Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
A For the 2023 calendar year, or tax year beginning 07-01-2023 , and ending 06-30-2024
BCheck if applicable:
CName of organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
% SEAN MONAHAN CPA
Doing business as
SOUTHERN TIER OCCUPATIONAL HEALTH
 
Number and street (or P.O. box if mail is not delivered to street address)
169 RIVERSIDE DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BINGHAMTON, NY13905
D Employer identification number

82-1103087
E Telephone number

G Gross receipts $ 1,409,417
F Name and address of principal officer:
JAGRAJ S RAI MD
169 RIVERSIDE DRIVE
BINGHAMTON,NY13905
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.GUTHRIE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 2017
M State of legal domicile: NY
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE PROVISION OF CHARITABLE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 1
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 2,048,026 1,409,417
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -10,954 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,037,072 1,409,417
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 4,789,148 3,380,461
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,789,148 3,380,461
19 Revenue less expenses. Subtract line 18 from line 12....... -2,752,076 -1,971,044
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,077,463 5,675,365
21 Total liabilities (Part X, line 26)............. 14,696,944 6,233,386
22 Net assets or fund balances. Subtract line 21 from line 20..... -9,619,481 -558,021
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2023)
Form 990 (2023)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE PROVISION OF PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF OUR LADY OF LOURDES MEMORIAL HOSPITAL AND THE GUTHRIE CLINIC AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SOUTHERN TIER MEDICAL CARE - NY PC'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,119,405 including grants of $ 0 ) (Revenue $ 1,409,417 )
EXPENSES INCURRED IN THE PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF OUR LADY OF LOURDES MEMORIAL HOSPITAL AND THE GUTHRIE CLINIC AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SOUTHERN TIER MEDICAL CARE - NY PC'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses3,119,405
Form 990 (2023)
Form 990 (2023)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2023)
Form 990 (2023)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
6
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2023)
Form 990 (2023)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2023)
Form 990 (2023)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
1
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
SEAN MONAHAN CPAONE GUTHRIE SQUARE   SAYRE,PA18840 (570) 887-5981
Form 990 (2023)
Form 990 (2023)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JAGRAJ S RAI MD......................................................................
SECRETARY-DIRECTOR/PRESIDENT
55.0
.................
0.0
X   X       0 466,019 67,960
(2) FRANCIS M MACAFEE......................................................................
VP/CFO OLLMH (EFF 2/24)
55.0
.................
0.0
    X       0 352,426 42,076
(3) LAURA M PASCUCCI......................................................................
FORMER OFFICER
55.0
.................
0.0
          X 0 255,103 68,347




























Form 990 (2023)
Form 990 (2023)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 0 1,073,548 178,383
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
NEIGHBORHOOD FAMILY MEDICINE LLC,
105 BARRINGTON ROAD
HORSEHEADS,NY14845
MEDICAL 2,150,759
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1
Form 990 (2023)
Form 990 (2023)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 0
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVIEC REVENUE 621110 824,914 824,914    
b OTHER HEALTHCARE RELATED REVENUE 900099 584,503 584,503    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 1,409,417
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 0   0 0
4 Income from investment of tax-exempt bond proceeds 0      
5 Royalties........... 0      
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c 0 0
d Net rental income or (loss)....... 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a    
b Less: cost or other basis and sales expenses 7b    
c Gain or (loss) 7c    
d Net gain or (loss)......... 0      
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events.. 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities.. 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory.. 0      
 OtherRevenueMiscAmt
Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... 0
12 Total revenue. See instructions..... 1,409,417 1,409,417 0 0
Form 990 (2023)
Form 990 (2023)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 0      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0      
9 Other employee benefits ....... 0      
10 Payroll taxes ........... 0      
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 0      
c Accounting ........... 0      
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 777,851 772,851 5,000  
12 Advertising and promotion .... 959 959    
13 Office expenses ....... 324,152 324,163 -11  
14 Information technology ...... 61,631 61,631    
15 Royalties .. 0      
16 Occupancy ........... 242,952 242,952    
17 Travel ............ 4,253 4,253    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 1,462 1,462    
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 194,275 110,943 83,332  
23 Insurance ... 1,215 1,006 209  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a ALLOC. OF PERSONNEL COSTS 1,681,375 1,508,849 172,526 0
b MEDICAL EXPENSES 88,322 88,322 0 0
c OTHER EXPENSES 2,014 2,014 0 0
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 3,380,461 3,119,405 261,056 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2023)
Form 990 (2023)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments ......... 2,092,100 2 2,732,986
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 45,903 4 123,882
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 0 9 81,381
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 986,000
b Less: accumulated depreciation 10b 83,332 1,392,380 10c 902,668
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 1,547,080 15 1,834,448
16 Total assets. Add lines 1 through 15 (must equal line 33)... 5,077,463 16 5,675,365
Liabilities 17 Accounts payable and accrued expenses ..... 12,583 17 152,970
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 14,684,361 25 6,080,416
26 Total liabilities. Add lines 17 through 25.. 14,696,944 26 6,233,386
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -9,619,481 27 -558,021
28 Net assets with donor restrictions ........... 0 28 0
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... -9,619,481 32 -558,021
33 Total liabilities and net assets/fund balances ........ 5,077,463 33 5,675,365
Form 990 (2023)
Form 990 (2023)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,409,417
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,380,461
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-1,971,044
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
-9,619,481
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
11,032,504
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-558,021
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2023)
Form 990 (2023)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
Employer identification number

82-1103087
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:
10
An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2023 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2023
(iii)
Distributable
Amount for 2023
1 Distributable amount for 2023 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2023:
a From 2018.......  
b From 2019.......  
c From 2020.......  
d From 2021.......  
e From 2022.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2023 distributable amount  
i Carryover from 2018 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2023 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2023 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2023, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2023. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2024. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2019.....  
b Excess from 2020.....  
c Excess from 2021.....  
d Excess from 2022.....  
e Excess from 2023.....  
Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 


Return Reference Explanation
SCHEDULE A, PART I, LINE 3 ALTHOUGH THIS ORGANIZATION RECEIVES ITS PUBLIC CHARITY STATUS AS A HOSPITAL, IT IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H, AS THE ORGANIZATION IS NOT A LICENSED HOSPITAL.
Schedule A (Form 990) 2023


Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
Employer identification number

82-1103087
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....   912,000 80,347 831,653
c Leasehold improvements        
d Equipment ....   74,000 2,985 71,015
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 902,668
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DUE FROM AFFILIATES 1,187,612
(2)RIGHT OF USE ASSETS 646,836
(3)OTHER RECEIVABLES 0
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 1,834,448
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
DUE TO AFFILIATES 5,233,311
RIGHT OF USE LIABILITY 847,105
OTHER LIABILITIES 0






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 6,080,416
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS THE GUTHRIE CLINIC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2024 AND JUNE 30, 2023; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CORPORATION HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D (Form 990) 2022


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
Employer identification number

82-1103087
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1JAGRAJ S RAI MD
SECRETARY-DIRECTOR/PRESIDENT
(i)

(ii)
0
-------------
441,899
0
-------------
65
0
-------------
24,055
0
-------------
32,400
0
-------------
35,560
0
-------------
533,979
0
-------------
0
2FRANCIS M MACAFEE
VP/CFO OLLMH (EFF 2/24)
(i)

(ii)
0
-------------
300,059
0
-------------
50,368
0
-------------
1,999
0
-------------
22,778
0
-------------
19,298
0
-------------
394,502
0
-------------
0
3LAURA M PASCUCCI
FORMER OFFICER
(i)

(ii)
0
-------------
209,242
0
-------------
41,412
0
-------------
4,449
0
-------------
43,204
0
-------------
25,143
0
-------------
323,450
0
-------------
0
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART VII AND SCHEDULE J IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2023 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
Schedule J (Form 990) 2023

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
Employer identification number

82-1103087
Return Reference Explanation
CORE FORM, PART I, LINES 3 & 4 & PART VI, SECTION A; Q'S 1A & 1B THIS ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS REFLECTED ON CORE FORM, PART I, LINES 3 AND 4 AND ALSO IN PART VI, LINES 1A AND 1B, THERE IS ONE VOTING MEMBER ON THE BOARD OF DIRECTORS. AT YEAR END, THE VOTING BOARD MEMBER IS NOT INDEPENDENT BECAUSE HE IS EMPLOYED BY A RELATED ORGANIZATION AND RECEIVES WAGES AS AN EMPLOYEE. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF DIRECTORS UNDER THE INTERNAL REVENUE SERVICE RULES AND REGULATIONS; THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CONTROLLED BY OUR LADY OF LOURDES MEMORIAL HOSPITAL; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH IS CONTROLLED BY THE GUTHRIE CLINIC; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHICH ARE INDEPENDENT VOTING MEMBERS.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. ("OLLMH") IS THE SOLE MEMBER OF THIS ORGANIZATION. THE GUTHRIE CLINIC ("TGC") IS THE SOLE MEMBER OF OLLMH. ACCORDINGLY, TGC HAS THE ULTIMATE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE GUTHRIE CLINIC IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12 THE CONFLICT OF INTEREST DISCLOSURE POLICY SETS FORTH THAT ALL PERSONS, INCLUDING EMPLOYEES, AGENTS AND BOARD/COMMITTEE MEMBERS, PARTICULARLY THOSE INVOLVED IN DECISION-MAKING FOR THE GUTHRIE CLINIC ("TGC"), ACT IN AN APPROPRIATE MANNER AND WILL NOT PARTICIPATE IN ANY ACTIONS THAT MIGHT CREATE A PERSONAL OR PROFESSIONAL CONFLICT OF INTEREST AND/OR NOT BE IN THE BEST INTEREST OF TGC. ALL MEMBERS OF ANY TGC BOARD/COMMITTEE AND TGC SENIOR MANAGEMENT MUST MAKE FULL DISCLOSURE OF ANY POSSIBLE CONFLICT OF INTEREST THROUGH THE USE OF THE CONFLICT OF INTEREST DISCLOSURE FORM AND REFRAIN FROM VOTING OR PARTICIPATING IN DECISION-MAKING INVOLVING ANY POSSIBLE CONFLICT OF INTEREST. THE FORM IS DISTRIBUTED TO ALL BOARD/COMMITTEE MEMBERS AND EMPLOYEES (WHEN APPLICABLE) ANNUALLY BY THE TGC ADMINISTRATION OFFICE. TGC BOARD/COMMITTEE MEMBERS OR EMPLOYEES MUST COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM. THIS FORM SHOULD BE COMPLETED WHEN THERE IS ANY SITUATION WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, AND/OR ON AN ANNUAL BASIS AND/OR AT THE TIME OF APPOINTMENT OR ELECTION OF NEW BOARD/COMMITTEE MEMBERS. IF THE FORM IS NOT COMPLETED WITHIN 13 MONTHS OF THE LAST SIGNING, THE TGC BOARD CHAIRMAN WILL BE ADVISED. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD EXCUSE THEMSELVES FROM THE PORTION OF THE MEETING OR MEETINGS WHERE THE MATTER IS DISCUSSED AND NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING OR MEETINGS SHOULD REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTED.
CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES THE GUTHRIE CLINIC ("TGC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. TGC'S BOARD OF DIRECTORS MAINTAINS THE GUTHRIE CLINIC COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF TGC'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF THE GUTHRIE CLINIC AND AFFILIATES; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE GUTHRIE CLINIC AND AFFILIATES HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT DIRECTORS, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN TGC SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE GUTHRIE CLINIC AND AFFILIATES PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS NOT OPEN FOR PUBLIC INSPECTION.
CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. LAURA M. PASCUCCI IS STILL EMPLOYED WITH OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. AND NO LONGER SERVES AS AN OFFICER OF THIS ORGANIZATION.
CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTORS MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE GUTHRIE CLINIC AND AFFILIATES; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - WRITE-OFF OF NET ASSETS PURSUANT TO THE TERMS OF THE MEMBERSHIP SUBSTITUTION AGREEMENT - $11,032,504.
CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE GUTHRIE CLINIC IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE GUTHRIE CLINIC AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2024 AND JUNE 30, 2023; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:777851
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
SOUTHERN TIER MEDICAL CARE - NY PC
 
Employer identification number

82-1103087
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BINGHAMTON HEALTH CORPORATION
169 RIVERSIDE DRIVE

BINGHAMTON,NY13905
88-1655027
HEALTHCARE NY 501(c)(3) 3 OLLMH
 
 
No
(2)CORNING HOSPITAL
ONE GUTHRIE DRIVE

CORNING,NY14830
16-0393490
HEALTHCARE NY 501(c)(3) 3 TGC
 
 
No
(3)CORTLAND MEMORIAL FOUNDATION INC
134 HOMER AVENUE

CORTLAND,NY13045
22-2230692
SUPPORTING NY 501(c)(3) 7 GCMC
 
 
No
(4)DONALD GUTHRIE FOUNDATION
200 S WILBUR AVE

SAYRE,PA18840
24-6022957
MED RESEARCH PA 501(c)(3) 7 TGC
 
 
No
(5)GUTHRIE CORTLAND MEDICAL CENTER
134 HOMER AVENUE

CORTLAND,NY13045
15-0532079
HEALTHCARE NY 501(c)(3) 3 TGC
 
 
No
(6)GUTHRIE HOME CARE
421 TOMAHAWK ROAD

TOWANDA,PA18848
23-2394345
HOME HEALTH PA 501(c)(3) 10 TGC
 
 
No
(7)GUTHRIE MEDICAL GROUP PC
ONE GUTHRIE SQUARE

SAYRE,PA18840
25-0815795
HEALTHCARE PA 501(c)(3) 3 TGC
 
 
No
(8)GUTHRIE RISK RETENTION GROUP
151 MEETING STREET

CHARLESTON,SC29401
20-1090801
SUPPORTING SC 501(c)(3) 12A TGC
 
 
No
(9)LOURDES REALTY COMPANY INC
169 RIVERSIDE DRIVE

BINGHAMTON,NY13905
22-2873637
TITLE HLDNG. NY 501(c)(2) N/A OLLMH
 
 
No
(10)OUR LADY OF LOURDES MEMORIAL HOSPITAL
169 RIVERSIDE DRIVE

BINGHAMTON,NY13905
15-0532221
HEALTHCARE NY 501(c)(3) 3 TGC
 
 
No
(11)ROBERT PACKER HOSPITAL
ONE GUTHRIE SQUARE

SAYRE,PA18840
24-0795463
HEALTHCARE PA 501(c)(3) 3 TGC
 
 
No
(12)SAYRE HOUSE OF HOPE
ONE GUTHRIE SQUARE

SAYRE,PA18840
20-3979472
HEALTHCARE PA 501(c)(3) 7 TGC
 
 
No
(13)THE GUTHRIE CLINIC
ONE GUTHRIE SQUARE

SAYRE,PA18840
22-3055017
SUPPORTING PA 501(c)(3) 12B NA
 
 
No
(14)TROY COMMUNITY HOSPITAL INC
275 GUTHRIE DRIVE

TROY,PA16947
24-0800337
HEALTHCARE PA 501(c)(3) 3 TGC
 
 
No
(15)AFFINITY HEALTH SYSTEM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1568866
SUPPORTING IL 501(c)(3) 12B MHC
 
 
No
(16)ALABAMA PROVIDENCE HEALTHCARE SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-2847744
SUPPORTING AL 501(c)(3) 10 GCHS
 
 
No
(17)ALEXIAN BROTHERS AMBULATORY GROUP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4336931
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(18)ALEXIAN BROS BEHAVIORAL HEALTH HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4251848
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(19)ALEXIAN BROTHERS BONAVENTURE HOUSE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3527899
SUPPORTING IL 501(c)(3) 10 ABHS
 
 
No
(20)ALEXIAN BROTHERS CTR FOR MENTAL HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3045007
HEALTHCARE IL 501(c)(3) 10 ABHS
 
 
No
(21)ALEXIAN BROTHERS COMMUNITY SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4344423
HEALTHCARE IL 501(c)(3) 10 AHSC
 
 
No
(22)ALEXIAN BROTHERS HEALTH SYSTEM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3260495
SUPPORTING IL 501(c)(3) 12C AH
 
 
No
(23)ALEXIAN BROTHERS HOSPITAL NETWORK
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3276552
SUPPORTING IL 501(c)(3) 12B ABHS
 
 
No
(24)ALEXIAN BROTHERS LANSDOWNE VILLAGE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1470362
HEALTHCARE MO 501(c)(3) 10 AHSC
 
 
No
(25)ALEXIAN BROTHERS MEDICAL CARE GROUP NFP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
47-1930457
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(26)ALEXIAN BROTHERS MEDICAL CENTER
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-2596381
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(27)ALEXIAN BROS MED GROUP SPECIALTY CARE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
81-1110738
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(28)ALEXIAN BROTHERS OF SAN JOSE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
94-1530037
HEALTHCARE TX 501(c)(3) 12A ABHS
 
 
No
(29)ALEXIAN BROTHERS SENIOR MINISTRIES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4484290
SUPPORTING IL 501(c)(3) 12B ABHS
 
 
No
(30)ALEXIAN BROTHERS SERVICES INC
3040 SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
43-1295333
HEALTHCARE MO 501(c)(3) 10 ABHS
 
 
No
(31)ALEXIAN BROTHERS SHERBROOKE VILLAGE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1592502
HEALTHCARE MO 501(c)(3) 10 AHSC
 
 
No
(32)ALEXIAN BROTHERS SPECIALTY GROUP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
80-0710751
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(33)ALEXIAN VILLAGE OF MILWAUKEE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1351584
HEALTHCARE WI 501(c)(3) 10 AHSC
 
 
No
(34)ALEXIAN VILLAGE OF TENNESSEE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-1136742
HEALTHCARE TN 501(c)(3) 10 AHSC
 
 
No
(35)ALVERNO PROVENA HOSPITAL LABS INC
2434 INTERSTATE PLAZA DRIVE

HAMMOND,IN46234
20-3238867
HEALTHCARE IN 501(c)(3) 3 PCSHNPCHN
 
 
No
(36)AMERICAN SPORTS MEDICINE INSTITUTE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0952490
HEALTHCARE AL 501(c)(3) 7 SVB
 
 
No
(37)ARTHUR MERKLE - CLARA KNIPPRATH NH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-2841358
HEALTHCARE IL 501(c)(3) 10 PLC
 
 
No
(38)ASCENSION ALL SAINTS HOSPITAL FND INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1570877
FOUNDATION WI 501(c)(3) 7 AASH
 
 
No
(39)ASCENSION ALL SAINTS HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1264986
HEALTHCARE WI 501(c)(3) 3 WFHSW
 
 
No
(40)ASCENSION ARIZONA
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
86-0455920
HEALTHCARE AZ 501(c)(3) 3 AH
 
 
No
(41)ASCENSION BORGESS ALLEGAN FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2802463
FUNDRAISING MI 501(c)(3) 12A AM
 
 
No
(42)ASCENSION BORGESS ALLEGAN HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1359180
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(43)ASCENSION BORGESS FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7222558
FUNDRAISING MI 501(c)(3) 12A ABH
 
 
No
(44)ASCENSION BORGESS HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1360526
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(45)ASCENSION BORGESS LEE FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2860459
FUNDRAISING MI 501(c)(3) 12A ABLH
 
 
No
(46)ASCENSION BORGESS-LEE HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1490190
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(47)ASCENSION BRIGHTON CENTER FOR RECOVERY
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1576680
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(48)ASCENSION CALUMET HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0905385
HEALTHCARE WI 501(c)(3) 3 MHC
 
 
No
(49)ASCENSION CARE MANAGEMENT INS HOLDINGS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-1121862
HEALTHCARE MO 501(c)(3) 12A ACM
 
 
No
(50)ASCENSION DEPAUL HOLDINGS OF EL PASO
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2734755
SUPPORTING TX 501(c)(3) 12A AH
 
 
No
(51)ASCENSION EASTWOOD BEHAVIORAL HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1958763
HEALTHCARE MI 501(c)(3) 7 SJP
 
 
No
(52)ASCENSION FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
86-2197504
FOUNDATION MO 501(c)(3) 12A AHA
 
 
No
(53)ASCENSION GENESYS FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3591148
FOUNDATION MI 501(c)(3) 12B GHS
 
 
No
(54)ASCENSION GENESYS HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2377821
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(55)ASCENSION HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
31-1662309
HEALTHCARE MO 501(c)(3) 12A AHA
 
 
No
(56)ASCENSION HEALTH - IS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
65-1257719
SUPPORTING MO 501(c)(3) 12A AHA
 
 
No
(57)ASCENSION HEALTH ALLIANCE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-3358926
HEALTHCARE MO 501(c)(3) 12A NA
 
 
No
(58)ASC HEALTH PROF & GEN LIAB SELF-INS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-7046706
SUPPORTING MO 501(c)(3) 12A AHA
 
 
No
(59)ASCENSION HEALTH GLOBAL MISSION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
65-1205990
SUPPORTING MO 501(c)(3) 12A AHA
 
 
No
(60)ASCENSION HEALTH SENIOR CARE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1227406
HEALTHCARE MO 501(c)(3) 12B AH
 
 
No
(61)ASC LIVING - LAKESHORE AT SIENA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
82-4710412
HEALTHCARE WI 501(c)(3) 10 AHSC
 
 
No
(62)ASCENSION LIVING ST VINCENT PACE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
87-2516723
HEALTHCARE IN 501(c)(3) 10 AHSC
 
 
No
(63)ASCENSION MACOMB OAKLAND HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3322109
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(64)ASCENSION MEDICAL GROUP GENESYS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
83-1617112
HEALTHCARE MI 501(c)(3) 10 AMGM
 
 
No
(65)ASCENSION MEDICAL GROUP MICHIGAN
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3494637
HEALTHCARE MI 501(c)(3) 10 AMG
 
 
No
(66)ASCENSION MEDICAL GROUP PROMED
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3193801
HEALTHCARE MI 501(c)(3) 10 AMG
 
 
No
(67)ASC MEDICAL GROUP-FOX VALLEY WI INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1127163
HEALTHCARE WI 501(c)(3) 3 AHS
 
 
No
(68)ASC MEDICAL GROUP-SOUTHEAST WI INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1791586
HEALTHCARE WI 501(c)(3) 3 WFHSW
 
 
No
(69)ASCENSION MICHIGAN
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2631907
SUPPORTING MI 501(c)(3) 12A AH
 
 
No
(70)ASCENSION MICHIGAN CMG
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2601348
HEALTHCARE MI 501(c)(3) 10 SJP
 
 
No
(71)ASCENSION MINISTRY AND MISSION FUND
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-3174701
SUPPORTING MO 501(c)(3) 12A AHA
 
 
No
(72)ASCENSION NE WISCONSIN INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0816818
HEALTHCARE WI 501(c)(3) 3 MHC
 
 
No
(73)ASCENSION PROVIDENCE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-1109636
HEALTHCARE TX 501(c)(3) 3 AT
 
 
No
(74)ASCENSION PROVIDENCE FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3526629
FUNDRAISING MI 501(c)(3) 7 APH
 
 
No
(75)ASCENSION PROVIDENCE FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2683112
SUPPORTING TX 501(c)(3) 12A AP
 
 
No
(76)ASCENSION PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1358212
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(77)ASCENSION PROVIDENCE ROCHESTER FND
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2627336
SUPPORTING MI 501(c)(3) 12A APRH
 
 
No
(78)ASCENSION PROVIDENCE ROCHESTER HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1359247
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(79)ASCENSION RIVER DISTRICT HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3160564
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(80)ASCENSION SE WISCONSIN HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0816857
HEALTHCARE WI 501(c)(3) 3 WFHSW
 
 
No
(81)ASCENSION SETON
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-1109643
HEALTHCARE TX 501(c)(3) 3 AT
 
 
No
(82)ASCENSION SETON FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2212968
FUNDRAISING TX 501(c)(3) 12B AT
 
 
No
(83)ASCENSION SETON HAYS FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-2842608
FUNDRAISING TX 501(c)(3) 12B AT
 
 
No
(84)ASCENSION SETON WILLIAMSON FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-5330986
FUNDRAISING TX 501(c)(3) 12B AT
 
 
No
(85)ASCENSION SE MICHIGAN COMM HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2262856
HEALTHCARE MI 501(c)(3) 3 SJP
 
 
No
(86)ASCENSION ST CLARE'S HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
72-1531917
HEALTHCARE WI 501(c)(3) 3 MHC
 
 
No
(87)ASCENSION ST ELIZABETH FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1256677
FOUNDATION WI 501(c)(3) 7 AHS
 
 
No
(88)ASCENSION ST FRANCIS HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0907740
HEALTHCARE WI 501(c)(3) 3 WFHSW
 
 
No
(89)ASCENSION ST JOHN FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-2961579
FUNDRAISING MI 501(c)(3) 7 ASJH
 
 
No
(90)ASCENSION ST JOHN HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1359063
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(91)ASCENSION ST JOSEPH FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
01-0790428
FUNDRAISING MI 501(c)(3) 12A ASJH
 
 
No
(92)ASCENSION ST JOSEPH HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1443395
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(93)ASCENSION ST MARY'S FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2246366
FUNDRAISING MI 501(c)(3) 12A ASMH
 
 
No
(94)ASCENSION ST MARY'S HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-0997730
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(95)ASCENSION STANDISH HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-1671120
HEALTHCARE MI 501(c)(3) 3 AM
 
 
No
(96)ASCENSION TEXAS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-4364243
HEALTHCARE TX 501(c)(3) 12A AH
 
 
No
(97)ASCENSION TEXAS CARDIOVASCULAR
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-3220767
HEALTHCARE TX 501(c)(3) 12B SCEC
 
 
No
(98)ASCENSION VIA CHR HEALTH PARTNERS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-0958974
MANAGEMENT KS 501(c)(3) 10 AVCH
 
 
No
(99)ASCENSION VIA CHRISTI HEALTH INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1172107
HEALTHCARE KS 501(c)(3) 12A AH
 
 
No
(100)ASC VIA CHR HOSPITAL MANHATTAN INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1186704
HEALTHCARE KS 501(c)(3) 3 AVCH
 
 
No
(101)ASC VIA CHR HOSPITAL PITTSBURG INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-0543778
HEALTHCARE KS 501(c)(3) 3 AVCH
 
 
No
(102)ASC VIA CHR HOSPITAL ST TERESA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-1965272
HEALTHCARE KS 501(c)(3) 3 AVCH
 
 
No
(103)ASC VIA CHR HOSPITALS WICHITA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1172106
HEALTHCARE KS 501(c)(3) 3 AVCH
 
 
No
(104)ASC VIA CHR PROPERTY SERVICES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-0948571
MANAGEMENT KS 501(c)(4) N/A AVCHW
 
 
No
(105)ASC VIA CHRISTI REHAB HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1158274
HEALTHCARE KS 501(c)(3) 3 AVCHW
 
 
No
(106)ASCENSION WELFARE BENEFITS TRUST
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1601369
VEBA IL 501(c)(9) N/A AHA
 
 
No
(107)ASCENSION WISCONSIN FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1494981
FOUNDATION WI 501(c)(3) 7 CSM
 
 
No
(108)ASCENSION WISCONSIN LABORATORIES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1701402
HEALTHCARE WI 501(c)(3) 10 WFHSW
 
 
No
(109)ASCENSION WISCONSIN PHARMACY INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1613624
HEALTHCARE WI 501(c)(3) 10 WFHSW
 
 
No
(110)BAPTIST HEALTH CARE AFFILIATES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
58-1509251
HEALTHCARE TN 501(c)(3) 12A STN
 
 
No
(111)BAPTIST HOSPITAL FDN OF NASHVILLE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
58-1861378
INACTIVE TN 501(c)(3) 12A STWH
 
 
No
(112)BLUE LADIES MINERALS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2971975
REAL ESTATE TX 501(c)(3) 12C ASF
 
 
No
(113)BORGESS AMBULATORY CARE CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2468823
HEALTHCARE MI 501(c)(3) 3 BHA
 
 
No
(114)BORGESS HEALTH ALLIANCE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2335286
HEALTHCARE MI 501(c)(3) 10 AM
 
 
No
(115)BORGESS NURSING HOME INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2555589
HEALTHCARE MI 501(c)(3) 3 AHSC
 
 
No
(116)CARONDELET FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
86-0749574
FOUNDATION AZ 501(c)(3) 12A AA
 
 
No
(117)CARONDELET LONG-TERM CARE FACIL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2505427
HEALTHCARE MO 501(c)(3) 10 AHSC
 
 
No
(118)CARROLL MANOR
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
83-2068871
HEALTHCARE DC 501(c)(3) 10 AHSC
 
 
No
(119)CATALPA HEALTH INC
4635 WEST COLLEGE AVENUE

APPLETON,WI54914
45-4681563
HEALTHCARE WI 501(c)(3) 3 AHS
 
 
No
(120)CENTER FOR GERONTOLOGY
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2514708
HEALTHCARE MI 501(c)(3) 10 AHSC
 
 
No
(121)CTR IN HEALTH SYS CARDIAC SVCS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-1869951
HEALTHCARE IN 501(c)(3) 12C SVH
 
 
No
(122)COLUMBIA COLLEGE OF NURSING INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1596986
COLLEGE WI 501(c)(3) 10 CSMHM
 
 
No
(123)COLUMBIA ST MARY'S HOSP MILWAUKEE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0806315
HEALTHCARE WI 501(c)(3) 3 CSM
 
 
No
(124)COLUMBIA ST MARY'S INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1834639
HEALTHCARE WI 501(c)(3) 12A AH
 
 
No
(125)CORNERSTONE ASSISTED LIVING INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1241079
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(126)DELL CHILDREN'S FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-0468031
FUNDRAISING TX 501(c)(3) 12B AT
 
 
No
(127)DELL CHILDREN'S MEDICAL GROUP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2800601
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(128)FIELD NEUROSCIENCES INSTITUTE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2790703
SUPPORTING MI 501(c)(3) 12A ASMH
 
 
No
(129)GENESYS AMBULATORY HEALTH SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2371754
HEALTHCARE MI 501(c)(3) 12B GHS
 
 
No
(130)GENESYS CONVALESCENT CENTER
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2317364
HEALTHCARE MI 501(c)(3) 12A GAHS
 
 
No
(131)GENESYS HEALTH SYSTEM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3339703
HEALTHCARE MI 501(c)(3) 12B AM
 
 
No
(132)GULF COAST HEALTH SYSTEM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0934712
HEALTHCARE AL 501(c)(3) 12C SVH
 
 
No
(133)HAVEN OF OUR LADY OF PEACE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-3620346
HEALTHCARE FL 501(c)(3) 10 SHHH
 
 
No
(134)HUMPHREYS COUNTY COMM HEALTH SVCS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-1861676
HEALTHCARE TN 501(c)(3) 3 BHCA
 
 
No
(135)JANE PHILLIPS MEMORIAL MED CTR INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-0606129
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(136)JANE PHILLIPS NOWATA HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-1440267
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(137)LAVERNA TERRACE HOUSING CORPORATION
18927 HICKORY CREEK DRIVE SUITE 30

MOKENA,IL90448
36-3438977
HEALTHCARE IL 501(c)(3) 10 PLC
 
 
No
(138)LOURDES FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
91-1528577
FUNDRAISING WA 501(c)(3) 12A OLLHP
 
 
No
(139)MERCY HEALTH FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7140261
FOUNDATION WI 501(c)(3) 12B AHS
 
 
No
(140)MINISTRY HEALTH CARE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1490371
HEALTHCARE WI 501(c)(3) 12A AH
 
 
No
(141)OUR LADY OF LOURDES HOSPITAL AT PASCO
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
91-0349750
HEALTHCARE WA 501(c)(3) 12A AH
 
 
No
(142)OUR LADY OF PEACE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
16-1608735
HEALTHCARE NY 501(c)(3) 3 AHSC
 
 
No
(143)OWASSO MEDICAL FACILITY INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-3700131
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(144)PRESENCE AMBULATORY SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4286236
HEALTHCARE IL 501(c)(3) 10 PCTC
 
 
No
(145)PRESENCE BEHAVIORAL HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-2709982
HEALTHCARE IL 501(c)(3) 10 PCTC
 
 
No
(146)PRESENCE CARE HOME
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-0483587
HEALTHCARE IL 501(c)(3) 10 PCTC
 
 
No
(147)PRESENCE CARE TRANSFORMATION CORP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3366652
MANAGEMENT IL 501(c)(3) 12C ABHS
 
 
No
(148)PRESENCE CENTRAL & SUBURBAN HOSP NTWK
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4195126
HEALTHCARE IL 501(c)(3) 3 PCTC
 
 
No
(149)PRESENCE CHICAGO HOSPITALS NETWORK
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-2235165
HEALTHCARE IL 501(c)(3) 3 PCTC
 
 
No
(150)PRESENCE HEALTH PARTNERS SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-2644178
HEALTHCARE IL 501(c)(3) 12B ABHS
 
 
No
(151)PRESENCE HEALTHCARE SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3330928
HEALTHCARE IL 501(c)(3) 3 PCTC
 
 
No
(152)PRESENCE HOME CARE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-0483581
HEALTHCARE IL 501(c)(3) 10 PCTC
 
 
No
(153)PRESENCE LIFE CONNECTIONS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
37-1127787
HEALTHCARE IL 501(c)(3) 10 AHSC
 
 
No
(154)PRESENCE SENIOR SERVICES CHICAGOLAND
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7061646
HEALTHCARE IL 501(c)(3) 10 AHSC
 
 
No
(155)PROVIDENCE BUILDING CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0914564
SUPPORTING AL 501(c)(2) N/A GCHS
 
 
No
(156)PROVIDENCE FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0915493
SUPPORTING AL 501(c)(3) 7 GCHS
 
 
No
(157)PROVIDENCE HEALTH ALLIANCE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2696970
HEALTHCARE TX 501(c)(3) 3 AP
 
 
No
(158)PROVIDENCE HEALTH FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
52-1275583
HEALTHCARE DC 501(c)(3) 12A PH
 
 
No
(159)PROVIDENCE HEALTH SERVICES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
52-1275587
HEALTHCARE DC 501(c)(3) 12A PH
 
 
No
(160)PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
53-0196636
HEALTHCARE DC 501(c)(3) 3 AH
 
 
No
(161)PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0288861
HEALTHCARE AL 501(c)(3) 3 GCHS
 
 
No
(162)PROVIDENCE PARK INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
61-1759304
HEALTHCARE TX 501(c)(3) 3 AHSC
 
 
No
(163)RAINBOW HOSPICE AND PALLIATIVE CARE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3296367
HEALTHCARE IL 501(c)(3) 7 PCTC
 
 
No
(164)SACRED HEART FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-2436597
FOUNDATION FL 501(c)(3) 7 SHHS
 
 
No
(165)SACRED HEART HEALTH SYSTEM INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-0634434
HEALTHCARE FL 501(c)(3) 3 SVHH
 
 
No
(166)SACRED HEART HEALTH VENTURES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
57-1183283
INVESTMENT FL 501(c)(3) 12A SHHS
 
 
No
(167)SACRED HEART REHAB INSTITUTE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-0902199
HEALTHCARE WI 501(c)(3) 3 CSM
 
 
No
(168)SAINT THOMAS HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
58-1716804
HEALTHCARE TN 501(c)(3) 12A AH
 
 
No
(169)SAINT THOMAS HEALTH FOUNDATIONS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
58-1663055
FOUNDATION TN 501(c)(3) 7 STN
 
 
No
(170)SAINT THOMAS HICKMAN HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
58-1737573
HEALTHCARE TN 501(c)(3) 3 BHCA
 
 
No
(171)SAINT THOMAS HOME HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-1836937
HEALTHCARE TN 501(c)(3) 10 STHH
 
 
No
(172)SAINT THOMAS MEDICAL PARTNERS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-1529858
HEALTHCARE TN 501(c)(3) 10 AMG
 
 
No
(173)SAINT THOMAS NETWORK
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-1284994
HEALTHCARE TN 501(c)(3) 10 STH
 
 
No
(174)SAINT THOMAS REGIONAL HOSPITALS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
47-4063046
HEALTHCARE TN 501(c)(3) 3 STH
 
 
No
(175)SAINT THOMAS RUTHERFORD FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-1167917
FOUNDATION TN 501(c)(3) 12A STRH
 
 
No
(176)SAINT THOMAS RUTHERFORD HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-0475842
HEALTHCARE TN 501(c)(3) 3 STH
 
 
No
(177)SAINT THOMAS WEST HOSPITAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
62-0347580
HEALTHCARE TN 501(c)(3) 3 STH
 
 
No
(178)SALINA REGIONAL HOME MED SERVICES LLC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1948057
HEALTHCARE KS 501(c)(3) 10 AVCHP
 
 
No
(179)SAVELLI PROPERTIES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-3308965
HEALTHCARE IL 501(c)(2) N/A ABHS
 
 
No
(180)SETON CLINICAL ENTERPRISE CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-4364681
HEALTHCARE TX 501(c)(3) 12B AT
 
 
No
(181)SETON FAMILY OF DOCTORS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-4562522
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(182)SETON FAMILY OF PEDIATRIC SURGEONS
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-1311790
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(183)SETON HEALTHCARE CORP OF SE MICHIGAN
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2820107
HEALTHCARE MI 501(c)(4) N/A SJP
 
 
No
(184)SETON HOSPITALIST SERVICE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-2498998
HEALTHCARE TX 501(c)(3) 12A AS
 
 
No
(185)SETON INSURANCE SERVICES CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-4364813
HEALTHCARE TX 501(c)(3) 12B AT
 
 
No
(186)SETON MANOR INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-2960726
HEALTHCARE PA 501(c)(3) 10 AHSC
 
 
No
(187)SETON MEDICAL GROUP INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-2064992
HEALTHCARE MD 501(c)(3) 10 AMG
 
 
No
(188)SETON MEDICAL MANAGEMENT INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0937704
SUPPORTING AL 501(c)(3) 12B GCHS
 
 
No
(189)SETON ORAL & MAXILLOFACIAL SURGERY
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
42-1670843
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(190)SETON PROPERTY CORP OF NORTH ALABAMA
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7326976
REAL ESTATE AL 501(c)(2) N/A SVHS
 
 
No
(191)SETONUT DELL MED SCHOOL UNI PHYS GROUP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2869762
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(192)SJRMC INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
82-0204264
HEALTHCARE ID 501(c)(3) 3 AH
 
 
No
(193)ST AGNES FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
52-1415083
FUNDRAISING MD 501(c)(3) 12A SAH
 
 
No
(194)ST AGNES HEALTHCARE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
52-0591657
HEALTHCARE MD 501(c)(3) 3 AH
 
 
No
(195)ST ALEXIUS MEDICAL CENTER
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4251846
HEALTHCARE IL 501(c)(3) 3 ABHS
 
 
No
(196)ST CATHERINE LABOURE MANOR INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-1878316
HEALTHCARE FL 501(c)(3) 3 AHSC
 
 
No
(197)ST JOHN AUXILIARY INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-0999759
HEALTHCARE OK 501(c)(3) 10 SJHS
 
 
No
(198)ST JOHN BROKEN ARROW INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-3833117
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(199)ST JOHN BUILDING CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
61-1659782
REAL ESTATE OK 501(c)(2) N/A SJHS
 
 
No
(200)ST JOHN HEALTH SYSTEM FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-1133139
FUNDRAISING OK 501(c)(3) 12A SJHS
 
 
No
(201)ST JOHN HEALTH SYSTEM INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-1215174
HEALTHCARE OK 501(c)(3) 12A AH
 
 
No
(202)ST JOHN MEDICAL CENTER INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-0579286
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(203)ST JOHN PROVIDENCE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2244034
HEALTHCARE MI 501(c)(3) 12B AM
 
 
No
(204)ST JOHN SAPULPA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-0662663
HEALTHCARE OK 501(c)(3) 3 SJHS
 
 
No
(205)ST JOSEPH FND OF KOKOMO INDIANA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7313206
SUPPORTING IN 501(c)(3) 12A SJHHC
 
 
No
(206)ST JOSEPH HOSPITAL & HEALTH CTR INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-0992717
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(207)ST JOSEPH MEDICAL CENTER FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1388461
FUNDRAISING MO 501(c)(3) 12A CH
 
 
No
(208)ST JOSEPH'S MINISTRIES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
52-1835288
HEALTHCARE MD 501(c)(3) 10 AHSC
 
 
No
(209)ST LUKE'S-ST VINCENT'S HC INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-0479484
HEALTHCARE FL 501(c)(3) 3 SVHS
 
 
No
(210)ST MARY'S BUILDING CORPORATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7248362
REAL ESTATE IN 501(c)(2) N/A SMH
 
 
No
(211)ST MARY'S HEALTH FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
23-7045370
SUPPORTING IN 501(c)(3) 12A SMH
 
 
No
(212)ST MARY'S HEALTH INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-0869065
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(213)ST MARY'S MEDICAL CENTER FOUNDATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1918107
FUNDRAISING MO 501(c)(3) 12A CH
 
 
No
(214)ST MARY'S MEDICAL GROUP LLC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-1356310
HEALTHCARE IN 501(c)(3) 10 SVMG
 
 
No
(215)ST MARY'S WARRICK HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-1343019
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(216)ST VINCENT ANDERSON REG HOSP FND INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-2053693
SUPPORTING IN 501(c)(3) 12A SVARH
 
 
No
(217)ST VINCENT ANDERSON REG HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-0877261
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(218)ST VINCENT CARMEL HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-3107055
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(219)ST VINCENT CLAY HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-2112529
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(220)ST VINCENT DUNN HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-2192831
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(221)ST VINCENT FISHERS HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-4243702
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(222)ST VINCENT FRANKFORT HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-2099320
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(223)ST VINCENT HEALTH INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-2052591
HEALTHCARE IN 501(c)(3) 12C AH
 
 
No
(224)SV HEALTH WELL & PREV CARE INST INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-1227327
HEALTHCARE IN 501(c)(3) 10 SVH
 
 
No
(225)ST VINCENT HOSP & HC CTR INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-0869066
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(226)ST VINCENT HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-6088862
SUPPORTING IN 501(c)(3) 12A SVHHCC
 
 
No
(227)ST VINCENT JENNINGS HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-1841606
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(228)ST VINCENT MADISON CO HLTH SYSTM INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-0876389
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(229)ST VINCENT MEDICAL GROUP INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-2039417
HEALTHCARE IN 501(c)(3) 10 SVCH
 
 
No
(230)ST VINCENT RANDOLPH HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-2103153
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(231)ST VINCENT RAS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
47-1289091
HEALTHCARE IN 501(c)(3) 10 SVH
 
 
No
(232)ST VINCENT SALEM HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
27-0847538
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(233)ST VINCENT SETON SPECIALTY HOSP INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-1712001
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(234)ST VINCENT WILLIAMSPORT HOSPITAL INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
35-0784551
HEALTHCARE IN 501(c)(3) 3 SVH
 
 
No
(235)ST VINCENT'S AMBULATORY CARE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-2292041
HEALTHCARE FL 501(c)(3) 10 AMG
 
 
No
(236)ST VINCENT'S BIRMINGHAM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0288864
HEALTHCARE AL 501(c)(3) 3 SVHS
 
 
No
(237)ST VINCENT'S BLOUNT
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0909073
HEALTHCARE AL 501(c)(3) 3 SVHS
 
 
No
(238)ST VINCENT'S EAST
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0578923
HEALTHCARE AL 501(c)(3) 3 SVHS
 
 
No
(239)ST VINCENT'S FND OF ALABAMA INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0868066
FUNDRAISING AL 501(c)(3) 7 SVHS
 
 
No
(240)ST VINCENT'S FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-2219923
FUNDRAISING FL 501(c)(3) 7 SVHS
 
 
No
(241)ST VINCENT'S HEALTH SYSTEM
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0931008
HEALTHCARE AL 501(c)(3) 12C AH
 
 
No
(242)ST VINCENT'S HEALTH SYSTEM INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-3650609
HEALTHCARE FL 501(c)(3) 12B AH
 
 
No
(243)ST VINCENT'S MEDICAL CENTER
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
06-0646886
HEALTHCARE CT 501(c)(3) 12A AH
 
 
No
(244)ST VINCENT'S MEDICAL CENTER INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
59-0624449
HEALTHCARE FL 501(c)(3) 3 SVHS
 
 
No
(245)ST VINCENT'S MED CENTER-CLAY CO INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
46-1523194
HEALTHCARE FL 501(c)(3) 3 SVHS
 
 
No
(246)SVH REAL ESTATE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-5002285
REAL ESTATE IN 501(c)(3) 12C SVH
 
 
No
(247)THE HEALTH SOURCE GROUP
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
38-2427678
INVESTMENT MI 501(c)(3) 12B GHS
 
 
No
(248)THE SETON COVE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2727509
HEALTHCARE TX 501(c)(3) 12B AT
 
 
No
(249)TRI-COUNTY CLINICAL
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
26-4562712
HEALTHCARE TX 501(c)(3) 10 SCEC
 
 
No
(250)TWENTY-SIX DOORS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-2855201
REAL ESTATE TX 501(c)(25) N/A ASF
 
 
No
(251)UNIVERSAL HEALTH SERVICES
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
63-0932323
HEALTHCARE AL 501(c)(3) 12B SVHS
 
 
No
(252)VIA CHRISTI FOUNDATION INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
36-4943550
FOUNDATION KS 501(c)(3) 7 AVCH
 
 
No
(253)VIA CHR HC OUTREACH PROG FOR ELDERS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1236589
PACE (SNF) KS 501(c)(3) 10 VCV
 
 
No
(254)VIA CHRISTI VILLAGE GEORGETOWN INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1129325
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(255)VIA CHRISTI VILLAGE HAYS INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
20-2828680
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(256)VIA CHRISTI VILLAGE MANHATTAN INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1078862
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(257)VIA CHRISTI VILLAGE MCLEAN INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-1247723
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(258)VIA CHRISTI VILLAGE PITTSBURG INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
74-3070971
HEALTHCARE KS 501(c)(3) 10 VCV
 
 
No
(259)VIA CHRISTI VILLAGE PONCA CITY INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
73-1153337
HEALTHCARE OK 501(c)(3) 10 VCV
 
 
No
(260)VIA CHRISTI VILLAGES INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
48-0559086
MANAGEMENT KS 501(c)(3) 12C AHSC
 
 
No
(261)VOLS IN PTNRSHIP W ALL SAINTS HC INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
93-0838390
FOUNDATION WI 501(c)(3) 10 AASH
 
 
No
(262)WAMEGO HOSPITAL ASSOCIATION
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
72-1526400
HEALTHCARE KS 501(c)(3) 3 AVCHM
 
 
No
(263)ASCENSION LIVING ST FRANCIS PLACE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1486775
HEALTHCARE WI 501(c)(3) 10 AHSC
 
 
No
(264)WHEATON FRANCISCAN HC - SE WI INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1568865
HEALTHCARE IL 501(c)(3) 12A AH
 
 
No
(265)CARONDELET HEALTH INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
43-1276738
HEALTHCARE MO 501(c)(3) 12A AH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BINGHAMTON PROJECT LLC

169 RIVERSIDE DRIVE
BINGHAMTON,NY13905
87-4272798
HEALTH SVCS. NY NA
 
                 
(2) NEW YORK HOLDCO LLC

169 RIVERSIDE DRIVE
BINGHAMTON,NY13905
87-3651523
HEALTH SVCS. NY NA
 
                 
(3) AHA HEALTHBRIDGE PARTNERS LLC

27068 LA PAZ ROAD SUITE 444
ALISO VIEJO,CA92656
85-2872693
HEALTHCARE DE NA
 
                 
(4) ALEXIAN REHABILITATION SERVICES LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
30-0221481
HEALTHCARE IL NA
 
                 
(5) ALLEGAN GEN HOSP PAIN ADMIN SVCS LLC

555 LINN STREET
ALLEGAN,MI49010
47-3706652
HEALTHCARE MI NA
 
                 
(6) ALVERNO CLINICAL LABORATORIES LLC

2434 INTERSTATE PLAZA DR
HAMMOND,IN46324
20-3240648
HEALTHCARE IN NA
 
                 
(7) AMBULATORY SURGERY CENTER LP

818 N EMPORIA SUITE 108
WICHITA,KS67214
48-1114690
HEALTHCARE KS NA
 
                 
(8) ASCENSION ALABAMA-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-1004647
HEALTHCARE DE NA
 
                 
(9) ASCENSION ALPHA FUND LLC

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
90-0786464
INVESTMENTS MO NA
 
                 
(10) ASCENSION ATHO CARRY LP

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
84-4224833
INVESTMENTS DE NA
 
                 
(11) ASCENSION BALTIMORE-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-1076612
HEALTHCARE DE NA
 
                 
(12) ASCENSION BINGHAMTON-REGENT ASC JV LLC

169 RIVERSIDE DRIVE
BINGHAMTON,NY13905
87-1050728
HEALTHCARE DE NA
 
                 
(13) ASC FL & GULF COAST- REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-1668217
HEALTHCARE DE NA
 
                 
(14) ASCENSION HEALTH AT HOME LLC

10 CADILLAC DRIVE SUITE 400
BRENTWOOD,TN37027
47-1704527
INVESTMENTS DE NA
 
                 
(15) ASCENSION INDIANA-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-1028503
HEALTHCARE DE NA
 
                 
(16) ASCENSION KANSAS-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-0954491
HEALTHCARE DE NA
 
                 
(17) ASCENSION MEDICAL GROUP ST JOHN LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
73-1437252
HEALTHCARE OK NA
 
                 
(18) ASCENSION MICHIGAN-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-0879317
HEALTHCARE DE NA
 
                 
(19) ASCENSION OKLAHOMA-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-0934689
HEALTHCARE DE NA
 
                 
(20) ASCENSION TEXAS-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-0898005
HEALTHCARE DE NA
 
                 
(21) ASC TOWERBROOK HC OPPORTUNITIES LP

65 EAST 55TH STREET 19TH FLOOR
NEW YORK,NY10022
98-1500387
INVESTMENTS NY NA
 
                 
(22) ASC VIA CHRISTI IMAGING MANHATTAN LLC

1823 COLLEGE AVENUE
MANHATTAN,KS66502
48-1251984
HEALTHCARE KS NA
 
                 
(23) ASCENSION WISCONSIN EMERUS JV LLC

8686 NEW TRAILS DRIVE SUITE 100
THE WOODLANDS,TX77381
38-4118568
HEALTHCARE WI NA
 
                 
(24) ASCENSION WISCONSIN-REGENT ASC JV LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
87-0980162
HEALTHCARE DE NA
 
                 
(25) AUSTIN CENTER FOR OUTPATIENT SURGERY LP

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
58-2028767
HEALTHCARE TX NA
 
                 
(26) BAPTIST WOMEN'S HEALTH CENTER LLC

1900 CHURCH STREET SUITE 300
NASHVILLE,TN37203
62-1772195
HEALTHCARE TN NA
 
                 
(27) BELMONTHARLEM SURGERY CENTER LLC

3101 NORTH HARLEM
CHICAGO,IL60634
41-2237162
HEALTHCARE IL NA
 
                 
(28) BONAVENTURE MEDICAL FOUNDATION LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
36-3978153
HEALTHCARE DE NA
 
                 
(29) BORGESS HEALTH PARTNERS LLC

28000 DEQUINDRE ROAD
WARREN,MI48092
38-2648846
HEALTHCARE MI NA
 
                 
(30) CARMEL AMBULATORY SURGERY CENTER LLC

13421 OLD MERIDIAN STREET SUITE 15
CARMEL,IN46032
32-0014795
HEALTHCARE IN NA
 
                 
(31) CB-AH PARALLEL FUND II LP

200 CLARENDON STREET 17TH FLOOR
BOSTON,MA02116
04-3585156
INVESTMENTS MA NA
 
                 
(32) CEDAR PARK JV PARTNERS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
85-3868373
HEALTHCARE TX NA
 
                 
(33) CENTRAL TEXAS LAUNDRY LLC

4255 PROFIT STREET
SAN ANTONIO,TX78219
36-4778018
LAUNDRY SVCS. TX NA
 
                 
(34) CHV II LP

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
26-0534243
INVESTMENTS DE NA
 
                 
(35) CHV III LP

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
45-4486925
INVESTMENTS DE NA
 
                 
(36) CHV IV LP

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
81-3953953
INVESTMENTS DE NA
 
                 
(37) COLLABORATIVE HEALTH VENTURES V LP

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
84-4668723
INVESTMENTS DE NA
 
                 
(38) CUMBERLAND BEHAVIORAL HEALTH LLC

102 WOODMONT BOULEVARD SUITE 700
NASHVILLE,TN37205
32-0530876
HEALTHCARE TN NA
 
                 
(39) ENDOSCOPY CENTER LLC

13421 OLD MERIDIAN STREET SUITE 15
CARMEL,IN46032
32-0029881
HEALTHCARE IN NA
 
                 
(40) HAYS JV PARTNERS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
85-2037257
INVESTMENTS TX NA
 
                 
(41) HOFFMAN ESTATES SURGERY CENTER LLC

1555 BARRINGTON RD LL0400
HOFFMAN ESTATES,IL60169
20-0442247
HEALTHCARE IL NA
 
                 
(42) KANSAS SURGERY AND RECOVERY CENTER LLC

2770 NORTH WEBB ROAD
WICHITA,KS67226
48-1148580
HEALTHCARE KS NA
 
                 
(43) KENOSHA DIGESTIVE HEALTH CENTER

1033 N MAYFAIR ROAD SUITE 101
WAUWATOSA,WI53226
84-2167873
HEALTHCARE WI NA
 
                 
(44) LOURDES HEALTH SUPPORT LLC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1611707
HEALTHCARE NY NA
 
                 
(45) MIDDLE TENNESSEE IMAGING LLC

28 WHITE BRIDGE ROAD SUITE 111
NASHVILLE,TN37205
01-0570490
HEALTHCARE TN NA
 
                 
(46) MURFREESBORO DIAGNOSTIC IMAGING LLC

28 WHITE BRIDGE ROAD SUITE 111
NASHVILLE,TN37205
20-0291952
HEALTHCARE TN NA
 
                 
(47) NAAB ROAD SURGERY CENTER LLC

8260 NAAB ROAD SUITE 100
INDIANAPOLIS,IN46260
35-1991390
HEALTHCARE IN NA
 
                 
(48) NORTHWEST HILLS JV PARTNERS LLC

569 BROOKWOOD VILLAGE
BIRMINGHAM,AL35209
85-2065271
HEALTHCARE TX NA
 
                 
(49) OK CANCER SPEC REAL ESTATE COMPANY LLC

12697 E 51ST STREET SOUTH
TULSA,OK74146
61-1774455
REAL ESTATE OK NA
 
                 
(50) OPEN MRI OF MICHIGAN

411 W 13 MILE ROAD
MADISON HEIGHTS,MI48071
38-3544539
HEALTHCARE MI NA
 
                 
(51) ORTHO SURGERY CTR OF THE FOX VALLEY LLC

2223 LIME KILN ROAD SUITE 101
GREEN BAY,WI54311
84-2016212
HEALTHCARE WI NA
 
                 
(52) PABHS-UCM RADONC JV LLC

2845 N SHERIDAN RD SUITE 506
CHICAGO,IL60657
87-4057862
HEALTHCARE IL NA
 
                 
(53) PCAC GI JV LLC

200 S WACKER DRIVE
CHICAGO,IL60606
85-0878312
HEALTHCARE IL NA
 
                 
(54) PET LLC

1549 AIRPORT BOULEVARD
PENSACOLA,FL32504
59-3788701
HEALTHCARE FL NA
 
                 
(55) PFC ASSOCIATES LLC

920 VARNUM STREET NE
WASHINGTON,DC20017
52-2018150
HEALTHCARE DC NA
 
                 
(56) PREMIER RADIOLOGY WISCONSIN LLC

400 WEST RIVER WOODS PARKWAY
MILWAUKEE,WI53212
83-3180104
HEALTHCARE WI NA
 
                 
(57) PRESENCE LAKESHORE GASTROENTEROLOGY LLC

150 N RIVER ROAD SUITE 215
DES PLAINES,IL60016
81-1750563
HEALTHCARE IL NA
 
                 
(58) PROFESSIONAL CLINICAL LABORATORIES LLC

2434 INTERSTATE PLAZA DR
HAMMOND,IN46324
30-0711211
HEALTHCARE IN NA
 
                 
(59) RACINE DIGESTIVE HEALTH CENTER LLC

1033 N MAYFAIR ROAD SUITE 101
WAUWATOSA,WI53226
84-4211105
HEALTHCARE WI NA
 
                 
(60) RADS OF AMERICA LLC

28 WHITE BRIDGE ROAD SUITE 111
NASHVILLE,TN37205
20-0597581
HEALTHCARE TN NA
 
                 
(61) SAINT THOMAS HOME RECOVERY CARE LLC

49 MUSIC SQUARE WEST SUITE 401
NASHVILLE,TN37203
84-2100096
HEALTHCARE TN NA
 
                 
(62) SAINT THOMAS REHAB HOSPITAL LLC

330 SEVEN SPRINGS WAY
BRENTWOOD,TN37027
81-4303298
HEALTHCARE KY NA
 
                 
(63) SAINT THOMASUSP SURGERY CTRS III LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
92-3748588
INVESTMENTS TN NA
 
                 
(64) SOUTH COAST REAL ESTATE VENTURE LLC

6801 AIRPORT BOULEVARD PO BOX 850
MOBILE,AL36685
45-5599047
REAL ESTATE MS NA
 
                 
(65) ST VINCENT HEART CENTER OF INDIANA LLC

10580 N MERIDIAN STREET
INDIANAPOLIS,IN46290
36-4492612
HEALTHCARE IN NA
 
                 
(66) ST VINCENT'S OUTPATIENT SURG SVCS LLC

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
20-0708162
HEALTHCARE AL NA
 
                 
(67) ST VINCENT'S SLEEP DISORDER CENTER LLC

811 ST VINCENTS DRIVE
BIRMINGHAM,AL35206
63-1282288
HEALTHCARE AL NA
 
                 
(68) STHS SLEEP CENTER LLC

102 WOODMONT BOULEVARD SUITE 800
NASHVILLE,TN37205
20-3664894
HEALTHCARE TN NA
 
                 
(69) STONEGATE JV PARTNERS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,TX37205
85-2023852
INVESTMENTS TX NA
 
                 
(70) SVHS-SCA EMERALD COAST JV LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,FL35209
92-0476093
INVESTMENTS FL NA
 
                 
(71) SVHS-SCA FLORIDA JV LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,FL35209
85-0571986
INVESTMENTS FL NA
 
                 
(72) TOWNE CENTRE SURGERY CENTER LLC

4599 TOWNE CENTRE
SAGINAW,MI48604
20-4943843
HEALTHCARE MI NA
 
                 
(73) VIA CHRISTI MERCY CLINIC LLC

1 MT CARMEL PLACE
PITTSBURG,KS66762
81-2927645
HEALTHCARE KS NA
 
                 
(74) WOODBRIDGE CENTER LLC

7901 ANGLING ROAD
PORTAGE,MI49024
03-0553583
HEALTHCARE MI NA
 
                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CMH SERVICES INC

160 HOMER AVENUE
CORTLAND,NY13045
16-1370440
DURABLE MED EQUIP NY NA
 
C CORP         No
(2) CORBETT CORPORATION

169 RIVERSIDE DRIVE
BINGHAMTON,NY13905
16-1268267
PROP. MANAGEMENT NY NA
 
C CORP         No
(3) CORNING PROPERTIES INC

1 GUTHRIE DRIVE
CORNING,NY14830
38-3977095
REAL ESTATE HOLD NY NA
 
C CORP         No
(4) CORTLAND MEMORIAL PROPERTIES INC

134 HOMER AVENUE
CORTLAND,NY13045
16-1266826
INCOME ALLOCATION NY NA
 
C CORP         No
(5) TWIN TIER MANAGEMENT CORP INC

PO BOX 310
SAYRE,PA18840
23-2209439
MANAGEMENT CORP. PA NA
 
C CORP         No
(6) AFFILIATED HEALTH SERVICES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
38-2292922
HEALTHCARE MI NA
 
C CORP         No
(7) AFFILIATED MEDICAL SVCS LABORATORY INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
48-1239522
HEALTHCARE KS NA
 
C CORP         No
(8) AH INCUBATIONS ACCELERATOR INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
45-5078523
HEALTHCARE MO NA
 
C CORP         No
(9) ALEXIAN BROS CC HOUSING PROJECT LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
94-3465394
HOUSING MO NA
 
C CORP         No
(10) ALEXIAN BROS HEALTH PROV ASSOC INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
36-3853286
MESSENGER MDL IPA IL NA
 
C CORP         No
(11) ALEXIAN VILLAGE OF ELK GROVE

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
35-2211303
HOUSING IL NA
 
C CORP         No
(12) AMITA HEALTH CLINICALLY INT NTWK LLC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
80-0967178
HEALTHCARE IL NA
 
C CORP         No
(13) ASCENSION CAPITAL UK LIMITED

5TH FLOOR 70 GRACECHURCH STREET
LONDON,ENGLANDEC3V 0XL
UK
INSURANCE UK NA
 
C CORP         No
(14) ASCENSION CARE MGMT HEALTH PARTNERS TN

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
45-2958482
ACCT. CARE ORG. TN NA
 
C CORP         No
(15) ASC CARE MGMT HEALTH PARTNERS INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
45-4413419
HEALTHCARE MO NA
 
C CORP         No
(16) ASC CARE MGMT HOLDINGS LTD & SUBS

800 TOWER DRIVE SUITE 300
TROY,MI48098
38-3269272
INSURANCE MI NA
 
C CORP         No
(17) ASCENSION HEALTH INSURANCE LIMITED

PO BOX 1159
GRAND CAYMAN,BAHAMASKY1-1102
CJ
INSURANCE CJ NA
 
C CORP         No
(18) ASC HEALTH RISK PURCHASING GROUP INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
27-4176480
HEALTHCARE MO NA
 
C CORP         No
(19) ASCENSION MED GROUP VIA CHRISTI PA

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
48-0993446
PROF. ORG. KS NA
 
C CORP         No
(20) ASCENSION VENTURES CORPORATION

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
63-1217059
HEALTHCARE AL NA
 
C CORP         No
(21) ASV ST JOHN'S COUNTY INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
85-4309119
HEALTHCARE FL NA
 
C CORP         No
(22) BAPTIST HEALTH CARE VENTURES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
62-0469214
HOLDING COMPANY TN NA
 
C CORP         No
(23) BAYLEY CONDOMINIUM ASSOCIATION

2121 HIGHLAND AVENUE SOUTH
BIRMINGHAM,AL35205
63-1209915
CONDO ASSOC. AL NA
 
C CORP         No
(24) BEECHER BALLENGER SVCS INC AND SUBS

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
38-2497922
HOLDING COMPANY MI NA
 
C CORP         No
(25) CARONDELET MEDICAL GROUP INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
86-0836126
HEALTHCARE AZ NA
 
C CORP         No
(26) CARONDELET SPECIALIST GROUP INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
26-1558773
HEALTHCARE AZ NA
 
C CORP         No
(27) CHV V CP BLOCKER CORP

4600 EDMUNDSON ROAD
ST LOUIS,MO63134
86-3673080
INVESTMENTS DE NA
 
C CORP         No
(28) CLINICAL HOLDINGS CORPORATION

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
45-3802297
HOLDING COMPANY MO NA
 
C CORP         No
(29) CONSOL PHARMACY SVCS INC AND SUBS

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
59-3398033
PHARMACY FL NA
 
C CORP         No
(30) CRITTENTON DEVELOPMENT CORP AND SUBS

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
38-2594115
REAL ESATE MI NA
 
C CORP         No
(31) DELL CHILDREN'S HEALTH ALLIANCE

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
27-1311909
HEALTHCARE TX NA
 
C CORP         No
(32) FAMILY MEDICINE CTR CONDO ASSOC INC

1 SHIRCLIFF WAY
JACKSONVILLE,FL32204
26-1983355
CONDO ASSOC. FL NA
 
C CORP         No
(33) FRANKLIN MED OFF BLDG CONDO ASSOC INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
34-1983857
CONDO ASSOC. WI NA
 
C CORP         No
(34) GULF COAST DIVERSIFIED INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
59-2432798
INVESTMENTS FL NA
 
C CORP         No
(35) INDIAN CREEK CENTER INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
48-0956627
HEALTHCARE MO NA
 
C CORP         No
(36) INTEGRATED HEALTHCARE SYSTEMS INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
48-0941549
HEALTHCARE KS NA
 
C CORP         No
(37) MADISON MEDICAL AFFILIATES INC

4425 N PORT WASHINGTON RD
GLENDALE,WI53212
39-1855720
HEALTHCARE WI NA
 
C CORP         No
(38) MID-STATE PROPERTIES INC

2000 CHURCH STREET
NASHVILLE,TN37236
62-1232018
INACTIVE TN NA
 
C CORP         No
(39) MISSISSIPPI PROV HEALTHCARE SVCS INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
46-1130426
HEALTHCARE MS NA
 
C CORP         No
(40) PRESENCE SERVICE CORPORATION

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
36-4314354
HEALTHCARE IL NA
 
C CORP         No
(41) PRESENCE VENTURES INC AND SUBSIDIARY

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
37-1168085
HEALTHCARE IL NA
 
C CORP         No
(42) PROVIDENCE PARK INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
63-0886846
REAL ESATE AL NA
 
C CORP         No
(43) RESOURCE PHARMACIES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
52-1410076
PHARMACY DC NA
 
C CORP         No
(44) SETON HEALTH ALLIANCE

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
45-3047469
HEALTHCARE TX NA
 
C CORP         No
(45) SETON HEALTH PLAN INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
74-2725348
HEALTHCARE TX NA
 
C CORP         No
(46) SETON INSURANCE COMPANY

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
47-5395483
HEALTHCARE TX NA
 
C CORP         No
(47) SETON MSO INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
74-2870455
HEALTHCARE TX NA
 
C CORP         No
(48) SETON PHYSICIAN HOSPITAL NET AND SUBS

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
74-2643825
HEALTHCARE TX NA
 
C CORP         No
(49) SOVA INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
26-1319638
HEALTHCARE TN NA
 
C CORP         No
(50) ST AGNES HEALTH VENTURES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
52-1733632
HOLDING COMPANY MD NA
 
C CORP         No
(51) ST JOSEPH HEALTH ENTERPRISES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
38-2686747
HEALTHCARE MI NA
 
C CORP         No
(52) ST MARY'S MEDICAL GROUP INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
35-2076827
INVESTMENTS IN NA
 
C CORP         No
(53) SUNFLOWER ASSURANCE LTD

PO BOX 1085
GRAND CAYMAN,BAHAMASKY1-1102
CJ
98-0223159
INSURANCE CJ NA
 
C CORP         No
(54) TEXTILE SYSTEMS INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
38-2705047
LAUNDRY SVCS. MI NA
 
C CORP         No
(55) THE PROSP MED COMMONS CONDO ASSOC INC

4425 N PORT WASHINGTON RD
GLENDALE,WI53212
20-8042108
CONDO ASSOC. WI NA
 
C CORP         No
(56) THELEN CORPORATION

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
36-3266316
LEASES IL NA
 
C CORP         No
(57) TRAVEL SERVICES CORPORATION

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
26-3764978
TRAVEL SERVICES MO NA
 
C CORP         No
(58) UTICA SERVICES INC AND SUBSIDIARIES

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
73-1057650
HEALTHCARE OK NA
 
C CORP         No
(59) VCH IOWA PC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
27-3983977
PROF. ASSOC. IA NA
 
C CORP         No
(60) VCH IOWA PC TRUST

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
27-6937322
BENEFICIARY TRUST IA NA
 
TRUST         No
(61) VIA CHRISTI CLINIC SERVICES INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
27-3984287
HEALTHCARE KS NA
 
C CORP         No
(62) VIA CHR HEALTH ALL IN ACCT CARE INC

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
46-2872857
HEALTHCARE KS NA
 
C CORP         No
(63) VINCENTIAN VENTURES OF N AL INC & SUBS

C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
63-0965456
HEALTHCARE AL NA
 
C CORP         No
(64) WHEATON FRANCISCAN PROVIDER NET INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1952140
PROVIDER CONTRACT WI NA
 
C CORP         No
(65) WHEATON WAY CONDO OWNERS ASSOC INC

10101 SOUTH 27TH STREET
FRANKLIN,WI53212
30-0659830
CONDO ASSOC. WI NA
 
C CORP         No
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF THE GUTHRIE CLINIC AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.
Schedule R (Form 990) 2023

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