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Nonprofiteer
← CLIFTON-FINE HEALTH CARE CORPORATION

Form 990 for tax year 2023

Filed by CLIFTON-FINE HEALTH CARE CORPORATION.

Totals

Total revenue
$11,084,459
Total expenses
$11,854,011
Contributions and grants received
$518,634
Grants paid
$0
Program service revenue
$10,364,811
Investment income
$125,816
Other revenue
$75,198
Total assets, end of year
$8,581,382
Total liabilities, end of year
$3,035,179
Net assets or fund balances, end of year
$5,546,203
Program services expenses (Part IX)
$9,937,847
Management and general expenses
$1,916,164
Fundraising expenses
$0
Program service expenses (Part III)
$9,937,847

Program services were 83.8% 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.

  • 1e · Government grants (contributions)

    $518,634

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $9,746,065 · related or exempt $9,746,065

  • 2b · Program service revenue: 340B REVENUE

    total $618,746 · related or exempt $618,746

  • 3 · Investment income

    total $120,662 · excluded $120,662

  • 7a · Gross sales of assets other than inventory

    securities $5,154

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $5,154

  • 7d · Net gain or loss

    total $5,154 · excluded $5,154

  • 11a · Other revenue: OTHER OPERATING REV

    total $75,198 · related or exempt $75,198

  • 11e · Other revenue, total

    $75,198

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $5,037,399 · program services $4,590,909 · management and general $446,490

  • 8 · Pension plan contributions

    total $98,992 · program services $90,218 · management and general $8,774

  • 9 · Other employee benefits

    total $523,538 · program services $476,632 · management and general $46,906

  • 10 · Payroll taxes

    total $354,299 · program services $334,909 · management and general $19,390

  • 11b · Fees: legal

    total $5,958 · management and general $5,958

  • 11c · Fees: accounting

    total $131,793 · management and general $131,793

  • 11d · Fees: lobbying

    total $10,341 · management and general $10,341

  • 11f · Fees: investment management

    total $18,552 · management and general $18,552

  • 11g · Fees: other

    total $3,402,324 · program services $2,693,691 · management and general $708,633

  • 12 · Advertising and promotion

    total $31,205 · management and general $31,205

  • 13 · Office expenses

    total $170,377 · program services $46,840 · management and general $123,537

  • 14 · Information technology

    total $73,662 · program services $63,232 · management and general $10,430

  • 16 · Occupancy

    total $248,661 · program services $244,191 · management and general $4,470

  • 17 · Travel

    total $22,489 · program services $10,351 · management and general $12,138

  • 20 · Interest

    total $126,462 · program services $5,019 · management and general $121,443

  • 22 · Depreciation, depletion and amortization

    total $319,150 · program services $296,858 · management and general $22,292

  • 23 · Insurance

    total $169,227 · management and general $169,227

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $748,117 · program services $748,117 · management and general $0

  • 24b · Other expenses: BAD DEBT

    total $291,251 · program services $291,251 · management and general $0

  • 24c · Other expenses: LICENSES AND DUES

    total $42,382 · program services $17,797 · management and general $24,585

  • 24d · Other expenses: NYS CASH RECEIPTS ASSES

    total $27,832 · program services $27,832

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,054,734 · end of year $659,952

  • 2 · Savings and temporary cash investments

    beginning of year $2,581,322 · end of year $2,998,841

  • 3 · Pledges and grants receivable

    beginning of year $482,113 · end of year $248,607

  • 4 · Accounts receivable

    beginning of year $1,119,967 · end of year $806,128

  • 8 · Inventories for sale or use

    beginning of year $225,775 · end of year $239,323

  • 9 · Prepaid expenses and deferred charges

    beginning of year $175,130 · end of year $188,455

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

    $10,517,267

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

    $8,118,337

  • 10c · Land, buildings and equipment, net

    beginning of year $1,961,294 · end of year $2,398,930

  • 15 · Other assets

    beginning of year $865,203 · end of year $1,041,146

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,149,836 · end of year $2,142,184

  • 23 · Secured mortgages and notes payable

    beginning of year $801,711 · end of year $689,936

  • 25 · Other liabilities

    beginning of year $1,258,015 · end of year $203,059

  • 27 · Net assets without donor restrictions

    beginning of year $5,149,581 · end of year $4,691,815

  • 28 · Net assets with donor restrictions

    beginning of year $1,106,395 · end of year $854,388

Mission and programs · 2023

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.

Activities or mission (Part I)

THE 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 $9,937,847 · Revenue $10,440,009

As filed on the 2023 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
    $1,102,663
    From this org
    $0
    From related orgs
    $1,043,591
    Other
    $59,072
    Hours/week
    1 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $735,218 related
    Bonus
    $0 + $306,133 related
    Other
    $0 + $2,240 related
    Deferred
    $0 + $11,200 related
    Nontaxable benefits
    $0 + $47,872 related
    Filer's total
    $0 + $1,102,663 related
  • Allen Ditch

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Sadie Hall

    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
    $225,876
    From this org
    $0
    From related orgs
    $184,995
    Other
    $40,881
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $184,995 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $11,100 related
    Nontaxable benefits
    $0 + $29,781 related
    Filer's total
    $0 + $225,876 related
  • Maxine Briggs

    CFO/TREASURER

    Total calculated
    $592,869
    From this org
    $0
    From related orgs
    $544,695
    Other
    $48,174
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,860 related
    Bonus
    $0 + $43,335 related
    Other
    $0 + $22,500 related
    Deferred
    $0 + $17,800 related
    Nontaxable benefits
    $0 + $30,374 related
    Filer's total
    $0 + $592,869 related
  • David I Michaelson

    DOCTOR

    Total calculated
    $260,830
    From this org
    $250,349
    From related orgs
    $0
    Other
    $10,481
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,349
    Bonus
    $0
    Other
    $0
    Deferred
    $7,597
    Nontaxable benefits
    $2,884
    Filer's total
    $260,830
  • Jacqueline C Snyder

    PHYSICIAN ASSISTANT

    Total calculated
    $177,222
    From this org
    $171,799
    From related orgs
    $0
    Other
    $5,423
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,799
    Bonus
    $0
    Other
    $0
    Deferred
    $162
    Nontaxable benefits
    $5,261
    Filer's total
    $177,222
  • Matthew Zegil

    NURSE PRACTITIONER

    Total calculated
    $241,166
    From this org
    $226,816
    From related orgs
    $0
    Other
    $14,350
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,816
    Bonus
    $0
    Other
    $0
    Deferred
    $6,753
    Nontaxable benefits
    $7,597
    Filer's total
    $241,166
  • Brittani Bickel

    PHYSICIAN ASSISTANT

    Total calculated
    $166,448
    From this org
    $159,645
    From related orgs
    $0
    Other
    $6,803
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,645
    Bonus
    $0
    Other
    $0
    Deferred
    $4,848
    Nontaxable benefits
    $1,955
    Filer's total
    $166,448
  • Chelsea Snyder-Dennis

    NURSE ADMINISTRATOR

    Total calculated
    $119,370
    From this org
    $113,982
    From related orgs
    $0
    Other
    $5,388
    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
2023
Filed
29 October 2024
IRS schema version
2023v5.1
Source object
202403179349301700

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