2024-11-08T15:16:41-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 261193842 AUBURN MEMORIAL MEDICAL SERVICES PC AUBU 3152557011 17 LANSING STREET AUBURN NY 13021 JASON LESCH CFO 3152557011 2024-11-01 1 1 THOMAS J GIUFRE P00841958 3154463600 2024-11-01 2023 2024-10-15 13:58:12Z JASON LESCH 17 LANSING STREET AUBURN NY 13021 31017647 0 X WWW.AUBURNMEDICALSERVICES.COM X 2007 NY 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. 4 0 333 0 0 0 515566 0 25578755 30589092 0 0 754109 428555 26848430 31017647 0 0 536686 0 25527400 31538275 0 0 0 8886600 10863408 34950686 42401683 -8102256 -11384036 5938591 4991095 73787426 84223966 -67848835 -79232871 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. 0 0 42401683 31017647 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 2023, AUBURN MEMORIAL MEDICAL SERVICES, PC CARED FOR PATIENTS WITH APPROXIMATELY 130,550 VISITS. 42401683 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 28 0 1 333 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON LESCH 3152557011 17 LANSING STREET AUBURN NY 13021 ANTHONY FRANCESCHELLI BOARD MEMBER 1.00 5.00 X 0 0 0 ERIN FOLEY TREASURER 40.00 X X 169176 0 13713 MICHAEL WILSON PRESIDENT 40.00 X X 342904 116500 25424 SCOTT A BERLUCCHI SECRETARY 10.00 28.00 X X 0 660762 22981 JAMES SYRETT PRESIDENT 1.00 24.00 X X 0 334025 15431 JASON LESCH CFO 40.00 X 0 367253 0 DANIEL ALEXANDER MD PHYSICIAN 40.00 X 1062065 0 20382 HENRY KLOTZ MD PHYSICIAN 40.00 X 700000 0 16500 JIANXIN MA MD PHYSICIAN 40.00 X 664531 20000 27074 RAJESCH RAO PHYSICIAN 40.00 X 637499 19167 27074 CHRISTOPHER WANG PHYSICIAN 40.00 X 589476 0 26429 4165651 1517707 195008 60 0 1 0 UPSTATE UROLOGY 750 EAST ADAMS STREET SYRACUSE NY 13210 PHYSICIAN SERVICES 2246571 UNIVERSITY SURGICAL ASSOCIATES LLP 750 EAST ADAMS STREET STE 8141 SYRACUSE NY 13210 PHYSICIAN SERVICES 1491728 SHAKEEL A USMANI PHYSICIAN PC 3602 COUNTY LINE RD SKANEATELES NY 13152 PHYSICIAN SERVICES 1117875 JOHN AVANZATO 581 PREECE ROAD GENEVA NY 14456 PHYSICIAN SERVICES 871512 UPSTATE ORTHOPEDICS LLP 6620 FLY ROAD STE 100 EAST SYRACUSE NY 13057 PHYSICIAN SERVICES 863497 15 MEDICAL SERVICES 621110 30589092 30589092 30589092 PROVIDER REIMB 621110 403712 403712 QUALITY INCENTIVE 621110 6890 6890 17953 17953 428555 31017647 31017647 0 0 X 551217 551217 20310185 20310185 2136153 2136153 685522 685522 7855198 7855198 203122 203122 5084733 5084733 10794 10794 320348 320348 297248 297248 913901 913901 91070 91070 2990 2990 65000 65000 1640157 1640157 MEDICAL SUPPLIES 1913396 1913396 PROFESSIONAL DUES 132451 132451 BAD DEBT 32911 32911 155287 155287 42401683 42401683 0 0 1009248 830906 1292660 1984230 90698 109005 71718 81248 1459708 1293377 193902 166331 3280365 1819375 5938591 4991095 4246834 4702492 46005 35817 69494587 79485657 73787426 84223966 X -67848835 -79232871 -67848835 -79232871 5938591 4991095 -11384036 0 X X 0 1 X 1 0 X X 1 AUBURN COMMUNITY HOSPITAL 150532054 3 1 11093958 0 1 11093958 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1459708 1293377 166331 166331 SECURITY DEPOSITS ON RENTAL PROPERTY 32476 ACCOUNTS RECEIVABLE - NUCOR 22314 OPERATING LEASE RIGHT OF USE ASSETS, NET 1734585 ACCOUNTS RECEIVABLE - STUDENT LOAN REPAYMENT 30000 1819375 DUE TO AUBURN MEMORIAL HOSPITAL 77689590 CURRENT PORTION OF LONG TERM DEBT 20814 LONG TERM CAPITAL LEASE 31616 OPERATING LEASE LIABILITIES 1743637 79485657 X PART X, LINE 2: THE HOSPITAL, EXCEPT FOR AMPC, QUALIFIES AS TAX EXEMPT ORGANIZATIONS. AS OF DECEMBER 31, 2023 AND 2022, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. X X X 0 0 0 0 0 0 0 0 0 DANIEL ALEXANDER MD PHYSICIAN 842904 0 219161 0 0 0 9808 0 10574 0 1082447 0 0 0 HENRY KLOTZ MD PHYSICIAN 700000 0 0 0 0 0 16500 0 0 0 716500 0 0 0 JIANXIN MA MD PHYSICIAN 664531 20000 0 0 0 0 16500 0 10574 0 691605 20000 0 0 SCOTT A BERLUCCHI SECRETARY 0 554262 0 100000 0 6500 0 16500 0 6481 0 683743 0 0 RAJESCH RAO PHYSICIAN 637499 19167 0 0 0 0 16500 0 10574 0 664573 19167 0 0 CHRISTOPHER WANG PHYSICIAN 589476 0 0 0 0 0 15855 0 10574 0 615905 0 0 0 MICHAEL WILSON PRESIDENT 342904 116500 0 0 0 0 14850 0 10574 0 368328 116500 0 0 JASON LESCH CFO 0 367253 0 0 0 0 0 0 0 0 0 367253 0 0 JAMES SYRETT PRESIDENT 0 334025 0 0 0 0 0 15431 0 0 0 349456 0 0 ERIN FOLEY TREASURER 160926 0 8250 0 0 0 8250 0 5463 0 182889 0 0 0 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. WILLIAM FRANCESCHELLI SON OF HOSPITAL'S CHAIRMAN (ANTHONY FRANCESCHELLI) 58649 COMPENSATION PAYMENTS 0 FORM 990, PART VI, SECTION A, LINE 6 MICHAEL WILSON WAS THE SOLE STOCKHOLDER OF THE ORGANIZATION FROM JANUARY 1, 2023 THROUGH APRIL 30, 2023. OWNERSHIP WAS THEN TRANSFERRED TO JAMES SYRETT AS THE SOLE STOCKHOLDER OF THE ORGANIZATION EFFECTIVE MAY 1, 2023 THROUGH YEAR END. FORM 990, PART VI, SECTION B, LINE 11B ALL MEMBERS OF THE GOVERNING BODY RECEIVE THE FORM 990 PRIOR TO FILING FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD 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 15 COMPENSATION FOR KEY EMPLOYEES IS COMPARED TO THE MGMA PHYSICIAN COMPENSATION AND PRODUCTION SURVEY. FORM 990, PART VI, SECTION C, LINE 19 AUBURN 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 11G PROFESSIONAL AND OTHER MISC FEES: PROGRAM SERVICE EXPENSES 5,084,733. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,084,733. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. AUBURN COMMUNITY HOSPITAL 17 LANSING STREET AUBURN NY 13021 150532054 HOSPITAL NY 501(C)3 LINE 3 N/A 0 AUBURN COMMUNITY HOSPITAL FOUNDATION INC PO BOX 918 AUBURN NY 13021 161599892 PROVIDES FUNDS TO AUBURN COMMUNITY HOSPITAL, INC. AND RELATED ENTITIES NY 501(C)3 LINE 11 AUBURN COMMUNITY HOSPITAL 0 AUBURN COMMUNITY COMPANIES INC 17 LANSING STREET AUBURN NY 13021 223271881 PROVIDES NURSING HOME ACCOMMODATIONS NY 501(C)3 LINE 9 AUBURN COMMUNITY HOSPITAL 0 ACH PROPERTIES INC 5-19 LANSING STREET AUBURN NY 13021 161335941 PROMOTE AND SUPPORT CHARITABLE PURPOSE OF AUBURN COMMUNITY HOSPITAL, INC. NY 501(C)3 N/A AUBURN COMMUNITY HOSPITAL 0 AUBURN MEDICAL PC 17 LANSING STREET AUBURN NY 13021 205111805 ANESTHESIOLOGY SERVICES NY N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 AUBURN COMMUNITY HOSPITAL Q 11093958 CASH