2022-11-15T13:10:18-06:00 2021-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-01-01 200013066 SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC % BRETT L LAWTON SOUT 7163757500 135 N UNION STREET OLEAN NY 14760 BRETT L LAWTON CEO 7163757500 2022-04-26 true BRETT LAWTON 999009999 Krystal K Creach P01248198 4178658701 2 2021 2022-09-23 18:48:47Z UNIVERSAL PRIMARY CARE BRETT L LAWTON 135 N UNION ST OLEAN NY 14760 13664014 false 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. 13 13 124 13 0 0 3244462 4366578 10204208 9297436 0 0 0 0 13448670 13664014 0 0 0 0 7748337 8730351 0 0 0 4900342 4265658 12648679 12996009 799991 668005 6108237 6483195 2843509 2625651 3264728 3857544 EXCELLENT COMMUNITY HEALTH CARE TO ALL WHO NEED SERVICES WITHOUT REGARD TO ABILITY TO PAY. false false 9429847 9297436 PROVIDED HEALTH CARE SERVICES TO ALL WHO NEEDED SERVICES WITHOUT REGARD TO ABILITY TO PAY. 9429847 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 true 124 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false NY X BRETT L LAWTON 7163757500 135 N UNION ST OLEAN NY 14760 ANNMARIE ZIMMERMANN CHIEF MEDICAL OFFICER 37.5 0.0 X 317208 0 17149 ROBERT HAAS PHYSICIAN 37.5 0.0 X 307298 0 2499 THERESA MCCLAIN PHYSICIAN 37.5 0.0 X 278075 0 4374 CHRISITNA ROOSA PHYSICIAN 37.5 0.0 X 266468 0 4223 MATTHEW HECKMAN PHYSICIAN / DENTIST 37.5 0.0 X 209034 0 8526 ROOP KIRAN KAUR PHYSICIAN 37.5 0.0 X 183864 0 6526 BRETT LAWTON CEO BEG 04/21 37.5 0.0 X 122499 0 9088 ANGELA LANGDON COO 37.5 0.0 X 107696 0 12208 CARRIE GRAHAM CHRO 37.5 0.0 X 85113 0 4887 MICHAEL MALICK CFO END 09/21 37.5 0.0 X 69378 0 5095 CHRISTOPHER CHASE CFO BEG 11/21 37.5 0.0 X 10764 0 250 BARBARA HASTINGS SECRETARY 1.0 0.0 X X 0 0 0 MICHAEL HOFFMAN CHAIRMAN 1.0 0.0 X X 0 0 0 BELINDA KNIGHT TREASURER 1.0 0.0 X X 0 0 0 SHARON MATHE DIRECTOR 1.0 0.0 X 0 0 0 JEFF REED DIRECTOR 1.0 0.0 X 0 0 0 BONNIE SAUNDERS DIRECTOR 1.0 0.0 X 0 0 0 KEVIN WATKINS DIRECTOR 1.0 0.0 X 0 0 0 TINA ZERBIAN DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY TURANO DIRECTOR 1.0 0.0 X 0 0 0 GAIL MAYEAUX DIRECTOR BEG 10/21 1.0 0.0 X 0 0 0 PAULA SNYDER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 TINA CAREY DIRECTOR BEG 10/21 1.0 0.0 X 0 0 0 ETHAN LYLE DIRECTOR BEG 08/21 1.0 0.0 X 0 0 0 1957397 0 74825 16 false true false BKD LLP 910 E SAINT LOUIS ST 200 SPRINGFIELD MO 658062580 CONSULTING 267747 BIO-REFERENCE LABORATORIES INC 17 ELIZABETH ST 506 NEW YORK NY 10013 LAB SERVICES 109400 ECLINICAL WORKS 140 BROADWAY 50 NEW YORK CITY NY 10005 BILLING 221333 HEALTHCARE SERVICES 3220 TILLMAN DRIVE BENSALEM PA 19020 CLEANING SERVICES 144622 7 4348171 18407 4366578 PATIENT SERVICE REVENUE 624100 6366209 6366209 PHARMACY REVENUE 446110 1788021 1788021 OTHER REVENUE 900099 627875 627875 CAPITATION REVENUE 624100 515331 515331 9297436 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13664014 9297436 0 0 0 0 761335 334357 426978 0 6340262 4671207 1669055 228326 159828 68498 893776 642512 251264 506652 354656 151996 0 72123 72123 105336 105336 0 0 0 1233522 863465 370057 75788 53052 22736 184443 129110 55333 119689 83782 35907 0 504686 353280 151406 16338 11437 4901 0 14833 10383 4450 58217 40752 17465 0 426331 298432 127899 57477 40234 17243 MEDICAL SUPPLIES & DRUGS 1306741 1306741 BAD DEBT 45084 45084 RECRUITING & RETENTION 30903 21632 9271 ALL OTHER EXPENSES 10067 7047 3020 4080 2856 1224 12996009 9429847 3566162 0 1676273 616741 232 236 0 0 731898 2184740 0 0 0 0 0 0 70564 165973 16615 11613 5496611 1992719 3612655 3503892 0 0 0 0 0 0 0 0 0 0 6108237 6483195 851875 924453 0 0 678053 66263 0 0 0 0 0 0 1192105 974590 0 0 121476 660345 2843509 2625651 X 3264728 3857544 0 0 3264728 3857544 6108237 6483195 668005 -75189 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3904243 417151 3487092 0 1575568 1575568 0 0 16800 16800 3503892 0 DUE TO THIRD PARTY 660345 660345 13618930 -45084 -45084 13664014 13664014 12950925 12950925 45084 45084 12996009 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (45,084) BAD DEBT EXPENSE SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 45,084 BAD DEBT EXPENSE X false false X X X false false false false false false false false false ANNMARIE ZIMMERMANN CHIEF MEDICAL OFFICER 305298 0 11910 0 0 0 12653 0 4496 0 334357 0 THERESA MCCLAIN PHYSICIAN 238672 0 39403 0 0 0 0 0 4374 0 282449 0 CHRISITNA ROOSA PHYSICIAN 259368 0 7100 0 0 0 0 0 4223 0 270691 0 ROBERT HAAS PHYSICIAN 222960 0 84338 0 0 0 0 0 2499 0 309797 0 MATTHEW HECKMAN PHYSICIAN / DENTIST 186630 0 22404 0 0 0 0 0 8526 0 217560 0 ROOP KIRAN KAUR PHYSICIAN 180479 0 3385 0 0 0 0 0 6526 0 190390 0 SCHEDULE J, PART I, LINE 1A MATTHEW HECKMAN, ONE OF TOP FIVE HIGHEST COMPENSATED EMPLOYEES, RECEIVED A HOUSING ALLOWANCE FOR SIX MONTHS AS TEMPORARY LODGING. THIS WAS A ONE-TIME SITUATION THAT WILL NOT RECUR AND WAS NOT TAXABLE. SCHEDULE J, PART I, LINE 1B THE ORGANIZATION DOES NOT NORMALLY PROVIDE HOUSING ALLOWANCES SO DOES NOT HAVE A WRITTEN POLICY. THIS WAS A ONE-TIME SITUATION FOR TEMPORARY LODGING THAT WILL NOT RECUR. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, MANAGEMENT PERFORMS A THOROUGH 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 POLICY: 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 15A EXECUTIVE COMPENSATION DETERMINATION: 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 COMPENSATION DETERMINATION FOR OTHER OFFICERS: REVIEWS OF SALARIES 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 DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.