Civic Intelligence

Health System Physician PC

990 • Fiscal year 2017 • EIN 46-4304317

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

130 South Union Street Suite 300Olean, NY 14760

(716) 375-6190

Siviq Scores

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

Liabilities / Assets

95th percentile

3.01x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • NTEE E • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

90th percentile

1.66x

Higher debt load relative to revenue than 90% of similar nonprofits.

2017 filings • NTEE E • $1M-$5M nonprofits • Source year 2017

Net Margin

8th percentile

-57%

Higher net margin than 8% of similar nonprofits.

2017 filings • NTEE E • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

87th percentile

$539,423

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 16.7% of source-year revenue.

2017 filings • NTEE E • $1M-$5M nonprofits • Source year 2017

Asset Growth

1st percentile

-78%

Faster asset growth than 1% of similar nonprofits.

2017 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

23rd percentile

-8.7%

Faster revenue growth than 23% of similar nonprofits.

2017 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$1,781,581

Down $6,398,746 (-78%) from 2016

Net Assets

Down

-$3,582,391

Down $5,604,612 (-277%) from 2016

Liabilities

Down

$5,363,972

Down $794,134 (-13%) from 2016

Revenue

Down

$3,234,093

Down $308,412 (-8.7%) from 2016

Expenses

Down

$5,076,930

Down $296,311 (-5.5%) from 2016

Net Income

Down

-$1,842,837

Down $12,101 (-0.7%) from 2016

Historical Trend

Balance Sheet Trend

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

$20M$10M$0-$10M-$20MAssets 2014: $8,226,323Liabilities 2014: $8,690,208Net Assets 2014: -$463,8852014Assets 2015: $7,814,647Liabilities 2015: $5,882,779Net Assets 2015: $1,931,8682015Assets 2016: $8,180,327Liabilities 2016: $6,158,106Net Assets 2016: $2,022,2212016Assets 2017: $1,781,581Liabilities 2017: $5,363,972Net Assets 2017: -$3,582,3912017Assets 2018: $1,551,251Liabilities 2018: $4,485,014Net Assets 2018: -$2,933,7632018Assets 2019: $1,250,015Liabilities 2019: $6,506,348Net Assets 2019: -$5,256,3332019Assets 2020: $1,131,704Liabilities 2020: $8,550,421Net Assets 2020: -$7,418,7172020Assets 2021: $325,705Liabilities 2021: $10,401,363Net Assets 2021: -$10,075,6582021Assets 2022: $134,589Liabilities 2022: $11,829,410Net Assets 2022: -$11,694,8212022Assets 2023: $199,606Liabilities 2023: $13,268,603Net Assets 2023: -$13,068,9972023Assets 2024: $494,936Liabilities 2024: $14,460,549Net Assets 2024: -$13,965,6132024

Highlighted filing

2017

Assets$1,781,581
Liabilities$5,363,972
Net Assets-$3,582,391

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2014: $2,837,687Expenses 2014: $3,301,572Net Income 2014: -$463,8852014Revenue 2015: $3,020,106Expenses 2015: $4,416,007Net Income 2015: -$1,395,9012015Revenue 2016: $3,542,505Expenses 2016: $5,373,241Net Income 2016: -$1,830,7362016Revenue 2017: $3,234,093Expenses 2017: $5,076,930Net Income 2017: -$1,842,8372017Revenue 2018: $2,873,761Expenses 2018: $5,443,105Net Income 2018: -$2,569,3442018Revenue 2019: $2,430,372Expenses 2019: $4,859,471Net Income 2019: -$2,429,0992019Revenue 2020: $1,638,152Expenses 2020: $3,873,300Net Income 2020: -$2,235,1482020Revenue 2021: $1,364,866Expenses 2021: $3,575,486Net Income 2021: -$2,210,6202021Revenue 2022: $1,098,933Expenses 2022: $2,718,096Net Income 2022: -$1,619,1632022Revenue 2023: $709,618Expenses 2023: $2,083,794Net Income 2023: -$1,374,1762023Revenue 2024: $698,631Expenses 2024: $1,595,247Net Income 2024: -$896,6162024

Highlighted filing

2017

Revenue$3,234,093
Expenses$5,076,930
Net Income-$1,842,837
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$3,234,093
Mission and Program Overview

Mission

To provide excellent care in response to the health care needs of the community.expect comprehensive, affordable health care at locally owned omega family medicine and cuba family health care.locally owned and operated, knowledgeable physicians, physician assistants, doctors and nurses provide safe, precise and compassionate care, from diagnosis to treatment for children, adolescents, and adults.a full service facility, we offer services in a variety of health specialties, including women's health and family medicine.an on campus lab and radiology department as well as immunizations and office testing ensure you are afforded absolute convenience.

To provide excellent care in response to the health care needs of the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$5,978,718$0▼ $5,978,718
Land, Buildings, and Equipment, Net$1,624,992$1,337,264▼ $287,728
Accounts Receivable$398,074$240,809▼ $157,265
Cash and Non-Interest-Bearing Accounts$106,545$130,650▲ $24,105
Prepaid Expenses and Deferred Charges$27,998$66,108▲ $38,110
Total Assets$8,180,327$1,781,581▼ $6,398,746
Other Assets Total$44,000$6,750▼ $37,250
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,828,121$4,725,706▼ $1,102,415
Accounts Payable and Accrued Expenses$329,985$638,266▲ $308,281
Total Liabilities$6,158,106$5,363,972▼ $794,134
Net Assets / Fund Balance
Unrestricted Net Assets$2,022,221$-3,582,391▼ $5,604,612
Total Net Assets Fund Balance$2,022,221$-3,582,391▼ $5,604,612
Total Liabilities and Net Assets / Fund Balance$8,180,327$1,781,581▼ $6,398,746

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,296,087$745,310$2,041,397
Leasehold Improvements$28,019$9,006$37,025
Other Land Buildings$13,158-$13,158
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ross HorsleyPhysicianFT$521,340$18,083$539,423
Zia SheikhPhysicianFT$460,143$5,000$465,143
Peter TerhaarPhysicianFT$387,955$24,425$412,380
Phyllis BesseyFamily Nurse PractitionerFT$132,733$25,440$158,173
Karisa YoungNurse PractitionerFT$108,295$14,142$122,437

Board Members and Trustees

NameTitle
Dr William MillsPresident

Highest Paid Contractors

ContractorServicesLocationCompensation
Olean Radiology PCRent2607 W STATE STREET, Olean, NY 14760$328,696
-Radiology ServicesPO BOX 698, Potsdam, NY 13676$101,270
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,118,800
Investment Income
$0
Other Revenue
$115,293
Change in Net Assets
$-1,842,837
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,924,299
Other Expenses$2,152,631
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,452,513$185,721-$2,638,234
Occupancy$579,628$43,893-$623,521
Depreciation Depletion$347,185--$347,185
Interest-$251,660-$251,660
Insurance-$156,559-$156,559
Other Employee Benefits$137,290$10,396-$147,686
Payroll Taxes$128,638$9,741-$138,379
Office Expenses-$37,203-$37,203
Other Expenses$11,773$3,780-$11,773
Advertising-$9,005-$9,005
Fees for Services Other-$9,000-$9,000
Conferences and Meetings-$6,015-$6,015
Travel-$1,727-$1,727
Fees for Services Legal-$1,066-$1,066
Total Functional Expenses$4,351,164$725,766$0$5,076,930
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
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8A

Discussions and financials were presented as a part of the uahs finance and board meetings.

Form 990, Part VI, Section A, Line 8B

Discussions and financials were presented as a part of the uahs finance and board meetings.

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

The one man board reviews and signs the return prior to filing.

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

The organization consistently monitors and enforces compliance, following all american college of radiology (acr) guidelines and mammography guidelines through nqsa and all nys doh guidelines.

Form 990, Part VI, Section B, Line 15

The process for determining compensation includes a compensation survey and signing of a written employment contract prior to the commencement of services.

Form 990, Part VI, Section C, Line 19

These documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Health System Physician Pc
EIN
46-4304317
Phone
7163756190
Address
130 SOUTH UNION STREET SUITE 300, OLEAN, NY 14760

Signing Officer

Name
Dr William Mills
Title
President
Phone
7163756190
Signed
2018-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr William Mills
Formed
2011
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
40
Volunteers
0

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Michael J Grimaldi
Phone
7168563300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Forgiveness of debt 2,216,943. Goodwill impairment -5,978,718.

FORM 990, PART XII, LINE 2C:

The uahs finance and audit committee is responsible for the oversight of the review as wel as the choice of an independent accountant.

Form 990, Page 1, Box J

Additional websites for the organization include www.omegafamilymedicine.net, www.cubafamilyhealthcare.com and www.oleanorthopaedics.com

Raw XML AppendixShowing 400 of 551 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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4FAMILY NURSE PRACTITIONER
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