2017-11-15T11:49:33-06:00 2016-12-31 990 2016-01-01 263765332 FLH MEDICAL PC FLHM 3157874000 196 NORTH STREET GENEVA NY 14456 Jason Feinberg MD President 3157874303 2017-11-15 204.138.179.3 2017-11-15 12:38:47 ES P A3125052943466295D27BF813D6A279BC4FF18F6 A3125052943466295D27BF813D6A279BC4FF18F6 2016 2021-01-29 14:40:06Z FLH MEDICAL PC Jason Feinberg MD 196 NORTH STREET GENEVA NY 14456 16585725 0 X WWW.FLHMEDICAL.COM X 2006 NY FLH MEDICAL, PC IS COMMITTED TO OFFERING PATIENTS THE HIGHEST QUALITY, SAFETY FOCUSED MEDICALSERVICES AVAILABLE IN THE AREA. SERVING THE COMMUNITY THROUGH A VARIETY OF PHYSICIAN SERVICES INCLUDING PRIMARY CARE, ORTHOPAEDICS,SPECIALTY CARE AND URGENT CARE. 1 0 0 0 0 0 0 0 15671165 15165765 514 474 1570917 1419486 17242596 16585725 0 0 0 0 14124613 14634217 0 0 0 4419937 4724156 18544550 19358373 -1301954 -2772648 5531357 5608410 23280339 463258 -17748982 5145152 X FLH MEDICAL, PC IS COMMITTED TO OFFERING PATIENTS THE HIGHEST QUALITY, SAFETY FOCUSED MEDICAL SERVICES AVAILABLE IN THE AREA. SERVING THE COMMUNITY THROUGH A VARIETY OF PHYSICIAN SERVICES INCLUDING PRIMARY CARE, ORTHOPAEDICS,SPECIALTY CARE AND URGENT CARE. 0 0 8270181 7357906 Orthopedics - treatment of disorders of the musculoskeletal system involving problems with bones and joints, as well as related structures, nerves, ligaments, tendons and muscles. We provide state of the art medical and surgical care, including arthroscopic surgery, sports medicine, spinal surgery, total joint replacement, and hand and upper extremity surgery. 6701246 5962039 Primary Care - provide exceptional and compassionate primary health care for children and adults of all ages. 1175917 1046203 Urgent Care - provides non-emergent illness and injury care during evening and weekend hours as an alternative to Emergency room care. 2494241 2219103 Other medical services 2494241 2219103 18641585 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Jason Feinberg MD 3157874303 196 North Street Geneva NY 14456 Jason Feinberg MD President 1.00 40.00 X X 0 366863 25541 Wendy Disbrow Chief Administrative Offic 40.00 X 0 189456 13428 James Mark Orthopedic Surgeon 40.00 X 662303 0 19677 Raman Dhawan Orthopedic Surgeon 40.00 X 987710 0 0 Phillip Wirth Orthopedic Surgeon 40.00 X 375325 0 18115 Chibuikem Akamnonu Orthopedic Surgeon 40.00 X 612816 0 16667 Andrew Ritting Orthopedic Surgeon 40.00 X 1082161 0 0 3720315 556319 93428 6 0 1 0 PRACTICE RESOURCES LLC 1001 W FAYETTE STREET SYRACUSE NY 13204 Patient Billing Services 556235 Ortho LLC PO Box 1077 Geneva NY 14456 Rental 175131 Wosco LLC PO Box 1077 Geneva NY 14456 Rental 156288 3 Net Patient Service Revenue 621110 15165765 15165765 15165765 474 474 Other Medical Income 900099 1419486 1419486 1419486 16585725 16585251 0 474 302455 302455 13024049 12702261 321788 591166 590896 270 716547 696244 20303 87483 83913 3570 102217 92808 9409 696541 694791 1750 102455 102291 164 425019 414760 10259 77951 74053 3898 924931 924252 679 26404 23664 2740 425599 422312 3287 340733 339837 896 MEDICAL SUPPLIES 992882 992882 FLH SHARED SERVICES 433736 402664 31072 MISCELLANEOUS EXPENSE 88205 83957 4248 19358373 18641585 716788 0 1124986 575753 2220899 2267765 37084 40082 401031 238320 2762734 1985773 1034544 776961 712813 1709529 5531357 5608410 1415522 2041431 21864817 -1578173 23280339 463258 X -17748982 5145152 -17748982 5145152 5531357 5608410 X -2772648 25666782 X 0 0 0 X X X 1 GENEVA GENERAL HOSPITAL 160743032 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 231339 155994 75345 912157 431118 481039 1619238 1398661 220577 776961 GOODWILL 1709529 1709529 LONG TERM DUE TO AFFILIATES -1578173 -1578173 X Part X, Line 2: As of December 31, 2016, the system does not have a liability recorded for any uncertain tax positions. 0 0 0 0 0 0 0 0 0 Jason Feinberg MD President 0 298361 0 32232 0 36270 0 0 0 25541 0 392404 0 0 Wendy Disbrow Chief Administrative Offic 0 165042 0 0 0 24414 0 0 0 13428 0 202884 0 0 James Mark Orthopedic Surgeon 632303 0 6000 0 24000 0 0 0 19677 0 681980 0 0 0 Raman Dhawan Orthopedic Surgeon 987710 0 0 0 0 0 0 0 0 0 987710 0 0 0 Phillip Wirth Orthopedic Surgeon 261989 0 95336 0 18000 0 0 0 18115 0 393440 0 0 0 Chibuikem Akamnonu Orthopedic Surgeon 594330 0 0 0 18486 0 0 0 16667 0 629483 0 0 0 Andrew Ritting Orthopedic Surgeon 699478 0 357933 0 24750 0 0 0 0 0 1082161 0 0 0 Part I, Line 6 The compenation of certain surgeons above receive incentives based on their individual productivity. Wendy Disbrow Officer, VP of Physician Network Education X 28524 28524 0 1 1 Andre Forcier Chief Administrative Officer Education X 8560 11558 0 1 1 40082 Form 990, Part VI, Section B, line 11b A copy of the 990 was provided to and reviewed with the sole shareholder prior to filing. Form 990, Part VI, Section B, line 12c Finger Lakes Health, PC maintains a conflict of interest policy which board members are required to sign prior to taking office. Statements are reviewed annually by an Administrative Committee. The process for handling any conflicts of interest which may arise are detailed in the corporate bylaws. Form 990, Part VI, Section B, line 15 Compensation is determined based on compensation studies performed by an independent consultant. The salary is determined and provided for in a written contract. Annually, executive compensation is subject to compensation study review. Form 990, Part VI, Section C, line 19 FLH Medical, PC will make available all documents as required by public inspection laws Form 990, Part XI, line 9: Net Asset transfer from affiliate 25,666,782. FINGER LAKES REGIONAL HEALTH SYSTEM INC 196 NORTH STREET GENEVA NY 14456 223193606 SOLE MEMBER OF GGH LCS HLC LCN SSMH FLHSC AND FLHF NY 3 7 0 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 160743032 PROVIDER OF HEALTHCARE SERVICES NY 3 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 GENEVA GENERAL HOSPITAL P 125614 FMV GENEVA GENERAL HOSPITAL K FMV GENEVA GENERAL HOSPITAL O FMV GENEVA GENERAL HOSPITAL P FMV