Flh Medical PC

Tax-deductible

Geneva, NY501(c)(3)Since 2006Health CareEIN 26-3765332Revenue $9.9M in FY2024

On file with the IRSflhmedical.com196 North St, 14456-1651 · Geneva, NYTax-exempt since Jun 2014Supporting org, Type I — 509(a)(3)

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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 physicians' services including primary care, orthopedics, specialty care, gastroenterology, and urgent care.

501(c)(3) charity; gifts are tax-deductible.
97¢ of each $1 spent went to programs.
$4.0M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

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FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 5
filings with a surplus
Average deficit $5.4M a year · 39% of revenue · last 5 filings
Concern: a surplus in 0 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
97%
of spending
Looks good: 97% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$4.0M
to officers and key staff · 22% of spending
Worth a look: pay to officers and key staff is 22% of spending; over 20%.
Pt VII · Sec A
Cash reserves
<1 mo
of spending, in cash
Concern: 0.2 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Liabilities
$47.1M
543% of total assets
Concern: liabilities are 543% of assets; over 80%.
Pt X · Ln 26
Independent board members
0
of 1 voting members
Concern: none of 1 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$9.9M
+7% vs prior year
Spent
$18.7M
To programs
97%
Net assets
−$38.4M
By yearFY2020–FY2024
Revenue
$9.9M
FY2024▲ +7%
Tap a bar for its year
Revenue by fiscal year
FY2020$21.1M
FY2021$16.5M
FY2022$11.3M
FY2023$9.3M
FY2024$9.9M
Expenses
$18.7M
FY2024▲ +18%
Tap a bar for its year
Expenses by fiscal year
FY2020$25.4M
FY2021$18.8M
FY2022$16.3M
FY2023$15.8M
FY2024$18.7M
Net assets
−$38.4M
FY2024▼ -29%
Tap a bar for its year
Net assets by fiscal year
FY2020−$15.3M
FY2021−$18.1M
FY2022−$23.2M
FY2023−$29.7M
FY2024−$38.4M

From the FY2024 Form 990 · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Jun 2014.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

97 cents of each dollar spent went to programs.

Program services 97% · $18.1M Management & general 3% · $636K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

7 people listed on the 990; $4.0M paid to officers and key staff.

Part VII, Section A · reportable compensation
Physician Ios
$1,112,662Pt VII · Sec A
Physician Ios
$1,070,443Pt VII · Sec A
$704,119Pt VII · Sec A
$600,000Pt VII · Sec A
Physician Gastro
$542,551Pt VII · Sec A
Asst. Vice Pres Phys Network
$0Pt VII · Sec A
$0Pt VII · Sec A

Raman Dhawan MD’s $1.1M as Physician Ios is at the 100th percentile of top reported officer pay among 3128 $1–10M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
Andrew Ritting MD———$1,534,012—
Ritting Andrew————$1,336,551
James Mark MD$1,070,443$1,146,603$1,226,343$1,136,552—
Chibuikem Akamnonu MD———$1,161,854—
Raman Dhawan MD$1,112,662$989,766$1,027,838$942,988—
Mark James————$1,053,935
Akamnonu Chibuikem————$1,043,869
Dhawan Raman————$979,020

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes
  • Loans to or from officersSch L · Pt II1 listed

Programs and updates

Provides comprehensive medical services including primary, specialty, and urgent care.

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Provided by the organization

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3 programs · $16.2M · in their own filed words · FY2024
01

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…

$9.8Mprogram expense
02

Gastroenterology- provide patients with the highest quality prevention and treatment of digestive diseases in a caring, compassionate manner. We are dedicated to providing each patient with superior medical treatment in a comfortable, safe atmosphere.

$5.0Mprogram expense
03

Urgent care- provides non-emergent illness and injury care during evening and weekend hours as an alternative to emergency room care.

$1.3Mprogram expense

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$9.9M
Ln 12
Fees for servicesLn 2g$8.8M
Other incomeLn 4–11$1.1M
Gifts and grantsLn 1h$22K
Money outPt IX
$18.7M
Ln 25
Programscol B$18.1M
Managementcol C$636K
Owns and owesPt X
−$38.4M
net assets · Ln 32
Cash and savingsLn 1–2$345K
Total assetsLn 16$8.7M
LiabilitiesLn 26$47.1M
PeoplePt VI, VII
7
listed · VII A
PaidVII A5
Voting boardVI 1a1
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$22K
Government grantsLn 1e$22K
Fees for servicesLn 2g$8.8M
Other incomeLn 4–11$1.1M
Total revenueLn 12$9.9M
Assets in detailPt X, end of year
CashLn 1$345K
Cash and savings togetherLn 1–2$345K
Land, buildings, equipmentLn 10c$3.4M
Other assetsLn 15$1.6M
Total assetsLn 16$8.7M
LiabilitiesLn 26$47.1M
Net assetsLn 32−$38.4M
OperationsPt I, VI
EmployeesI 5120
VolunteersI 60
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$76K$345K
Land, buildings, equipmentLn 10c$3.5M$3.4M
Total assetsLn 16$10.0M$8.7M
LiabilitiesLn 26$39.7M$47.1M
Net assetsLn 32−$29.7M−$38.4M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Other salaries and wagesLn 7$12.3M$12.3M
Pension plan contributionsLn 8$15K$15K
Other employee benefitsLn 9$938K$938K
Payroll taxesLn 10$632K$632K
Management feesLn 11a$236K$234K$3K
Legal feesLn 11b$25K$25K
Accounting feesLn 11c$6K$6K
Investment management feesLn 11f$5K$5K
Other fees for servicesLn 11g$20K$20K
Advertising and promotionLn 12$125K$125K
Office expensesLn 13$51K$51K
OccupancyLn 16$645K$645K
TravelLn 17$9K$9K
InterestLn 20$76K$76K
Depreciation, depletion and amortizationLn 22$175K$175K
InsuranceLn 23$595K$499K$95K
Other expenses (24a–d)Ln 24$2.8M$2.3M$538K
Total functional expensesLn 25$18.7M$18.1M$636K$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest Viewing $9.9M$18.7M−$8.7M−$38.4M 990 PDF
FY2023 $9.3M$15.8M−$6.5M−$29.7M 990 PDF
FY2022 $11.3M$16.3M−$5.1M−$23.2M 990 PDF
FY2021 $16.5M$18.8M−$2.3M−$18.1M 990 PDF
FY2020 $21.1M$25.4M−$4.3M−$15.3M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2024 990 (6 parts)
Part I · Summary $9,947,568 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $0$22,176
I-9 Program service revenuePrior year $8,321,599$8,794,420
I-10 Investment incomePrior year $0$0
I-11 Other revenuePrior year $949,203$1,130,972
I-12 Total revenuePrior year $9,270,802$9,947,568
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $11,359,617$13,898,561
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $4,420,450$4,790,175
I-18 Total expensesPrior year $15,780,067$18,688,736
I-19 Revenue less expensesPrior year −$6,509,265−$8,741,168
Part VI · Governance 0 of 1 board members independent, no flags
VI-1a Voting members of the governing body1
VI-1b Independent voting members0
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $9,947,568 across 6 lines filed
VIII-1e Government grants$22,176
VIII-1h Total contributions, gifts and grants$22,176
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $8,794,420$8,794,420
VIII-6 Net rental income or lossExcluded from tax $213,771$213,771
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Excluded from tax $917,201$917,201
VIII-12 Total revenueRelated to mission $8,794,420 · Unrelated business $0 · Excluded from tax $1,130,972$9,947,568
Part IX · Statement of functional expenses $18,688,736 across 17 lines filed
IX-7 Other salaries and wagesPrograms $12,313,447$12,313,447
IX-8 Pension plan contributionsPrograms $15,074$15,074
IX-9 Other employee benefitsPrograms $937,874$937,874
IX-10 Payroll taxesPrograms $632,166$632,166
IX-11a Management feesPrograms $233,762 · Management $2,650$236,412
IX-11b Legal feesPrograms $24,971$24,971
IX-11c Accounting feesPrograms $5,966$5,966
IX-11f Investment management feesPrograms $5,018$5,018
IX-11g Other fees for servicesPrograms $19,942$19,942
IX-12 Advertising and promotionPrograms $124,554$124,554
IX-13 Office expensesPrograms $50,524$50,524
IX-16 OccupancyPrograms $644,574$644,574
IX-17 TravelPrograms $9,395$9,395
IX-20 InterestPrograms $75,938$75,938
IX-22 Depreciation, depletion and amortizationPrograms $175,470$175,470
IX-23 InsurancePrograms $499,364 · Management $95,463$594,827
IX-24 Other expenses (24a–d)Programs $2,285,072 · Management $537,512$2,822,584
IX-25 Total functional expensesPrograms $18,053,111 · Management $635,625 · Fundraising $0$18,688,736
Part X · Balance sheet $8,681,237 assets, 13 lines filed
Asset lines not itemized here account for $370; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $75,558$344,761
X-4 Accounts receivableStart of year $2,597,757$1,233,676
X-9 Prepaid expenses and deferred chargesStart of year $57,528$57,880
X-10c Land, buildings and equipment, netStart of year $3,457,341$3,382,834
X-14 Intangible assetsStart of year $2,095,313$2,095,313
X-15 Other assetsStart of year $1,680,882$1,566,403
X-16 Total assetsStart of year $9,968,133$8,681,237
X-17 Accounts payable and accrued expensesStart of year $1,494,380$1,549,874
X-25 Other liabilitiesStart of year $36,324,325$43,967,724
X-26 Total liabilitiesStart of year $39,655,375$47,109,647
X-27 Net assets without donor restrictionsStart of year −$29,687,242−$38,428,410
X-32 Total net assets or fund balancesStart of year −$29,687,242−$38,428,410
X-33 Total liabilities and net assetsStart of year $9,968,133$8,681,237
Part XI · Reconciliation of net assets −$38,428,410 net assets at year end
XI-1 Total revenue$9,947,568
XI-2 Total expenses$18,688,736
XI-3 Revenue less expenses−$8,741,168
XI-4 Net assets at start of year−$29,687,242
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year−$38,428,410

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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