Civic Intelligence

Upstate Community Health Collaborative Ipa Inc.

990EZ • Fiscal year 2017 • EIN 47-4718431

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 30, 2018

61 Delano StreetPulaski, NY 13142

(315) 298-6569

Siviq Scores

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

Liabilities / Assets

51st percentile

0.00x

Higher debt load relative to assets than 51% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Liabilities / Revenue

52nd percentile

0.01x

Higher debt load relative to revenue than 52% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Net Margin

88th percentile

46%

Higher net margin than 88% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Top Officer Pay

72nd percentile

$0

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Asset Growth

Score unavailable

No value available

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

Source year 2017

Revenue Growth

Score unavailable

No value available

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

Source year 2017

Assets

$221,381

No earlier filing loaded for comparison.

Net Assets

$220,403

No earlier filing loaded for comparison.

Liabilities

$978

No earlier filing loaded for comparison.

Revenue

$130,000

No earlier filing loaded for comparison.

Expenses

$70,786

No earlier filing loaded for comparison.

Net Income

$59,214

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.

$1.0M$500K$0Assets 2017: $221,381Liabilities 2017: $978Net Assets 2017: $220,4032017Assets 2018: $266,078Liabilities 2018: $8,002Net Assets 2018: $258,0762018Assets 2019: $307,761Liabilities 2019: $10,853Net Assets 2019: $296,9082019Assets 2020: $272,498Liabilities 2020: $5,840Net Assets 2020: $266,6582020Assets 2021: $902,486Liabilities 2021: $19,731Net Assets 2021: $882,7552021Assets 2022: $144,728Liabilities 2022: $1,230Net Assets 2022: $143,4982022Assets 2023: $128,559Liabilities 2023: $1,230Net Assets 2023: $127,3292023Assets 2024: $123,696Liabilities 2024: $1,230Net Assets 2024: $122,4662024

Highlighted filing

2017

Assets$221,381
Liabilities$978
Net Assets$220,403

Operations Trend

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

$2.0M$1.0M$0-$1.0MRevenue 2017: $130,000Expenses 2017: $70,786Net Income 2017: $59,2142017Revenue 2018: $85,000Expenses 2018: $82,327Net Income 2018: $2,6732018Revenue 2019: $110,000Expenses 2019: $71,168Net Income 2019: $38,8322019Revenue 2020: $45,000Expenses 2020: $75,250Net Income 2020: -$30,2502020Revenue 2021: $914,910Expenses 2021: $298,813Net Income 2021: $616,0972021Revenue 2022: $1,087,399Expenses 2022: $1,721,156Net Income 2022: -$633,7572022Revenue 2023: $0Expenses 2023: $16,169Net Income 2023: -$16,1692023Revenue 2024: $0Expenses 2024: $4,863Net Income 2024: -$4,8632024

Highlighted filing

2017

Revenue$130,000
Expenses$70,786
Net Income$59,214
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 30, 2018
Return Version
2017v2.3
Gross Receipts
$130,000
Mission and Program Overview

Mission

To create a collaborative, clinically integrated model to address the changes required by health care reform, and to arrange by contract for the delivery or provision of health services by individuals, entities and facilities licensed or certified to practice medicine and other health professions and, as appropriate, ancillary medical services and equipment, by which arrangements such health care providers and suppliers will provide their services in accordance with and for such compensation as may be established by a contract between the organization and one or more managed care organizations which have been granted a certificate of authority pursuant to the provisions of article 44 of the new york state public health law.

Program Services

DescriptionGrantsExpenses
CREATING A COLLABORATIVE, CLINICALLY INTEGRATED MODEL TO ADDRESS THE CHANGES REQUIRED BY HEALTH CARE REFORM, AND TO ARRANGE BY CONTRACT FOR THE DELIVERY OR PROVISION OF HEALTH SERVICES BY INDIVIDUALS, ENTITIES AND FACILITIES LICENSED OR CERTIFIED TO PRACTICE MEDICINE AND OTHER HEALTH PROFESSIONS AND, AS APPROPRIATE, ANCILLARY MEDICAL SERVICES AND EQUIPMENT, BY WHICH ARRANGEMENTS SUCH HEALTH CARE PROVIDERS AND SUPPLIERS WILL PROVIDE THEIR SERVICES IN ACCORDANCE WITH AND FOR SUCH COMPENSATION AS MAY BE ESTABLISHED BY A CONTRACT BETWEEN THE ORGANIZATION AND ONE OR MORE MANAGED CARE ORGANIZATIONS WHICH HAVE BEEN GRANTED A CERTIFICATE OF AUTHORITY PURSUANT TO THE PROVISIONS OF ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW.$0$70,786
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
DANIEL T DEYPresident-$0--
WALTER PRIESTVice President-$0--
KATE ALMSecretary-$0--
KEITH CUTTLERTreasurer-$0--
DERRICK MURRYMember-$0--
APRIL MILESMember-$0--
NANCY DEAVERSMember-$0--
MARK HALLMember-$0--
Filing and Contact Details

Filer

Filer Name
Upstate Community Health Collaborative
EIN
47-4718431
Phone
3152986569
Address
61 DELANO STREET, PULASKI, NY 13142

Signing Officer

Name
Daniel T Dey
Title
President
Phone
3152986569
Signed
2018-10-30
Discuss with paid preparer
Yes

Preparer

Firm
Bonadio & Co Llp
Address
432 NORTH FRANKLIN STREET, SYRACUSE, NY 13204
Preparer
Bettina Lipphardt
Phone
3154227109
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 16 - Other Expenses

Description: insurance. Amount: 2,985.

Form 990-ez, Part II, Line 24 - Other Assets

Description: accounts receivable. Beg. Of year amount: 0. End of year amount: 25,500.

Form 990-ez, Part II, Line 26 - Other Liabilities

Description: accounts payable. Beg. Of year amount: 0. End of year amount: 978.

Raw XML Appendix206 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.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0TRACY WIMMER
IRS990EZ/BooksInCareOfDetail/PhoneNum03152986569
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt061 DELANO STREET
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0PULASKI
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd013142
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0161189
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0195881
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt059214
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt067414
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0161189
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0221381
IRS990EZ/GrossReceiptsAmt0130000
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MembershipDuesAmt0130000
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0161189
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0220403
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0161189
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0220403
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DANIEL T DEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1WALTER PRIEST
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2KATE ALM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3KEITH CUTTLER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4DERRICK MURRY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5APRIL MILES
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6NANCY DEAVERS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7MARK HALL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7MEMBER
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt025500
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt02985
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0TO CREATE A COLLABORATIVE, CLINICALLY INTEGRATED MODEL TO ADDRESS THE CHANGES REQUIRED BY HEALTH CARE REFORM, AND TO ARRANGE BY CONTRACT FOR THE DELIVERY OR PROVISION OF HEALTH SERVICES BY INDIVIDUALS, ENTITIES AND FACILITIES LICENSED OR CERTIFIED TO PRACTICE MEDICINE AND OTHER HEALTH PROFESSIONS AND, AS APPROPRIATE, ANCILLARY MEDICAL SERVICES AND EQUIPMENT, BY WHICH ARRANGEMENTS SUCH HEALTH CARE PROVIDERS AND SUPPLIERS WILL PROVIDE THEIR SERVICES IN ACCORDANCE WITH AND FOR SUCH COMPENSATION AS MAY BE ESTABLISHED BY A CONTRACT BETWEEN THE ORGANIZATION AND ONE OR MORE MANAGED CARE ORGANIZATIONS WHICH HAVE BEEN GRANTED A CERTIFICATE OF AUTHORITY PURSUANT TO THE PROVISIONS OF ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW.
IRS990EZ/PrintingPublicationsPostageAmt0367
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0CREATING A COLLABORATIVE, CLINICALLY INTEGRATED MODEL TO ADDRESS THE CHANGES REQUIRED BY HEALTH CARE REFORM, AND TO ARRANGE BY CONTRACT FOR THE DELIVERY OR PROVISION OF HEALTH SERVICES BY INDIVIDUALS, ENTITIES AND FACILITIES LICENSED OR CERTIFIED TO PRACTICE MEDICINE AND OTHER HEALTH PROFESSIONS AND, AS APPROPRIATE, ANCILLARY MEDICAL SERVICES AND EQUIPMENT, BY WHICH ARRANGEMENTS SUCH HEALTH CARE PROVIDERS AND SUPPLIERS WILL PROVIDE THEIR SERVICES IN ACCORDANCE WITH AND FOR SUCH COMPENSATION AS MAY BE ESTABLISHED BY A CONTRACT BETWEEN THE ORGANIZATION AND ONE OR MORE MANAGED CARE ORGANIZATIONS WHICH HAVE BEEN GRANTED A CERTIFICATE OF AUTHORITY PURSUANT TO THE PROVISIONS OF ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt070786
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/SalariesOtherCompEmplBnftAmt020
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0NY
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt0978
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt070786
IRS990EZ/TotalProgramServiceExpensesAmt070786
IRS990EZ/TotalRevenueAmt0130000
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt04
IRS990ScheduleA/SupportedOrganizationsTotalCnt04
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0161080039
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1161133983
IRS990ScheduleA/SupportedOrgInformationGrp/EIN2237036393
IRS990ScheduleA/SupportedOrgInformationGrp/EIN3160983042
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd21
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd31
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd07
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd110
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd23
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd37
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0SYRACUSE COMMUNITY HEALTH CENTER INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2NORTHERN OSWEGO COUNTY HEALTH SERVICES INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3EAST HILL FAMILY MEDICAL INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: INSURANCE. AMOUNT: 2,985.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 25,500.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 978.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DANIEL T DEY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum03152986569
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-10-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UPSTATE COMMUNITY HEALTH COLLABORATIVE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0IPA INC
ReturnHeader/Filer/BusinessNameControlTxt0UPST
ReturnHeader/Filer/EIN0474718431
ReturnHeader/Filer/PhoneNum03152986569
ReturnHeader/Filer/USAddress/AddressLine1Txt061 DELANO STREET
ReturnHeader/Filer/USAddress/CityNm0PULASKI
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd013142
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId077986664F491A887631E1BA0CA56BE86717A9302
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02BDDB164932E0AE828F8C5D4ABBF320D7782B179
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0216.171.181.162
ReturnHeader/FilingSecurityInformation/IPDt02018-10-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm007:46:08
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0161131146
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BONADIO & CO LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0432 NORTH FRANKLIN STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SYRACUSE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd013204
ReturnHeader/PreparerPersonGrp/PhoneNum03154227109
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BETTINA LIPPHARDT
ReturnHeader/ReturnTs02018-11-06T10:36:19-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings