893 | $287,628 | - | $2,212,521 |
| Conferences and Meetings | $882,657 | - | - | $882,657 |
| All Other Expenses | $234,146 | $148,132 | - | $382,278 |
| Fees for Services Management | - | $259,925 | - | $259,925 |
| Occupancy | - | $194,199 | - | $194,199 |
| Other Expenses | $142,970 | $385,068 | - | $142,970 |
| Fees for Services Other | - | $52,944 | - | $52,944 |
| Fees for Services Legal | - | $49,622 | - | $49,622 |
| Fees for Services Accounting | - | $30,806 | - | $30,806 |
| Depreciation Depletion | - | $24,220 | - | $24,220 |
| Advertising | - | $12,640 | - | $12,640 |
| Total Functional Expenses | $70,425,600 | $7,247,641 | $0 | $77,673,241 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $77,673,241 |
| Total Expenses per Audited Statements | $77,673,241 |
| Total Expenses per Form 990 | $77,673,241 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| CHIEF ADMINISTRATIVE OFFICER'S FUND PAYABLE | $190,256 |
“The organization has members.”
“The organization has members that may elect other members to the governing board.”
“Certain decisions made by the governing body are subject to ratification by members.”
“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.”
“Directors are covered under the conflict of interest policy which is monitored on an ongoing basis by the department administration.”
“Compensation is governed by article xvi of the state.”
“The organization makes its governing documents and financial statements available to the public upon request.”
“The process has not changed from the prior year.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4545133 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4450355 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9425905 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 9685874 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | 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. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 12640 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 12640 |
| IRS990/AllOtherContributionsAmt | 0 | 489836 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 148132 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 234146 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 382278 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JACQUELINE O'LAY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7166459708 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 77 GOODELL STREET SUITE 340 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BUFFALO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 14203 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 12579 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5203 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 494457 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3846878 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 4341335 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 882657 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 882657 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1818171 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1071085 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 273847 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 261765 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 174300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2372 SWEET HOME ROAD SUITE 3 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 8 OAK PARK DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 189 SUNRISE HILL LN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 7121 SALT ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4820 DARBY ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | AMHERST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BEDFORD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | AUBURNDALE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CLARENCE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | AVON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 14228 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 01730 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 33823 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 14032 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 14414 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PRACTICEFIRST |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LOGIXHEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDICAL AMBASSADORS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | MUSHTAQ KAHN |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | GREGORY COLLINS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BILLING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CODING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHYSICIAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHYSICIAN |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 614832 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 338502 |
| IRS990/CYOtherExpensesAmt | 0 | 19764411 |
| IRS990/CYOtherRevenueAmt | 0 | 578092 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 76301089 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 159274 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 57908830 |
| IRS990/CYTotalExpensesAmt | 0 | 77673241 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 77832515 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 24220 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 24220 |
| IRS990/Desc | 0 | 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 272 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 70425600 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 30806 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 30806 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 49622 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 49622 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 259925 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 259925 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 52944 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 52944 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 44045 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 47200 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 44045 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 42545 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 44045 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 59386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 55774 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 45016 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 41400 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 45536 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 62762 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 64917 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 47571 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 58617 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 41400 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ROBERT MCCORMACK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GREGORY DIFRANCESCO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CHRISTIAN DEFAZIO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JENNIFER ROGERS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHAEL MANKA JR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BRIAN MONACO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BINDESH PATEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JENNIFER CALDWELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOSHUA LYNCH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JACQUELINE O'LAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MICHAEL FILICE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SCOTT BELOTE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MELISSA DESANTIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOHN MCNAMARA DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DANIEL FAHEY MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 517492 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 560834 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 366956 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 482301 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 551904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 326787 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 356485 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 245843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 721359 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 211375 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 493682 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 614123 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 578172 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 503811 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 543688 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1996 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 124996 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 77832515 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 152543 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2079753 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2232296 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 338502 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 338502 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 16 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 172143 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 106653 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 472104 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 644247 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 11503587 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 11344313 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11503587 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 194199 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 194199 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 245022 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 7922393 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 8167415 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 225913 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 225913 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 287628 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1924893 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2212521 |
| IRS990/OtherExpensesGrp/Desc | 0 | CONTRACTUAL SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | CAO'S FUND |
| IRS990/OtherExpensesGrp/Desc | 2 | BOOKS DUES AND SUBSCRIP |
| IRS990/OtherExpensesGrp/Desc | 3 | LICENSE FEES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 385068 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4428289 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2364584 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 154498 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 142970 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4813357 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2364584 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 154498 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 142970 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 189847 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 190256 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 578092 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 578092 |
| IRS990/OtherRevenueTotalAmt | 0 | 578092 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3936233 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 39924885 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 43861118 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 323799 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2166958 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2490757 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 650403 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 4352696 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 5003099 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 290503 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 294958 |
| IRS990/PrincipalOfficerNm | 0 | ROBERT MCCORMACK MD |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | FEE FOR SERVICE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CONTRACT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | GRADUATE MEDICAL EDUCATION REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | MEDICAID SUPPLEMENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | SALARY SUPPORT |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 43176539 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 29955690 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 1961471 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 953090 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | 254299 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 43176539 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 29955690 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 1961471 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 953090 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 254299 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 1279733 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 35802 |
| IRS990/PYOtherExpensesAmt | 0 | 17025986 |
| IRS990/PYOtherRevenueAmt | 0 | 521377 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 69333632 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1585197 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 52559361 |
| IRS990/PYTotalExpensesAmt | 0 | 69585347 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 71170544 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 159274 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 76301089 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 6017740 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 5460146 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS INCOME INCLUDES INCOME FROM OTHER HEALTH CARE RELATED ORGANIZATIONS AND PRODUCT SALES THAT ARE RELATED TO THE PRIMARY PURPOSE OF THE ORGANIZATION. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | LINE 12 EXPLANATION |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 732322 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1279733 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1309336 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1125198 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1497842 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 5944431 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 338502 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 35802 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4356 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 28674 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 407334 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 76301089 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 69333632 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 53993444 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 53847005 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 48600860 |
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