Canton-Potsdam Med Practice PLLC

“Canton-potsdam medical practice does not have any employees on its payroll. All "employees", including those that perform management functions, are contracted through canton-potsdam hospital, related tax exempt organization. Employees of canton-potsdam hospital are leased to canton- potsdam medical practice to provide all medical staff and management services. Service agreements are in place between the two related organizations. Canton-potsdam hospital invoices canton-potsdam medical practice for these services. Key employee, donna mcgregor, is an employee of canton-potsdam hospital who is responsible for the financial reporting of canton-potsdam medical practice. Robert t. Rogers, ii, md, is an employee of canton-potsdam hospital who is the sole member manager of the pllc.”

“The organization is a membership (not a stock) corporation under new york state law. The organization's sole corporate member is canton-potsdam hospital. The sole corporate member of canton-potsdam hospital is st. Lawrence health system, inc. The sole corporate member of st. Lawrence health system, inc. Is rochester regional health, a related not-for-profit corporation.”

“Prior to filing, a copy of the form 990 is provided to, and reviewed with, all members of the audit and compliance committee. This review is performed in consultation with the organization's tax advisors, and is based on the organization's audited financial statements and other relevant information for the appropriate time period.”

“The key employee and sole member of canton-potsdam medical practice are employees of canton-potsdam hospital, a related organization. All employees adhere to canton-potsdam hospital's written conflict of interest policy. Disclosure statements are reviewed annually.”

“As stated above in this schedule o, canton-potsdam medical practice does not have any employees on its payroll and all "employees" are contracted through canton-potsdam hospital, a related tax-exempt organization. As such, the compensation committee of the board of directors of canton-potsdam hospital seeks the input of a consulting firm with national experience to review the compensation package offered to top management and the regulatory compliance issues for not-for-profits. Upon the findings of the consultant and deliberations of the compensation committee, the committee will then make a recommendation to the full board. The full board will then vote on the top official's compensation package. The key employees and sole member of the canton-potsdam medical practice are employees of canton-potsdam hospital, a related organization. Compensation of employees is determined by canton-potsdam hospital's process for determining complensation. They are as follows: the compensation of other key employees is determined primarily by information gathered from independent survey data from national and surrounding markets coordinated by the human resources department. The ceo and vp of human resources review the survey data to determine salary ranges and compensation pacakges. The ceo brings the information and findings to the audit, compliance, and compensation committee of the board of directors for their deliberation and consideration. The audit, compliance, and compensation committee will then bring their recommendation to the full board of directors for their final approval.”

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the administrative offices of the affiliated health system at 100 kings highway south, rochester, ny 14617. A nominal fee is charged if copies are requested.”

“Estimated amount of other compensation from the organization and related organizations - this column is reflective of (1) the actuarial change in defined benefit pension plan and post-retirement benefits for the tax year and (2) non-taxable benefits.”

“Contracted services: program service expenses 384,785. Management and general expenses 34,243. Fundraising expenses 0. Total expenses 419,028. Repairs and maintenance: program service expenses 6,173. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,173.”

“OTHER -345.”

“The process has not changed from the prior year.”