2026-05-12T11:01:49-05:00 2025-06-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-07-01 203889761 UPSTATE COMMUNITY MEDICAL PC UPST 3156349272 4900 BROAD ROAD 1507 SYRACUSE NY 13215 EDWARD MARRYOTT EXECUTIVE DIRECTOR 3156349272 2026-05-11 1 1 THOMAS J GIUFRE P00841958 3154463600 2026-05-11 2024 2025-03-06 01:10:19Z DR TIMOTHY CREAMER 750 EAST ADAMS STREET SYRACUSE NY 13215 46902978 0 X WWW.UPSTATE.EDU/COMMUNITY/UCM/ X 2005 NY THE ROLE OF UPSTATE COMMUNITY MEDICAL, P.C. (UCM) IS TO PROVIDE A COMPREHENSIVE SOURCE FOR ACUTE MEDICAL CARE AND RELATED SERVICES TO ADVANCE THE MISSION OF UPSTATE MEDICAL UNIVERSITY OF NEW YORK. UCM WAS FORMED FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE COMMUNITY SERVICED BY THE HOSPITAL AND ADVANCING THE CHARITABLE PURPOSE OF THE UNIVERSITY. 1 0 146 0 0 0 0 0 33898461 44600112 0 0 2193501 2302866 36091962 46902978 0 0 0 0 17066858 18196899 0 0 0 19269419 29000876 36336277 47197775 -244315 -294797 8791769 10575937 12897154 14976119 -4105385 -4400182 THE ROLE OF UPSTATE COMMUNITY MEDICAL, P.C. IS TO PROVIDE A COMPREHENSIVE SOURCE FOR ACUTE MEDICAL CARE AND RELATED SERVICES TO UNINSURED AND UNDERINSURED INDIVIDUALS IN THE COMMUNITY. 0 0 9476898 9443738 HOSPITALIST SERVICE - PROVIDED ACUTE MEDICAL CARE FOR THE PATIENTS OF UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS. 16656849 16656849 ANESTHESIA SERVICE - PROVIDED ANESTHESIA SERVICES FOR THE PATIENTS OF UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS. 3764663 3581795 OB AMBULATORY - PROVIDED OBGYN HEALTHCARE SERVICS FOR THE PATIENTS OF UPSTATE UNIVERSITY HOSPITAL COMMUNITY CAMPUS 14912257 17220596 14912257 17220596 44810667 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 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 1 0 0 0 1 17 0 1 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JONATHAN W FEHLMAN-PRACTICE RESOURCES LLC 3155415648 1001 WEST FAYETTE STREET SUITE 400 SYRACUSE NY 13204 AMY TUCKER MD OFFICER 2.00 40.00 X X 0 586901 0 EDWARD MARRYOTT EXECUTIVE DIRECTOR 40.00 X 218349 0 31762 MIRIAM B MACDANIELS MD PHYSICIAN 40.00 X 380587 0 13800 PHILIP E ARCURI PHYSICIAN ASSISTANT 40.00 X 327120 0 43103 KENNETH K RHEE MD PHYSICIAN 40.00 X 379790 0 42560 FADI N MAKHLOUF MD PHYSICIAN 40.00 X 395741 0 13800 SUMERA AHMED MD PHYSICIAN 40.00 X 340606 0 30313 MATTHEW GLIDDEN FORMER OFFICER 0.00 40.00 X 0 481485 0 2042193 1068386 175338 61 1 1 0 CHAG ANESTHESIA GROUP 5000 BRITTONFIELD PARKWAY EAST SYRACUSE NY 13057 PROFESSIONAL MEDICAL SERVICES 11618390 DEPARTMENT OF MEDICINE MEDICAL SERVICE 550 E GENESEE ST SUITE 201 SYRACUSE NY 13202 PROFESSIONAL MEDICAL SERVICES 4438692 FAMILYCARE MEDICAL GROUP PC 1001 W FAYETTE ST SYRACUSE NY 13204 PROFESSIONAL MEDICAL SERVICES 1190283 MPLT HEALTHCARE 3701 FAU BLVD BOCA RATON FL 33431 PROFESSIONAL MEDICAL SERVICES 773998 PRACTICE RESOURCES LLC 1001 W FAYETTE ST SYRACUSE NY 13204 ADMINISTRATIVE AND BILLING SERVICES 745443 13 PROFESSIONAL SERVICE AGREEMENT - 621110 36784733 36784733 PROFESSIONAL SERVICES 621110 7815379 7815379 44600112 PROFESSIONAL SERVICE REIMBURSEMEN 900099 2295816 2295816 RECOVERY OF BAD DEBTS 900099 3823 3823 3227 3227 2302866 46902978 46902978 0 0 X 250111 240497 9614 15414711 14840034 574677 425484 405729 19755 1058440 1009299 49141 1048153 1003722 44431 169200 169200 136425 136425 130334 130334 25816968 24691431 1125537 29775 29775 461340 440141 21199 190209 174777 15432 1573 1573 76995 76995 1038897 1003399 35498 BILLING FEES 891393 891393 PERMITS, LICENSES, DUES 31311 25345 5966 MISCELLANEOUS 26456 7905 18551 47197775 44810667 2387108 0 793577 4458236 346779 421758 129463 3180 94395 94395 0 0 7521950 5692763 8791769 10575937 1962362 1024585 10934792 13951534 12897154 14976119 X 10 10 90 90 -4105485 -4400282 -4105385 -4400182 8791769 10575937 -294797 0 X 0 0 0 X 26003580 27538353 27884935 33898461 44600112 159925441 26003580 27538353 27884935 33898461 44600112 159925441 0 0 0 159925441 676758 578646 1303838 2193501 2302866 7055609 26680338 28116999 29188773 36091962 46902978 166981050 0.95770 0.96410 0.00000 X 94395 94395 0 0 DUE FROM UNIVERSITY HOSPITAL 3441537 OTHER RECEIVABLES 2251226 5692763 DUE TO RELATED PARTIES 13951534 13951534 X 0 0 0 0 0 0 0 0 0 AMY TUCKER MD OFFICER 0 586901 0 0 0 0 0 0 0 0 0 586901 0 0 MATTHEW GLIDDEN FORMER OFFICER 0 481485 0 0 0 0 0 0 0 0 0 481485 0 0 KENNETH K RHEE MD PHYSICIAN 376926 0 0 0 2864 0 13800 0 28760 0 422350 0 0 0 FADI N MAKHLOUF MD PHYSICIAN 394828 0 0 0 913 0 13800 0 0 0 409541 0 0 0 MIRIAM B MACDANIELS MD PHYSICIAN 380180 0 0 0 407 0 13800 0 0 0 394387 0 0 0 SUMERA AHMED MD PHYSICIAN 340094 0 0 0 512 0 0 0 30313 0 370919 0 0 0 PHILIP E ARCURI PHYSICIAN ASSISTANT 326309 0 0 0 811 0 13052 0 30051 0 370223 0 0 0 EDWARD MARRYOTT EXECUTIVE DIRECTOR 216914 0 0 0 1435 0 9034 0 22728 0 250111 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS DISTRIBUTED FOR REVIEW BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE COMPANY BYLAWS REFLECT THAT THE BOARD ENFORCES A POLICY THAT REQUIRES ALL DIRECTORS, OFFICERS, AND OTHER PERSONS IN A POSITION TO INFLUENCE CORPORATE DECISIONS TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND THE PROCESS THAT SHALL BE FOLLOWED WHEN A DISCLOSURE IS MADE. ENHANCEMENTS TO THE POLICY CONTINUE TO BE MADE. FORM 990, PART VI, SECTION B, LINE 15 SALARY AND BONUS OR INCENTIVE COMPENSATION IS DETERMINED BASED ON A REVIEW OF RELEVANT MARKET DATA. PERIODIC REVIEWS ARE CONDUCTED AS APPROPRIATE FOR REASONABLENESS, VALUATION, PERFORMANCE, AND COMPLIANCE WITH CONTRACTUAL REQUIREMENTS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 14,884. MANAGEMENT AND GENERAL EXPENSES 113,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,084. RECRUITING: PROGRAM SERVICE EXPENSES 516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 516. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,012,337. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,012,337. MEDICAL PROFESSIONAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,676,031. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,676,031. SUNY UPSTATE UNIVERSITY HOSPITAL 750 E ADAMS STREET SYRACUSE NY 13210 161469571 PATIENT CARE NY 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 SUNY UPSTATE UNIVERSITY HOSPITAL L 36784734 PROFESSIONAL SERVICES AGREEMENT SUNY UPSTATE UNIVERSITY HOSPITAL M 1012337 ADMIN SERVICES AGREEMENT