Civic Intelligence

Union Associated Physicians Clinic LLC

990 • Fiscal year 2018 • EIN 27-0581401

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 14, 2019

1606 N 7th StreetTerre Haute, IN 47804

(812) 238-7601

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

87th percentile

0.84x

Higher debt load relative to assets than 87% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Liabilities / Revenue

58th percentile

0.52x

Higher debt load relative to revenue than 58% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Net Margin

4th percentile

-44%

Higher net margin than 4% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Top Officer Pay

93rd percentile

$1,511,058

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2018

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2018

Assets

$40,844,083

No earlier filing loaded for comparison.

Net Assets

$6,612,466

No earlier filing loaded for comparison.

Liabilities

$34,231,617

No earlier filing loaded for comparison.

Revenue

$66,424,370

No earlier filing loaded for comparison.

Expenses

$95,445,122

No earlier filing loaded for comparison.

Net Income

-$29,020,752

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0-$20MAssets 2018: $40,844,083Liabilities 2018: $34,231,617Net Assets 2018: $6,612,4662018Assets 2019: $35,153,954Liabilities 2019: $36,491,616Net Assets 2019: -$1,337,6622019Assets 2020: $29,907,028Liabilities 2020: $16,842,991Net Assets 2020: $13,064,0372020Assets 2021: $16,610,393Liabilities 2021: $21,500,876Net Assets 2021: -$4,890,4832021Assets 2022: $17,633,719Liabilities 2022: $13,621,001Net Assets 2022: $4,012,7182022Assets 2023: $18,979,092Liabilities 2023: $13,197,536Net Assets 2023: $5,781,5562023Assets 2024: $20,078,241Liabilities 2024: $13,241,094Net Assets 2024: $6,837,1472024

Highlighted filing

2018

Assets$40,844,083
Liabilities$34,231,617
Net Assets$6,612,466

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50M-$100MRevenue 2018: $66,424,370Expenses 2018: $95,445,122Net Income 2018: -$29,020,7522018Revenue 2019: $74,809,055Expenses 2019: $108,176,970Net Income 2019: -$33,367,9152019Revenue 2020: $76,800,960Expenses 2020: $107,763,857Net Income 2020: -$30,962,8972020Revenue 2021: $77,508,115Expenses 2021: $129,912,444Net Income 2021: -$52,404,3292021Revenue 2022: $77,839,041Expenses 2022: $123,131,197Net Income 2022: -$45,292,1562022Revenue 2023: $69,122,359Expenses 2023: $125,212,062Net Income 2023: -$56,089,7032023Revenue 2024: $70,099,709Expenses 2024: $134,348,332Net Income 2024: -$64,248,6232024

Highlighted filing

2018

Revenue$66,424,370
Expenses$95,445,122
Net Income-$29,020,752
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 14, 2019
Return Version
2018v3.1
Gross Receipts
$66,424,370
Mission and Program Overview

Mission

Provide and coordinate inpatient and outpatient medical care for the patients and community members served by union hospital terre haute, union hospital clinton, and the system's other health care providers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$22,752,867$21,479,015▼ $1,273,852
Accounts Receivable$6,390,945$6,427,790▲ $36,845
Cash and Non-Interest-Bearing Accounts$1,269,163$4,304,236▲ $3,035,073
Investments Other Securities$928,552$2,404,055▲ $1,475,503
Prepaid Expenses and Deferred Charges$1,747,002$1,512,045▼ $234,957
Inventories for Sale or Use$564,913$478,181▼ $86,732
Other Notes and Loans Receivable, Net$27,764$130,129▲ $102,365
Total Assets$34,433,351$40,844,083▲ $6,410,732
Other Assets Total$752,145$4,108,632▲ $3,356,487
Liabilities
Mortgage Notes Payable Secured by Investment Property$19,367,784$19,342,965▼ $24,819
Accounts Payable and Accrued Expenses$17,226,003$14,888,652▼ $2,337,351
Total Liabilities$36,593,787$34,231,617▼ $2,362,170
Net Assets / Fund Balance
Unrestricted Net Assets$-2,160,436$6,612,466▲ $8,772,902
Total Net Assets Fund Balance$-2,160,436$6,612,466▲ $8,772,902
Total Liabilities and Net Assets / Fund Balance$34,433,351$40,844,083▲ $6,410,732

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$16,735,372$2,851,753$19,587,125
Equipment$3,852,910$3,720,921$7,573,831
Leasehold Improvements$890,733$332,425$1,223,158
Other Assets Org$4,108,632--
Other Securities$2,404,055--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Krishna Namburi MdMemberFT$1,225,249$285,809$1,511,058
Shantilal PatelPhysicianFT$1,296,630$65,933$1,362,563
Suresh KunapareddyPhysicianFT$1,164,452$44,520$1,208,972
Stephen FernPhysicianFT$688,012$455,579$1,143,591
Sameer BavishiPhysicianFT$651,282$226,475$877,757
Prashant PatelPhysicianFT$578,621$207,770$786,391
Grant Hammons MdMemberFT$665,478$50,352$715,830
Hans Andreasen MdMedical DirectorFT$378,560$144,940$523,500
Jacqueline Holder MdMemberFT$216,092$99,150$315,242
John GilbreathSr. DirectorFT$202,047$48,803$250,850
James SchraderVP Physician ServicesFT$166,174$48,804$214,978
Pamela SmithDirectorFT$149,448$23,998$173,446

Board Members and Trustees

NameTitle
Dan DebardChair
Steven HolmanPresident & CEO
Don ScottVice Chair
Janis Ingebrigtsen MdAsst. Secretary
Robert CoonsAsst. Treasurer
Cindy MartinMember
John LukensMember
Ken BakerMember
Mark FusonMember
Mark Lynch MdMember
Mary DotiMember
Molly CallahanMember
Steve WittMember
William G GrimesMember
Sara SmithSecretary
Wayne HutsonSr VP Finance/CFO
Ward HubbardTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sycamore Anesthesia ServicesAnethesia Services1421 N 7TH STREET, Terre Haute, IN 47804$1,041,099
Delta Locum TenensMedical ServicesPO BOX 202940, Dallas, TX 75320$849,111
Steves Cleaning ServicesHousekeeping Services5060 OLD PARIS ROAD, W Terre Haute, IN 47885$554,164
Ciox Health LLCMedical Records FeePO BOX 409669, Atlanta, GA 30384$129,519
Blue & Co LLCAccounting Services500 N MERIDIAN ST STE 200, Indianapolis, IN 46204$108,350
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$48,085,153
Investment Income
$8,889
Other Revenue
$18,330,328
Change in Net Assets
$-29,020,752
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$54,392,489
Other Expenses$41,015,962
Grants and Similar Amounts Paid$36,671
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,317,209$8,132,961-$44,450,170
Fees for Services Other$15,657,311$3,506,335-$19,163,646
Occupancy$4,470,218$1,001,071-$5,471,289
Other Employee Benefits$2,468,841$552,878-$3,021,719
Current Officers, Directors, Trustees, and Key Employees$2,252,645$504,463-$2,757,108
Payroll Taxes$1,744,000$390,555-$2,134,555
Interest-$2,105,151-$2,105,151
Pension Plan Contributions$1,657,706$371,231-$2,028,937
Depreciation Depletion$1,585,022$354,953-$1,939,975
Insurance$955,606$214,001-$1,169,607
Office Expenses$713,784$159,846-$873,630
Information Technology$710,089$159,019-$869,108
All Other Expenses$153,882$34,461-$188,343
Advertising$148,382$33,229-$181,611
Conferences and Meetings$96,808$21,679-$118,487
Travel$86,675$19,410-$106,085
Fees for Services Accounting$73,014$16,351-$89,365
Fees for Services Legal$71,728$16,063-$87,791
Other Expenses$63,455$14,210-$77,665
Grants to Domestic Orgs$36,671--$36,671
Total Functional Expenses$77,684,106$17,761,016$0$95,445,122
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
United Way of the Wabash ValleyTerre Haute, IN501c3Charitable Contribution$10,000
March of DimesTerre Haute, IN501c3Charitable Contribution$6,250
Chances for Indiana Youth IncTerre Haute, IN501c3Charitable Contribution$5,000
India Association of Terre Haute IncTerre Haute, IN501c3Charitable Contribution$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Union associated physicians clinic has two members, union hospital inc. And union health systems, which are indiana nonprofit, tax exempt corporations.

Form 990, Part VI, Section A, Line 7A

Union health systems and union hospital, inc. Are the parent corporations and members of union associated physicians clinic, llc. The members have the right to elect the directors of this company and remove, with or without cause, any director of this company prior to expiration of the director's term. The members have the right to fill any vacancy for the office of voting director.

Form 990, Part VI, Section A, Line 7B

Powers reserved to members: a) approve the mission, vision and values statements for the company, b) make and approve changes to the governing documents of the company with the favorable vote of system board members representing more than seventy-five (75%) of the system board positions inclusive of vacancies, c) approve the incurrence of debt of the company in accordance with system policies, d) approve the sale, transfer or substantial change in use of all or substantially all of the assets of the company and divestiture, dissolution, closure, merger, consolidation, change in company membership or ownership, or other reorganization of the company provided such action has been approved by system board members comprising more than seventy-five (75%) of the system board positions inclusive of vacancies, e) approve the formation of a company subsidiary organization, and the sale, transfer or substantial change in use of all or substantially all of the assets of a company subsidiary organization, or the divestiture, dissolution, closure, merger, consolidation or change in corporate membership or ownership of a company subsidiary organization, f) approve the transfer or encumbrance of the assets of the company in accordance with system policies provided that the transfer of assets except in connection with system borrowing will require the favorable vote of system board members comprising more than seventy-five (75%) of the system board positions inclusive of vacancies, g) approve the annual operating budget, capital plan, strategic plan, and business plan for the company, h) approve any transactions of the company having an individual cost greater than $250,000 or an aggregate cost greater than $500,000 which are not otherwise included in the company's operating or capital budgets, as approved, amended or modified from time to time by uhs, i) resolve any issues between the company and any subsidiary organization as to participation, or failure to participate, in specific managed care agreements and the terms thereof, and j) approve any management agreement for the management of all or any substantial party of the company's operations.

Form 990, Part VI, Section B, Line 11B

The process of reviewing the form 990 entails a detailed review of the form 990 by the organization's management. The governing body reviews and approves the form 990 and the final form 990 including requested schedules, as ultimately filed with the irs, are provided to each voting member of the organization's governing body.

Form 990, Part VI, Section B, Line 12C

The organization follows union hospital's policies and procedures including the conflict of interest policy. The written conflict of interest policy is regularly and consistently monitored and compliance enforced by the corporate compliance officer. The scope of this policy includes directors, officers, management, and employees. The policy is in place to avoid personal interests that conflict, or may appear to conflict, with the best interests of union and its affiliates and the communities they serve. The covered persons are to refrain from personal interests, direct or indirect with any third parties. It is the responsibility of officers, management, and employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures and act accordingly. A self-disclosure from covered persons to the corporate compliance officer is required on any potential conflicts of interest. The covered persons are to refrain from participating in any deliberation or decisions on such transactions. The conflicts disclosed are reviewed and resolved by the corporate compliance officer.

Form 990, Part VI, Section B, Line 15

The process for determining compensation of sr. Executive or sr. Administrative positions includes a subcommittee of the board of directors' executive committee consisting of independent board members whose responsibility includes such review, including review of the ceo's compensation. They gather information and follow the steps set forth below and in turn submit to the full board of directors the recommendations in terms of compensation and benefits for the ceo and sr. Management. A subcommittee of the board of directors' executive committee consists of individuals who are independent and disinterested board members. The ceo is excused from the meeting when his/her compensation/benefits are reviewed both at the committee level and the board level. The steps include: 1. The executive/compensation subcommittee instructs the vp of human resources to retain an outside independent consultant to (1) provide the committee with information, and (2) to review the actions and compensation/benefits to be sure that there is not excessive compensation. The consultant that has been used the past several years is sullivan cotter & associates, inc. Under the process, sullivan cotter first is provided with the names and job descriptions for the sr. Management team that is being evaluated. The independent advisor then submits to the executive/compensation subcommittee comparable information, specifically: > four (4) commercially available executive health care compensation surveys prepared by independent firms, were referenced to obtain market data for this review: - integrated healthcare strategies: 2018 healthcare executive compensation survey - advisory board benchmark data 2018 survey - indiana hospital & health association: 2018 compensation survey report - sullivan cotter & associates: 2018 survey of manager and executive compensation in hospitals and health systems > market data reflecting functionally-comparable positions were obtained for all ten executive positions > data were abstracted for comparably-sized organizations as measured by net revenue > the data reported represented the 50th, 75th, and 90th percentiles of base salary and total cash compensation (base salary plus actual annual incentive - abbreviated tcc) > regional market data were also collected from the published compensation surveys as well as a special cut of the following indiana hospitals from sullivan cotter's 2018 survey of manager and executive compensation in hospitals and health systems: - ball memorial hospital - reid hospital & health care services - bloomington hospital - riley hospital for children - elkhart general hospital - saint john's health system - good samaritan hospital - saint joseph regional medical center - memorial hospital of south bend - saint mary's medical center - methodist hospitals - terre haute regional hospital - parkview hospital > that data was also reported with national average, regional average and indiana average. 2. The executive/compensation subcommittee of union hospital's board of directors takes the data provided by the independent consultants and following a review of the performance of each individual submits to the full board for approval recommendations in terms of salaries, benefits, and bonuses. Final approval is by the board of directors. The ceo does not take part in the discussion or action on his/her salary, benefits and bonus. 3. Minutes of the executive/compensation subcommittee and the board meetings are contemporaneously kept and maintain with the corporate minute books.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Union Associated Physicians Clinic LLC
EIN
27-0581401
Phone
8122387601
Address
1606 N 7TH STREET, TERRE HAUTE, IN 47804

Signing Officer

Name
Matthew Nealon
Title
CFO
Phone
8122387601
Signed
2019-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Nealon
Formed
2009
Legal Domicile
In
Voting Board Members
18
Independent Board Members
13
Employees
905
Volunteers
0

Preparer

Firm
Blue & Co LLC
Address
500 N MERIDIAN ST SUITE 200, INDIANAPOLIS, IN 46204
Preparer
Margot Burke
Phone
3176334705
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services: program service expenses 13,936,840. Management and general expenses 3,121,049. Fundraising expenses 0. Total expenses 17,057,889. Physician services: program service expenses 1,720,471. Management and general expenses 385,286. Fundraising expenses 0. Total expenses 2,105,757.

FORM 990, PART XI, LINE 9:

Equity transfer from system 37,793,654.

FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT:

The audit committee assumes responsibility for oversight of the audit of the financial statements.

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by uhs, the corporation, and uapc, and recognize a tax liability if uhs, the corporation, and uapc have taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by uhs, the corporation, and uapc, and has concluded that as of december 31, 2018 and 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. Uhs, the corporation, and uapc are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Filings are current through 2017. The impact of the subsidiaries tax consequences is immaterial to these consolidated financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PROVIDE AND COORDINATE INPATIENT AND OUTPATIENT MEDICAL CARE FOR THE PATIENTS AND COMMUNITY MEMBERS SERVED BY UNION HOSPITAL TERRE HAUTE, UNION HOSPITAL CLINTON, AND THE SYSTEM'S OTHER HEALTH CARE PROVIDERS.
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IRS990/Desc0UNION ASSOCIATED PHYSICIANS CLINIC, LLC (UAPC) IS THE LARGEST MULTI-SPECIALTY PROVIDER GROUP IN THE WABASH VALLEY AND IS AN INTEGRAL PART OF UNION HEALTH SYSTEM THAT ALSO INCLUDES UNION HOSPITAL IN TERRE HAUTE AND UNION HOSPITAL CLINTON. UAPC (FORMERLY UAP CLINIC AND AP&S CLINIC) HAS PROVIDED QUALITY HEALTHCARE IN THE WABASH VALLEY FOR MORE THAN 100 YEARS. TODAY, UAPC CONSISTS OF OVER 130 PROVIDERS IN 20 SPECIALTIES PRACTICING AT MULTIPLE LOCATIONS THROUGHOUT WESTERN INDIANA AND EASTERN ILLINOIS. AS PART OF UNION HEALTH, UAPC CONTINUES TO MEET THE AREA'S CURRENT AND EMERGING HEALTH NEEDS.
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