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Nonprofiteer
← DELAWARE VALLEY HOSPITAL INC

Form 990 for tax year 2022

Filed by DELAWARE VALLEY HOSPITAL INC.

Totals

Total revenue
$34,235,567
Total expenses
$30,039,238
Contributions and grants received
$696,419
Grants paid
$0
Program service revenue
$33,236,802
Investment income
$211,505
Other revenue
$90,841
Total assets, end of year
$37,167,150
Total liabilities, end of year
$7,911,672
Net assets or fund balances, end of year
$29,255,478
Program services expenses (Part IX)
$25,029,637
Management and general expenses
$5,009,601
Fundraising expenses
$0
Program service expenses (Part III)
$25,029,637

Program services were 83.3% 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)

    $650,672

  • 1f · All other contributions, gifts and grants

    $45,747

  • 2a · Program service revenue: OUTPATIENT SERVICES

    total $20,977,173 · related or exempt $20,977,173

  • 2b · Program service revenue: INPATIENT AND ACUTE SERVICES

    total $8,100,948 · related or exempt $8,100,948

  • 2c · Program service revenue: CLINICS

    total $4,158,681 · related or exempt $4,158,681

  • 3 · Investment income

    total $211,505 · excluded $211,505

  • 11a · Other revenue: VENDOR REBATES

    total $69,996 · related or exempt $69,996

  • 11b · Other revenue: MISC REVENUE

    total $20,553 · related or exempt $20,553

  • 11c · Other revenue: MEDICAL RECORD COPY FEES

    total $3,917 · related or exempt $3,917

  • 11d · All other revenue

    total -$3,625 · related or exempt -$3,625

  • 11e · Other revenue, total

    $90,841

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $893,463 · program services $608,816 · management and general $284,647

  • 7 · Other salaries and wages

    total $9,451,353 · program services $7,821,666 · management and general $1,629,687

  • 8 · Pension plan contributions

    total $301,883 · program services $247,544 · management and general $54,339

  • 9 · Other employee benefits

    total $1,181,166 · program services $968,556 · management and general $212,610

  • 10 · Payroll taxes

    total $705,500 · program services $582,608 · management and general $122,892

  • 11a · Fees: management

    total $223,349 · management and general $223,349

  • 11b · Fees: legal

    total $29,076 · management and general $29,076

  • 11c · Fees: accounting

    total $101,507 · management and general $101,507

  • 11d · Fees: lobbying

    total $4,952 · management and general $4,952

  • 11f · Fees: investment management

    total $3,089 · management and general $3,089

  • 11g · Fees: other

    total $7,460,626 · program services $6,256,225 · management and general $1,204,401

  • 12 · Advertising and promotion

    total $22,295 · program services $22,295

  • 13 · Office expenses

    total $1,149,289 · program services $555,465 · management and general $593,824

  • 14 · Information technology

    total $88,959 · management and general $88,959

  • 16 · Occupancy

    total $323,787 · program services $173,955 · management and general $149,832

  • 17 · Travel

    total $17,117 · program services $11,808 · management and general $5,309

  • 19 · Conferences, conventions and meetings

    total $25,118 · program services $19,746 · management and general $5,372

  • 20 · Interest

    total $86,169 · program services $10,641 · management and general $75,528

  • 22 · Depreciation, depletion and amortization

    total $1,179,079 · program services $1,179,079

  • 23 · Insurance

    total $174,506 · program services $113,292 · management and general $61,214

  • 24a · Other expenses: DRUGS

    total $4,489,366 · program services $4,489,366

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $682,630 · program services $682,630

  • 24c · Other expenses: LAB SERVICES

    total $609,679 · program services $609,679

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $450,434 · program services $450,434

  • 24e · All other expenses

    total $384,846 · program services $225,832 · management and general $159,014

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,399,623 · end of year $6,642,285

  • 4 · Accounts receivable

    beginning of year $3,009,298 · end of year $3,165,001

  • 8 · Inventories for sale or use

    beginning of year $490,165 · end of year $457,583

  • 9 · Prepaid expenses and deferred charges

    beginning of year $638,576 · end of year $533,697

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

    $28,584,860

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

    $18,513,639

  • 10c · Land, buildings and equipment, net

    beginning of year $10,278,753 · end of year $10,071,221

  • 11 · Investments: publicly traded securities

    beginning of year $11,908,875 · end of year $15,034,143

  • 13 · Investments: program-related

    beginning of year $318,209 · end of year $318,209

  • 15 · Other assets

    beginning of year $953,476 · end of year $945,011

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,411,157 · end of year $1,742,759

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,639,900 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $107,423 · end of year $1,567,354

  • 24 · Unsecured notes and loans payable

    beginning of year $3,659,511 · end of year $3,329,042

  • 25 · Other liabilities

    beginning of year $641,064 · end of year $1,272,517

  • 27 · Net assets without donor restrictions

    beginning of year $26,206,464 · end of year $28,894,591

  • 28 · Net assets with donor restrictions

    beginning of year $331,456 · end of year $360,887

Mission and programs · 2022

Mission

SEE SCHEDULE OAS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, UHS DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, INPATIENT SHORT-TERM ACUTE CARE, PHYSICAL REHABILITATIVE CARE AND ADDICTION TREATMENT. IN ADDITION, WE PROVIDE HIGH QUALITY PRIMARY CARE; A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. UHS DELAWARE VALLEY HOSPITAL ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE STATE-OF-THE-ART TECHNOLOGY AND HIGHLY QUALIFIED SPECIALISTS OF THE UHS SYSTEM, WHEN MORE SPECIALIZED CARE IS NEEDED.

Activities or mission (Part I)

TO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE, PRIMARY CARE AND WELLNESS SERVICES.

  • INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O) INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL (DVH) FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTE CARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA ITS 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2022 WERE COMPRISED OF 172 ACUTE, AND 224 SWING BED. ACUTE CARE REPRESENTED 620 PATIENT DAYS, IN ADDITION TO THE 3,692 PATIENT DAYS FOR SWING BED. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 15,404 LAB TESTS, 6,623 RESPIRATORY TREATMENTS, 59 X-RAYS, 16 ULTRASOUNDS, 48 CT AND 3 MRI EXAMS, 2,419 PHYSICAL THERAPY AND 1,518 OCCUPATIONAL THERAPY SESSIONS, AND 133 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED 35 ECHO EXAMS, AND 726 DIETARY CONSULTS. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH 3D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY, X-RAY AND A 128-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR. NUCLEAR MEDICINE WAS ADDED IN 2021 AND IS OFFERED ONE TO TWO DAYS EACH WEEK.IN ORDER TO ADDRESS THE NEED TO FREE UP ICU AND OTHER BEDS, WITHIN BOTH THE UNITED HEALTH SERVICES SYSTEM AND THE REGION, DELAWARE VALLEY HOSPITAL PAUSED ADMISSIONS TO ITS INPATIENT ADDICTION TREATMENT PROGRAM IN OCTOBER 2021. STAFF FROM THE ADDICTION TREATMENT PROGRAM WERE RE-ASSIGNED TO THE INPATIENT MEDICAL UNIT WHICH ENSURED CARE FOR PATIENTS WITH COVID AND OTHER SERIOUS ILLNESSES, WHILE ALLOWING DVH TO CONTINUE TO ACCEPT PATIENTS WHO NEEDED ACUTE CARE, BUT WERE LESS SERIOUSLY ILL.

    Expenses $5,439,147 · Revenue $8,123,089

  • CLINICS (SEE SCHEDULE O)DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. 2022 INCLUDED 12,417 VISITS IN WALTON, 841 IN ROSCOE, AND 2,013 IN DOWNSVILLE. DELAWARE VALLEY HOSPITAL ALSO PURCHASED A PRIVATE PRACTICE AND BROUGHT ON TWO WELL-KNOWN NURSE PRACTITIONERS, WHICH LED TO AN ADDITIONAL 4,630 PRIMARY CARE VISITS; BRINGING THE GRAND TOTAL TO 19,901.

    Expenses $3,384,794 · Revenue $4,170,047

  • OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O) OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING, LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, CARDIAC AND PULMONARY REHABILITATION AND ACCESS TO SPECIALTY SERVICES. IN 2022 THE CARDIOLOGY SPECIALTY CLINIC HAD 718 VISITS, PAIN MANAGEMENT 12; TELE-MENTAL HEALTH CONSULTS 524, WHILE GASTROENTEROLOGY HAD 196. ORTHOPEDICS WAS ADDED IN LATE 2022 AND THAT SERVICE REALIZED 70 VISITS. THE HOSPITAL ALSO BEGAN TO DO SOME OUTREACH STARTING IN THE SUMMER OF 2022. THESE ACTIVITIES ARE OUTLINED IN THE SUPPLEMENTAL INFORMATION SECTION OF SCHEDULE H. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION: 238 IN 2022. IN 2022 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,588 RESIDENTS, THE LAB PERFORMED 62,616 TESTS, AND 6,434 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 9,877 X-RAYS, CT SCANS, NUCLEAR TESTING, MRI'S, ULTRASOUNDS, BONE DENSITY TESTS AND MAMMOGRAPHY FOR OUTPATIENT SERVICES. OTHER OUTPATIENT SERVICES PERFORMED IN 2022 INCLUDED 649 AMBULATORY PROCEDURES, 137 ENDOSCOPIES, 1,146 OPIATE ADDICTION TREATMENT SESSIONS, AND 1,060 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. THE CARDIOPULMONARY DEPARTMENT PERFORMED 2,209 TESTS AND/OR TREATMENTS. 1,332 CARDIAC RELATED TESTS WERE PERFORMED: EKGS, ECHOCARDIOGRAMS, CARDIAC HOLTER AND EVENT MONITORS. THERE WERE 158 DIETARY CONSULTS. THE HOSPITAL'S OUTPATIENT RETAIL PHARMACY FILLED 66,453 PRESCRIPTIONS.

    Expenses $16,205,696 · Revenue $21,034,507

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

Listed in Part VII

  • Helen Johnston

    BOARD MEMBER/BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2
  • John Carrigg

    BOARD MEMBER/VICE CHAIR

    Total calculated
    $1,673,716
    From this org
    $0
    From related orgs
    $1,579,359
    Other
    $94,357
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $981,834 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $547,525 related
    Deferred
    $0 + $71,251 related
    Nontaxable benefits
    $0 + $23,106 related
    Filer's total
    $0 + $1,673,716 related
  • Rev Larry Light

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Edward Snow

    BOARD MEMBER/SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Erin Neale

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Amanda Hall

    BOARD MEMBER/TREASURER

    Total calculated
    $0
    Hours/week
    2
  • Dr Michael Freeman

    BOARD MEMBER/MED STAFF PRE

    Total calculated
    $246,912
    From this org
    $223,202
    From related orgs
    $0
    Other
    $23,710
    Hours/week
    57

    Schedule J breakdown matched by us

    Base
    $223,202
    Bonus
    $0
    Other
    $0
    Deferred
    $2,322
    Nontaxable benefits
    $21,388
    Filer's total
    $246,912
  • Rolland Bojo

    BOARD MEMBER/PRESIDENT/CEO

    Total calculated
    $266,751
    From this org
    $233,583
    From related orgs
    $0
    Other
    $33,168
    Hours/week
    57

    Schedule J breakdown matched by us

    Base
    $226,583
    Bonus
    $7,000
    Other
    $0
    Deferred
    $6,093
    Nontaxable benefits
    $27,075
    Filer's total
    $266,751
  • Dr Jeffrey Gray

    CHIEF MEDICAL OFFICER

    Total calculated
    $40,000
    From this org
    $40,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    5
  • Victoria Conkling

    VP PATIENT CARE/CNO

    Total calculated
    $183,182
    From this org
    $162,892
    From related orgs
    $0
    Other
    $20,290
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $152,284
    Bonus
    $10,608
    Other
    $0
    Deferred
    $8,296
    Nontaxable benefits
    $11,994
    Filer's total
    $183,182
  • Lucinda Rider

    CFO

    Total calculated
    $156,619
    From this org
    $132,219
    From related orgs
    $0
    Other
    $24,400
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $123,594
    Bonus
    $8,625
    Other
    $0
    Deferred
    $6,797
    Nontaxable benefits
    $17,603
    Filer's total
    $156,619
  • Kathleen Ulmschneider

    STAFF NURSE

    Total calculated
    $172,978
    From this org
    $146,279
    From related orgs
    $0
    Other
    $26,699
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $141,279
    Bonus
    $5,000
    Other
    $0
    Deferred
    $7,662
    Nontaxable benefits
    $19,037
    Filer's total
    $172,978
  • Tito Endaya

    LAB MANAGER

    Total calculated
    $161,617
    From this org
    $130,341
    From related orgs
    $0
    Other
    $31,276
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $127,841
    Bonus
    $2,500
    Other
    $0
    Deferred
    $5,626
    Nontaxable benefits
    $25,650
    Filer's total
    $161,617
  • Cynthia Gardepe

    DIRECTOR HUMAN RESOURCES

    Total calculated
    $140,521
    From this org
    $122,405
    From related orgs
    $0
    Other
    $18,116
    Hours/week
    55
  • Randy Taylor

    DIR. ANCILLARY SERVICES

    Total calculated
    $139,634
    From this org
    $115,396
    From related orgs
    $0
    Other
    $24,238
    Hours/week
    55
  • Ann Marie Henry

    STAFF NURSE

    Total calculated
    $140,954
    From this org
    $115,272
    From related orgs
    $0
    Other
    $25,682
    Hours/week
    55

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 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 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

The filer's explanations (Part III)

PAYMENT IN 2022 FROM A NON-QUALIFIED PLAN:
JOHN CARRIGG $540,006 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $540,006 INCLUDES NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS; THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS.

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
6 November 2023
IRS schema version
2022v5.0
Source object
202303109349300140

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