2023-11-03T16:22:58-05:00 2022-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2022-01-01 200013066 SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC SOUT 7163757500 135 N UNION STREET OLEAN NY 14760 BRETT L LAWTON CEO 7163757500 2023-11-02 1 BRETT LAWTON 999009999 1 THOMAS J GIUFRE P00841958 3154463600 2023-11-02 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z UNIVERSAL PRIMARY CARE BRETT L LAWTON 135 N UNION STREET OLEAN NY 14760 15268536 0 X WWW.UPCHEALTH.NET X 2004 NY THE GOAL IS TO PROVIDE EXCELLENT COMMUNITY HEALTH CARE TO ALL WHO NEED SERVICES WITHOUT REGARD TO ABILITY TO PAY. 12 12 150 18 0 0 4366578 3808253 9297436 11460283 0 0 0 0 13664014 15268536 0 0 0 0 8730351 9400847 0 0 0 4265658 5144494 12996009 14545341 668005 723195 6483195 9426142 2625651 4756379 3857544 4669763 EXCELLENT COMMUNITY HEALTH CARE TO ALL WHO NEED SERVICES WITHOUT REGARD TO ABILITY TO PAY. 0 0 11497106 11460283 PROVIDED HEALTH CARE SERVICES TO ALL WHO NEEDED SERVICES WITHOUT REGARD TO ABILITY TO PAY. 11497106 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 150 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BRETT L LAWTON 7163757500 135 N UNION ST OLEAN NY 14760 ANTHONY TURANO DIRECTOR 1.00 X 0 0 0 BARBARA HASTINGS SECRETARY 1.00 X X 0 0 0 BELINDA KNIGHT VICE CHAIR 1.00 X X 0 0 0 BONNIE SAUNDERS DIRECTOR 1.00 X 0 0 0 ETHAN LYLE DIRECTOR 1.00 X 0 0 0 GAIL MAYEAUX TRASURER 1.00 X X 0 0 0 JEFF REED DIRECTOR 1.00 X 0 0 0 KEVIN WATKINS DIRECTOR 1.00 X 0 0 0 MICHAEL HOFFMAN CHAIRMAN 1.00 X X 0 0 0 PAULA SNYDER DIRECTOR 1.00 X 0 0 0 TINA CAREY DIRECTOR 1.00 X 0 0 0 TINA ZERBIN DIRECTOR 1.00 X 0 0 0 ANGELA LANGDON COO 37.50 X 124544 0 23570 ANNMARIE ZIMMERMANN CHIEF MEDICAL OFFICER 37.50 X 304303 0 24592 BRETT LAWTON CEO 37.50 X 174938 0 33777 CARRIE GRAHAM CHRO 37.50 X 67604 0 7274 CHRISTOPHER CHASE CFO 37.50 X 117450 0 12095 JODIE WAGNER CHRO 37.50 X 39787 0 2526 MIKE AUSTIN COO 37.50 X 0 0 0 CHRISITINA ROOSA PHYSICIAN 37.50 X 262822 0 19462 KAITLIN HANMER PHYSICIAN 37.50 X 345196 0 10444 LEO CUSUMANO PHYSICIAN 37.50 X 243692 0 578 ROBERT HASS PHYSICIAN 37.50 X 274167 0 8908 SARAH RENNA PHYSICIAN 37.50 X 282504 0 11974 2237007 0 155200 18 0 1 0 ECLINICAL WORKS TWO TECHNOLOGY DR WETBOROUGH MA 01581 MEDICAL IT/DATA 230288 FORVIS PO BOX 200870 DALLAS TX 753200870 FINANCIAL CONSULTANTS 183578 HEALTHCARE SERVICES PO BOX 829677 PHILADELPHIA PA 191829677 HOUSEKEEPING 167168 PCA 303 CAYUGA RD SUITE 100 BUFFALO NY 14225 IT SUPPORT 140052 4 3808253 3808253 PATIENT SERVICE REVENUE 624100 8230261 8230261 PHARMACY REVENUE 456110 2217733 2217733 OTHER REVENUE 900099 1012289 1012289 11460283 15268536 11460283 0 0 932505 772860 159645 6835083 5664682 1170401 226931 144014 82917 855390 542844 312546 550938 349634 201304 47577 47577 83821 83821 1034224 667781 366443 68767 66896 1871 145674 106327 39347 127408 127408 549894 376970 172924 13447 971 12476 52538 52538 72122 45770 26352 454392 288364 166028 63654 63654 MEDICAL SUPPLIES & DRUG 1914193 1914193 BAD DEBT 428392 428392 ALL OTHER EXPENSES 64854 64854 RECRUITING RETENTION 23537 23537 14545341 11497106 3048235 0 616741 2181610 236 253 435481 2184740 938339 165973 222817 11613 17288 5773698 2447111 3503892 3326587 0 2303767 6483195 9426142 924453 911060 66263 0 974590 895216 660345 2950103 2625651 4756379 X 3857544 4669763 3857544 4669763 6483195 9426142 723195 89024 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4060935 989733 3071202 1712763 1457378 255385 3326587 OPERATING LEASE RIGHT-OF-USE ASSETS 2280456 DUE FROM THIRD PARTY PAYORS 23311 2303767 OPERATING LEASE LIABILITY 2382681 DUE TO THIRD PARTIES 567422 2950103 X 14840144 0 14840144 428392 428392 15268536 14116949 0 14116949 428392 428392 14545341 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. X X X 0 0 0 0 0 0 0 0 0 KAITLIN HANMER PHYSICIAN 345196 0 0 0 0 0 0 0 10444 0 355640 0 0 0 ANNMARIE ZIMMERMANN CHIEF MEDICAL OFFICER 301303 0 3000 0 0 0 12279 0 12313 0 328895 0 0 0 SARAH RENNA PHYSICIAN 282504 0 0 0 0 0 0 0 6525 0 289029 0 0 0 ROBERT HASS PHYSICIAN 274167 0 0 0 0 0 0 0 6660 0 280827 0 0 0 CHRISITINA ROOSA PHYSICIAN 262822 0 0 0 0 0 0 0 16610 0 279432 0 0 0 LEO CUSUMANO PHYSICIAN 243692 0 0 0 0 0 0 0 578 0 244270 0 0 0 BRETT LAWTON CEO 167938 0 7000 0 0 0 7280 0 26497 0 208715 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C CONFLICTS 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 15 THE 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 19 THE 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.