Civic Intelligence

Health System Physician PC

990 • Fiscal year 2019 • EIN 46-4304317

Jan 01, 2019 to Dec 31, 2019 • Filed on Feb 08, 2021

Upper Allegheny Health SystemOlean, NY 14760

(716) 375-6190

Siviq Scores

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

Liabilities / Assets

97th percentile

5.21x

Higher debt load relative to assets than 97% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

93rd percentile

2.68x

Higher debt load relative to revenue than 93% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Net Margin

5th percentile

-100%

Higher net margin than 5% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

87th percentile

$556,270

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 22.9% of source-year revenue.

2019 filings • NTEE E • $1M-$5M nonprofits • Source year 2019

Asset Growth

11th percentile

-19%

Faster asset growth than 11% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

20th percentile

-15%

Faster revenue growth than 20% of similar nonprofits.

2019 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Down

$1,250,015

Down $301,236 (-19%) from 2018

Net Assets

Down

-$5,256,333

Down $2,322,570 (-79%) from 2018

Liabilities

Up

$6,506,348

Up $2,021,334 (+45%) from 2018

Revenue

Down

$2,430,372

Down $443,389 (-15%) from 2018

Expenses

Down

$4,859,471

Down $583,634 (-11%) from 2018

Net Income

Up

-$2,429,099

Up $140,245 (+5.5%) from 2018

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

2019

Assets$1,250,015
Liabilities$6,506,348
Net Assets-$5,256,333

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

2019

Revenue$2,430,372
Expenses$4,859,471
Net Income-$2,429,099
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Feb 8, 2021
Return Version
2019v5.2
Gross Receipts
$2,430,372
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
Land, Buildings, and Equipment, Net$1,027,672$950,107▼ $77,565
Accounts Receivable$193,705$153,019▼ $40,686
Prepaid Expenses and Deferred Charges$85,637$92,709▲ $7,072
Cash and Non-Interest-Bearing Accounts$244,237$54,180▼ $190,057
Total Assets$1,551,251$1,250,015▼ $301,236
Liabilities
Other Liabilities$2,649,833$5,425,765▲ $2,775,932
Mortgage Notes Payable Secured by Investment Property$1,421,621$599,332▼ $822,289
Accounts Payable and Accrued Expenses$413,560$481,251▲ $67,691
Total Liabilities$4,485,014$6,506,348▲ $2,021,334
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-2,933,763$-5,256,333▼ $2,322,570
Total Net Assets Fund Balance$-2,933,763$-5,256,333▼ $2,322,570
Total Liabilities and Net Assets / Fund Balance$1,551,251$1,250,015▼ $301,236

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$909,456$1,131,941$2,041,397
Leasehold Improvements$27,058$9,967$37,025
Other Land Buildings$13,593-$13,593
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ira NierenbergPhysicianFT$551,692$4,578$556,270
Peter TerharPhysicianFT$502,733$25,745$528,478
Zia SheikhPhysicianFT$472,143$13,047$485,190
Ross HorsleyPhysicianFT$143,846$6,604$150,450
Phyllis BesseyPhysicianFT$132,469$4,578$137,047

Board Members and Trustees

NameTitle
Dr William MillsPresident

Highest Paid Contractors

ContractorServicesLocationCompensation
Change Healthcare LLCRent2607 W STATE STREET, Olean, NY 14760$342,984
Mckesson Medical SurgicalBilling Services1145 SANCTUARY PKWY SUITE 200, Alpharetta, GA 30004$133,795
-Supplies2404 INNOVATION WAY, Rochester, NY 14624$119,801
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,367,982
Investment Income
$0
Other Revenue
$62,390
Change in Net Assets
$-2,429,099
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,155,232
Other Expenses$1,704,239
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,443,831$406,881-$2,850,712
Occupancy$558,699$42,053-$600,752
Fees for Services Other$323,295$3,225-$326,520
Interest-$200,635-$200,635
Insurance$132,637$51,889-$184,526
Other Employee Benefits$137,662$22,920-$160,582
Payroll Taxes$123,394$20,544-$143,938
Depreciation Depletion$77,565--$77,565
Other Expenses$70,066$21,516-$70,066
Office Expenses-$39,846-$39,846
Advertising-$13,027-$13,027
Travel-$5,753-$5,753
Total Functional Expenses$4,031,182$828,289$0$4,859,471
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$5,425,765
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
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.

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
UPPER ALLEGHENY HEALTH SYSTEM, OLEAN, NY 14760

Signing Officer

Name
Dr William Mills
Title
President
Phone
7163756190
Signed
2021-02-08
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
42
Volunteers
0

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Jill M Johnson CPA
Phone
7168563300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Net asset contributions 106,529.

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 543 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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IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt02131305
IRS990/PYOtherRevenueAmt086407
IRS990/PYProgramServiceRevenueAmt02787354
IRS990/PYRevenuesLessExpensesAmt0-2569344
IRS990/PYSalariesCompEmpBnftPaidAmt03311800
IRS990/PYTotalExpensesAmt05443105
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02873761
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-2429099
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt035375
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02367982
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt02972059
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt014719934
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt035375
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt056900
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt024450
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt044825
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt040650
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0202200
IRS990ScheduleA/InvestmentIncomeCYPct00.01340
IRS990ScheduleA/InvestmentIncomePYPct00.01110
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt027015
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt029507
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt090843
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt023941
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt07397
IRS990ScheduleA/OtherIncome509Grp/TotalAmt0178703
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.97480
IRS990ScheduleA/PublicSupportPY509Pct00.97800
IRS990ScheduleA/PublicSupportTotal509Amt014719934
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt03473739
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt02972059
IRS990ScheduleA/Total509Grp/TotalAmt014719934
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02430372
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02873761
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt03234093
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt03542505
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt03020106
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt015100837
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt0909456
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01131941
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02041397
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt027058
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt09967
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt037025
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt013593
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt013593
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt05425765
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0950107
IRS990ScheduleD/TotalLiabilityAmt05425765
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt40
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt14578
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DR WILLIAM MILLS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1IRA NIERENBERG
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2PETER TERHAR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3ZIA SHEIKH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4ROSS HORSLEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1PHYSICIAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2PHYSICIAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3PHYSICIAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4PHYSICIAN

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