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Nonprofiteer
← AUBURN MEMORIAL MEDICAL SERVICES PC

Form 990 for tax year 2022

Filed by AUBURN MEMORIAL MEDICAL SERVICES PC.

Totals

Total revenue
$26,848,430
Total expenses
$34,950,686
Contributions and grants received
$515,566
Grants paid
$0
Program service revenue
$25,578,755
Investment income
$0
Other revenue
$754,109
Total assets, end of year
$5,938,591
Total liabilities, end of year
$73,787,426
Net assets or fund balances, end of year
-$67,848,835
Program services expenses (Part IX)
$34,950,686
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$34,950,686

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $515,566

  • 2a · Program service revenue: MEDICAL SERVICES

    total $25,578,755 · related or exempt $25,578,755

  • 11a · Other revenue: PROVIDER REIMB

    total $399,357 · related or exempt $399,357

  • 11b · Other revenue: QUALITY INCENTIVE

    total $255,029 · related or exempt $255,029

  • 11d · All other revenue

    total $99,723 · related or exempt $99,723

  • 11e · Other revenue, total

    $754,109

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $536,686 · program services $536,686

  • 7 · Other salaries and wages

    total $16,740,822 · program services $16,740,822

  • 8 · Pension plan contributions

    total $1,702,934 · program services $1,702,934

  • 9 · Other employee benefits

    total $585,746 · program services $585,746

  • 10 · Payroll taxes

    total $6,497,898 · program services $6,497,898

  • 11b · Fees: legal

    total $147,570 · program services $147,570

  • 11g · Fees: other

    total $3,290,359 · program services $3,290,359

  • 12 · Advertising and promotion

    total $33,917 · program services $33,917

  • 13 · Office expenses

    total $256,405 · program services $256,405

  • 14 · Information technology

    total $228,045 · program services $228,045

  • 16 · Occupancy

    total $937,990 · program services $937,990

  • 17 · Travel

    total $25,114 · program services $25,114

  • 20 · Interest

    total $3,457 · program services $3,457

  • 22 · Depreciation, depletion and amortization

    total $87,749 · program services $87,749

  • 23 · Insurance

    total $1,899,266 · program services $1,899,266

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,539,918 · program services $1,539,918

  • 24b · Other expenses: BAD DEBT

    total $162,406 · program services $162,406

  • 24c · Other expenses: PROFESSIONAL DUES

    total $99,993 · program services $99,993

  • 24e · All other expenses

    total $174,411 · program services $174,411

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $823,250 · end of year $1,009,248

  • 4 · Accounts receivable

    beginning of year $1,013,382 · end of year $1,292,660

  • 8 · Inventories for sale or use

    beginning of year $95,697 · end of year $90,698

  • 9 · Prepaid expenses and deferred charges

    beginning of year $100,576 · end of year $71,718

  • 10a · Land, buildings and equipment: cost or other basis

    $1,422,279

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,228,377

  • 10c · Land, buildings and equipment, net

    beginning of year $169,858 · end of year $193,902

  • 15 · Other assets

    beginning of year $32,991 · end of year $3,280,365

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,763,967 · end of year $4,246,834

  • 23 · Secured mortgages and notes payable

    beginning of year $117,668 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $45,568 · end of year $46,005

  • 25 · Other liabilities

    beginning of year $59,055,130 · end of year $69,494,587

  • 27 · Net assets without donor restrictions

    beginning of year -$59,746,579 · end of year -$67,848,835

Mission and programs · 2022

Mission

TO 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.

Activities or mission (Part I)

TO 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.

  • AUBURN 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, PEDEATRIC, AND URGENT CARE SERVICES. IN 2022, AUBURN MEMORIAL MEDICAL SERVICES, PC CARED FOR PATIENTS WITH APPROXIMATELY 116,550 VISITS.

    Expenses $34,950,686 · Revenue $26,332,864

As filed on the 2022 return.

Listed in Part VII

  • Anthony Franceschelli

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Erin Foley

    TREASURER

    Total calculated
    $167,159
    From this org
    $153,304
    From related orgs
    $0
    Other
    $13,855
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,304
    Bonus
    $7,000
    Other
    $0
    Deferred
    $7,510
    Nontaxable benefits
    $6,345
    Filer's total
    $167,159

  • Michael Wilson

    PRESIDENT

    Total calculated
    $573,664
    From this org
    $342,814
    From related orgs
    $204,136
    Other
    $26,714
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $342,814 + $204,136 related
    Bonus
    $0
    Other
    $0
    Deferred
    $13,904
    Nontaxable benefits
    $12,810
    Filer's total
    $369,528 + $204,136 related

  • Scott A Berlucchi

    SECRETARY

    Total calculated
    $574,047
    From this org
    $0
    From related orgs
    $547,079
    Other
    $26,968
    Hours/week
    10 + 28 related

    Schedule J breakdown matched by us

    Base
    $0 + $491,079 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $6,000 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $11,718 related
    Filer's total
    $0 + $574,047 related

  • Jason Lesch

    CFO

    Total calculated
    $356,535
    From this org
    $0
    From related orgs
    $356,535
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $356,535 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $356,535 related

  • Brian Tallerico MD

    PHYSICIAN

    Total calculated
    $1,254,448
    From this org
    $978,073
    From related orgs
    $251,667
    Other
    $24,708
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $815,332 + $251,667 related
    Bonus
    $162,741
    Other
    $0
    Deferred
    $11,898
    Nontaxable benefits
    $12,810
    Filer's total
    $1,002,781 + $251,667 related

  • Henry Klotz MD

    PHYSICIAN

    Total calculated
    $715,250
    From this org
    $700,000
    From related orgs
    $0
    Other
    $15,250
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $700,000
    Bonus
    $0
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $0
    Filer's total
    $715,250

  • Jianxin Ma MD

    PHYSICIAN

    Total calculated
    $712,428
    From this org
    $671,116
    From related orgs
    $20,000
    Other
    $21,312
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $671,116 + $20,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $8,502
    Nontaxable benefits
    $12,810
    Filer's total
    $692,428 + $20,000 related

  • Loren Vanriper

    PHYSICIAN

    Total calculated
    $621,215
    From this org
    $429,322
    From related orgs
    $163,833
    Other
    $28,060
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $333,136 + $163,833 related
    Bonus
    $96,186
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $12,810
    Filer's total
    $457,382 + $163,833 related

  • Christopher Wang

    PHYSICIAN

    Total calculated
    $671,400
    From this org
    $643,340
    From related orgs
    $0
    Other
    $28,060
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $628,340
    Bonus
    $15,000
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $12,810
    Filer's total
    $671,400

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
AUBURN MEMORIAL MEDICAL SERVICES, PC UTILIZES COMPENSATION SURVEYS AS WELL AS APPROVAL BY THE BOARD OF DIRECTORS WHEN ESTABLISHING THE COMPENSATION FOR THE PC ADMINISTRATOR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • AUBURN MEDICAL PC

    C · ANESTHESIOLOGY SERVICES · NY

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202343139349304584

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