Canton-Potsdam Medical 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-potdam 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, richard jacobs, 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.”

“Canton-potsdam medical practice did not have any committees with authority to act on behalf of the governing body, and thus no committee meetings were held.”

“The form 990 is prepared by the finance department staff members. Upon completion, the form is submitted to a cpa firm for review and prepared for review and filing. A copy of the draft return is then reviewed by the system cfo and system controller. After review, any changes are made and a copy is presented to the canton-potsdam medical practice advisory committee and to the sole member of canton-potsdam medical practice, robert t. Rogers, ii, md for further review and comment (prior to irs submission).”

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

“Line 15a: 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, 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 packages offered to top management and the regulatory compliance issues of 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 officials compensation package.”

“The key employee and sole member of canton-potsdam medical practice are employees of canton-potsdam hospital, related organization. Compensation of employees is determined by canton-potsdam hospital's processes for determining compensation. 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 resource department. The ceo and vice president of human resources review the survey data to determine salary ranges and compensation packages. The ceo brings the information and findings to the audit, compliance, and compensation committee of the board for their deliberation and consideration. The audit, compliance, and compensation committee will then bring their recommendation to the full board for their final approval.”

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

“Canton-potsdam medical practice operated a dermatology clinic in 2019. Patient visits totaled approximately 6,188. The dermatology clinic opened in 2019 and serves the surrounding north country communities of (and including) potsdam, new york.”

“Canton-potsdam medical practice operates other program services.”

“Transfer from affiliate (canton-potsdam hospital) 0 asset transfer to cph 0”