Civic Intelligence

Unity Ambulatory Surgery Center Inc.

990 • Fiscal year 2017 • EIN 38-3871383

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 12, 2018

1555 Long Pond RdRochester, NY 14626

(585) 922-1032

Siviq Scores

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

Liabilities / Assets

88th percentile

1.69x

Higher debt load relative to assets than 88% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

82nd percentile

0.82x

Higher debt load relative to revenue than 82% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Net Margin

77th percentile

13%

Higher net margin than 77% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

96th percentile

$3,022,275

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 32.2% of source-year revenue.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Asset Growth

96th percentile

123%

Faster asset growth than 96% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2016 to 2017

Revenue Growth

80th percentile

25%

Faster revenue growth than 80% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2016 to 2017

Assets

Up

$4,552,585

Up $2,510,108 (+123%) from 2016

Net Assets

Up

-$3,141,716

Up $1,231,050 (+28%) from 2016

Liabilities

Up

$7,694,301

Up $1,279,058 (+20%) from 2016

Revenue

Up

$9,394,747

Up $1,867,814 (+25%) from 2016

Expenses

Up

$8,160,399

Up $547,383 (+7.2%) from 2016

Net Income

Up

$1,234,348

Up $1,320,431 (+1534%) from 2016

Historical Trend

Balance Sheet Trend

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

$20M$10M$0-$10MAssets 2012: $10,183,452Liabilities 2012: $10,905,729Net Assets 2012: -$722,2772012Assets 2013: $9,989,007Liabilities 2013: $10,911,253Net Assets 2013: -$922,2462013Assets 2014: $10,026,971Liabilities 2014: $11,327,541Net Assets 2014: -$1,300,5702014Assets 2015: $1,862,343Liabilities 2015: $6,172,441Net Assets 2015: -$4,310,0982015Assets 2016: $2,042,477Liabilities 2016: $6,415,243Net Assets 2016: -$4,372,7662016Assets 2017: $4,552,585Liabilities 2017: $7,694,301Net Assets 2017: -$3,141,7162017Assets 2018: $5,252,760Liabilities 2018: $2,248,254Net Assets 2018: $3,004,5062018Assets 2019: $7,848,036Liabilities 2019: $5,128,333Net Assets 2019: $2,719,7032019Assets 2020: $8,951,469Liabilities 2020: $7,707,319Net Assets 2020: $1,244,1502020Assets 2021: $16,611,386Liabilities 2021: $15,507,424Net Assets 2021: $1,103,9622021Assets 2022: $15,529,776Liabilities 2022: $14,919,094Net Assets 2022: $610,6822022Assets 2023: $15,765,097Liabilities 2023: $15,257,854Net Assets 2023: $507,2432023Assets 2024: $16,371,396Liabilities 2024: $15,288,565Net Assets 2024: $1,082,8312024

Highlighted filing

2017

Assets$4,552,585
Liabilities$7,694,301
Net Assets-$3,141,716

Operations Trend

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

$30M$20M$10M$0-$10MRevenue 2012: $6,081,176Expenses 2012: $6,803,453Net Income 2012: -$722,2772012Revenue 2013: $9,128,292Expenses 2013: $9,328,261Net Income 2013: -$199,9692013Revenue 2014: $8,342,703Expenses 2014: $8,721,144Net Income 2014: -$378,4412014Revenue 2015: $1,331,084Expenses 2015: $8,321,689Net Income 2015: -$6,990,6052015Revenue 2016: $7,526,933Expenses 2016: $7,613,016Net Income 2016: -$86,0832016Revenue 2017: $9,394,747Expenses 2017: $8,160,399Net Income 2017: $1,234,3482017Revenue 2018: $11,517,282Expenses 2018: $10,222,938Net Income 2018: $1,294,3442018Revenue 2019: $13,054,096Expenses 2019: $12,549,852Net Income 2019: $504,2442019Revenue 2020: $16,609,961Expenses 2020: $18,082,233Net Income 2020: -$1,472,2722020Revenue 2021: $21,146,552Expenses 2021: $21,293,120Net Income 2021: -$146,5682021Revenue 2022: $21,491,525Expenses 2022: $21,989,058Net Income 2022: -$497,5332022Revenue 2023: $21,301,726Expenses 2023: $21,403,248Net Income 2023: -$101,5222023Revenue 2024: $22,380,581Expenses 2024: $21,907,447Net Income 2024: $473,1342024

Highlighted filing

2017

Revenue$9,394,747
Expenses$8,160,399
Net Income$1,234,348
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$9,394,747
Mission and Program Overview

Mission

To make a positive difference in the lives and health status of individuals in the city of rochester, ny and monroe county. We will educate our community, our providers and future health care professionals in order to offer the highest quality of care to all members of our community, especially those that are underserved and most vulnerable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,155,812$3,647,298▲ $2,491,486
Land, Buildings, and Equipment, Net$542,385$428,072▼ $114,313
Inventories for Sale or Use$201,362$238,284▲ $36,922
Cash and Non-Interest-Bearing Accounts$101,590$183,229▲ $81,639
Prepaid Expenses and Deferred Charges$19,651$34,025▲ $14,374
Total Assets$2,042,477$4,552,585▲ $2,510,108
Other Assets Total$21,677$21,677→ $0
Liabilities
Other Liabilities$5,926,473$5,964,585▲ $38,112
Accounts Payable and Accrued Expenses$488,770$1,729,716▲ $1,240,946
Total Liabilities$6,415,243$7,694,301▲ $1,279,058
Net Assets / Fund Balance
Unrestricted Net Assets$-4,372,766$-3,141,716▲ $1,231,050
Total Net Assets Fund Balance$-4,372,766$-3,141,716▲ $1,231,050
Total Liabilities and Net Assets / Fund Balance$2,042,477$4,552,585▲ $2,510,108

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$428,072$2,581,914$3,009,986
Compensation and Service Providers

Board Members and Trustees

NameTitle
Robert Mayo MdChair of the Board
Eric Bieber MdCEO
Thomas CrillyCFO
Robert NesselbushCOO
Warren HernFormer CEO
Hugh ThomasSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,394,747
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$1,234,348

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,394,747
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$9,394,747
Total Revenue per Form 990
$9,394,747
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$5,280,478
Salaries, Compensation, and Employee Benefits$2,879,921
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,003,820$439,863-$2,443,683
Occupancy$576,599$125,499-$702,098
Fees for Services Management-$458,645-$458,645
Fees for Services Other$281,176$61,722-$342,898
Other Employee Benefits$233,523$51,262-$284,785
Depreciation Depletion$113,096$24,826-$137,922
Payroll Taxes$112,142$24,617-$136,759
Office Expenses$98,487$21,619-$120,106
Other Expenses$49,625$10,893-$60,518
All Other Expenses$17,565$4,846-$22,411
Pension Plan Contributions$12,049$2,645-$14,694
Total Functional Expenses$6,933,962$1,226,437$0$8,160,399

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$8,160,399
Total Expenses per Audited Statements$8,160,399
Total Expenses per Form 990$8,160,399
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$5,879,981
Acrrued Post - Retirement Liability$84,604
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 1

Each board has an executive committee. The executive committee consists of the officers of the board plus the chief executive officer of the corporation and such other directors as the chair may nominate from time to time for appointment by a majority vote of the entire board. Between meetings of the board, and to the extent permitted by law, the executive committee shall possess the powers of the board with respect to managing and conducting the affairs of the corporation, except as otherwise provided by law or within certain by-laws.

Form 990, Part VI, Section A, Line 6

The organization is a membership (not a stock) corporation under new york state law. The organization's sole corporate member is rochester regional health, a related not-for-profit organization.

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

Rochester regional health, as the sole corporate member, also has the right to approve or ratify significant decisions of the organization's governing body, including amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization.

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

Prior to filing, a copy of the form 990 is provided to, and reviewed with, all members of the audit and compliance committee. This review is performed in consultation with the organization's tax advisors, and is based on the organization's audited financial statements and other relevant information for the appropriate time period.

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

Upon employment, all employees receive the ethical standard of conduct booklet for which they sign a receipt of acknowledgement. Conflict of interest education is conducted annually for all employees. Conflict of interest is defined, as is management of a conflict of interest. Employees are required to disclose and seek resolution to any actual or potential conflict of interest before taking a potentially improper action. Annually, each employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing management with sufficient information about his/her personal interests and relationships so that management can: (1) determine whether any actual or perceived conflict of interest exists, and (2) monitor work assignments to avoid placing the key employee or officer in a position where there may be a question as to his/her objectivity as well as to avoid any appearance of impropriety. Throughout the year, key employees and officers of the organization are also required to notify management promptly if any change to their disclosures occurs. In addition, each member of the board of directors must also complete a conflict of interest and disclosure form, which must be submitted to the general counsel. Board members leave the room during discussions and abstain from voting when they have a conflict of interest.

Form 990, Part VI, Section B, Line 15

The organization's officer and key employee compensation arrangements are reviewed and approved by the compensation committee. Information reviewed for the officer/key employee includes comparable data from similar size tax-exempt organizations as well as compensation for these positions (as disclosed on form 990) with other organizations in the healthcare industry that are of similar size. Review and approval of the compensation arrangement by the compensation committee is documented.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the administrative offices of the affiliated health system at 100 kings highway south, rochester, ny 14617. A nominal fee is charged if copies are requested.

Filing and Contact Details

Filer

Filer Name
Unity Ambulatory Surgery Center Inc
EIN
38-3871383
Phone
5859221032
Address
1555 LONG POND RD, ROCHESTER, NY 14626

Signing Officer

Name
Thomas R Crilly
Title
CFO
Phone
5859221032
Signed
2018-11-12

Organization Details

Principal Officer
Eric Bieber Md
Formed
2012
Legal Domicile
Ny
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Fust Charles Chambers Llp
Address
5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
Preparer
Angela M Franco
Phone
3154463600
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Prior period adjustments -3,298.

FORM 990, PART XII, LINE 2C:

This process has not changed from the prior year.

Raw XML AppendixShowing 400 of 1,087 raw XML fields

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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IRS990ScheduleD/EquipmentGrp/DepreciationAmt02581914
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IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
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IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
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IRS990ScheduleD/TotalBookValueLandBuildingsAmt0428072
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IRS990ScheduleD/TotalLiabilityAmt05964585
IRS990ScheduleD/TotalRevenuePerForm990Amt09394747
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt09394747
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1343485
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt4459050
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01157490
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt4817204
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt1533488
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt3456469
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt4746618
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1HUGH THOMAS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2ROBERT MAYO MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3THOMAS CRILLY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4ROBERT NESSELBUSH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5WARREN HERN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CHAIR OF THE BOARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4COO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5FORMER CEO
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS PAID FROM THIS PLAN IN 2017. THE TOTAL COMPENSATION PAID TO THE FORMER CEO REPRESENTED A DISTRIBUTION OF DEFERRED COMPENSATION FROM A 457(B) PLAN. THIS DISTRIBUTION TO THE FORMER CEO SHOWN IN THE 2017 TAX RETURN REPRESENTS COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX YEARS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2017 FOR PAYMENTS MADE TO THE FORMER CEO.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION.

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