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UNITED MEDICAL ASSOCIATES PC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
UNITED MEDICAL ASSOCIATES PC (EIN 16-1395906)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202033189349307868
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T13:25:26-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454051133PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREED MAXICK CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1424 MAIN STREET SUITE 800AddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP142023508ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161395906EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED MEDICAL ASSOCIATES PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone6077623603PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14401 VESTAL PARKWAY EASTAddressLine1Txt
CityVESTALCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13850ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALAN MILLER MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6077623603PhoneNum
Signature2020-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY MADONIAPreparerPersonNm
PTINP00405803PTIN
Phone7168472651PhoneNum
Preparation2020-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.193.28.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-10IPDt
IP Tm15:02:16IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6E219D58C65375F8174C835D79CF2253DFB1EF67AtSubmissionCreationDeviceId
At Submission Filing Device IdE567259EAED278DC20889AB4017D05C2E4F78990AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALAN MILLER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14401 VESTAL PARKWAY EASTAddressLine1Txt
CityVESTALCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$132,422,849GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NYUHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMISSION STATEMENTUNITED MEDICAL ASSOCIATES PC IS A BROOME COUNTY BASED NOT-FOR-PROFIT PHYSICIAN GROUP PRACTICE. UMA PROVIDES THE HIGHEST QUALITY OF HEALTH CARE AND MEDICAL SERVICES TO RESIDENTS OF THE SOUTHERN TIER AND SURROUNDING AREAS. UNITED MEDICAL ASSOCIATES UNIQUELY SERVICES THE MEDICAL PRACTICE NEEDS OF THE UHS HEALTHCARE SYSTEM. OUR MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING EASILY ACCESSIBLE PHYSICIAN SERVICES, SUPPORT FOR TEACHING, MEETING THE REQUIREMENTS NECESSARY FOR RESEARCH AND MEDICAL ADMINISTRATION AND BY PARTICIPATING IN AN INTEGRATED CONTINUUM OF CARE THAT IMPROVES THE PATIENT'S EXPERIENCE AND THE QUALITY OF THE HEALTH SERVICES OUTCOME.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee479TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$122,952,294PYProgramServiceRevenueAmt
CY Program Service Revenue$131,357,842CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$7,457,674PYOtherRevenueAmt
CY Other Revenue$1,065,007CYOtherRevenueAmt
PY Total Revenue$130,409,968PYTotalRevenueAmt
CY Total Revenue$132,422,849CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$108,494,662PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$118,100,311CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,742,474PYOtherExpensesAmt
CY Other Expenses$33,598,021CYOtherExpensesAmt
PY Total Expenses$139,237,136PYTotalExpensesAmt
CY Total Expenses$151,698,332CYTotalExpensesAmt
PY Revenues Less Expenses-$8,827,168PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$19,275,483CYRevenuesLessExpensesAmt
Total Assets BOY$14,078,517TotalAssetsBOYAmt
Total Assets EOY$14,237,819TotalAssetsEOYAmt
Total Liabilities BOY$71,409,401TotalLiabilitiesBOYAmt
Total Liabilities EOY$89,542,007TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$57,330,884NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$75,304,188NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OTHE MISSION OF THE UHS MEDICAL GROUP IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY PROVIDING EASILY ACCESSIBLE PHYSICIAN SERVICES, SUPPORT FOR TEACHING, MEETING THE REQUIREMENTS NECESSARY FOR RESEARCH AND MEDICAL ADMINISTRATION AND BY PARTICIPATING IN AN INTEGRATED CONTINUUM OF CARE THAT IMPROVES THE PATIENT'S EXPERIENCE AND THE QUALITY OF THE HEALTH SERVICES OUTCOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$146,439,786ExpenseAmt
Revenue$132,422,849RevenueAmt
DescUNITED MEDICAL ASSOCIATES, PC (UMA) PERFORMS MEDICAL SERVICES, EDUCATION AND RESEARCH ACTIVITIES IN A VARIETY OF SETTINGS, ADDING TO THE BENEFIT OF THE COMMUNITY AND ENHANCING THE HEALTH STATUS OF ITS PATIENTS. UMA, PC PROVIDES A WIDE RANGE OF PROFESSIONAL SERVICES IN THE PRIMARY AND SPECIALTY CARE AREA. UMA PHYSICIANS SUPPORT TWENTY-TWO FAMILY PRACTICES, FIVE INTERNAL MEDICINE CLINICS, FIVE PEDIATRICS CLINICS, TWO SCHOOL BASED HEALTH CLINICS, AND FOUR WALK-IN CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA. THE SPECIALTY CARE CENTERS INCLUDE GENERAL SURGERY, BREAST SURGERY, UROLOGY, VASCULAR SURGERY, OB/GYN, CARDIOLOGY, CARDIOTHORACIC, CHIROPRACTIC, CONCUSSION CENTER, DIABETES MANAGEMENT, NEPHROLOGY, PHYSICAL MEDICINE, PLASTIC SURGERY, WOUND CARE, **SEE SCHEDULE O FOR CONTINUATION** OTOLARYNGOLOGY,RHUEMATOLOGY, PODIATRY, PATHOLOGY, EMERGENCY ROOM SERVICES, DERMATOLOGY, ORTHOPEDICS, SLEEP/NEURODIAGNOSTIC CENTER, NEURO CRITICAL CARE, GERIATRIC MEDICINE, HOSPITALISTS, INFECTIOUS DISEASE, PULMONOLOGY, WOMENS' (GYN) SERVICES, RADIATION ONCOLOGY, GASTROENTEROLOGY, MEDICAL ONCOLOGY, NEUROSURGERY, AND PAIN MANAGEMENT. TOTAL PATIENTS SERVICED BY UMA PHYSICIANS AT YEAR END 2019 TOTALED 875,190. THESE SERVICES ASSIST UMA IN FULFILLING ITS EXEMPT PURPOSE UNDER THE IRS CODE 501(C)(3). UMA IS INVOLVED IN COMMUNITY SERVICE BY BEING PART OF THE FOLLOWING ACTIVITIES: (1) UMA IS INVOLVED IN THE SOUTHERN TIER HEALTHY LIVING PARTNERSHIP WHICH IS A UNIQUE COLLABORATION OF GOVERNMENT AND COMMUNITY BASED SYSTEMS THAT PROMOTE HEALTHY LIVING THROUGH OUTREACH EDUCATION AND ACCESS TO SERVICES FOR THE PURPOSE OF REDUCING THE RISK OF CHRONIC DISEASE. THE NEW YORK STATE DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) PROVIDES FUNDING FOR LOCAL COMMUNITY HEALTH CARE PRACTITIONERS TO PROVIDE CLINICAL BREAST EXAMS, MAMMOGRAMS, PAP TESTS, COLORECTAL SCREENING, AND LIMITED FOLLOW-UP. THESE SCREENING PROCEDURES ARE FOR THE INCOME ELIGIBLE WOMEN WHO ARE UNINSURED OR UNDER INSURED. (2) UMA PROVIDES FOR THE HEALTH MAINTENANCE OF THE ELDERLY POPULATION BY PARTICIPATING IN LECTURES TO THE UHS HOSPITALS MEMBERS FREE OF CHARGE. (3) UMA PROVIDES HEALTH MAINTENANCE BY PHYSICIAN PARTICIPATION IN LECTURE SERIES FOR THE STAY HEALTHY PROGRAMS AT UHS HOSPITALS. FOR EXAMPLE, INFORMATION IN MINIMALLY INVASIVE HIP REPLACEMENT SURGERY, PEDIATRICS, PODIATRY SCREENING, FOOT/ANKLE/KNEE CLINIC.(4) UMA PROVIDERS STAFF THE ARTICLE 28A CLINICS OPERATED BY UNITED HEALTH SERVICES HOSPITALS, CHENANGO MEMORIAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL. THESE FACILITIES PROVIDE HEALTH CARE SERVICES TO A LARGE MEDICAID POPULATION. (5) UHS HOSPITALS, UHS CHENANGO MEMORIAL, AND UMA HAVE IMPLEMENTED A PATIENT-CENTERED MEDICAL HOME PROGRAM. THE OVERALL GOAL IS TO INCREASE THE QUALITY AND IMPROVE HEALTH OUTCOMES FOR PERSONS ENROLLED IN NY MEDICAID. THE PATIENT-CENTERED MEDICAL HOME IS A PROACTIVE MODEL OF CARE THAT SEEKS TO STRENGTHEN THE PHYSICIAN-PATIENT RELATIONSHIP BY REPLACING REACTIVE, EPISODIC CARE BASED ON ILLNESS AND PATIENT COMPLAINTS WITH COORDINATED CARE AND A LONG-TERM HEALING RELATIONSHIP. UMA PHYSICIANS CURRENTLY STAFF TWENTY-SIX LEVEL 3 MEDICAL HOME SITES THAT HAVE RECEIVED NCQA PATIENT CENTERED MEDICAL HOME RECOGNITION.(6) UHS HOSPITALS HAS BEEN DESIGNATED A MEDICAID HEALTH HOME BY NEW YORK STATE. UMA USES MEDICAL HOME PRINCIPALS WITH ENHANCED CARE COORDINATION AND ITS INFRASTRUCTURE TO CARE FOR THE MOST COMPLEX AND EXPENSIVE MEDICAID PATIENTS.(7) UMA PROVIDERS SERVE ON VARIOUS BOARDS OF HEALTH AND AS DIRECTORS FOR EMERGENCY SERVICE AGENCIES INCLUDING AMBULANCE SQUADS AS WELL AS VARIOUS CAMP PROGRAMS. (8) UMA PROVIDERS PROMOTE COMMUNITY EDUCATION THROUGH A LOCAL TELEVISION STATION IN A "DOCS ON CALL" SERIES. (9) UMA PROVIDERS ARE INVOLVED WITH PROFESSIONAL EDUCATION WHICH TAKES THE FORM OF ORGANIZING A HEMATOLOGY/HEMAPATHOLOGY TEACHING DAY. THIS INVOLVES UMA AND OTHER LOCAL AND REGIONAL STAFF, PHYSICIAN EXTENDERS AND PHYSICIANS. THIS PROGRAM IS HELD IN MARCH AND BRINGS TOGETHER LOCAL, REGIONAL, AND NATIONAL MEDICAL PROVIDERS TO LEARN ABOUT PERTINENT ISSUES RELATED TO THAT FIELD OF PRACTICE AND CARE. (10) UMA PROVIDERS ARE INVOLVED WITH PROFESSIONAL EDUCATION WHICH TAKES THE FORM OF ORGANIZING A CHRONIC KIDNEY DISEASE CONFERENCE TARGETING HEALTHCARE PROFESSIONALS (PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES, DIETICIANS, SOCIAL WORKERS, AND DIALYSIS TECHNICIANS). THE CONFERENCE IS HELD ANNUALLY IN SEPTEMBER; LOCAL AND NATIONAL SPEAKERS PARTICIPATE IN EDUCATING THE HEALTHCARE COMMUNITY IN RECOGNITION AND MANAGEMENT OF CHRONIC KIDNEY DISEASE AND END-STAGE RENAL DISEASE. THIS PROGRAM IS COORDINATED BY THE PROVIDERS AND STAFF OF THE NEPHROLOGY DEPARTMENT. (11) UMA WAS CHOSEN BY THE CDC AND NY STATE DOH AS THE NATIONAL TEST SITE FOR THE STEADI PROGRAM. THIS IS A PROGRAM DONE JOINTLY BY UMA, THE BROOME COUNTY HEALTH DEPT, AND NEW YORK STATE DEPT OF HEALTH AND OVERSEEN BY THE CDC TO ASSESS THE IMPACT OF FALL RISK ASSESSMENT AND A COMMUNITY BASED INTERVENTION PROGRAM ON PREVENTION OF FALLS AND INJURIES IN OUR PATIENTS GREATER THAN 65 YEARS OLD. THIS PROGRAM HAS BEEN IMPLEMENTED TO DATE AT ALL OUR FAMILY PRACTICE AND INTERNAL MEDICINE SITES IN BROOME, TIOGA, AND CHENANGO COUNTIES. THE RATE OF HOSPITALIZATIONS FOR FALL RELATED INJURIES IS STEADILY DECLINING IN BROOME COUNTY. THE CDC HAS PUBLISHED THESE FINDINGS AND DUE TO THE SUCCESS OF THIS PROGRAM ONE OF OUR CLINICIANS IS SERVING ON THE BOARD OF COUNSELORS FOR THE NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL OF THE CDC. (12) UMA PROVIDERS ARE ACTIVELY ENGAGED IN IMPROVING THE HEALTH OF OUR PATIENTS. TO FACILITATE THIS, WE HAVE A DIRECTOR OF POPULATION HEALTH POSITION AND HAVE ADDED WELLNESS COORDINATORS OR SOCIAL WORKERS AT EACH OF OUR SITES. CARE MANAGEMENT PATHWAYS HAVE BEEN DEVELOPED TO ASSIST IN DIABETES AND HYPERTENSION MANAGEMENT AND TO INCREASE THE NUMBER OF PATIENTS GETTING BREAST AND COLON CANCER SCREENING. (13) UMA PROVIDERS PROVIDE MAT (MEDICALLY ASSISTED TREATMENT [SUBOXONE AND METHADONE]) PROGRAMS FOR THE ONGOING SUCCESSFUL TREATMENT OF OPIOID USE DISORDER (OUD). (14) UMA PROVIDERS PROVIDE A MUCH NEEDED SERVICE FOR HIV PATIENTS. (15) UMA PROVIDER STAFFED A28 VIRTUAL URGENT CARE CENTER IS THE FIRST HOSPITAL-BASED CONSUMER-TO-PROVIDER PROGRAM TO ACHIEVE NATIONAL ACCREDITATION. THE VALUE SERVICES PROVIDED TO THE COMMUNITY CAN BE CATALOGUED AS FOLLOWS: (1) UMA PROVIDERS ARE VERY MUCH INVOLVED IN MEDICAL AND PHARMACEUTICAL RESEARCH ACTIVITIES, WHICH ENHANCE THE FIELD OF KNOWLEDGE IN MEDICAL DISCIPLINES. THESE PROGRAMS ARE ALSO ABLE TO OFFER CARE TO PATIENTS WHO MAY BE UNABLE TO RECEIVE CARE UNDER NORMAL CIRCUMSTANCES. THIS RESEARCH ALSO HELPS PHYSICIANS TO KEEP UP TO DATE WITH NEW DEVELOPMENTS WITHIN THEIR DISCIPLINES AND OFFERS INCREASED OPPORTUNITIES FOR CROSS-EDUCATION ACTIVITIES FOR THEM.(2) UMA PROVIDERS STAFF COMMUNITY BENEFIT PROGRAMS IN THE FORM OF EDUCATING STUDENT INTERNS FROM BROOME COMMUNITY COLLEGE, OTHER LOCAL TEACHING INSTITUTIONS AND THE ALBANY COLLEGE OF PHARMACY. THESE INDIVIDUALS ARE PLACED WITHIN THE PRACTICE SETTING TO RECEIVE THEIR PRACTICUM EXPERIENCE ALONG SIDE PHYSICIANS AND OTHER LIKE PROFESSIONALS IN THE DISCIPLINE THEY ARE SEEKING. (3) UMA PHYSICIANS PARTICIPATE IN THE HANDS-ON TRAINING OFFERED TO PHYSICIAN EXTENDERS SUCH AS NURSE PRACTITIONERS AND/OR PHYSICIAN ASSISTANTS. STUDENTS TYPICALLY ARE IDENTIFIED FROM PROGRAMS WITHIN A 100 MILE RADIUS OF BINGHAMTON, NEW YORK. FINANCIALLY MEASURED COMMUNITY SERVICES, IN ADDITION TO THE ABOVE BENEFITS, UMA PROVIDED THE FOLLOWING BENEFITS TO THE COMMUNITY: (1) ACCEPTED ASSIGNMENTS FROM THE MEDICARE PROGRAM (VALUE OF THE DIFFERENCE BETWEEN ESTABLISHED CHARGE AND FEE SCHEDULE) $21,385,233.(2) ACCEPTED ASSIGNMENT FROM THE MEDICAID PROGRAM (VALUE OF THE DIFFERENCE BETWEEN ESTABLISHED CHARGE AND FEE SCHEDULE) $2,060,720.(3) WROTE OFF THE BALANCES FOR THE UNCOMPENSATED PATIENT CARE $906,333. (4) REAL ESTATE TAX PAYMENTS MADE $58,072. TOTAL COMMUNITY BENEFIT WAS $24,410,358.Desc
Total Program Service Expenses$146,439,786TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee479EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORRE A JOHNSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6077623603PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 MITCHELL AVEAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13903ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LEONARD ANDERSON MD
BOARD MEMBER/CHAIRMAN57.00Yes (X)Yes (X)$615,257$0$41,557
ANN TENG DO
BOARD MEMBER/VICE CHAIRMAN57.00Yes (X)Yes (X)$267,584$0$22,718
KHALID SETHI MD
BOARD MEMBER/TREASURER57.00Yes (X)Yes (X)$2,700,398$0$38,616
BRENDA SCHLAEN MD
BOARD MEMBER57.00Yes (X)Yes (X)$247,409$0$18,830
MATTHEW BENNETT MD
BOARD MEMBER57.00Yes (X)$1,007,064$0$38,496
THOMAS GENESE MD
BOARD MEMBER57.00Yes (X)$289,839$0$30,102
JEFFREY GRAY MD
BOARD MEMBER57.00Yes (X)$669,363$0$39,597
RYAN LITTLE NP
BOARD MEMBER57.00Yes (X)$198,080$0$38,859
MICAH LISSY MD
BOARD MEMBER57.00Yes (X)$598,701$0$38,997
ANDREA HOAG DO
BOARD MEMBER57.00Yes (X)$227,886$0$34,215
ALAN MILLER MD
BOARD MEMBER/PRESIDENT55.00Yes (X)$545,240$0$34,821
JOSEPH CERRA
BOARD MEMBER/SR VP PHYSICIAN PRACTICE M55.00Yes (X)$380,064$0$33,242
WADIH DIAB MD
ASSOCIATE MEDICAL DIRECTOR55.00$276,789$0$26,243Yes (X)
DAVID KWIATKOWSKI MD
MEDICAL DIRECTOR55.00$354,847$0$34,821Yes (X)
FRANK FLOYD MD
ASSOCIATE MEDICAL DIRECTOR55.00$324,396$0$34,722Yes (X)
JOHN GIANNONE MD
ASSOCIATE MEDICAL DIRECTOR55.00$344,281$0$19,913Yes (X)
LAWRENCE WIESNER MD
ORTHOPEDIST55.00$1,246,289$0$41,056Yes (X)
DAVID GALLAGHER MD
ORTHOPEDIST55.00$1,124,832$0$28,517Yes (X)
VARUN REDDY MD
NEURO INTERVENTIONAL SURGERY55.00$1,088,646$0$18,758Yes (X)
HISHAM KASHOU MD
CARDIOLOGIST55.00$1,015,176$0$35,900Yes (X)
ADESH TANDON MD
NEUROSURGERY55.00$946,759$0$37,056Yes (X)
NAZIF CHOWDHURY
FORMER SECRETARY/BOARD MEMBER55.00$127,955$0$28,059Yes (X)
ROBERT AUERBACH MD
FORMER VICE CHAIRMAN/BOARD MEMBER55.00$175,653$0$28,056Yes (X)
STEPHEN GOMEZ MD
FORMER TRUSTEE/BOARD MEMBER55.00$570,105$0$32,181Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,342,613TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$775,332TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K323IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LOCUMTENENSCOM
PO BOX 405547ATLANTAGA303845547TEMPORARY SVCS$3,437,251
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633TEMPORARY SVCS$580,901
STUART H STILES MD
705 MURRAY HILL RDVESTALNY13850PHYSICIAN SERVICES$421,896
EVEREST HEALTHCARE CORPORATION
3030 N ROCKY POINT DRIVETAMPAFL33607TEMPORARY SVCS$353,826
BINGHAMTON GASTROENTEROLOGY
40 MITCHELL AVEBINGHAMTONNY13903PHYSICIAN SERVICES$301,593
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICE FEE621110$88,304,554$88,304,554
NET PATIENT SERVICE RE561499$43,053,288$43,053,288
FieldValueIRS element (for citing)
Total Program Service Revenue$131,357,842TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER GAIN MLMIC900099$534,626$534,626
OTHER INCOME900099$530,381$530,381
FieldValueIRS element (for citing)
Other Revenue Total$1,065,007OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,422,849TotalRevenueColumnAmt
Related Or Exempt Func Income$132,422,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,159,640TotalAmt
Program Services$8,208,116ProgramServicesAmt
Management And General$951,524ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,081,461TotalAmt
Program Services$92,081,461ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,380,294TotalAmt
Program Services$4,344,911ProgramServicesAmt
Management And General$35,383ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,803,574TotalAmt
Program Services$7,725,538ProgramServicesAmt
Management And General$78,036ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,675,342TotalAmt
Program Services$4,628,589ProgramServicesAmt
Management And General$46,753ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,584TotalAmt
Program Services$1,584ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,207TotalAmt
Program Services$28,207ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,912,709TotalAmt
Program Services$18,912,709ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,314TotalAmt
Program Services$4,314ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,146,250TotalAmt
Program Services$2,146,250ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,224TotalAmt
Program Services$36,224ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,636,840TotalAmt
Program Services$1,636,840ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,276TotalAmt
Program Services$87,276ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,541TotalAmt
Program Services$8,541ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$511,536TotalAmt
Management And General$511,536ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,814,758TotalAmt
Program Services$2,769,427ProgramServicesAmt
Management And General$45,331ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MANAGEMENT FEE$4,224,474$634,491$3,589,983
BAD DEBT$2,039,302$2,039,302
CME$791,259$791,259
DEBT SERVICE FEE RENTAL$347,263$347,263

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,484TotalAmt
Program Services$7,484ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$151,698,332TotalAmt
Program Services$146,439,786ProgramServicesAmt
Management And General$5,258,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,991,946BOYAmt
EOY$1,192,881EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,379,395BOYAmt
EOY$6,001,743EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$789,580BOYAmt
EOY$224,860EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,917,596BOYAmt
EOY$6,818,335EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,078,517BOYAmt
EOY$14,237,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$51,449,204BOYAmt
EOY$68,954,660EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,960,197BOYAmt
EOY$20,587,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,409,401BOYAmt
EOY$89,542,007EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$67BOYAmt
EOY$67EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$57,330,951BOYAmt
EOY-$75,304,255EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$57,330,884BOYAmt
EOY-$75,304,188EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,078,517BOYAmt
EOY$14,237,819EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$19,275,483ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,302,179OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,282,577CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,214,808CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,553,846CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,409,968CurrentTaxYearMinus1YearAmt
Current Tax Year$132,422,849CurrentTaxYearAmt
Total$578,884,048TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,282,577CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,214,808CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,553,846CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,409,968CurrentTaxYearMinus1YearAmt
Current Tax Year$132,422,849CurrentTaxYearAmt
Total$578,884,048TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$578,884,048PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,549CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$4,309TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,549CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,760CurrentTaxYearMinus3YearsAmt
Total$4,309TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,284,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,217,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,553,846CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,409,968CurrentTaxYearMinus1YearAmt
Current Tax Year$132,422,849CurrentTaxYearAmt
Total$578,888,357TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
Desc457B OTHER LONG TERM ASSETDesc
Book Value$6,818,335BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,818,335TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
457B LIABILITY$6,818,335
ACCR PENSION CONTRIBUTION DB PLAN$11,756,701
UHSH NOTE ST$217,459
UHSH NOTE LT$1,630,947
NOTE PAYABLE PTO LIABILITY ST$70,919
NOTE PAYABLE PTO LIABILITY LT$92,986
FieldValueIRS element (for citing)
Total Liability$20,587,347TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$131,685,726TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$131,685,726RevenueSubtotalAmt
Other Revenues Not Included$737,123OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$737,123RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$132,422,849TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$149,659,030TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$149,659,030ExpensesSubtotalAmt
Other Expenses Not Included$2,039,302OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,039,302ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$151,698,332TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FINANCIAL STATEMENTS DO NOT GIVE CONSIDERATION FOR FEDERAL AND STATE INCOME TAXES AS THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATIONS DESCRIBED IN 501(C)(3). AS OF DECEMBER 31, 2019 AND 2018, THE COMPANY DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PENSION CHANGE OTHER THAN NET PERIODIC BENEFIT COSTS $(1,302,179) PROVISION BAD DEBT $2,039,302
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION BAD DEBT $2,039,302

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LEONARD ANDERSON MD
BOARD MEMBER/CHAIRMAN$588,756$0$26,501$0$0$0$13,160$0$28,397$0$656,814$0$0$0
ANN TENG DO
BOARD MEMBER/VICE CHAIRMAN$267,584$0$0$0$0$0$8,144$0$14,574$0$290,302$0$0$0
KHALID SETHI MD
BOARD MEMBER/TREASURER$1,588,706$0$1,111,692$0$0$0$11,200$0$27,416$0$2,739,014$0$0$0
BRENDA SCHLAEN MD
BOARD MEMBER$224,909$0$22,500$0$0$0$13,160$0$5,670$0$266,239$0$0$0
MATTHEW BENNETT MD
BOARD MEMBER$831,875$0$175,189$0$0$0$11,200$0$27,296$0$1,045,560$0$0$0
THOMAS GENESE MD
BOARD MEMBER$271,089$0$18,750$0$0$0$11,200$0$18,902$0$319,941$0$0$0
JEFFREY GRAY MD
BOARD MEMBER$579,463$0$89,900$0$0$0$11,200$0$28,397$0$708,960$0$0$0
RYAN LITTLE NP
BOARD MEMBER$197,330$0$750$0$0$0$13,160$0$25,699$0$236,939$0$0$0
MICAH LISSY MD
BOARD MEMBER$598,701$0$0$0$0$0$11,200$0$27,797$0$637,698$0$0$0
ANDREA HOAG DO
BOARD MEMBER$223,886$0$4,000$0$0$0$7,059$0$27,156$0$262,101$0$0$0
ALAN MILLER MD
BOARD MEMBER/PRESIDENT$476,364$0$68,876$0$0$0$13,160$0$21,661$0$580,061$0$0$0
JOSEPH CERRA
BOARD MEMBER/SR VP PHYSICIAN PRACTIC$333,241$0$46,823$0$0$0$19,000$0$14,242$0$413,306$0$0$0
WADIH DIAB MD
ASSOCIATE MEDICAL DIRECTOR$276,789$0$0$0$0$0$13,160$0$13,083$0$303,032$0$0$0
DAVID KWIATKOWSKI MD
MEDICAL DIRECTOR$330,865$0$23,982$0$0$0$13,160$0$21,661$0$389,668$0$0$0
FRANK FLOYD MD
ASSOCIATE MEDICAL DIRECTOR$302,390$0$22,006$0$0$0$13,160$0$21,562$0$359,118$0$0$0
JOHN GIANNONE MD
ASSOCIATE MEDICAL DIRECTOR$309,686$0$34,595$0$0$0$13,160$0$6,753$0$364,194$0$0$0
LAWRENCE WIESNER MD
ORTHOPEDIST$990,774$0$255,515$0$0$0$13,160$0$27,896$0$1,287,345$0$0$0
DAVID GALLAGHER MD
ORTHOPEDIST$972,704$0$152,128$0$0$0$13,160$0$15,357$0$1,153,349$0$0$0
VARUN REDDY MD
NEURO INTERVENTIONAL SURGERY$1,024,646$0$64,000$0$0$0$8,400$0$10,358$0$1,107,404$0$0$0
HISHAM KASHOU MD
CARDIOLOGIST$1,013,176$0$2,000$0$0$0$13,160$0$22,740$0$1,051,076$0$0$0
ADESH TANDON MD
NEUROSURGERY$946,759$0$0$0$0$0$11,200$0$25,856$0$983,815$0$0$0
NAZIF CHOWDHURY
FORMER SECRETARY/BOARD MEMBER$127,955$0$0$0$0$0$6,411$0$21,648$0$156,014$0$0$0
ROBERT AUERBACH MD
FORMER VICE CHAIRMAN/BOARD MEMBER$160,766$0$14,887$0$0$0$13,160$0$14,896$0$203,709$0$0$0
STEPHEN GOMEZ MD
FORMER TRUSTEE/BOARD MEMBER$562,600$0$7,505$0$0$0$13,160$0$19,021$0$602,286$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2019 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS.
FORM 990 PART VII SECTION A LINE 5INDIVIDUAL: JOSEPH CERRA, SR VP PHYSICIAN PRACTICE UNRELATED ORGANIZATION:UNITED HEALTH SERVICES HOSPITAL, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES: $380,064 PENSION & NON TAX BENEFITS:$33,242 INDIVIDUAL: NAZIF CHOWDHURY, FORMER SECRETARY UNRELATED ORGANIZATION: UNITED HEALTH SERVICES HOSPITAL, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES: $94,475 PENSION & NON TAX BENEFITS: $27,978 INDIVIDUAL: VARUN REDDY, NEURO-INTERVENTIONAL SURGERY, HIGHEST PAID UNRELATED ORGANIZATION: UNITED HEALTH SERVICES HOSPITAL, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES: $30,643 PENSION & NON TAX BENEFITS: $286

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSES OF VOTING RIGHTS ONLY. THE COMPANY'S MEMBERSHIP SHARES ARE $1 PAR VALUE AND THERE ARE 1,000 SHARES AUTHORIZED FOR ISSUANCE. THE COMPANY HAD 67 MEMBERSHIP SHARES ISSUED AND OUTSTANDING AT DECEMBER 31, 2019 AND 2018.
FORM 990, PART VI, SECTION A, LINE 7ATHE ISSUANCE OF MEMBERSHIP SHARES TO PHYSICIAN MEMBERS IS FOR PURPOSES OF VOTING RIGHTS ONLY. THE COMPANY'S MEMBERSHIP SHARES ARE $1 PAR VALUE AND THERE ARE 1,000 SHARES AUTHORIZED FOR ISSUANCE. THE COMPANY HAD 67 MEMBERSHIP SHARES ISSUED AND OUTSTANDING AT DECEMBER 31, 2019 AND 2018.
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARATON OF THE FILING IS THE RESPONSIBILITY OF THE BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, PRESIDENT, AND SENIOR VICE PRESIDENT OF PHYSICIAN PRACTICE MANAGEMENT. DUE TO THE TIMING OF THE SCHEDULED BOARD MEETINGS, A COMPLETE COPY OF THE 2019 FORM 990 WAS NOT ABLE TO BE PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO THE IRS FILING DEADLINE. THE GOVERNING BODY IS AWARE OF THE FILING AND A COPY OF THE 2019 FORM 990 WILL BE AVAILABLE FOR THEIR REVIEW. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATION PURPOSES.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE PRESIDENT, BOARD CHAIRMAN, AND AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15LINE 15A: ON A BIENNIAL BASIS, THE UMA BOARD OF DIRECTORS EXECUTIVE COMPENSATION COMMITTEE REVIEWS A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION CONSULTING FIRM, SULLIVAN COTTER & ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE PRESIDENT. THIS BIENNIAL REPORT FOCUSES ON TWO KEY AREAS: (1) THE COMPETITIVENESS OF THE PRESIDENT'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS THE NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTHCARE SYSTEMS (BASED ON "TOTAL REVENUE" METRICS) AND (2) A "REASONABLE ASSESSMENT" CONSISTENT WITH US TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE PRESIDENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. LINE 15B: THE UMA BOARD OF DIRECTORS, UMA COMPENSATION COMMITTEE, AND THE UHSH PROVIDER COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION CONSULTING FIRM, INTEGRATED HEALTHCARE STRATEGIES (IHS), FOR THE PURPOSES OF DETERMINING AND EVALUATING PHYSICIAN AND ADVANCED PRACTICE PROVIDERS COMPENSATION THAT IS REPRESENTATIVE OF FAIR MARKET VALUE AND IS COMMERCIALLY REASONABLE. INTEGRATED HEALTHCARE STRATEGIES IS AN INDEPENDENT VALUATION EXPERT AS DEFINED UNDER SECTION 53.4958-1(D)(4)(III)(C) OF THE TREASURY REGULATIONS. THE DATA FROM THIS REPORT ASSISTS THE ORGANIZATION IN DETERMINING THE APPROPRIATENESS OF ALL PHYSICIAN AND ADVANCED PRACTICE PROVIDER TOTAL COMPENSATION AND THE NEED FOR ANY ADJUSTMENTS FOR THE CALENDAR YEAR.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES (SUB CONTRACT): PROGRAM SERVICE EXPENSES 6,913,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,913,211. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,999,498. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,999,498.
FORM 990, PART XI, LINE 9:PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 1,302,179.
FORM 990, PART XII, LINE 2CNEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT