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Nonprofiteer
← CLIFTON-FINE HEALTH CARE CORPORATION

Form 990 for tax year 2022

Filed by CLIFTON-FINE HEALTH CARE CORPORATION.

Totals

Total revenue
$9,819,352
Total expenses
$11,391,612
Contributions and grants received
$395,310
Grants paid
$0
Program service revenue
$9,135,764
Investment income
$52,787
Other revenue
$235,491
Total assets, end of year
$9,465,538
Total liabilities, end of year
$3,209,562
Net assets or fund balances, end of year
$6,255,976
Program services expenses (Part IX)
$9,470,855
Management and general expenses
$1,920,757
Fundraising expenses
$0
Program service expenses (Part III)
$9,470,855

Program services were 83.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $65,561

  • 1e · Government grants (contributions)

    $261,685

  • 1f · All other contributions, gifts and grants

    $68,064

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $9,135,764 · related or exempt $9,135,764

  • 3 · Investment income

    total $52,787 · excluded $52,787

  • 11a · Other revenue: OTHER OPERATING REV

    total $137,439 · related or exempt $137,439

  • 11b · Other revenue: 340B REVENUE

    total $98,052 · related or exempt $98,052

  • 11e · Other revenue, total

    $235,491

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $4,966,626 · program services $4,507,641 · management and general $458,985

  • 8 · Pension plan contributions

    total $84,559 · program services $76,745 · management and general $7,814

  • 9 · Other employee benefits

    total $584,433 · program services $530,423 · management and general $54,010

  • 10 · Payroll taxes

    total $355,373 · program services $335,460 · management and general $19,913

  • 11b · Fees: legal

    total $9,082 · management and general $9,082

  • 11c · Fees: accounting

    total $161,845 · management and general $161,845

  • 11d · Fees: lobbying

    total $6,035 · management and general $6,035

  • 11g · Fees: other

    total $2,792,209 · program services $2,101,838 · management and general $690,371

  • 12 · Advertising and promotion

    total $23,287 · management and general $23,287

  • 13 · Office expenses

    total $99,236 · program services $82,108 · management and general $17,128

  • 14 · Information technology

    total $173,715 · program services $143,733 · management and general $29,982

  • 16 · Occupancy

    total $250,944 · program services $207,632 · management and general $43,312

  • 17 · Travel

    total $18,887 · program services $15,627 · management and general $3,260

  • 20 · Interest

    total $63,234 · program services $5,019 · management and general $58,215

  • 22 · Depreciation, depletion and amortization

    total $325,592 · program services $302,850 · management and general $22,742

  • 23 · Insurance

    total $127,252 · management and general $127,252

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,212,847 · program services $1,090,292 · management and general $122,555

  • 24b · Other expenses: BAD DEBT

    total $57,146 · management and general $57,146

  • 24c · Other expenses: LICENSES AND DUES

    total $45,323 · program services $37,500 · management and general $7,823

  • 24d · Other expenses: NYS CASH RECEIPTS ASSES

    total $33,987 · program services $33,987

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,999,089 · end of year $2,054,734

  • 2 · Savings and temporary cash investments

    beginning of year $713,912 · end of year $2,581,322

  • 3 · Pledges and grants receivable

    beginning of year $407,483 · end of year $482,113

  • 4 · Accounts receivable

    beginning of year $2,322,771 · end of year $1,119,967

  • 8 · Inventories for sale or use

    beginning of year $228,606 · end of year $225,775

  • 9 · Prepaid expenses and deferred charges

    beginning of year $328,495 · end of year $175,130

  • 10a · Land, buildings and equipment: cost or other basis

    $9,760,481

  • 10b · Land, buildings and equipment: accumulated depreciation

    $7,799,187

  • 10c · Land, buildings and equipment, net

    beginning of year $2,005,316 · end of year $1,961,294

  • 15 · Other assets

    beginning of year $1,735,325 · end of year $865,203

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,489,918 · end of year $1,149,836

  • 23 · Secured mortgages and notes payable

    beginning of year $890,652 · end of year $801,711

  • 25 · Other liabilities

    beginning of year $1,391,320 · end of year $1,258,015

  • 27 · Net assets without donor restrictions

    beginning of year $6,801,221 · end of year $5,149,581

  • 28 · Net assets with donor restrictions

    beginning of year $1,167,886 · end of year $1,106,395

Mission and programs · 2022

Mission

SEE SCHEDULE OTHE PURPOSE FOR WHICH THE CORPORATION WAS ORGANIZED IS TO OWN AND OPERATE THE HEALTH CARE FACILITY KNOWN AS "CLIFTON-FINE HOSPITAL". CLIFTON-FINE HEALTH CARE CORPORATION IS A CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES FOR THE BENEFIT OF THE RESIDENTS OF THE STATE OF NEW YORK AND THE TOWNS OF CLIFTON AND FINE, INCLUDING PERSONS IN NEED OF HEALTH CARE SERVICES WITHOUT THE ABILITY TO PAY AS REQUIRED BY LAW.

  • A CRITICAL ACCESS HOSPITAL PROVIDING HEALTH CARE SERVICES FOR THE BENEFIT OF THE RESIDENTS OF THE STATE OF NEW YORK AND THE TOWNS OF CLIFTON AND FINE.

    Expenses $9,470,855 · Revenue $9,371,255

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • THOMAS SAUTER

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • LEEANN SHORT

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • DAVID DAUT

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • THOMAS CARMAN

    BOARD MEMBER

    Total calculated
    $938,040
    From this org
    $0
    From related orgs
    $880,166
    Other
    $57,874
    Hours/week
    1 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $699,733 related
    Bonus
    $0 + $174,933 related
    Other
    $0 + $5,500 related
    Deferred
    $0 + $11,200 related
    Nontaxable benefits
    $0 + $46,674 related
    Filer's total
    $0 + $938,040 related

  • ALLEN DITCH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SADIE HALL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CRIS NARGI

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CHUCK HOOVEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN WHEELER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HALSEY BAGG

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MAJONICA DRAKE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN BURNS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DIERDRA SORRELL

    CEO/EX-OFFICIO

    Total calculated
    $216,784
    From this org
    $0
    From related orgs
    $184,995
    Other
    $31,789
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $184,995 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $3,700 related
    Nontaxable benefits
    $0 + $28,089 related
    Filer's total
    $0 + $216,784 related

  • MAXINE BRIGGS

    CFO/TREASURER

    Total calculated
    $499,877
    From this org
    $0
    From related orgs
    $453,847
    Other
    $46,030
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,347 related
    Bonus
    $0
    Other
    $0 + $20,500 related
    Deferred
    $0 + $17,300 related
    Nontaxable benefits
    $0 + $28,730 related
    Filer's total
    $0 + $499,877 related

  • DAVID I MICHAELSON

    DOCTOR

    Total calculated
    $246,204
    From this org
    $233,945
    From related orgs
    $0
    Other
    $12,259
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,945
    Bonus
    $0
    Other
    $0
    Deferred
    $3,392
    Nontaxable benefits
    $8,867
    Filer's total
    $246,204

  • JACQUELINE C SNYDER

    PHYSICIAN ASSISTANT

    Total calculated
    $173,251
    From this org
    $165,246
    From related orgs
    $0
    Other
    $8,005
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,246
    Bonus
    $0
    Other
    $0
    Deferred
    $2,396
    Nontaxable benefits
    $5,609
    Filer's total
    $173,251

  • MATTHEW ZEGIL

    NURSE PRACTITIONER

    Total calculated
    $208,992
    From this org
    $195,655
    From related orgs
    $0
    Other
    $13,337
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,655
    Bonus
    $0
    Other
    $0
    Deferred
    $2,837
    Nontaxable benefits
    $10,500
    Filer's total
    $208,992

  • BRITTANI BICKEL

    PHYSICIAN ASSISTANT

    Total calculated
    $158,234
    From this org
    $154,098
    From related orgs
    $0
    Other
    $4,136
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,098
    Bonus
    $0
    Other
    $0
    Deferred
    $2,234
    Nontaxable benefits
    $1,902
    Filer's total
    $158,234

  • BYRON EVANS

    PHYSICIAN ASSISTANT

    Total calculated
    $126,610
    From this org
    $124,800
    From related orgs
    $0
    Other
    $1,810
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202343189349310609

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