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← GENESYS AMBULATORY HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by GENESYS AMBULATORY HEALTH SERVICES INC.

Totals

Total revenue
$23,845,010
Total expenses
$25,707,825
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,343,266
Investment income
$0
Other revenue
$22,501,744
Total assets, end of year
$3,632,508
Total liabilities, end of year
$3,630,613
Net assets or fund balances, end of year
$1,895
Program services expenses (Part IX)
$25,023,218
Management and general expenses
$684,607
Fundraising expenses
$0
Program service expenses (Part III)
$25,023,218

Program services were 97.3% 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: STAFFING SERVICES EXEMPT

    total $1,263,986 · related or exempt $1,263,986

  • 2b · Program service revenue: PROGRAM RENT

    total $79,280 · related or exempt $79,280

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: STAFF SERVICES-TAXABLE

    total $22,501,713 · related or exempt $70 · unrelated business $22,501,643

  • 11b · Other revenue: Escheatment Revenue

    total $31 · related or exempt $31

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $22,501,744

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $22,433,154 · program services $22,168,238 · management and general $264,916

  • 8 · Pension plan contributions

    total $870,924 · program services $860,639 · management and general $10,285

  • 9 · Other employee benefits

    total $1,424,856 · program services $1,408,030 · management and general $16,826

  • 10 · Payroll taxes

    total $100,400 · program services $99,214 · management and general $1,186

  • 11g · Fees: other

    total $2,784 · program services $0 · management and general $2,784 · fundraising $0

  • 13 · Office expenses

    total $25,741 · program services $20,729 · management and general $5,012

  • 16 · Occupancy

    total $250,029 · program services $247,076 · management and general $2,953

  • 17 · Travel

    total $1,099 · program services $114 · management and general $985

  • 22 · Depreciation, depletion and amortization

    total $92,128 · program services $91,040 · management and general $1,088

  • 24a · Other expenses: Management Fee to Affiliate

    total $264,384 · management and general $264,384

  • 24b · Other expenses: UBI Tax Expense

    total $142,000 · management and general $142,000

  • 24c · Other expenses: Personal Property Tax Expense

    total $9,571 · management and general $9,571

  • 24d · Other expenses: Purchased Services

    total $9,111 · management and general $9,111

  • 24e · All other expenses

    total $81,644 · program services $128,138 · management and general -$46,494 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $200 · end of year $200

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

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

    $2,288,329

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

    $751,782

  • 10c · Land, buildings and equipment, net

    beginning of year $1,696,548 · end of year $1,536,547

  • 11 · Investments: publicly traded securities

    beginning of year $5,467 · end of year $4,545

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $2,283,843 · end of year $2,091,216

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,707,134 · end of year $806,372

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,293,393 · end of year $2,824,241

  • 27 · Net assets without donor restrictions

    beginning of year -$14,469 · end of year $1,895

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.

Activities or mission (Part I)

To improve the health and well-being of all people in the communities we serve.

  • The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. GENESYS AMBULATORY HEALTH SERVICES PROVIDES STAFFING SERVICES FOR TAX-EXEMPT 501(C)(3) RELATED ORGANIZATIONS WHERE SERVICES/BENEFITS ARE CHARGED OUT AT COST, OFFERS OCCUPATIONAL HEALTH AND AN URGENT CARE CENTER AS WELL AS MAINTAINS A GENESYS HEALTH SYSTEM LEASED FACILITY.

    Expenses $25,023,218 · Revenue $1,343,368

As filed on the 2022 return.

Listed in Part VII

  • CAROL L SCHMIDT

    MINISTRY MARKET EXECUTIVE/PRESIDENT (START 1/2023)

    Total calculated
    $1,585,940
    From this org
    $0
    From related orgs
    $1,547,996
    Other
    $37,944
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,724 related
    Bonus
    $0 + $732,000 related
    Other
    $0 + $207,272 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $18,119 related
    Filer's total
    $0 + $1,585,940 related

  • JONATHAN SAMUEL NALLI FACHE

    INTERIM MARKET PRESIDENT (START 8/2022 - END 12/2022)

    Total calculated
    $2,386,194
    From this org
    $0
    From related orgs
    $2,332,003
    Other
    $54,191
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $972,482 related
    Bonus
    $0 + $1,119,600 related
    Other
    $0 + $239,921 related
    Deferred
    $0 + $12,529 related
    Nontaxable benefits
    $0 + $41,662 related
    Filer's total
    $0 + $2,386,194 related

  • JOSEPH G CACCHIONE MD FACC

    INTERIM MARKET PRESIDENT (START 7/2022 - END 8/2022)

    Total calculated
    $3,857,281
    From this org
    $0
    From related orgs
    $3,809,601
    Other
    $47,680
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,053,026 related
    Bonus
    $0 + $2,400,000 related
    Other
    $0 + $356,575 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $30,905 related
    Filer's total
    $0 + $3,857,281 related

  • DOUGLAS TODD MYERS

    CFO, MINISTRY MARKET (START 7/2022 - END 3/2023)

    Total calculated
    $333,808
    From this org
    $0
    From related orgs
    $313,904
    Other
    $19,904
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,927 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $57,977 related
    Deferred
    $0 + $6,635 related
    Nontaxable benefits
    $0 + $13,269 related
    Filer's total
    $0 + $333,808 related

  • MICHAEL MCCULLOUGH

    CFO, MINISTRY MARKET (START 3/2023)

    Total calculated
    $705,557
    From this org
    $0
    From related orgs
    $670,046
    Other
    $35,511
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,339 related
    Bonus
    $0 + $214,389 related
    Other
    $0 + $57,318 related
    Deferred
    $0 + $11,015 related
    Nontaxable benefits
    $0 + $24,496 related
    Filer's total
    $0 + $705,557 related

  • ABDULFATAH OSMAN MD

    PHYSICIAN

    Total calculated
    $712,513
    From this org
    $664,446
    From related orgs
    $0
    Other
    $48,067
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $646,944
    Bonus
    $12,600
    Other
    $4,902
    Deferred
    $16,775
    Nontaxable benefits
    $31,292
    Filer's total
    $712,513

  • FRANK V TILLI MD

    PHYSICIAN

    Total calculated
    $624,145
    From this org
    $576,841
    From related orgs
    $0
    Other
    $47,304
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $569,317
    Bonus
    $0
    Other
    $7,524
    Deferred
    $16,775
    Nontaxable benefits
    $30,529
    Filer's total
    $624,145

  • MICHAEL J SORSCHER MD

    PHYSICIAN

    Total calculated
    $633,880
    From this org
    $598,926
    From related orgs
    $0
    Other
    $34,954
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $530,090
    Bonus
    $61,475
    Other
    $7,361
    Deferred
    $16,775
    Nontaxable benefits
    $18,179
    Filer's total
    $633,880

  • SUNILKUMAR D RAO MD

    PHYSICIAN

    Total calculated
    $653,098
    From this org
    $612,909
    From related orgs
    $0
    Other
    $40,189
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $543,187
    Bonus
    $67,100
    Other
    $2,622
    Deferred
    $9,150
    Nontaxable benefits
    $31,039
    Filer's total
    $653,098

  • THOMAS P MILLER MD

    PHYSICIAN

    Total calculated
    $622,763
    From this org
    $576,698
    From related orgs
    $0
    Other
    $46,065
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $574,672
    Bonus
    $1,000
    Other
    $1,026
    Deferred
    $16,775
    Nontaxable benefits
    $29,290
    Filer's total
    $622,763

  • CHRISTOPHER J PALAZZOLO

    FORMER OFFICER (END 6/2022)

    Total calculated
    $938,840
    From this org
    $0
    From related orgs
    $899,776
    Other
    $39,064
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $347,760 related
    Bonus
    $0 + $402,518 related
    Other
    $0 + $149,498 related
    Deferred
    $0 + $18,059 related
    Nontaxable benefits
    $0 + $21,005 related
    Filer's total
    $0 + $938,840 related

  • DENNIS V DESIMONE MD

    FORMER KEY EMPLOYEE (END 12/2017)

    Total calculated
    $341,144
    From this org
    $0
    From related orgs
    $308,410
    Other
    $32,734
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $199,594 related
    Bonus
    $0 + $70,400 related
    Other
    $0 + $38,416 related
    Deferred
    $0 + $15,758 related
    Nontaxable benefits
    $0 + $16,976 related
    Filer's total
    $0 + $341,144 related

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202441299349304709

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