AUBURN MEMORIAL MEDICAL SERVICES PC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
AUBURN MEMORIAL MEDICAL SERVICES PC (EIN 26-1193842)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202503189349306965
Schema version
2024v5.2
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)
Return2025-11-14T11:40:09-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261193842EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUBURN MEMORIAL MEDICAL SERVICES PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUBUBusinessNameControlTxt
Phone3152557011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 LANSING STREETAddressLine1Txt
CityAUBURNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJASON LESCHPersonNm
Person TitleCFOPersonTitleTxt
Phone3152557011PhoneNum
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS J GIUFREPreparerPersonNm
PTINP00841958PTIN
Phone3154463600PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJASON LESCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 LANSING STREETAddressLine1Txt
CityAUBURNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$37,145,836GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AUBURNMEDICALSERVICES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO ENGAGE IN THE PRACTICE OF MEDICINE AND SERVE THE MEDICAL NEEDS OF THE COMMUMITY SERVED BY AUBURN COMMUNITY HOSPITAL, BY PROVIDING OFFICE BASED PRIMARY CARE AND SPECIALTY SERVICES.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee358TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$30,589,092PYProgramServiceRevenueAmt
CY Program Service Revenue$36,402,519CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$428,555PYOtherRevenueAmt
CY Other Revenue$743,317CYOtherRevenueAmt
PY Total Revenue$31,017,647PYTotalRevenueAmt
CY Total Revenue$37,145,836CYTotalRevenueAmt
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$31,538,275PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,710,368CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,863,408PYOtherExpensesAmt
CY Other Expenses$15,099,361CYOtherExpensesAmt
PY Total Expenses$42,401,683PYTotalExpensesAmt
CY Total Expenses$52,809,729CYTotalExpensesAmt
PY Revenues Less Expenses-$11,384,036PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,663,893CYRevenuesLessExpensesAmt
Total Assets BOY$4,991,095TotalAssetsBOYAmt
Total Assets EOY$5,131,691TotalAssetsEOYAmt
Total Liabilities BOY$84,223,966TotalLiabilitiesBOYAmt
Total Liabilities EOY$100,028,455TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$79,232,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$94,896,764NetAssetsOrFundBalancesEOYAmt
MissionTO ENGAGE IN THE PRACTICE OF MEDICINE AND SERVE THE MEDICAL NEEDS OF THE COMMUNITY SERVED BY AUBURN MEMORIAL HOSPITAL, BY PROVIDING OFFICE BASED PRIMARY CARE AND SPECIALTY SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$52,809,729ExpenseAmt
Revenue$37,145,836RevenueAmt
DescAUBURN MEMORIAL MEDICAL SERVICES, PC PRACTICED MEDICINE AND SERVED THE MEDICAL NEEDS FOR THE AUBURN AND SURROUNDING AREAS BY PROVIDING OFFICE BASED PRIMARY CARE INCLUDING ORTHOPEDIC, CARDIOLOGY, ENDOCRINOLOGY, EAR NOSE AND THROAT, GASTROENTEROLOGY, SURGICAL SERVICES, OB/GYN, PULMONARY, PODIATRY, PRIMARY CARE, NEPHROLOGY, UROLOGY, NEUROLOGY, AND PEDEATRIC SERVICES. IN 2024, AUBURN MEMORIAL MEDICAL SERVICES, PC CARED FOR PATIENTS WITH APPROXIMATELY 152,571 VISITS.Desc
Total Program Service Expenses$52,809,729TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee358EmployeeCnt
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JASON LESCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3152557011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 LANSING STREETAddressLine1Txt
CityAUBURNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANTHONY FRANCESCHELLI
BOARD MEMBER1.005.00Yes (X)$0$0$0
ERIN FOLEY
ASSISTANT SECRETARY40.00Yes (X)$172,615$0$15,698Yes (X)
SCOTT A BERLUCCHI
SECRETARY10.0028.00Yes (X)$0$727,923$26,367Yes (X)
JAMES SYRETT
PRESIDENT1.0024.00Yes (X)$0$463,919$17,250Yes (X)
MICHAEL WILSON
PRESIDENT THRU 4/202440.000.00Yes (X)$117,115$0$11,561Yes (X)
JASON LESCH
CFO40.00$0$0$0Yes (X)
DANIEL ALEXANDER MD
PHYSICIAN40.00$1,994,605$460,720$31,080Yes (X)
HENRY KLOTZ MD
PHYSICIAN40.00$686,539$0$17,250Yes (X)
RAJESCH RAO
PHYSICIAN40.00$652,290$43,000$36,255Yes (X)
ROBERT NOLAN
PHYSICIAN40.00$758,108$0$31,080Yes (X)
CHRISTOPHER WANG
PHYSICIAN40.00$734,165$0$36,255Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,115,437TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,695,562TotReportableCompRltdOrgAmt
Total Other Compensation$222,796TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K74IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UPSTATE UROLOGY
750 EAST ADAMS STREETSYRACUSENY13210PHYSICIAN SERVICES$1,589,950
UNIVERSITY SURGICAL ASSOCIATES LLP
750 EAST ADAMS STREET STE 8141SYRACUSENY13210PHYSICIAN SERVICES$773,988
SHAKEEL A USMANI PHYSICIAN PC
3602 COUNTY LINE RDSKANEATELESNY13152PHYSICIAN SERVICES$668,741
PATSY M IANNOLO MD PHD PC
5180 WEST TAFT RDNORTH SYRACUSENY13212PHYSICIAN SERVICES$594,600
LOCUMTENENSCOM
PO BOX 405547ATLANTAGA30384PHYSICIAN SERVICES$568,085
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Business621110BusinessCd
Total Revenue Column$36,402,519TotalRevenueColumnAmt
Related Or Exempt Func Income$36,402,519RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,402,519TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
QUALITY INCENTIVE621110$658,646$658,646
MISCELLANEOUS REVENUE621110$73,722$73,722
PROVIDER REIMB621110$10,949$10,949
FieldValueIRS element (for citing)
Other Revenue Total$743,317OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,145,836TotalRevenueColumnAmt
Related Or Exempt Func Income$37,145,836RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$316,989TotalAmt
Program Services$316,989ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$63,045TotalAmt
Program Services$63,045ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,739,654TotalAmt
Program Services$24,739,654ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,183,578TotalAmt
Program Services$2,183,578ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,288,645TotalAmt
Program Services$1,288,645ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,118,457TotalAmt
Program Services$9,118,457ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$244,288TotalAmt
Program Services$244,288ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,210,806TotalAmt
Program Services$7,210,806ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$44,918TotalAmt
Program Services$44,918ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$285,743TotalAmt
Program Services$285,743ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$292,907TotalAmt
Program Services$292,907ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$967,200TotalAmt
Program Services$967,200ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$102,173TotalAmt
Program Services$102,173ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,970TotalAmt
Program Services$1,970ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,202TotalAmt
Program Services$62,202ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,031,660TotalAmt
Program Services$3,031,660ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$2,194,081$2,194,081
BAD DEBT$295,260$295,260
PROFESSIONAL DUES$125,081$125,081

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$241,072TotalAmt
Program Services$241,072ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,809,729TotalAmt
Program Services$52,809,729ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$830,906BOYAmt
EOY$481,271EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,984,230BOYAmt
EOY$2,693,165EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$109,005BOYAmt
EOY$104,791EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,248BOYAmt
EOY$35,908EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,524,655LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,355,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,331BOYAmt
EOY$169,076EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,819,375BOYAmt
EOY$1,647,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,991,095BOYAmt
EOY$5,131,691EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,702,492BOYAmt
EOY$4,612,761EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$35,817BOYAmt
EOY$210,086EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,485,657BOYAmt
EOY$95,205,608EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$84,223,966BOYAmt
EOY$100,028,455EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$79,232,871BOYAmt
EOY-$94,963,880EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$67,116EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$79,232,871BOYAmt
EOY-$94,896,764EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,991,095BOYAmt
EOY$5,131,691EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$15,663,893ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AUBURN COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN150532054EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$15,866,112SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$15,866,112SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,524,655OtherCostOrOtherBasisAmt
Depreciation$1,355,579DepreciationAmt
Book Value$169,076BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$169,076TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS ON RENTAL PROPERTY$39,421
ACCOUNTS RECEIVABLE - NUCOR$1,785
OPERATING LEASE RIGHT OF USE ASSETS, NET$1,606,274
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,647,480TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AUBURN MEMORIAL HOSPITAL$93,555,702
CURRENT PORTION OF LONG TERM DEBT$12,208
LONG TERM CAPITAL LEASE$19,408
OPERATING LEASE LIABILITIES$1,618,290
FieldValueIRS element (for citing)
Total Liability$95,205,608TotalLiabilityAmt

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 (8 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
DANIEL ALEXANDER MD
PHYSICIAN$842,848$460,720$1,151,757$0$0$0$12,075$0$19,005$0$2,025,685$460,720$0$0
ROBERT NOLAN
PHYSICIAN$758,108$0$0$0$0$0$12,075$0$19,005$0$789,188$0$0$0
CHRISTOPHER WANG
PHYSICIAN$734,165$0$0$0$0$0$17,250$0$19,005$0$770,420$0$0$0
SCOTT A BERLUCCHI
SECRETARY$0$571,423$0$150,000$0$6,500$0$17,250$0$9,117$0$754,290$0$0
RAJESCH RAO
PHYSICIAN$652,290$43,000$0$0$0$0$17,250$0$19,005$0$688,545$43,000$0$0
HENRY KLOTZ MD
PHYSICIAN$686,539$0$0$0$0$0$17,250$0$0$0$703,789$0$0$0
JAMES SYRETT
PRESIDENT$0$448,919$0$15,000$0$0$0$17,250$0$0$0$481,169$0$0
ERIN FOLEY
ASSISTANT SECRETARY$160,615$0$12,000$0$0$0$8,250$0$7,448$0$188,313$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationAUBURN MEMORIAL MEDICAL SERVICES, PC UTILIZES COMPENSATION SURVEYS AS WELL AS APPROVAL BY THE BOARD OF DIRECTORS WHEN ESTABLISHING THE COMPENSATION FOR THE PC ADMINISTRATOR.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonWILLIAM FRANCESCHELLIPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSON OF HOSPITAL'S CHAIRMAN (ANTHONY FRANCESCHELLI)RelationshipDescriptionTxt
Transaction$63,045TransactionAmt
TransactionCOMPENSATION PAYMENTSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE CFO POSITION IS OUTSOURCED TO JASON LESCH, OWNER OF CNY BUSINESS ADVISORS, THROUGH AN AGREEMENT WITH AUBURN COMMUNITY HOSPITAL (ACH). ACH PAID CNY ADVISORS $431,375 IN 2024.
FORM 990, PART VI, SECTION A, LINE 6JAMES SYRETT AS THE SOLE STOCKHOLDER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BALL MEMBERS OF THE GOVERNING BODY RECEIVE THE FORM 990 PRIOR TO FILING FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS, OFFICERS, AND HIGHLY COMPENSATED EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS AND SIGN THEM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR KEY EMPLOYEES IS COMPARED TO THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY.
FORM 990, PART VI, SECTION C, LINE 19AUBURN MEMORIAL MEDICAL SERVICES, PC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL AND OTHER MISC FEES: PROGRAM SERVICE EXPENSES 7,210,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,210,806.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AUBURN COMMUNITY HOSPITAL
17 LANSING STREETAUBURNNY13021150532054HOSPITALNY501(C)3LINE 3N/A0
AUBURN COMMUNITY HOSPITAL FOUNDATION INC
PO BOX 918AUBURNNY13021161599892PROVIDES FUNDS TO AUBURN COMMUNITY HOSPITAL, INC. AND RELATED ENTITIESNY501(C)3LINE 110AUBURN COMMUNITY HOSPITAL
AUBURN COMMUNITY COMPANIES INC
17 LANSING STREETAUBURNNY13021223271881PROVIDES NURSING HOME ACCOMMODATIONSNY501(C)3LINE 90AUBURN COMMUNITY HOSPITAL
ACH PROPERTIES INC
5-19 LANSING STREETAUBURNNY13021161335941PROMOTE AND SUPPORT CHARITABLE PURPOSE OF AUBURN COMMUNITY HOSPITAL, INC.NY501(C)3N/A0AUBURN COMMUNITY HOSPITAL

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AUBURN MEDICAL PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 LANSING STREETAddressLine1Txt
CityAUBURNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13021ZIPCd
FieldValueIRS element (for citing)
EIN205111805EIN
Primary ActivitiesANESTHESIOLOGY SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AUBURN COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$15,866,112InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

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