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Nonprofiteer
← HEALTH SYSTEM PHYSICIAN PC

Form 990 for tax year 2022

Filed by HEALTH SYSTEM PHYSICIAN PC.

Totals

Total revenue
$1,098,933
Total expenses
$2,718,096
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,001,880
Investment income
$0
Other revenue
$97,053
Total assets, end of year
$134,589
Total liabilities, end of year
$11,829,410
Net assets or fund balances, end of year
-$11,694,821
Program services expenses (Part IX)
$1,938,705
Management and general expenses
$779,391
Fundraising expenses
$0
Program service expenses (Part III)
$1,938,705

Program services were 71.3% 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.

  • 2a · Program service revenue: NET PATIENT SERVICE RE

    total $1,001,880 · related or exempt $1,001,880

  • 6a · Gross rents

    real property $6,750

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $6,750

  • 6d · Net rental income or loss

    total $6,750 · excluded $6,750

  • 11a · Other revenue: MISCELLANEOUS

    total $90,303 · excluded $90,303

  • 11e · Other revenue, total

    $90,303

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,467,545 · program services $940,315 · management and general $527,230

  • 9 · Other employee benefits

    total $72,374 · program services $52,109 · management and general $20,265

  • 10 · Payroll taxes

    total $78,836 · program services $56,762 · management and general $22,074

  • 11g · Fees: other

    total $194,736 · program services $194,736

  • 13 · Office expenses

    total $26,884 · management and general $26,884

  • 16 · Occupancy

    total $579,352 · program services $475,069 · management and general $104,283

  • 20 · Interest

    total $356 · management and general $356

  • 22 · Depreciation, depletion and amortization

    total $17,161 · program services $17,161

  • 23 · Insurance

    total $143,154 · program services $64,855 · management and general $78,299

  • 24a · Other expenses: SUPPLIES

    total $93,778 · program services $93,778

  • 24b · Other expenses: MEDICAL EQUIPMENT RENTA

    total $43,920 · program services $43,920

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $77,592 · end of year $96,433

  • 4 · Accounts receivable

    beginning of year $60,509 · end of year -$119,721

  • 9 · Prepaid expenses and deferred charges

    beginning of year $95,767 · end of year $83,200

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

    $1,042,671

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

    $967,994

  • 10c · Land, buildings and equipment, net

    beginning of year $91,837 · end of year $74,677

  • 17 · Accounts payable and accrued expenses

    beginning of year $376,734 · end of year $307,089

  • 25 · Other liabilities

    beginning of year $10,024,629 · end of year $11,522,321

  • 27 · Net assets without donor restrictions

    beginning of year -$10,075,658 · end of year -$11,694,821

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE EXCELLENT CARE IN RESPONSE TO THE HEALTH CARE NEEDS OF THE COMMUNITY.

  • CURRENTLY THE CENTER'S SERVICES INCLUDE: LOCAL RESIDENTS EXPECT COMPREHENSIVE, AFFORDABLE HEALTH CARE AT LOCALLY OWNED OMEGA FAMILY MEDICINE AND CUBA FAMILY HEALTH CARE. LOCALLY OWNED AND OPERATED, KNOWLEDGEABLE PHYSICIANS, PHYSICIAN ASSISTANTS, DOCTORS AND NURSES PROVIDE SAFE, PRECISE AND COMPASSIONATE CARE, FROM DIAGNOSIS TO TREATMENT FOR CHILDREN, ADOLESCENTS, AND ADULTS. A FULL SERVICE FACILITY, WE OFFER SERVICES IN A VARIETY OF HEALTH SPECIALTIES, INCLUDING FAMILY MEDICINE AND GENERAL ORTHOPEDICS.

    Expenses $1,938,705 · Revenue $1,001,880

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • William F Mills

    PRESIDENT (UNTIL 01/2022)

    Total calculated
    $166,182
    From this org
    $0
    From related orgs
    $139,233
    Other
    $26,949
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $56,996 related
    Bonus
    $0
    Other
    $0 + $82,237 related
    Deferred
    $0 + $13,010 related
    Nontaxable benefits
    $0 + $13,939 related
    Filer's total
    $0 + $166,182 related

  • Jill Owens

    PRESIDENT (AS OF 01/2022)

    Total calculated
    $331,216
    From this org
    $0
    From related orgs
    $327,987
    Other
    $3,229
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $324,773 related
    Bonus
    $0
    Other
    $0 + $3,214 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,229 related
    Filer's total
    $0 + $331,216 related

  • Zia M Sheikh

    PHYSICIAN

    Total calculated
    $533,253
    From this org
    $469,813
    From related orgs
    $0
    Other
    $63,440
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $469,813
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $63,440
    Filer's total
    $533,253

  • Paul Tinsley Jr Until 052022

    PHYSICIAN

    Total calculated
    $276,470
    From this org
    $258,179
    From related orgs
    $0
    Other
    $18,291
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $248,512
    Bonus
    $9,667
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $18,291
    Filer's total
    $276,470

  • Nicole R Zewe

    NURSE PRACTITIONER

    Total calculated
    $140,912
    From this org
    $126,329
    From related orgs
    $0
    Other
    $14,583
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,699
    Bonus
    $1,630
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,583
    Filer's total
    $140,912

  • Melody A Vasquez

    NURSE PRACTITIONER

    Total calculated
    $116,400
    From this org
    $104,432
    From related orgs
    $0
    Other
    $11,968
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $99,432
    Bonus
    $5,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11,968
    Filer's total
    $116,400

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
  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A
WILLIAM F. MILLS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $82,237. THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 7
CERTAIN INDIVIDUALS QUALIFIED TO RECEIVE BONUS/INCENTIVE COMPENSATION PAYMENTS BASED ON CERTAIN PERFORMANCE METRICS BEING MET. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II).

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • HARLEM ROAD LEASING LLC

    EQUIPMENT LEASING · NY

    Directly controlled by KALEIDA HEALTH

  • AMTON IMAGING LLC

    HEALTH CARE · NY

    Directly controlled by KALEIDA WNYI

  • SITE E LLC

    REAL ESTATE MGMT · NY

    Directly controlled by KPI

  • SOUTHTOWNS IMAGING LLC

    EQUIPMENT LEASING · NY

    Directly controlled by KALEIDA WNYI

  • COLLABORATIVE CARE VENTURES L

    HEALTH CARE · NY

    Directly controlled by KALEIDA HEALTH

  • GREAT LAKES MED BILLING SVCS

    MEDICAL BILLING · NY

    Directly controlled by KALEIDA WNYI

  • ALTUS MANAGEMENT LLC

    GROUP PURCH ORG · NY

    Directly controlled by KALEIDA HEALTH

  • SOUTHTOWNS SURGERY CENTER LLC

    HEALTH CARE · NY

    Directly controlled by KALEIDA HEALTH

Related corporations and trusts

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

  • KALEIDA PROPERTIES INC

    C · PROP MGMT SER · NY

  • WESTLINK CORPORATION

    C · MED & DIAG SV · NY

  • KHBC INC

    C · HEALTH CARE · NY

  • GREAT LAKES INTEGRATED NETWORK INC

    C · HEALTH CARE · NY

  • OLEAN MEDICAL PRACTICE PLLC

    C · HEALTH CARE · NY

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303199349301030

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