Skip to content
Governance Register
US nonprofit · EIN 460714367 · Potsdam, NYiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 460714367) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R).Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Canton-Potsdam Medical Practice Pllc's network

2 peoplei2 people on this map.The large node is the subject of this page. Solid lines are what the register itself records (2). Form 990 filings give names without a person identifier; SEC insider filings carry a CIK.

The board

2 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 2 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Richard Davis PHDCEO2022
4 yrs
Robert T Rogers II MDMedical Director2022
4 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

6 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Christian CasiniAssistant Secretary2023
Donna McGregorFinance2020
Hugh ThomasCAOsince 2022
Jennifer EslingerCOO2023
Richard D JacobsFinancesince 2018
Thomas CrillyCFOsince 2022

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Robert T Rogers II MDMedical Director1$0$420k$6k
Richard Davis PhDCEO0$0$4m$63k
Thomas CrillyCFO0$0$1.6m$85k
Christian CasiniAssistant Secretary0$0$385k$34k
Jennifer EslingerCOO0$0$1.5m$41k
Charles WhippleGeneral Counsel0$0$577k$6k
Hugh ThomasFormer CAO0$0$1.1m

About

Legal name
Canton-Potsdam Medical Practice PLLC
EIN
460714367
Address
50 Leroy Streey, Potsdam, NY, 13676
State
New York
Mission
Canton-potsdam medical practice's primary exempt purpose is to provide physician services, in an outpatient clinic setting, that provide public benefit to the community and canton-potsdam hospital. (as filed on the Form 990)
Activity (NTEE)
G90 Voluntary health associations and medical disciplines
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Voluntary Health Associations & Medical Disciplines
Size band
4 (IRS master file code)
Formed
2012
Principal officer
Dr Richard Davis (as named on the Form 990)
IRS ruling date
1 February 2015
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥4years on the filingsRichard Davis PHD
≥4years on the filingsRobert T Rogers II MD

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$106k
Total liabilities
$7.1m
Net assets or fund balances
Minus $7m
Contributions and grants received
$0
Program service revenue
$364k
Employees
0

State registration

1 entityiBusiness-entity registers published by US states. These records are matched to this organisation by name and state, not by EIN, and are labelled as likely matches. Street addresses are not shown.
Canton-Potsdam Medical Practice, PLLC likely matchiMatched by exact name and state (and ZIP where shown). State registers do not publish EINs, so this is not a confirmed match. Source: New York Department of State, active corporations (data.ny.gov n9v6-gdp6). Licence: New York open data terms of use. Data last fetched 18 October 2026.
State
New York
Entity type
Domestic Professional Service Limited Liability Company
Status
Active
Formed
22 June 2012
Registered agent
Not stated