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UPSTATE COMMUNITY MEDICAL P C: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
UPSTATE COMMUNITY MEDICAL P C (EIN 20-3889761)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201911349349306706
Schema version
2017v2.3
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)
Return2019-05-14T14:54:38-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203889761EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPSTATE COMMUNITY MEDICAL PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUPSTBusinessNameControlTxt
Phone3156349272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14900 BROAD ROAD NO 1507AddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13215ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW GLIDDEN MDPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone3154925140PhoneNum
Signature2019-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2019-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-10IPDt
IP Tm14:11:36IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5DAtSubmissionCreationDeviceId
At Submission Filing Device IdFD62137317EE26C9F26E40FD83CAC65FE1294EC8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW GLIDDEN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1750 EAST ADAMS STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13215ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,015,746GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPSTATE.EDU/COMMUNITY/UCM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE ROLE OF UPSTATE COMMUNITY MEDICAL, P.C. (UCM) IS TO PROVIDE A COMPREHENSIVE SOURCE FOR ACUTE MEDICAL CARE AND RELATED SERVICES TO ADVANCE THE MISSION OF UPSTATE MEDICAL UNIVERSITY OF NEW YORK. UCM WAS FORMED FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE COMMUNITY SERVICED BY THE HOSPITAL AND ADVANCING THE CHARITABLE PURPOSE OF THE UNIVERSITY.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee115TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$3,420TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,420NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$17,004,406PYProgramServiceRevenueAmt
CY Program Service Revenue$18,980,209CYProgramServiceRevenueAmt
PY Investment Income$2,967PYInvestmentIncomeAmt
CY Investment Income$2,487CYInvestmentIncomeAmt
PY Other Revenue$33,535PYOtherRevenueAmt
CY Other Revenue$33,050CYOtherRevenueAmt
PY Total Revenue$17,040,908PYTotalRevenueAmt
CY Total Revenue$19,015,746CYTotalRevenueAmt
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$7,961,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,803,156CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,296,281PYOtherExpensesAmt
CY Other Expenses$9,505,172CYOtherExpensesAmt
PY Total Expenses$17,257,659PYTotalExpensesAmt
CY Total Expenses$19,308,328CYTotalExpensesAmt
PY Revenues Less Expenses-$216,751PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$292,582CYRevenuesLessExpensesAmt
Total Assets BOY$5,959,673TotalAssetsBOYAmt
Total Assets EOY$4,103,036TotalAssetsEOYAmt
Total Liabilities BOY$7,536,043TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,026,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,576,370NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,923,240NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ROLE OF UPSTATE COMMUNITY MEDICAL, P.C. IS TO PROVIDE A COMPREHENSIVE SOURCE FOR ACUTE MEDICAL CARE AND RELATED SERVICES TO UNINSURED AND UNDERINSURED INDIVIDUALS IN THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,541,726ExpenseAmt
Revenue$4,473,542RevenueAmt
DescHOSPITALIST SERVICE - PROVIDED ACUTE MEDICAL CARE FOR THE PATIENTS OF UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,672,459ExpenseAmt
Revenue$1,641,355RevenueAmt
DescSURGICAL PHYSICIANS' ASSISTANT SERVICE - PROVIDED SKILLED MEDICAL SERVICES FOR PHYSICIANS PERFORMING SURGICAL PROCEDURES AT THE UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,129,041ExpenseAmt
Revenue$2,030,739RevenueAmt
DescOBGYN HOSPITALIST SERVICE - PROVIDED OB/GYN HEALTHCARE SERVICES TO THE UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$10,193,058ExpenseAmt
Revenue$10,864,203RevenueAmt
DescOTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,193,058TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$10,864,203TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$18,536,284TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
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 Stmt0ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee115EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1ROBERT J CALNONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3154721488PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 W FAYETTE STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13204ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MATTHEW GLIDDEN
OFFICER40.00Yes (X)Yes (X)$0$0$0
MARY ELLEN GRECO MD
PHYSICIAN40.00$279,191$0$10,800Yes (X)
KRISTINE M KEENEY MD
PHYSICIAN40.00$260,000$0$10,400Yes (X)
ALFREDO LOPEZ MD
PHYSICIAN40.00$225,000$0$9,000Yes (X)
KENNETH K RHEE
PHYSICIAN40.00$259,615$0$10,385Yes (X)
HOWARD M WEINSTEIN
PHYSICIAN40.00$235,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,258,806TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$40,585TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DEPARTMENT OF MEDICINE MEDICAL SERVICE
550 E GENESEE ST SUITE 201SYRACUSENY13202PROFESSIONAL MEDICAL SERVICES$3,774,326
CHAG ANESTHESIA GROUP
5000 BRITTONFIELD PARKWAYEAST SYRACUSENY13057PROFESSIONAL MEDICAL SERVICES$2,872,912
SYRACUSE ORTHOPEDIC SPECIALIST
5824 WIDEWATERS PARKWAYEAST SYRACUSENY13057PROFESSIONAL MEDICAL SERVICES$665,975
PRACTICE RESOURCES LLC
1001 W FAYETTE STSYRACUSENY13204ADMINISTRATIVE AND BILLING SERVICES$512,810
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633PROFESSIONAL MEDICAL SERVICES$144,261
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROFESSIONAL SERVICE AGREEMENT -621110$13,684,989$13,684,989
PROFESSIONAL SERVICES621110$5,295,220$5,295,220
FieldValueIRS element (for citing)
Total Program Service Revenue$18,980,209TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,487TotalRevenueColumnAmt
Exclusion$2,487ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDISALLOWED FRINGE BENEFITSDesc
Business900099BusinessCd
Total Revenue Column$3,420TotalRevenueColumnAmt
Unrelated Business Revenue$3,420UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,630TotalRevenueColumnAmt
Related Or Exempt Func Income$29,630RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$33,050OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,015,746TotalRevenueColumnAmt
Related Or Exempt Func Income$19,009,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,420UnrelatedBusinessRevenueAmt
Exclusion$2,487ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,375,979TotalAmt
Program Services$8,375,979ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$272,234TotalAmt
Program Services$272,234ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$587,301TotalAmt
Program Services$587,301ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$567,642TotalAmt
Program Services$567,642ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$138,000TotalAmt
Program Services$138,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,677TotalAmt
Program Services$9,677ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,130TotalAmt
Program Services$22,130ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$148,335TotalAmt
Program Services$148,335ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$79,555TotalAmt
Program Services$79,555ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$331,513TotalAmt
Program Services$331,513ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$214,731TotalAmt
Program Services$214,731ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,056TotalAmt
Program Services$3,056ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$87,278TotalAmt
Program Services$87,278ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,937TotalAmt
Program Services$13,937ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$456,964TotalAmt
Program Services$456,964ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$7,571,136$7,141,091$430,045
BILLING FEES$341,999$341,999
BAD DEBT EXPENSE$45,815$45,815
PERMITS, LICENSES, DUES$35,572$35,572

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,474TotalAmt
Program Services$5,474ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,308,328TotalAmt
Program Services$18,536,284ProgramServicesAmt
Management And General$772,044ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,360,935BOYAmt
EOY$716,497EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$409,726BOYAmt
EOY$274,938EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$60,318BOYAmt
EOY$75,912EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,291BOYAmt
EOY$46,644EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$94,395LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,004LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,329BOYAmt
EOY$24,391EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,052,074BOYAmt
EOY$2,964,654EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,959,673BOYAmt
EOY$4,103,036EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,806,301BOYAmt
EOY$885,839EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,729,742BOYAmt
EOY$5,140,437EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,536,043BOYAmt
EOY$6,026,276EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$10EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$90EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$1,576,470BOYAmt
EOY-$1,923,340EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,576,370BOYAmt
EOY-$1,923,240EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,959,673BOYAmt
EOY$4,103,036EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$292,582ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$54,288PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Minus3 Years$5,881,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,271,243CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,004,406CurrentTaxYearMinus1YearAmt
Current Tax Year$18,980,209CurrentTaxYearAmt
Total$55,137,844TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,881,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,271,243CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,004,406CurrentTaxYearMinus1YearAmt
Current Tax Year$18,980,209CurrentTaxYearAmt
Total$55,137,844TotalAmt

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$55,137,844PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,967CurrentTaxYearMinus1YearAmt
Current Tax Year$2,487CurrentTaxYearAmt
Total$9,998TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,967CurrentTaxYearMinus1YearAmt
Current Tax Year$2,487CurrentTaxYearAmt
Total$9,998TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$112,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,535CurrentTaxYearMinus1YearAmt
Current Tax Year$33,050CurrentTaxYearAmt
Total$178,979TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,883,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,386,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,040,908CurrentTaxYearMinus1YearAmt
Current Tax Year$19,015,746CurrentTaxYearAmt
Total$55,326,821TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,395OtherCostOrOtherBasisAmt
Depreciation$70,004DepreciationAmt
Book Value$24,391BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,391TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM UNIVERSITY HOSPITALDesc
Book Value$2,964,654BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,964,654TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$5,140,437Amt
FieldValueIRS element (for citing)
Total Liability$5,140,437TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,012,326TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$19,012,326RevenueSubtotalAmt
Other Revenues Not Included$3,420OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,420RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,015,746TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,308,328TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,308,328ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,308,328TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FINANCIAL STATEMENTS DO NOT GIVE CONSIDERATION FOR FEDERAL AND STATE INCOME TAXES AS THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). AS OF JUNE 30, 2018 AND 2017, THE CORPORATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2015 THROUGH 2018.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DISALLOWED FRINGE BENEFITS 3,420.

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 Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
MARY ELLEN GRECO MD
PHYSICIAN$279,191$0$0$0$0$0$0$0$10,800$0$289,991$0$0$0
KRISTINE M KEENEY MD
PHYSICIAN$260,000$0$0$0$0$0$0$0$10,400$0$270,400$0$0$0
ALFREDO LOPEZ MD
PHYSICIAN$225,000$0$0$0$0$0$0$0$9,000$0$234,000$0$0$0
KENNETH K RHEE
PHYSICIAN$259,615$0$0$0$0$0$0$0$10,385$0$270,000$0$0$0
HOWARD M WEINSTEIN
PHYSICIAN$235,000$0$0$0$0$0$0$0$0$0$235,000$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WAS DISTRIBUTED FOR REVIEW BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER AND MEMBER OF A COMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS READ, UNDERSTANDS, AND HAS COMPLIED WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15BASE SALARY USING COMPARISON DATA AND BONUS OR INCENTIVE COMPENSATION IS BASED ON WRVU ESTABLISHED BY THE FEDERAL GOVERNMENT, TIME, SKILL, AND TRAINING. PERIODIC REVIEWS SHALL BE CONDUCTED REGARDING COMPENSATION AND BENEFIT ARRANGMENTS FOR REASONABLENESS AND CONFORMITY OF CONTRACTS FOR REASONABLE PAYMENT.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTE IS RESPONSIBLE FOR OVERSEEING THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SUNY UPSTATE UNIVERSITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1750 E ADAMS STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd
FieldValueIRS element (for citing)
EIN161469571EIN
Primary ActivitiesPATIENT CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUNY UPSTATE UNIVERSITY HOSPITAL
L$13,465,346PROFESSIONAL SERVICES AGREEMENT
SUNY UPSTATE UNIVERSITY HOSPITAL
M$430,045ADMIN SERVICES AGREEMENT