2020-11-17T15:57:46-06:00 2019-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2019-01-01 161080039 SYRACUSE COMMUNITY HEALTH CENTER INC SYRA 3154767921 819 SOUTH SALINA STREET SYRACUSE NY 13202 AMELIA ELLINGWORTH CHIEF FINANCIAL OFFICER 3154767921 2020-11-17 1 TIMOTHY HAMMOND P01224809 3154227109 71.176.70.217 2020-11-17 15:38:53 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9B9B2C04414E8A8A7B0B000B564D82BBD9A17CFF 2019 2021-01-29 14:40:06Z MARK HALL 819 SOUTH SALINA STREET SYRACUSE NY 13202 25240016 0 X HTTP://SCHCNY.COM/ X 1978 NY TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS WITH A COMMITMENT TO THOSE WHO MIGHT OTHERWISE BE EXCLUDED FROM THE HEALTHCARE SYSTEM WHILE REMAINING COST EFFECTIVE, EFFICIENT, AND COMPETITIVE. 17 17 245 18 0 0 5602178 5763185 19362023 19248202 3633 36976 95857 143391 25063691 25191754 0 0 0 0 14059853 15518153 0 0 0 7701570 7050392 21761423 22568545 3302268 2623209 11324737 14295150 5934724 5461729 5390013 8833421 TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL INDIVIDUALS WITH A COMMITMENT WITH A COMMITMENT TO THOSE WHO MIGHT OTHERWISE BE EXCLUDED FROM THE HEALTHCARE SYSTEM WHILE REMAINING COST EFFECTIVE, EFFICIENT, AND COMPETITIVE. 0 0 17206278 19346029 OPERATED A COMMUNITY BASED HEALTH CENTER TO A LARGELY MEDICALLY UNDERSERVED POPULATION WITH 100,641 ENCOUNTERS IN 2019. 17206278 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 46 0 1 245 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X AMELIA ELLINGWORTH 3154767921 819 SOUTH SALINA STREET SYRACUSE NY 13202 STEVEN WILLIAMS VICE-CHAIR 2.00 2.00 X X 0 0 0 HARRY THOMPSON SECOND VICE-CHAIR 2.00 1.00 X X 0 0 0 STEPHEN MARKLEY TREASURER 2.00 1.00 X X 0 0 0 BRUCE CONNER SECRETARY 2.00 1.00 X X 0 0 0 CHARLES CONOLE DIRECTOR 2.00 1.00 X 0 0 0 CALVIN CORRIDERS DIRECTOR 2.00 1.00 X 0 0 0 PAULA FREEDMAN DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL WOLFSON DIRECTOR 2.00 1.00 X 0 0 0 HON VANESSA E BOGAN CHAIR 2.00 1.00 X X 0 0 0 ELEANOR MANUEL DIRECTOR 2.00 1.00 X 0 0 0 AGNES MCCRAY DIRECTOR 2.00 1.00 X 0 0 0 DR BRIAN THOMPSON DIRECTOR 2.00 1.00 X 0 0 0 DR SETH KRONENBERG DIRECTOR 2.00 1.00 X 0 0 0 DRAKE HARRISON DIRECTOR 2.00 1.00 X 0 0 0 JOSEPH O'HARA DIRECTOR 2.00 1.00 X 0 0 0 SHIRLEY ROWSER DIRECTOR 2.00 1.00 X 0 0 0 LAWRENCE WILLIAMS DIRECTOR 2.00 1.00 X 0 0 0 RAYMOND BLACKWELL DIRECTOR 2.00 1.00 X 0 0 0 MARK HALL PRESIDENT & CEO 40.00 5.00 X 271369 0 32999 AMELIA ELLINGWORTH CHIEF FINANCIAL OFFICER 40.00 5.00 X 126885 0 34427 DERRICK L MURRY CHIEF OPERATING OFFICER 40.00 5.00 X 212808 0 10905 CRAIG A WILLIAMS CHIEF ADMINISTRATIVE OFFICER 40.00 X 163635 0 6081 FELIPE DIAZ CHIEF MEDICAL OFFICER (THRU 2/19) 40.00 X 159917 0 7985 MICHAEL SCHIANO CHIEF MEDICAL OFFICER (AFTER 2/19) 40.00 X 279886 0 1913 BILL HINES MEDICAL DIRECTOR - CAPS 40.00 X 222808 0 38929 MAYGOE SHEEHAN FAMILY PHYSICIAN 40.00 X 216891 0 7897 FRANKIE QUARLES CHIEF OF OB/GYN 40.00 X 257735 0 9439 SURAIYA AZIZ INTERNIST 40.00 X 209546 0 7910 CHIMA CHIONUMA CHIEF OF PEDIATRICS 40.00 X 219781 0 20573 2341261 0 179058 30 0 1 0 NEXTGEN HEALTHCARE INC 18111 VON KARMAN AVENUE SUITE 800 IRVINE CA 92612 MEDICAL BILLING SERVICES 893510 MS HALL & ASSOCIATES INC 110 WEST FAYETTE STREET SUITE 1215 SYRACUSE NY 13202 MANAGEMENT AND CONSULTING SERVICES 321406 MARSHALL & MAURO PROPERTY MAINTENANCE L 376 NORWOOD AVENUE SYRACUSE NY 13206 JANITORIAL SERVICES 286772 ALPHA SECURITY BUREAU 615 SOUTH MAIN STREET NORTH SYRACUSE NY 13212 SECURITY SERVICES 281802 CNY DIAGNOSTIC IMAGING ASSOCIATES 1000 EAST GENESEE STREET SUITE 100 SYRACUSE NY 13210 RADIOLOGY SERVICES 198550 12 1600 5761585 5763185 MEDICAID AND MEDICARE 624100 12402019 12402019 INCENTIVE INCOME 621990 4788241 4788241 THIRD PARTY PAYORS AND SELF-PAY 621300 1134379 1134379 340B INCOME 621990 923563 923563 19248202 36976 36976 26450 0 26450 26450 26450 54488 1600 48262 6226 6226 MISCELLANEOUS REVENUE 900099 110715 97827 12888 110715 25191754 19346029 0 82540 X 1308810 449701 859109 11369720 9235895 2133825 60321 63193 -2872 1796895 1425814 371081 982407 754556 227851 107717 2927 104790 61500 61500 2370261 1695763 674498 510075 202492 307583 85830 76825 9005 2158913 2015499 143414 137643 76073 61570 17071 2439 14632 840999 693920 147079 153422 153422 PHARMACEUTICALS 378158 378158 DUES & SUBSCRIPTIONS 154195 99110 55085 OTHER 38272 10516 27756 CONSUMABLE SUPPLIES 36336 23397 12939 22568545 17206278 5362267 0 5163882 2118758 14138 4654614 91428 83441 1838386 2880945 196383 416762 13144917 9046387 3989883 4098530 30637 42100 11324737 14295150 1999881 2677896 39947 0 1315362 1220048 2579534 1563785 5934724 5461729 X 5390013 7953225 880196 5390013 8833421 11324737 14295150 X 2623209 820199 X 0 0 0 X 4850328 6326062 7397197 5602178 5763185 29938950 17204122 15425229 15256094 19428967 19346029 86660441 22054450 21751291 22653291 25031145 25109214 116599391 0 2780415 2771731 5552146 2780415 2771731 5552146 111047245 3127 1451 32200 32546 63426 132750 3127 1451 32200 32546 63426 132750 19114 19114 22057577 21752742 22685491 25063691 25191754 116751255 0.95110 0.97540 0.00110 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3392831 1746363 1646468 8862246 7300024 1562222 889840 889840 4098530 DUE TO AFFILIATES 398460 DUE TO FUNDING SOURCES 1165325 1563785 EVENING OF JAZZ 56088 1600 54488 6710 16932 7566 17054 56088 1600 54488 6710 16932 7566 17054 48262 6226 X X 0 0 0 0 0 0 0 0 0 MARK HALL PRESIDENT & CEO 271369 0 0 0 0 0 8260 0 24739 0 304368 0 0 0 AMELIA ELLINGWORTH CHIEF FINANCIAL OFFICER 126885 0 0 0 0 0 2098 0 32329 0 161312 0 0 0 DERRICK L MURRY CHIEF OPERATING OFFICER 212808 0 0 0 0 0 6574 0 4331 0 223713 0 0 0 CRAIG A WILLIAMS CHIEF ADMINISTRATIVE OFFICER 163635 0 0 0 0 0 5022 0 1059 0 169716 0 0 0 FELIPE DIAZ CHIEF MEDICAL OFFICER (THRU 2/19) 159917 0 0 0 0 0 0 0 7985 0 167902 0 0 0 MICHAEL SCHIANO CHIEF MEDICAL OFFICER (AFTER 2/19) 279886 0 0 0 0 0 0 0 1913 0 281799 0 0 0 BILL HINES MEDICAL DIRECTOR - CAPS 222808 0 0 0 0 0 6937 0 31992 0 261737 0 0 0 MAYGOE SHEEHAN FAMILY PHYSICIAN 216891 0 0 0 0 0 6507 0 1390 0 224788 0 0 0 FRANKIE QUARLES CHIEF OF OB/GYN 257735 0 0 0 0 0 7732 0 1707 0 267174 0 0 0 SURAIYA AZIZ INTERNIST 209546 0 0 0 0 0 6297 0 1613 0 217456 0 0 0 CHIMA CHIONUMA CHIEF OF PEDIATRICS 219781 0 0 0 0 0 6712 0 13861 0 240354 0 0 0 MS HALL & ASSOCIATES INC ENTITY MORE THAN 35% OWNED BY MARK HALL, PRESIDENT & CEO 291841 MANAGEMENT AND CONSULTING SERVICES 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTED WITH M.S. HALL & ASSOCIATES, INC. TO PROVIDE INTERIM PRESIDENT & CEO DUTIES UNTIL FEBRUARY 10, 2019. FORM 990, PART VI, SECTION A, LINE 6 SCHC COMPANIES, INC. IS THE SOLE MEMBER OF SYRACUSE COMMUNITY HEALTH CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A SCHC COMPANIES, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS THE POWER TO APPOINT THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, WHO THEN DISSEMINATES TO THE FINANCE AND AUDIT COMMITTEE. THE FINANCE AND AUDIT COMMITTEE HAS AN OPPORTUNITY FOR QUESTIONS, COMMENTS, OR CHANGES TO BE MADE BASED ON THIS REVIEW. IF ANY CHANGES ARE MADE AS A RESULT OF THIS REVIEW, THE CHIEF FINANCIAL OFFICER REVIEWS THE FINAL VERSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SYRACUSE COMMUNITY HEALTH CENTER, INC. REQUIRES ALL EMPLOYEES, PROVIDERS, DIRECTORS, AND DEPARTMENT MANAGERS TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY DURING THEIR ANNUAL PERFORMANCE EVALUATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE PRESIDENT & CEO'S PERFORMANCE, REVIEWS COMPARABLE SALARY DATA AND DECIDES ON APPROPRIATE COMPENSATION. SALARIES FOR KEY EMPLOYEES ARE BASED ON THEIR ANNUAL REVIEW AND COMPARABLE SALARY DATA. FORM 990, PART VI, SECTION C, LINE 19 SYRACUSE COMMUNITY HEALTH CENTER, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS & CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,493,505. MANAGEMENT AND GENERAL EXPENSES 674,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,168,003. LABORATORY FEES: PROGRAM SERVICE EXPENSES 202,258. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,258. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFILIATE 820,199. SCHC COMPANIES INC 819 SOUTH SALINA STREET SYRACUSE NY 13202 222943771 PROMOTE/SUPPORT HEALTH CENTER NY 501(C)(3) LINE 12A, I N/A 0 SYRACUSE COMMUNITY HEALTH CENTER FOUNDATION INC 819 SOUTH SALINA STREET SYRACUSE NY 13202 223201171 RECEIVE & ADMINISTER GIFTS NY 501(C)(3) LINE 12A, I SCHC COMPANIES INC 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0