Civic Intelligence

Canton-Potsdam Medical Practice PLLC

990 • Fiscal year 2020 • EIN 46-0714367

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 21, 2021

50 Leroy StreetPotsdam, NY 13676

(315) 261-5100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

14.99x

Higher debt load relative to assets than 99% of similar nonprofits.

2020 filings • NTEE G • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

98th percentile

2.12x

Higher debt load relative to revenue than 98% of similar nonprofits.

2020 filings • NTEE G • $1M-$5M nonprofits • Source year 2020

Net Margin

3rd percentile

-111%

Higher net margin than 3% of similar nonprofits.

2020 filings • NTEE G • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

95th percentile

$422,790

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 28.4% of source-year revenue.

2020 filings • NTEE G • $1M-$5M nonprofits • Source year 2020

Asset Growth

3rd percentile

-44%

Faster asset growth than 3% of similar nonprofits.

2020 filings • NTEE G • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

21st percentile

-24%

Faster revenue growth than 21% of similar nonprofits.

2020 filings • NTEE G • $1M-$5M nonprofits • Annualized from 2019 to 2020

Assets

Down

$209,847

Down $162,510 (-44%) from 2019

Net Assets

Down

-$2,935,529

Down $1,656,096 (-129%) from 2019

Liabilities

Up

$3,145,376

Up $1,493,586 (+90%) from 2019

Revenue

Down

$1,486,639

Down $478,192 (-24%) from 2019

Expenses

Down

$3,142,635

Down $252,617 (-7.4%) from 2019

Net Income

Down

-$1,655,996

Down $225,575 (-16%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0M-$10MAssets 2014: $1,743,063Liabilities 2014: $72,005Net Assets 2014: $1,671,0582014Assets 2015: $1,108,417Liabilities 2015: $27,354Net Assets 2015: $1,081,0632015Assets 2016: $1,021,400Liabilities 2016: $111,347Net Assets 2016: $910,0532016Assets 2017: $406,526Liabilities 2017: $24,119Net Assets 2017: $382,4072017Assets 2018: $216,731Liabilities 2018: $65,743Net Assets 2018: $150,9882018Assets 2019: $372,357Liabilities 2019: $1,651,790Net Assets 2019: -$1,279,4332019Assets 2020: $209,847Liabilities 2020: $3,145,376Net Assets 2020: -$2,935,5292020Assets 2021: $521,293Liabilities 2021: $4,251,538Net Assets 2021: -$3,730,2452021Assets 2022: $432,578Liabilities 2022: $6,089,411Net Assets 2022: -$5,656,8332022Assets 2023: $447,097Liabilities 2023: $7,339,149Net Assets 2023: -$6,892,0522023Assets 2024: $105,765Liabilities 2024: $7,142,975Net Assets 2024: -$7,037,2102024

Highlighted filing

2020

Assets$209,847
Liabilities$3,145,376
Net Assets-$2,935,529

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2014: $2,431,486Expenses 2014: $4,299,304Net Income 2014: -$1,867,8182014Revenue 2015: $3,295,294Expenses 2015: $5,537,026Net Income 2015: -$2,241,7322015Revenue 2016: $3,891,066Expenses 2016: $7,053,845Net Income 2016: -$3,162,7792016Revenue 2017: $2,236,218Expenses 2017: $3,654,361Net Income 2017: -$1,418,1432017Revenue 2018: $1,218,803Expenses 2018: $2,193,099Net Income 2018: -$974,2962018Revenue 2019: $1,964,831Expenses 2019: $3,395,252Net Income 2019: -$1,430,4212019Revenue 2020: $1,486,639Expenses 2020: $3,142,635Net Income 2020: -$1,655,9962020Revenue 2021: $682,687Expenses 2021: $1,477,403Net Income 2021: -$794,7162021Revenue 2022: $1,207,631Expenses 2022: $3,135,398Net Income 2022: -$1,927,7672022Revenue 2023: $848,336Expenses 2023: $2,083,555Net Income 2023: -$1,235,2192023Revenue 2024: $364,477Expenses 2024: $509,290Net Income 2024: -$144,8132024

Highlighted filing

2020

Revenue$1,486,639
Expenses$3,142,635
Net Income-$1,655,996
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 21, 2021
Return Version
2020v4.0
Gross Receipts
$1,486,639
Mission and Program Overview

Mission

Canton-potsdam medical practice's primary exempt purpose is to provide physician services, in an outpatient clinic setting, that provide public benefit to the community and canton-potsdam hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$256,359$122,022▼ $134,337
Cash and Non-Interest-Bearing Accounts$54,015$38,912▼ $15,103
Land, Buildings, and Equipment, Net$54,630$25,348▼ $29,282
Prepaid Expenses and Deferred Charges$6,267$6,586▲ $319
Inventories for Sale or Use$1,086$1,518▲ $432
Total Assets$372,357$209,847▼ $162,510
Other Assets Total-$15,461-
Liabilities
Other Liabilities$1,603,952$3,087,009▲ $1,483,057
Accounts Payable and Accrued Expenses$47,838$58,367▲ $10,529
Total Liabilities$1,651,790$3,145,376▲ $1,493,586
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-1,279,433$-2,935,529▼ $1,656,096
Total Net Assets Fund Balance$-1,279,433$-2,935,529▼ $1,656,096
Total Liabilities and Net Assets / Fund Balance$372,357$209,847▼ $162,510

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$21,997$164,553$186,550
Leasehold Improvements$3,351$9,673$13,024
Other Assets Org$15,461--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Robert T Rogersii MdMedical Dire$234,615$234,615

Board Members and Trustees

NameTitle
Robert T Rogersii MdMedical Director
Donna McgregorFinance
Richard D JacobsFinance

Highest Paid Contractors

ContractorServicesLocationCompensation
Kopp Billing Agency INCBilling/collectPO BOX 2337, Syracuse, NY 13220$137,937
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,448,197
Investment Income
$0
Other Revenue
$38,442
Change in Net Assets
$-1,655,996
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,487,566
Other Expenses$655,069
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,125,178--$2,125,178
Other Employee Benefits$362,388--$362,388
Occupancy$170,229--$170,229
Insurance$68,150$268-$68,418
Fees for Services Management-$30,108-$30,108
Other Expenses$3,729$16,052-$19,781
Depreciation Depletion$12,342$888-$13,230
All Other Expenses$11,378--$11,378
Fees for Services Legal-$2,650-$2,650
Payment Travel Entrtnmnt Publicly Ofcl-$1,477-$1,477
Travel-$71-$71
Interest$7--$7
Total Functional Expenses$3,065,135$77,500$0$3,142,635
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Robert T Rogers Ii MdMedical DirectoCompensationNo$234,615
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$3,087,009
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

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.

Form 990, Page 6, Part VI, Line 8B

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.

Form 990, Page 6, Part VI, Line 11B

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).

Form 990, Page 6, Part VI, Line 12C

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.

Form 990, Page 6, Part VI, Line 15A

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.

Form 990, Page 6, Part VI, Line 15B

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.

Form 990, Page 6, Part VI, Line 19

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

Filing and Contact Details

Filer

Filer Name
Canton-potsdam Med Practice Pllc
EIN
46-0714367
Phone
3152615100
Address
50 LEROY STREET, POTSDAM, NY 13676

Signing Officer

Name
Robert T Rogersii Md
Title
Medical Director
Phone
3152615100
Signed
2021-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert T Rogersii Md
Formed
2012
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
0

Preparer

Firm
Gray & Gray and Associates Cpas Pc
Address
1 MAIN STREET SUITE 101, CANTON, NY 13617-1277
Preparer
John J Gray Jr CPA
Phone
3153862925
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Canton-potsdam medical practice operates a family health clinic located in colton ny. This clinic had approximately 2,834 visits in 2020 with operating expenses of 409k. Canton-potsdam medical practice additionally operates other program services with 246k in expenses.

Financial Statement Notes

Schedule D, Page 3, Part X

The system and its affiliates are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code (the code) and are exempt from federal income taxes on related income pursuant to section 501(a) of the code. The system and affiliates recognize the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The system and affiliates did not recognize the effect of any uncertain income tax positions in either 2020 or 2019.

Raw XML AppendixShowing 400 of 485 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt047838
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt058367
IRS990/AccountsReceivableGrp/BOYAmt0256359
IRS990/AccountsReceivableGrp/EOYAmt0122022
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0CANTON-POTSDAM MEDICAL PRACTICE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE PHYSICIAN SERVICES, IN AN OUTPATIENT CLINIC SETTING, THAT PROVIDE PUBLIC BENEFIT TO THE COMMUNITY AND CANTON-POTSDAM HOSPITAL.
IRS990/AllOtherExpensesGrp/ProgramServicesAmt011378
IRS990/AllOtherExpensesGrp/TotalAmt011378
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0DONNA MCGREGOR
IRS990/BooksInCareOfDetail/PhoneNum03152615451
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt050 LEROY STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0POTSDAM
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd013676
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0true
IRS990/CashNonInterestBearingGrp/BOYAmt054015
IRS990/CashNonInterestBearingGrp/EOYAmt038912
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/ContractorCompensationGrp/CompensationAmt0137937
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt0PO BOX 2337
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0SYRACUSE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0NY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd013220
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0KOPP BILLING AGENCY INC
IRS990/ContractorCompensationGrp/ServicesDesc0BILLING/COLLECT
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0655069
IRS990/CYOtherRevenueAmt038442
IRS990/CYProgramServiceRevenueAmt01448197
IRS990/CYRevenuesLessExpensesAmt0-1655996
IRS990/CYSalariesCompEmpBnftPaidAmt02487566
IRS990/CYTotalExpensesAmt03142635
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01486639
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0true
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt0888
IRS990/DepreciationDepletionGrp/ProgramServicesAmt012342
IRS990/DepreciationDepletionGrp/TotalAmt013230
IRS990/Desc0CANTON-POTSDAM MEDICAL PRACTICE OPERATED A GASTROENTEROLOGY CLINIC IN 2020. PATIENT VISITS TOTALED APPROXIMATELY 2,225. THE GASTROENTEROLOGY CLINIC OPENED IN OCTOBER OF 2014 AND SERVES THE SURROUNDING NORTH COUNTRY COMMUNITIES OF (AND INCLUDING) POTSDAM, NEW YORK.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0807986
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt02650
IRS990/FeesForServicesLegalGrp/TotalAmt02650
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt030108
IRS990/FeesForServicesManagementGrp/TotalAmt030108
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt050.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt150.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt250.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt08.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt28.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt033225
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt112606
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt216191
IRS990/Form990PartVIISectionAGrp/PersonNm0RICHARD D JACOBS
IRS990/Form990PartVIISectionAGrp/PersonNm1ROBERT T ROGERSII MD
IRS990/Form990PartVIISectionAGrp/PersonNm2DONNA MCGREGOR
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0389565
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1222009
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2184769
IRS990/Form990PartVIISectionAGrp/TitleTxt0FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt1MEDICAL DIRE
IRS990/Form990PartVIISectionAGrp/TitleTxt2FINANCE
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02012
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt01486639
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0268
IRS990/InsuranceGrp/ProgramServicesAmt068150
IRS990/InsuranceGrp/TotalAmt068418
IRS990/InterestGrp/ProgramServicesAmt07
IRS990/InterestGrp/TotalAmt07
IRS990/InventoriesForSaleOrUseGrp/BOYAmt01086
IRS990/InventoriesForSaleOrUseGrp/EOYAmt01518
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt04
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0174226
IRS990/LandBldgEquipBasisNetGrp/BOYAmt054630
IRS990/LandBldgEquipBasisNetGrp/EOYAmt025348
IRS990/LandBldgEquipCostOrOtherBssAmt0199574
IRS990/LegalDomicileStateCd0NY
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0CANTON-POTSDAM MEDICAL PRACTICE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE PHYSICIAN SERVICES, IN AN OUTPATIENT CLINIC SETTING, THAT PROVIDE PUBLIC BENEFIT TO THE COMMUNITY AND CANTON-POTSDAM HOSPITAL.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-1279433
IRS990/NetAssetsOrFundBalancesEOYAmt0-2935529
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-1279433
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-2935529
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ProgramServicesAmt0170229
IRS990/OccupancyGrp/TotalAmt0170229
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt015461
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0362388
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0362388
IRS990/OtherExpensesGrp/Desc0PURCHASED SERVICES
IRS990/OtherExpensesGrp/Desc1SUPPLIES
IRS990/OtherExpensesGrp/Desc2OTHER
IRS990/OtherExpensesGrp/Desc3ALL OTHER EXPENSES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt025986
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt116052
IRS990/OtherExpensesGrp/ProgramServicesAmt0237699
IRS990/OtherExpensesGrp/ProgramServicesAmt173708
IRS990/OtherExpensesGrp/ProgramServicesAmt2327
IRS990/OtherExpensesGrp/ProgramServicesAmt33729
IRS990/OtherExpensesGrp/TotalAmt0237699
IRS990/OtherExpensesGrp/TotalAmt173708
IRS990/OtherExpensesGrp/TotalAmt226313
IRS990/OtherExpensesGrp/TotalAmt319781
IRS990/OtherLiabilitiesGrp/BOYAmt01603952
IRS990/OtherLiabilitiesGrp/EOYAmt03087009
IRS990/OtherOrganizationDsc0PLLC
IRS990/OtherRevenueMiscGrp/BusinessCd0621400
IRS990/OtherRevenueMiscGrp/Desc0OTHER OPERATING REVENUE
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt038442
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt038442
IRS990/OtherRevenueTotalAmt038442
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02125178
IRS990/OtherSalariesAndWagesGrp/TotalAmt02125178
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt06267
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt06586
IRS990/PrincipalOfficerNm0ROBERT T ROGERSII MD
IRS990/PriorPeriodAdjustmentsAmt0-100
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621400
IRS990/ProgramServiceRevenueGrp/Desc0PROGRAM SERVICE REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01448197
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01448197
IRS990/ProgSrvcAccomActy2Grp/Desc0CANTON-POTSDAM MEDICAL PRACTICE OPERATED A GENERAL SURGERY CLINIC IN 2020. PATIENT VISITS TOTALED APPROXIMATELY 1,193. THIS CLINIC OPENED IN AUGUST OF 2014 AND SERVES THE SURROUNDING NORTH COUNTRY COMMUNITIES OF (AND INCLUDING) POTSDAM, NEW YORK.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0656441
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0761159
IRS990/ProgSrvcAccomActy3Grp/Desc0CANTON-POTSDAM MEDICAL PRACTICE OPERATED A DERMATOLOGY PRACTICE IN 2020. PATIENT VISITS TOTALED APPROXIMATELY 5,701. THIS CLINIC OPENED IN 2019 AND SERVES THE SURROUNDING NORTH COUNTRY COMMUNITIES OF (AND INCLUDING) POTSDAM, NEW YORK.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0944498
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt01645247
IRS990/ProgSrvcAccomActyOtherGrp/Desc0CANTON-POTSDAM MEDICAL PRACTICE OPERATES A FAMILY HEALTH CLINIC LOCATED IN COLTON NY. THIS CLINIC HAD APPROXIMATELY 2,834 VISITS IN 2020 WITH OPERATING EXPENSES OF 409K. CANTON-POTSDAM MEDICAL PRACTICE ADDITIONALLY OPERATES OTHER PROGRAM SERVICES WITH 246K IN EXPENSES.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt0656210
IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt0542259
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/ManagementAndGeneralAmt01477
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt01477
IRS990/PYOtherExpensesAmt0642005
IRS990/PYProgramServiceRevenueAmt01964831
IRS990/PYRevenuesLessExpensesAmt0-1430421
IRS990/PYSalariesCompEmpBnftPaidAmt02753247
IRS990/PYTotalExpensesAmt03395252
IRS990/PYTotalRevenueAmt01964831
IRS990/ReconcilationRevenueExpnssAmt0-1655996
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt01291440
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0VENDOR PURCHASE DISCOUNT 14,009 STIMULUS GRANT FUNDS 38,436
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt04240105
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt05867052
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt03724091
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt06051657
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt011044644
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt030927549
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt038442
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt02205
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt02
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt011796
IRS990ScheduleA/OtherIncome509Grp/TotalAmt052445
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99830
IRS990ScheduleA/PublicSupportPY509Pct00.99960
IRS990ScheduleA/PublicSupportTotal509Amt030927549
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt04240105
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt05867052
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt03724091
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt06051657
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt011044644
IRS990ScheduleA/Total509Grp/TotalAmt030927549
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt04278547
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt05867052
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt03726296
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt06051659
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt011056440
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt030979994
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt021997
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0164553
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0186550
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt03351
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt09673
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt013024
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt015461
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0OTHER RECEIVABLES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03087009
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE SYSTEM AND ITS AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM AND AFFILIATES RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM AND AFFILIATES DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2020 OR 2019.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/TotalBookValueLandBuildingsAmt025348
IRS990ScheduleD/TotalBookValueOtherAssetsAmt015461
IRS990ScheduleD/TotalLiabilityAmt03087009
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0389565
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1222009
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2184769
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt019950
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt13273
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt013275
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt112606
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt212918
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICHARD D JACOBS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ROBERT T ROGERSII MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DONNA MCGREGOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0FINANCE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1MEDICAL DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2FINANCE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0422790
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1234615
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2200960
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0CANTON-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 INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NON-FOR-PROFITS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATIONS OF THE COMPENSATION COMMITTEE, THE COMMITTEEE WILL THEN MAKE RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIALS COMPENSATION PACKAGE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART III
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0ROBERT T ROGERS II MD
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0MEDICAL DIRECTO
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0234615
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0COMPENSATION
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0CANTON-POTSDAM HOSPITAL, RELATED ORGANIZATION, HAS BUSINESS TRANSACTIONS INVOLVING ROBERT T. ROGERS, II, MD, AN EMPLOYEE AT CANTON-POTSDAM HOSPITAL AND MEDICAL DIRECTOR OF CANTON-POTSDAM HOSPITAL. CANTON-POTSDAM HOSPITAL REMITTED APPROXIMATELY 234,615 TO ROBERT T. ROGERS, II, MD FOR COMPENSATION.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE L, PART V
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CANTON-POTSDAM MEDICAL PRACTICE OPERATES A FAMILY HEALTH CLINIC LOCATED IN COLTON NY. THIS CLINIC HAD APPROXIMATELY 2,834 VISITS IN 2020 WITH OPERATING EXPENSES OF 409K. CANTON-POTSDAM MEDICAL PRACTICE ADDITIONALLY OPERATES OTHER PROGRAM SERVICES WITH 246K IN EXPENSES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CANTON-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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CANTON-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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 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).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5LINE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd2true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd3true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1SLHS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2SLHS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3SLHS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ST LAWRENCE HEALTH SYSTEM INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1CANTON-POTSDAM HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2GOUVERNEUR HOSPITAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3MASSENA HOSPITAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0464259168
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1161012691
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2464249555
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3843134268
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0SEE VII
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt012A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt13
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt23
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt33
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt050 LEROY STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt150 LEROY STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt277 WEST BARNEY STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt31 HOSPITAL DRIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0POTSDAM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1POTSDAM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2GOUVERNEUR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm3MASSENA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd013676
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd113676
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd213642
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd313662
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0true
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/SupplementalInformationDetail/ExplanationTxt0ST. LAWRENCE HEALTH SYSTEM, INC. (SLHS) IS OPERATED EXCLUSIVELY FOR THE SOLE CHARITABLE PURPOSE OF BENEFITING AND SUPPORTING CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL, MESSENA HOSPITAL AND OTHER CORPORATIONS OF WHICH THE CORPORATION IS THE SOLE CORPORATE MEMBER, INCLUDING THE CANTON- POTSDAM MEDICAL PRACTICE, PLLC.
IRS990ScheduleR/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE R
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt02538697
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt130330
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FMV
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1FMV
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0CANTON-POTSDAM HOSPITAL

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings