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Nonprofiteer
← CHENANGO MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by CHENANGO MEMORIAL HOSPITAL INC.

Totals

Total revenue
$100,079,974
Total expenses
$93,929,658
Contributions and grants received
$5,565,439
Grants paid
$0
Program service revenue
$93,452,632
Investment income
$876,172
Other revenue
$185,731
Total assets, end of year
$99,102,707
Total liabilities, end of year
$38,358,264
Net assets or fund balances, end of year
$60,744,443
Program services expenses (Part IX)
$80,755,019
Management and general expenses
$13,174,639
Fundraising expenses
$0
Program service expenses (Part III)
$80,755,019

Program services were 86.0% 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.

  • 1b · Membership dues

    $4,671

  • 1e · Government grants (contributions)

    $3,298,041

  • 1f · All other contributions, gifts and grants

    $2,262,727

  • 2a · Program service revenue: OUTPATIENT & AMBULATORY SVCS

    total $66,586,562 · related or exempt $66,586,562

  • 2b · Program service revenue: INPATIENT, ACUTE, LT SKILLED NURS

    total $14,122,500 · related or exempt $14,122,500

  • 2c · Program service revenue: CLINICS

    total $12,743,570 · related or exempt $12,743,570

  • 3 · Investment income

    total $876,172 · excluded $876,172

  • 6a · Gross rents

    real property $3,600

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $3,600

  • 6d · Net rental income or loss

    total $3,600 · unrelated business $3,600

  • 11a · Other revenue: OTHER OPERATING REVENUE

    total $670,399 · related or exempt $670,399

  • 11b · Other revenue: CAFETERIA REVENUE

    total $19,128 · related or exempt $19,128

  • 11c · Other revenue: NON OPERATING REVENUE

    total -$522,307 · related or exempt -$522,307

  • 11d · All other revenue

    total $14,911 · excluded $14,911

  • 11e · Other revenue, total

    $182,131

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $3,102,241 · program services $3,102,241

  • 7 · Other salaries and wages

    total $23,473,571 · program services $19,844,912 · management and general $3,628,659

  • 8 · Pension plan contributions

    total $863,011 · program services $733,559 · management and general $129,452

  • 9 · Other employee benefits

    total $3,528,743 · program services $3,007,616 · management and general $521,127

  • 10 · Payroll taxes

    total $1,804,875 · program services $1,534,144 · management and general $270,731

  • 11a · Fees: management

    total $978,021 · management and general $978,021

  • 11b · Fees: legal

    total $10,589 · management and general $10,589

  • 11c · Fees: accounting

    total $101,000 · management and general $101,000

  • 11d · Fees: lobbying

    total $12,495 · management and general $12,495

  • 11g · Fees: other

    total $18,371,398 · program services $15,615,687 · management and general $2,755,711

  • 12 · Advertising and promotion

    total $90,889 · program services $13,500 · management and general $77,389

  • 13 · Office expenses

    total $241,567 · program services $135,904 · management and general $105,663

  • 16 · Occupancy

    total $1,557,687 · program services $1,355,700 · management and general $201,987

  • 17 · Travel

    total $70,079 · program services $47,166 · management and general $22,913

  • 20 · Interest

    total $712,696 · program services $712,696

  • 22 · Depreciation, depletion and amortization

    total $4,822,945 · program services $4,822,945

  • 23 · Insurance

    total $693,191 · program services $693,191

  • 24a · Other expenses: SUPPLIES

    total $27,401,332 · program services $23,809,873 · management and general $3,591,459

  • 24b · Other expenses: BAD DEBTS

    total $2,998,993 · program services $2,998,993 · management and general $0

  • 24c · Other expenses: NEW YORK STATE CASH REC

    total $454,390 · program services $454,390 · management and general $0

  • 24d · Other expenses: MISCELLANEOUS AUXILLARY

    total $31,592 · program services $31,592 · management and general $0

  • 24e · All other expenses

    total $2,608,353 · program services $1,840,910 · management and general $767,443

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,488,629 · end of year $16,982,500

  • 3 · Pledges and grants receivable

    beginning of year $6,119,022 · end of year $6,408,951

  • 4 · Accounts receivable

    beginning of year $8,544,100 · end of year $9,066,783

  • 8 · Inventories for sale or use

    beginning of year $803,083 · end of year $859,916

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,501,243 · end of year $1,842,036

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

    $123,127,500

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

    $71,273,071

  • 10c · Land, buildings and equipment, net

    beginning of year $50,088,741 · end of year $51,854,429

  • 12 · Investments: other securities

    beginning of year $125,605 · end of year $136,325

  • 15 · Other assets

    beginning of year $11,446,404 · end of year $11,951,767

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,694,607 · end of year $8,845,965

  • 23 · Secured mortgages and notes payable

    beginning of year $13,100,895 · end of year $14,299,300

  • 25 · Other liabilities

    beginning of year $18,520,677 · end of year $15,212,999

  • 27 · Net assets without donor restrictions

    beginning of year $44,052,620 · end of year $52,398,501

  • 28 · Net assets with donor restrictions

    beginning of year $7,748,028 · end of year $8,345,942

Mission and programs · 2023

Mission

(SEE SCHEDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES.

Activities or mission (Part I)

(SEE SCHEDULE O)

  • INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 4,278. DISCHARGES WERE 1,299, AND AVERAGE LENGTH OF STAY WAS 3.29 DAYS. LONG TERM SKILLED NURSING DAYS WERE 8,743. THERE WERE 202 BIRTHS AND 250 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2023. IN 2023, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 70 INDIVIDUALS FOR WHICH $783,472 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.

    Expenses $21,746,157 · Revenue $14,122,500

  • OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2023 WAS 197,926. INCLUDED IN THE 197,926 VISITS WERE 16,994 EMERGENCY ROOM VISITS, 752 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 3,798 VARIOUS OUTPATIENT SURGICAL CASES, AND 176,382 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2023, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 2,307 INDIVIDUALS FOR WHICH $1,645,921 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.

    Expenses $40,553,832 · Revenue $66,586,562

  • CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: GERIATRICS, WOMEN'S HEALTH CENTER, GENERAL SURGERY, HEART CENTER, GI, ORTHOPEDICS, PODIATRY, ONCOLOGY AND PAIN MANAGEMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2023 WAS 75,408.

    Expenses $18,455,030 · Revenue $12,743,570

  • Revenue $167,220

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JOHN M CARRIGG

    BOARD MEMBER 2ND V CHAIR

    Total calculated
    $2,002,091
    From this org
    $0
    From related orgs
    $1,877,680
    Other
    $124,411
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,168,008 related
    Bonus
    $0
    Other
    $0 + $709,672 related
    Deferred
    $0 + $92,059 related
    Nontaxable benefits
    $0 + $32,352 related
    Filer's total
    $0 + $2,002,091 related

  • JOSEPH R STAGLIANO

    BOARD MEMBER / CHAIR

    Total calculated
    $0
    Hours/week
    2

  • BRUCE S ERATH

    BOARD MEMBER 1ST VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • DRAKE LAMEN MD

    BOARD MEMBER/PRES/CEO/CMO

    Total calculated
    $486,258
    From this org
    $443,951
    From related orgs
    $0
    Other
    $42,307
    Hours/week
    57

    Schedule J breakdown matched by us

    Base
    $368,267
    Bonus
    $75,684
    Other
    $0
    Deferred
    $16,500
    Nontaxable benefits
    $25,807
    Filer's total
    $486,258

  • ROBERT W NASSAR

    BOARD MEMBER SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • JULIE OEHLBECK

    BOARD MEMBER TREASURER

    Total calculated
    $0
    Hours/week
    2

  • ELIZABETH K BOLAND

    BOARD MEMBER

    Total calculated
    $780,095
    From this org
    $0
    From related orgs
    $656,383
    Other
    $123,712
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $655,970 related
    Bonus
    $0
    Other
    $0 + $413 related
    Deferred
    $0 + $106,650 related
    Nontaxable benefits
    $0 + $17,062 related
    Filer's total
    $0 + $780,095 related

  • KURT HARDING DO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SHAUNA HYLE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • ERIC G LARSEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SHEILA MARSHMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • MARTIN MASARECH MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 55 related

  • LUKE MURPHY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DENISE REPPERT

    BOARD MEMBER / PRES OF AUX

    Total calculated
    $0
    Hours/week
    2

  • BARBARA SCHINDLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JAY SMITH

    BOARD MEMBER

    Total calculated
    $528,521
    From this org
    $0
    From related orgs
    $493,844
    Other
    $34,677
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,844 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $19,754 related
    Nontaxable benefits
    $0 + $14,923 related
    Filer's total
    $0 + $528,521 related

  • HEATHER FERRARESE

    BOARD MEMBER TO 5/31/23

    Total calculated
    $0
    Hours/week
    2

  • RIC FESTARINI

    BOARD MEMBER TO 5/31/23

    Total calculated
    $0
    Hours/week
    2

  • CARLOS SANTA INES JR MD

    BOARD MEMBER TO 5/31/23

    Total calculated
    $0
    Hours/week
    2

  • DOMINIC SHEA

    BOARD MEMBER TO 5/31/23

    Total calculated
    $0
    Hours/week
    2

  • DESIREE AXLEY

    VP FINANCE AND CFO

    Total calculated
    $248,981
    From this org
    $235,463
    From related orgs
    $0
    Other
    $13,518
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $220,463
    Bonus
    $15,000
    Other
    $0
    Deferred
    $11,910
    Nontaxable benefits
    $1,608
    Filer's total
    $248,981

  • CHRISTINA KISACKY

    VP OF OPERATIONS

    Total calculated
    $236,395
    From this org
    $205,226
    From related orgs
    $0
    Other
    $31,169
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $190,226
    Bonus
    $15,000
    Other
    $0
    Deferred
    $12,845
    Nontaxable benefits
    $18,324
    Filer's total
    $236,395

  • KRISTINA HUMMER

    VP OF MEDICAL

    Total calculated
    $235,585
    From this org
    $194,242
    From related orgs
    $0
    Other
    $41,343
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $194,242
    Bonus
    $0
    Other
    $0
    Deferred
    $4,749
    Nontaxable benefits
    $36,594
    Filer's total
    $235,585

  • DAVID FINNEY

    VP NURSING

    Total calculated
    $229,040
    From this org
    $0
    From related orgs
    $182,527
    Other
    $46,513
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $167,527 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $12,712 related
    Nontaxable benefits
    $0 + $33,801 related
    Filer's total
    $0 + $229,040 related

  • WENDY SURDOVAL

    VP OF QUALITY MGMT

    Total calculated
    $156,816
    From this org
    $155,505
    From related orgs
    $0
    Other
    $1,311
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $140,505
    Bonus
    $15,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,311
    Filer's total
    $156,816

  • THOMAS GENESE

    VP MEDICAL AFFAIRS

    Total calculated
    $327,567
    From this org
    $280,325
    From related orgs
    $0
    Other
    $47,242
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $280,325
    Bonus
    $0
    Other
    $0
    Deferred
    $12,656
    Nontaxable benefits
    $34,586
    Filer's total
    $327,567

  • PHYLLIS SHERIFF-WHITE

    PRES OF MED STAFF

    Total calculated
    $406,185
    From this org
    $363,479
    From related orgs
    $0
    Other
    $42,706
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $363,479
    Bonus
    $0
    Other
    $0
    Deferred
    $11,768
    Nontaxable benefits
    $30,938
    Filer's total
    $406,185

  • MARGARET SWARTWOOD

    CONTROLLER

    Total calculated
    $210,688
    From this org
    $187,649
    From related orgs
    $0
    Other
    $23,039
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $172,649
    Bonus
    $15,000
    Other
    $0
    Deferred
    $8,981
    Nontaxable benefits
    $14,058
    Filer's total
    $210,688

  • ZAIMA CHOUDHRY

    PHYSICIAN

    Total calculated
    $243,462
    From this org
    $231,824
    From related orgs
    $0
    Other
    $11,638
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $231,824
    Bonus
    $0
    Other
    $0
    Deferred
    $11,374
    Nontaxable benefits
    $264
    Filer's total
    $243,462

  • DORIS SHERMAN

    COORDINATOR QUALITY AND SERV

    Total calculated
    $226,869
    From this org
    $191,757
    From related orgs
    $0
    Other
    $35,112
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $184,257
    Bonus
    $7,500
    Other
    $0
    Deferred
    $9,796
    Nontaxable benefits
    $25,316
    Filer's total
    $226,869

  • PATRICIA ADAMS

    NURSING SUPERVISOR

    Total calculated
    $164,157
    From this org
    $157,200
    From related orgs
    $0
    Other
    $6,957
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $153,450
    Bonus
    $3,750
    Other
    $0
    Deferred
    $6,510
    Nontaxable benefits
    $447
    Filer's total
    $164,157

  • RICHARD STONE

    DIRECTOR OF SUPP SERV-FAC

    Total calculated
    $193,434
    From this org
    $152,538
    From related orgs
    $0
    Other
    $40,896
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $132,738
    Bonus
    $19,800
    Other
    $0
    Deferred
    $6,794
    Nontaxable benefits
    $34,102
    Filer's total
    $193,434

  • PATTI HITCHCOCK

    ADMIN OF RHCF

    Total calculated
    $152,953
    From this org
    $147,052
    From related orgs
    $0
    Other
    $5,901
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $139,552
    Bonus
    $7,500
    Other
    $0
    Deferred
    $5,736
    Nontaxable benefits
    $165
    Filer's total
    $152,953

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
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

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

The filer's explanations (Part III)

PART I, LINE 4B
PAYMENT IN 2023 FROM A NON-QUALIFIED PLAN: JOHN CARRIGG FOR $702,511 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $702,511 INCLUDES A 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, LINE 6
THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2023 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. THE ORGANIZATION DOES NOT COMPENSATE FOR BOARD SERVICE. THE SALARIES LISTED ARE FOR SERVICES PROVIDED AS EMPLOYEES.
FORM 990, PART VII, SECTION A, LINE 9:
INDIVIDUAL: KRISTINA HUMMER, D.O. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $194,242
FORM 990, PART VII, SECTION A, LINE 5:
INDIVIDUAL: PHYLLIS SHERIFF-WHITE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $363,479
FORM 990, PART VII, SECTION A, LINE 6:
INDIVIDUAL: THOMAS GENESE, MD UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $182,360

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202443199349308894

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