FURP.ORG / PUBLIC DATA EXPLORER

SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC (EIN 20-0013066)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-03
IRS object ID
202303079349303005
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-03T16:22:58-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUSTCHARLES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S WARREN STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200013066EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN TIER COMMUNITY HEALTH CENTERBusinessNameLine1Txt
Business Name Line2NETWORK INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7163757500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1135 N UNION STREETAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRETT L LAWTONPersonNm
Person TitleCEOPersonTitleTxt
Phone7163757500PhoneNum
Signature2023-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRETTPersonFirstNm
Person LastLAWTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS J GIUFREPreparerPersonNm
PTINP00841958PTIN
Phone3154463600PhoneNum
Preparation2023-11-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSAL PRIMARY CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRETT L LAWTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1135 N UNION STREETAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,268,536GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPCHEALTH.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE GOAL IS TO PROVIDE EXCELLENT COMMUNITY HEALTH CARE TO ALL WHO NEED SERVICES WITHOUT REGARD TO ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee150TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,366,578PYContributionsGrantsAmt
CY Contributions Grants$3,808,253CYContributionsGrantsAmt
PY Program Service Revenue$9,297,436PYProgramServiceRevenueAmt
CY Program Service Revenue$11,460,283CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,664,014PYTotalRevenueAmt
CY Total Revenue$15,268,536CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,730,351PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,400,847CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,265,658PYOtherExpensesAmt
CY Other Expenses$5,144,494CYOtherExpensesAmt
PY Total Expenses$12,996,009PYTotalExpensesAmt
CY Total Expenses$14,545,341CYTotalExpensesAmt
PY Revenues Less Expenses$668,005PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$723,195CYRevenuesLessExpensesAmt
Total Assets BOY$6,483,195TotalAssetsBOYAmt
Total Assets EOY$9,426,142TotalAssetsEOYAmt
Total Liabilities BOY$2,625,651TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,756,379TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,857,544NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,669,763NetAssetsOrFundBalancesEOYAmt
MissionEXCELLENT COMMUNITY HEALTH CARE TO ALL WHO NEED SERVICES WITHOUT REGARD TO ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,497,106ExpenseAmt
Revenue$11,460,283RevenueAmt
DescPROVIDED HEALTH CARE SERVICES TO ALL WHO NEEDED SERVICES WITHOUT REGARD TO ABILITY TO PAY.Desc
Total Program Service Expenses$11,497,106TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee150EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRETT L LAWTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7163757500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1135 N UNION STAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANTHONY TURANO
DIRECTOR1.00Yes (X)$0$0$0
BARBARA HASTINGS
SECRETARY1.00Yes (X)$0$0$0Yes (X)
BELINDA KNIGHT
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
BONNIE SAUNDERS
DIRECTOR1.00Yes (X)$0$0$0
ETHAN LYLE
DIRECTOR1.00Yes (X)$0$0$0
GAIL MAYEAUX
TRASURER1.00Yes (X)$0$0$0Yes (X)
JEFF REED
DIRECTOR1.00Yes (X)$0$0$0
KEVIN WATKINS
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL HOFFMAN
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
PAULA SNYDER
DIRECTOR1.00Yes (X)$0$0$0
TINA CAREY
DIRECTOR1.00Yes (X)$0$0$0
TINA ZERBIN
DIRECTOR1.00Yes (X)$0$0$0
ANGELA LANGDON
COO37.50$124,544$0$23,570Yes (X)
ANNMARIE ZIMMERMANN
CHIEF MEDICAL OFFICER37.50$304,303$0$24,592Yes (X)
BRETT LAWTON
CEO37.50$174,938$0$33,777Yes (X)
CARRIE GRAHAM
CHRO37.50$67,604$0$7,274Yes (X)
CHRISTOPHER CHASE
CFO37.50$117,450$0$12,095Yes (X)
JODIE WAGNER
CHRO37.50$39,787$0$2,526Yes (X)
MIKE AUSTIN
COO37.50$0$0$0Yes (X)
CHRISITINA ROOSA
PHYSICIAN37.50$262,822$0$19,462Yes (X)
KAITLIN HANMER
PHYSICIAN37.50$345,196$0$10,444Yes (X)
LEO CUSUMANO
PHYSICIAN37.50$243,692$0$578Yes (X)
ROBERT HASS
PHYSICIAN37.50$274,167$0$8,908Yes (X)
SARAH RENNA
PHYSICIAN37.50$282,504$0$11,974Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,237,007TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$155,200TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECLINICAL WORKS
TWO TECHNOLOGY DRWETBOROUGHMA01581MEDICAL IT/DATA$230,288
FORVIS
PO BOX 200870DALLASTX753200870FINANCIAL CONSULTANTS$183,578
HEALTHCARE SERVICES
PO BOX 829677PHILADELPHIAPA191829677HOUSEKEEPING$167,168
PCA
303 CAYUGA RD SUITE 100BUFFALONY14225IT SUPPORT$140,052
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$3,808,253GovernmentGrantsAmt
Total Contributions$3,808,253TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$8,230,261$8,230,261
PHARMACY REVENUE456110$2,217,733$2,217,733
OTHER REVENUE900099$1,012,289$1,012,289
FieldValueIRS element (for citing)
Total Program Service Revenue$11,460,283TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,268,536TotalRevenueColumnAmt
Related Or Exempt Func Income$11,460,283RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$932,505TotalAmt
Program Services$772,860ProgramServicesAmt
Management And General$159,645ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,835,083TotalAmt
Program Services$5,664,682ProgramServicesAmt
Management And General$1,170,401ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$226,931TotalAmt
Program Services$144,014ProgramServicesAmt
Management And General$82,917ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$855,390TotalAmt
Program Services$542,844ProgramServicesAmt
Management And General$312,546ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$550,938TotalAmt
Program Services$349,634ProgramServicesAmt
Management And General$201,304ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,577TotalAmt
Management And General$47,577ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$83,821TotalAmt
Management And General$83,821ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,034,224TotalAmt
Program Services$667,781ProgramServicesAmt
Management And General$366,443ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,767TotalAmt
Program Services$66,896ProgramServicesAmt
Management And General$1,871ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$145,674TotalAmt
Program Services$106,327ProgramServicesAmt
Management And General$39,347ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$127,408TotalAmt
Program Services$127,408ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$549,894TotalAmt
Program Services$376,970ProgramServicesAmt
Management And General$172,924ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,447TotalAmt
Program Services$971ProgramServicesAmt
Management And General$12,476ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,538TotalAmt
Management And General$52,538ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$72,122TotalAmt
Program Services$45,770ProgramServicesAmt
Management And General$26,352ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$454,392TotalAmt
Program Services$288,364ProgramServicesAmt
Management And General$166,028ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$63,654TotalAmt
Management And General$63,654ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG$1,914,193$1,914,193
BAD DEBT$428,392$428,392
ALL OTHER EXPENSES$64,854$64,854
RECRUITING RETENTION$23,537$23,537

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,545,341TotalAmt
Program Services$11,497,106ProgramServicesAmt
Management And General$3,048,235ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$616,741BOYAmt
EOY$2,181,610EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$236BOYAmt
EOY$253EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$435,481EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,184,740BOYAmt
EOY$938,339EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$165,973BOYAmt
EOY$222,817EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,613BOYAmt
EOY$17,288EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,773,698LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,447,111LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,503,892BOYAmt
EOY$3,326,587EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,303,767EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,483,195BOYAmt
EOY$9,426,142EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$924,453BOYAmt
EOY$911,060EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$66,263BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$974,590BOYAmt
EOY$895,216EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$660,345BOYAmt
EOY$2,950,103EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,625,651BOYAmt
EOY$4,756,379EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,857,544BOYAmt
EOY$4,669,763EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,857,544BOYAmt
EOY$4,669,763EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,483,195BOYAmt
EOY$9,426,142EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$723,195ReconcilationRevenueExpnssAmt
Prior Period Adjustments$89,024PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,060,935OtherCostOrOtherBasisAmt
Depreciation$989,733DepreciationAmt
Book Value$3,071,202BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,712,763OtherCostOrOtherBasisAmt
Depreciation$1,457,378DepreciationAmt
Book Value$255,385BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,326,587TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASE RIGHT-OF-USE ASSETS$2,280,456
DUE FROM THIRD PARTY PAYORS$23,311
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,303,767TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITY$2,382,681
DUE TO THIRD PARTIES$567,422
FieldValueIRS element (for citing)
Total Liability$2,950,103TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,840,144TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,840,144RevenueSubtotalAmt
Other Revenues Not Included$428,392OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$428,392RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,268,536TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,116,949TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,116,949ExpensesSubtotalAmt
Other Expenses Not Included$428,392OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$428,392ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,545,341TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. AS OF DECEMBER 31, 2022 AND 2021, THE ORGANIZATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCURED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS 428,392.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS 428,392.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAITLIN HANMER
PHYSICIAN$345,196$0$0$0$0$0$0$0$10,444$0$355,640$0$0$0
ANNMARIE ZIMMERMANN
CHIEF MEDICAL OFFICER$301,303$0$3,000$0$0$0$12,279$0$12,313$0$328,895$0$0$0
SARAH RENNA
PHYSICIAN$282,504$0$0$0$0$0$0$0$6,525$0$289,029$0$0$0
ROBERT HASS
PHYSICIAN$274,167$0$0$0$0$0$0$0$6,660$0$280,827$0$0$0
CHRISITINA ROOSA
PHYSICIAN$262,822$0$0$0$0$0$0$0$16,610$0$279,432$0$0$0
LEO CUSUMANO
PHYSICIAN$243,692$0$0$0$0$0$0$0$578$0$244,270$0$0$0
BRETT LAWTON
CEO$167,938$0$7,000$0$0$0$7,280$0$26,497$0$208,715$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDIT FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, MANAGEMENT PERFORMS A THROUGH REVIEW OF THE RETURN AND A DRAFT IS THEN PROVIDED TO ALL BOARD MEMBERS ELECTRONICALLY.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICTS OF INTEREST ARE CONSIDERED WITH ANY NEW HIRE AND WHEN THE ORGANIZATION IS OUTSOURCING ITS SERVICE PROVIDERS. ALSO THE BOARD IS POOLED ON THE CONFLICT OF INTEREST YEARLY.
FORM 990, PART VI, SECTION B, LINE 15THE REVIEW WAS DONE BY THE BOARD OF DIRECTORS AND THE PERSONNEL COMMITTEE WHEN THE CONTRACT FOR THE NEW CEO WAS WRITTEN. FORM 990, PART VI SECTION B, LINE 15B REVIEWS OF SALARIERS ARE DONE YEARLY WITH THE HUMAN RESOURCES DIRECTOR, THE PERSONNEL COMMITTEE. YEARLY REVIEWING IS DONE IN JUNE AND / OR DECEMBER.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PULIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.