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← MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC

Form 990 for tax year 2022

Filed by MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC.

Totals

Total revenue
$78,117,523
Total expenses
$74,067,556
Contributions and grants received
$13,960,894
Grants paid
$0
Program service revenue
$60,738,877
Investment income
-$96,679
Other revenue
$3,514,431
Total assets, end of year
$72,495,461
Total liabilities, end of year
$28,936,099
Net assets or fund balances, end of year
$43,559,362
Program services expenses (Part IX)
$60,539,537
Management and general expenses
$13,528,019
Fundraising expenses
$0
Program service expenses (Part III)
$60,539,537

Program services were 81.7% 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

    $1,399,640

  • 1e · Government grants (contributions)

    $12,187,503

  • 1f · All other contributions, gifts and grants

    $373,751

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $60,738,877 · related or exempt $60,738,877

  • 3 · Investment income

    total $102,154 · excluded $102,154

  • 6a · Gross rents

    real property $108,087

  • 6b · Less rental expenses

    real property $42,888

  • 6c · Rental income or loss

    real property $65,199

  • 6d · Net rental income or loss

    total $65,199 · excluded $65,199

  • 7a · Gross sales of assets other than inventory

    securities $2,733,193

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

    securities $2,932,026

  • 7c · Gain or loss

    securities -$198,833

  • 7d · Net gain or loss

    total -$198,833 · excluded -$198,833

  • 11a · Other revenue: 340B CONTRACT PHARMACY

    total $2,171,023 · related or exempt $2,171,023

  • 11b · Other revenue: OTHER INCOME

    total $1,022,161 · related or exempt $1,022,161

  • 11c · Other revenue: CAFETERIA

    total $250,485 · excluded $250,485

  • 11d · All other revenue

    total $5,563 · excluded $5,563

  • 11e · Other revenue, total

    $3,449,232

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $313,004 · management and general $313,004

  • 7 · Other salaries and wages

    total $26,133,387 · program services $21,606,245 · management and general $4,527,142

  • 8 · Pension plan contributions

    total $206,000 · program services $168,311 · management and general $37,689

  • 9 · Other employee benefits

    total $4,646,149 · program services $3,733,027 · management and general $913,122

  • 11b · Fees: legal

    total $11,868 · management and general $11,868

  • 11c · Fees: accounting

    total $124,480 · management and general $124,480

  • 11g · Fees: other

    total $14,479,704 · program services $13,176,609 · management and general $1,303,095

  • 12 · Advertising and promotion

    total $93,062 · management and general $93,062

  • 13 · Office expenses

    total $121,901 · program services $212 · management and general $121,689

  • 14 · Information technology

    total $413,147 · program services $11,970 · management and general $401,177

  • 16 · Occupancy

    total $785,773 · program services $737,897 · management and general $47,876

  • 17 · Travel

    total $23,309 · program services $21,411 · management and general $1,898

  • 19 · Conferences, conventions and meetings

    total $40,109 · program services $26,504 · management and general $13,605

  • 20 · Interest

    total $240,717 · management and general $240,717

  • 22 · Depreciation, depletion and amortization

    total $2,886,166 · program services $1,574,412 · management and general $1,311,754

  • 23 · Insurance

    total $601,571 · program services $601,571

  • 24a · Other expenses: SUPPLIES

    total $15,769,888 · program services $15,514,863 · management and general $255,025

  • 24b · Other expenses: PURCHASED SERVICES

    total $5,270,535 · program services $2,254,504 · management and general $3,016,031

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $891,241 · program services $822,748 · management and general $68,493

  • 24d · Other expenses: OTHER EXPENSES

    total $626,085 · program services $60,642 · management and general $565,443

  • 24e · All other expenses

    total $389,460 · program services $228,611 · management and general $160,849

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,506,941 · end of year $6,963,473

  • 2 · Savings and temporary cash investments

    beginning of year $119,527 · end of year $2,119,823

  • 3 · Pledges and grants receivable

    beginning of year $1,172,147 · end of year $649,468

  • 4 · Accounts receivable

    beginning of year $9,223,587 · end of year $8,165,795

  • 8 · Inventories for sale or use

    beginning of year $1,716,116 · end of year $1,651,186

  • 9 · Prepaid expenses and deferred charges

    beginning of year $264,218 · end of year $62,701

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

    $67,464,759

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

    $33,406,686

  • 10c · Land, buildings and equipment, net

    beginning of year $22,695,581 · end of year $34,058,073

  • 12 · Investments: other securities

    beginning of year $5,001,343 · end of year $3,024,645

  • 15 · Other assets

    beginning of year $12,797,278 · end of year $15,800,297

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,210,549 · end of year $17,905,908

  • 19 · Deferred revenue

    beginning of year $449,759

  • 25 · Other liabilities

    beginning of year $8,504,711 · end of year $11,030,191

  • 27 · Net assets without donor restrictions

    beginning of year $33,475,994 · end of year $39,569,904

  • 28 · Net assets with donor restrictions

    beginning of year $3,855,725 · end of year $3,989,458

Mission and programs · 2022

Mission

JONES MEMORIAL HOSPITAL PROVIDES THE HIGHEST QUALITY HEALTHCARE IN A CARING MANNER TO IMPROVE THE QUALITY OF LIFE FOR OUR COMMUNITIES.

Activities or mission (Part I)

JONES MEMORIAL HOSPITAL IS COMMITTED TO ENSURING ACCESS TO THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY IN A CARING MANNER.

  • QUALITY OF HEALTH CARE: THE MEMORIAL HOSPITAL OF WILLIAM F. & GERTRUDE F. JONES, INC. A/K/A JONES MEMORIAL HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH 49 ACUTE CARE BEDS, NOT FOR PROFIT, LOCATED IN RURAL WELLSVILLE NY IN A PROFESSIONALLY UNDERSERVED AREA. WE PROVIDE PRIMARY CARE, AMBULATORY CARE, EMERGENCY CARE AND ACUTE (MEDICAL, SURGICAL, PEDIATRIC, OB AND GYN) AND INTENSIVE CARE PLUS COMMUNITY OUTREACH PROGRAMS. WE ADMITTED 1,520 PATIENTS PLUS 392 BIRTHS. THE HOSPITAL HAS PROVIDED CHARITY CARE TO INDIGENT PATIENTS TOTALING $1,265,078.

    Expenses $60,539,537 · Revenue $63,932,061

As filed on the 2022 return.

Listed in Part VII

  • KAROL MARCIANO

    CHAIRPERSON

    Total calculated
    $138,374
    From this org
    $0
    From related orgs
    $116,730
    Other
    $21,644
    Hours/week
    2 + 55 related

  • DANIEL JOHNSON

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • JENNY BILOTTA

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • MARY KATE COLE

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • STEVEN GOLDSTEIN

    BOARD MEMBER

    Total calculated
    $3,516,222
    From this org
    $0
    From related orgs
    $3,306,549
    Other
    $209,673
    Hours/week
    2 + 71 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,509,252 related
    Bonus
    $0
    Other
    $0 + $1,797,297 related
    Deferred
    $0 + $188,712 related
    Nontaxable benefits
    $0 + $20,961 related
    Filer's total
    $0 + $3,516,222 related

  • MARK TAUBMAN

    BOARD MEMBER

    Total calculated
    $1,960,405
    From this org
    $0
    From related orgs
    $1,783,432
    Other
    $176,973
    Hours/week
    2 + 75 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,744,544 related
    Bonus
    $0
    Other
    $0 + $38,888 related
    Deferred
    $0 + $156,577 related
    Nontaxable benefits
    $0 + $20,396 related
    Filer's total
    $0 + $1,960,405 related

  • MICHAEL APOSTOLAKOS

    BOARD MEMBER

    Total calculated
    $809,047
    From this org
    $0
    From related orgs
    $701,264
    Other
    $107,783
    Hours/week
    2 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $678,734 related
    Bonus
    $0
    Other
    $0 + $22,530 related
    Deferred
    $0 + $79,312 related
    Nontaxable benefits
    $0 + $28,471 related
    Filer's total
    $0 + $809,047 related

  • SAMANTHA GILKEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RICHARD EWELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • IAN JONES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JAMES KNAPP

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RHIANNON SISSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEVEN MAURO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • ANDRES RUBERT MD

    CHIEF OF MEDICAL STAFF

    Total calculated
    $381,243
    From this org
    $356,923
    From related orgs
    $0
    Other
    $24,320
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,923
    Bonus
    $0
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $15,170
    Filer's total
    $381,243

  • ROBERT GILFERT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JAMES HELMS

    CEO

    Total calculated
    $233,882
    From this org
    $220,834
    From related orgs
    $0
    Other
    $13,048
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,834
    Bonus
    $0
    Other
    $0
    Deferred
    $6,625
    Nontaxable benefits
    $6,423
    Filer's total
    $233,882

  • BOYD CHAPPELL

    CFO

    Total calculated
    $79,122
    From this org
    $78,654
    From related orgs
    $0
    Other
    $468
    Hours/week
    40

  • PAUL AXTELL MD

    ORTHOPAEDIC SURGEON

    Total calculated
    $744,095
    From this org
    $718,000
    From related orgs
    $0
    Other
    $26,095
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $718,000
    Bonus
    $0
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $16,945
    Filer's total
    $744,095

  • HEATHER LANPHERE MD

    OB/GYN

    Total calculated
    $432,549
    From this org
    $407,978
    From related orgs
    $0
    Other
    $24,571
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $407,978
    Bonus
    $0
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $15,421
    Filer's total
    $432,549

  • ANNA HARING MD

    OB/GYN

    Total calculated
    $408,900
    From this org
    $388,077
    From related orgs
    $0
    Other
    $20,823
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $388,077
    Bonus
    $0
    Other
    $0
    Deferred
    $6,100
    Nontaxable benefits
    $14,723
    Filer's total
    $408,900

  • NISHANT CHAUDHARY MD

    HOSPITALIST

    Total calculated
    $377,446
    From this org
    $359,215
    From related orgs
    $0
    Other
    $18,231
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $359,215
    Bonus
    $0
    Other
    $0
    Deferred
    $3,050
    Nontaxable benefits
    $15,181
    Filer's total
    $377,446

  • SADDAN YASIN

    HOSPITALIST

    Total calculated
    $365,708
    From this org
    $347,535
    From related orgs
    $0
    Other
    $18,173
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $347,535
    Bonus
    $0
    Other
    $0
    Deferred
    $3,050
    Nontaxable benefits
    $15,123
    Filer's total
    $365,708

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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

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
  • 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)

PART I, LINE 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $159,400 MARK TAUBMAN, MD - SERP PLAN - $127,265 MICHAEL APOSTOLAKOS, MD - SERP PLAN - $50,000 KELLIE ANDERSON - SERP PLAN - $25,000 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN - 457 (F) PLAN - $1,701,400

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411359349311476

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